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Ch. 9 - The Molecular Biology of Translation
Sanders - Genetic Analysis: An Integrated Approach 3rd Edition
Sanders3rd EditionGenetic Analysis: An Integrated ApproachISBN: 9780135564172Not the one you use?Change textbook
Chapter 9, Problem B.5

Describe the gene and protein defects in phenylketonuria (PKU). How are these defects connected to disease symptoms?

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Step 1: Understand that phenylketonuria (PKU) is caused by mutations in the gene encoding the enzyme phenylalanine hydroxylase (PAH), which is responsible for converting the amino acid phenylalanine into tyrosine.
Step 2: Recognize that the gene defect leads to a deficient or nonfunctional PAH enzyme, resulting in an inability to metabolize phenylalanine properly.
Step 3: Explain that the protein defect (nonfunctional or deficient PAH enzyme) causes phenylalanine to accumulate in the blood and tissues, leading to toxic levels.
Step 4: Connect the accumulation of phenylalanine to the disease symptoms, such as intellectual disability, developmental delays, and neurological problems, due to its toxic effects on brain development and function.
Step 5: Summarize that the gene mutation causes a defective enzyme, which disrupts normal metabolism of phenylalanine, and this metabolic block leads directly to the clinical manifestations of PKU.

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Phenylketonuria (PKU) and its Genetic Basis

PKU is an inherited metabolic disorder caused by mutations in the PAH gene, which encodes the enzyme phenylalanine hydroxylase. This enzyme is responsible for converting phenylalanine to tyrosine. Defects in the PAH gene lead to reduced or absent enzyme activity, causing phenylalanine accumulation.
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Role of Phenylalanine Hydroxylase Enzyme

Phenylalanine hydroxylase catalyzes the hydroxylation of phenylalanine to tyrosine, a precursor for neurotransmitters. When this enzyme is defective, phenylalanine builds up to toxic levels, disrupting normal brain development and function, which underlies the neurological symptoms of PKU.
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Connection Between Molecular Defects and Disease Symptoms

The accumulation of phenylalanine and its metabolites in PKU leads to neurotoxicity, causing intellectual disability, seizures, and behavioral problems. The lack of tyrosine also impairs neurotransmitter synthesis, further contributing to cognitive and developmental issues seen in untreated PKU patients.
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