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Hyperphenylalaninemia information


Hyperphenylalaninemia
Hyperphenylalaninemia can be inherited in an autosomal recessive manner.
SpecialtyEndocrinology Edit this on Wikidata
Differential diagnosisPhenylketonuria (PKU), BH4 Deficiency (Tetrahydrobiopterin Deficiency), Tyrosinemia.[1]
Frequency15–75 per 1,000,000 births.[1]

Hyperphenylalaninemia is a medical condition characterized by mildly or strongly elevated concentrations of the amino acid phenylalanine in the blood. Phenylketonuria (PKU) can result in severe hyperphenylalaninemia.[2] Phenylalanine concentrations are routinely screened in newborns by the neonatal heel prick (Guthrie test), which takes a few drops of blood from the heel of the infant. Standard phenylalanine concentrations in unaffected persons are about 2-6mg/dl (120–360 μmol/L) phenylalanine concentrations in those with untreated hyperphenylalaninemia can be up to 20 mg/dL (1200 μmol/L). Measurable IQ deficits are often detected as phenylalanine levels approach 10 mg/dL (600 mol/L). Phenylketonuria (PKU)-like symptoms, including more pronounced developmental defects, skin irritation, and vomiting, may appear when phenylalanine levels are near 20 mg/dL (1200 mol/L).[1]Hyperphenylalaninemia is a recessive hereditary metabolic disorder that is caused by the body's failure to convert phenylalanine to tyrosine as a result of the entire or partial absence of the enzyme phenylalanine hydroxylase.[3]

  1. ^ a b c "Hyperphenylalaninemia: Background, Pathophysiology, Epidemiology". 10 October 2022. {{cite journal}}: Cite journal requires |journal= (help)
  2. ^ "OMIM Entry # 261600 – Phenylketonuria; PKU". omim.org. Archived from the original on 2014-05-29. Retrieved 2016-06-03.
  3. ^ de la Parra, Alicia; García, María Ignacia; Waisbren, Susan E.; Cornejo, Verónica; Raimann, Erna (1 December 2015). "Cognitive functioning in mild hyperphenylalaninemia". Molecular Genetics and Metabolism Reports. 5: 72–75. doi:10.1016/j.ymgmr.2015.10.009. ISSN 2214-4269. PMC 5471391.

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Hyperphenylalaninemia

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Hyperphenylalaninemia is a medical condition characterized by mildly or strongly elevated concentrations of the amino acid phenylalanine in the blood...

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Phenylketonuria

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Classical PKU, and its less severe forms "mild PKU" and "mild hyperphenylalaninemia" are caused by a mutated gene for the enzyme phenylalanine hydroxylase...

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Phenylalanine

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to 60 μmol/L. A (rare) "variant form" of phenylketonuria called hyperphenylalaninemia is caused by the inability to synthesize a cofactor called tetrahydrobiopterin...

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Autosomal recessive GTP cyclohydrolase I deficiency

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symptoms.[citation needed] Biochemically, patients present with hyperphenylalaninemia, and usually have decreased levels of biopterin and neopterin in...

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PCBD1

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"Mutation in the 4a-carbinolamine dehydratase gene leads to mild hyperphenylalaninemia with defective cofactor metabolism". American Journal of Human Genetics...

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Neonatal heel prick

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States. Dried blood spot testing Galactosemia Heel stick wound Hyperphenylalaninemia Newborn screening Guthrie Cards Archived 2016-12-01 at the Wayback...

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Dopaminergic

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because such drugs would induce the potentially highly dangerous hyperphenylalaninemia or phenylketonuria. Tyrosine hydroxylase inhibitors like metirosine...

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Autosomal dominant GTP cyclohydrolase I deficiency

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the majority of BH4 deficiencies, AD-GTPCHD does not present with hyperphenylalaninemia, and is therefore missed during newborn screening. Furthermore,...

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List of genetic disorders

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Hyperlysinemia AASS recessive Hyperoxaluria, primary AGXT, GRHPR, DHDPSL Hyperphenylalaninemia 12q Hypoalphalipoproteinemia (Tangier disease) ABCA1 Hypochondrogenesis...

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Dehydratase

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dehydratase deficiency in the body can lead to a less severe condition of hyperphenylalaninemia, which involves an over presence of phenylalanine in the blood....

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Phenylalanine hydroxylase

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biosynthesis. Deficiency in PAH activity due to mutations in PAH causes hyperphenylalaninemia (HPA), and when blood phenylalanine levels increase above 20 times...

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Dihydropteridine reductase deficiency

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presents with such symptoms as elevated levels of phenylalanine (hyperphenylalaninemia), microcephaly, hypotonus, mental retardation and epileptic seizures...

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Biopterin

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neurotransmitters. Biopterin synthesis disorders are also a cause of hyperphenylalaninemia; phenylalanine metabolism requires BH4 as a cofactor. In psychiatry...

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GTP cyclohydrolase I

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deficiency. These may present with malignant phenylketonuria (PKU) and hyperphenylalaninemia (HPA) and lead to a lack of certain neurotransmitters (dopamine...

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Tetrahydrobiopterin deficiency

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Phenylketonuria (PKU) Tetrahydrobiopterin (THB, BH4) Mild non-BH4-deficient hyperphenylalaninemia - disorder arising due to mutations of the DNAJC12 gene. Ponzone...

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List of disorders included in newborn screening programs

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errors of amino acid metabolism Tyrosinemia II Argininemia Benign hyperphenylalaninemia Defects of biopterin cofactor biosynthesis Defects of biopterin...

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Sepiapterin reductase

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tetrahydrobiopterin-dependent monoamine-neurotransmitter deficiency without hyperphenylalaninemia". Am. J. Hum. Genet. 69 (2): 269–277. doi:10.1086/321970. PMC 1235302...

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List of OMIM disorder codes

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233910; GCH1 Hyperphenylalaninemia, BH4-deficient, A; 261640; PTS Hyperphenylalaninemia, BH4-deficient, C; 261630; QDPR Hyperphenylalaninemia, BH4-deficient...

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