Phenylketonuria (PKU) is a rare inherited disorder caused by the inability to metabolize the amino acid phenylalanine. It is most commonly identified in newborns through a routine screening test. Subsequently, a diagnosis of PKU requires confirmation through additional laboratory tests.
There are three distinct types of PKU: Classic PKU, Variant PKU, and Hyperphenylalaninemia (HPA).
Classic PKU, the most severe form of the disorder, is caused by a deficiency of the enzyme phenylalanine hydroxylase. People with Classic PKU have very high levels of phenylalanine in their blood, which can cause neurological damage if left untreated. Treatment typically involves a low-phenylalanine diet and, in some cases, supplementation with a special form of the enzyme.
Variant PKU is a milder form of the disorder caused by a partial deficiency of phenylalanine hydroxylase. People with Variant PKU may have moderate levels of phenylalanine in their blood, and may not require a special diet. However, regular blood tests are still recommended to monitor their condition.
Hyperphenylalaninemia (HPA) is the mildest form of PKU. It is caused by a deficiency of the enzyme biopterin, which is necessary for the body to make phenylalanine hydroxylase. People with HPA typically have mild to moderate levels of phenylalanine in their blood, and may not require a special diet. However, regular blood tests are still recommended to monitor their condition.
In conclusion, PKU is a rare inherited disorder caused by the inability to metabolize the amino acid phenylalanine. There are three distinct types of PKU: Classic PKU, Variant PKU, and Hyperphenylalaninemia (HPA). Treatment and monitoring vary depending on the type of PKU, but typically involve dietary restrictions and regular blood tests.