Side Effects of Phenylalanine and Phenylketonurics
Phenylalanine -- an amino acid and one of the building blocks of protein -- has no side effects as a component of food in healthy individuals. However, in those with a disease called phenylketonuria, or PKU, phenylalanine causes a variety of side effects. This is because individuals with this disease can't properly metabolize the amino acid.
Phenylalanine
Twenty common amino acids make up the proteins in your body and in the foods you eat. Phenylalanine is one of these; in fact, it's one of the essential amino acids -- there are eight of these -- that you must obtain from foods, because you cannot make them from other molecules. Many protein-containing foods are rich sources of phenylalanine, including meats, dairy, eggs and soy.
Phenylketonuria
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Phenylketonurics -- those with PKU -- have a genetic disorder that prevents them from producing an enzyme called phenylalanine hydroxylase. Your cells use this enzyme to convert phenylalanine into another amino acid called tyrosine, explain Drs. Reginald Garrett and Charles Grisham in their book, "Biochemistry." This not only makes tyrosine essential in patients with PKU -- those without the disease can make their tyrosine, while phenylketonurics must consume it -- it also leads to a build-up of phenylalanine 1.
- Phenylketonurics -- those with PKU -- have a genetic disorder that prevents them from producing an enzyme called phenylalanine hydroxylase.
- This not only makes tyrosine essential in patients with PKU -- those without the disease can make their tyrosine, while phenylketonurics must consume it -- it also leads to a build-up of phenylalanine 1.
Effects of PKU
If you have PKU and consume foods high in phenylalanine, the amino acid builds up in your body. You then metabolize it by an alternate pathway -- not the one used to make tyrosine -- into compounds called phenylketones. These can then lead to a variety of health effects. PubMed Health explains that the effects of PKU range from mental retardation -- perhaps the most commonly recognized effect -- to delays in physical development, rashes and seizures.
- If you have PKU and consume foods high in phenylalanine, the amino acid builds up in your body.
- PubMed Health explains that the effects of PKU range from mental retardation -- perhaps the most commonly recognized effect -- to delays in physical development, rashes and seizures.
Prevention of Effects
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No treatment is available for PKU. It is a genetic disorder, and you can't supplement those with the disease with the missing enzyme, since there's no way to get the enzyme from the digestive tract into the cells. However, babies diagnosed with PKU are fed a low-phenylalanine diet well into their teen years. During adulthood, it becomes less necessary to follow an extremely strict diet. This helps prevent the worst of the PKU-associated symptoms and side effects.
- No treatment is available for PKU.
- However, babies diagnosed with PKU are fed a low-phenylalanine diet well into their teen years.
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References
- “Biochemistry”; Reginald Garrett, Ph.D. and Charles Grisham, Ph.D.; 2007
- PubMed Health; Phenylketonuria; Benjamin W. Van Voorhees, MD; May 2009
- Marble, M. Phenylketonuria and other metabolic diseases: clinical, genetic and newborn screening aspects. LSU Health Sciences Center.
- Burlina AP, Lachmann RH, Manara R, et al. The neurological and psychological phenotype of adult patients with early-treated phenylketonuria: A systematic review. J Inherit Metab Dis. 2019;42(2):209-219. doi:10.1002/jimd.12065
- Hood A, Antenor-dorsey, JA, Rutlin J, et al. Prolonged exposure to high and variable phenylalanine levels over the lifetime predicts brain white matter integrity in children with phenylketonuria. Mol Genet Metab. 2015;114(1):19-24. doi:10.1016/j.ymgme.2014.11.007
- Macleod EL, Ney DM. Nutritional management of phenylketonuria. Ann Nestle Eng. 2010;68(2):58-69. doi:10.1159/000312813
- University of Washington, Cristine M. Trahms Program for Phenylketonuria. What is the diet for PKU?
- Sara, GL., Alejandra, LML, Isabel, IG, Marcela, VA. Conventional phenylketonuria treatment. Journal of Inborn Errors of Metabolism and Screening. 2010;4. doi:10.1177/2326409816685733
- Southeast Regional Genetics Network. PKU nutrition management guidelines. Updated August 2016.
- Kose E, Aksoy B, Kuyum P, Tuncer N, Arslan N, Ozturk Y. The effects of breastfeeding in infants with ohenylketonuria. J Pediatr Nurs. 2018;38:27-32. doi:10.1016/j.pedn.2017.10.009
- Guo H, Zheng Y, Wang B, Li Z. A note on an improved self-healing group key distribution scheme. Sensors (Basel). 2015;15(10):25033-8. doi:10.3390/ijns5030026
- Concolino D, Mascaro I, Moricca MT, et al. Long-term treatment of phenylketonuria with a new medical food containing large neutral amino acids [published correction appears in Eur J Clin Nutr. 2017 Aug;71(8):1027]. Eur J Clin Nutr. 2017;71(1):51–55. doi:10.1038/ejcn.2016.166
- Kose E, Aksoy B, Kuyum P, Tuncer N, Arslan N, Ozturk Y. The effects of breastfeeding in infants with phenylketonuria. J Pediatr Nurs. 2018;38:27-32. doi:10.1016/j.pedn.2017.10.009
- Southeastern Genetics Network. PKU nutrition management guidelines.
- The National PKU Alliance. Returning to diet.
- University of Washington. Cristine M. Trahms Program for Phenylketonuria. What is the diet for PKU?
Writer Bio
Kirstin Hendrickson is a writer, teacher, coach, athlete and author of the textbook "Chemistry In The World." She's been teaching and writing about health, wellness and nutrition for more than 10 years. She has a Bachelor of Science in zoology, a Bachelor of Science in psychology, a Master of Science in chemistry and a doctoral degree in bioorganic chemistry.