Abstract
The heterogeneity of phenylketonuria can be explained on the molecular basis. Because the phenylalanine-hydroxylating system consists of more than one enzyme, each enzyme can be mutated. Different mutations of the phenylalanine hydroxylase molecule resulting in a lack or reduction of enzyme activity can be anticipated. Enzyme activity lower than 1 % compared to normals is correlated to the severe form; enzyme activity higher than 5% is correlated to the mild form of the disease. Phenylketonuria can also be caused by a defective synthesis or defective reduction of the cofactor. Patients suffer severe neurological symptoms, because of an impaired synthesis of dopamine and serotonin.
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Bartholomé, K. Die molekulare Basis der Heterogenität der Phenylketonurie. Naturwissenschaften 67, 495–498 (1980). https://doi.org/10.1007/BF01047629
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DOI: https://doi.org/10.1007/BF01047629