Phenylketonuria (PKU) is an inherited disorder in which the body cannot break down the amino acid phenylalanine. This can cause a build-up of phenylalanine in the body, leading to a wide range of health problems.
There are two types of PKU: classic PKU and variant PKU. Classic PKU is caused by a mutation in the gene responsible for the production of the enzyme phenylalanine hydroxylase (PAH), which is needed to break down phenylalanine. People with classic PKU have levels of phenylalanine that are much higher than normal. Variant PKU is caused by mutations in other genes which affect the metabolism of phenylalanine. People with variant PKU have levels of phenylalanine that are only slightly higher than normal.
Both types of PKU can cause serious health problems if left untreated. In classic PKU, the high levels of phenylalanine can lead to mental retardation, seizures, and other neurological problems. In variant PKU, the slightly elevated levels of phenylalanine can lead to milder neurological and cognitive problems. Both types of PKU are treated with a strict diet that is low in phenylalanine. This diet helps to keep phenylalanine levels in a normal range and helps to prevent long-term health problems.