The Disease

Chapter 2: Metabolism

 

 

pinocchio.jpg (6724 octets) Thus, phenylalanine, one eats it.
           And after does it become?

After, in the liver of the patients, phenylalanine is transformed by oxidation into tyrosin , thanks to a specific enzyme: The phenylalanine-hydroxylase which itself needs a cofactor, the t�trahydrobiopt�rine (BH4) .

It is like if in our liver, one had a small tiny workman: the enzyme, whose specific work is to cut phenylalanine of pieces. He has need for one assitant: The cofactor



degrad1.gif (1905 octets)

Then by transamination: one obtains acid p-hydroxyphenylpyruvic
By a continuation of transformation one leads to the formation of acetic acid hydroquinone (or ac homogentisic ).
At the end of the metabolism, one obtains fumaric acid and acetic acid ac�tyl .

All these products are used by the organization, or are eliminated by the kidneys if one does not need any.


pinocchio.jpg (6724 octets)What occurs then for the ph�nylc�tonurie?


Eh well, of the anomalies can occur in the normal metabolism of the phenylalanine whose consequences are: appearance of serious illnesses such as: The ph�nylc�tonurie .

Transfers producing the disease were described in gene coding the enzyme: phenylalanine-hydroxylase .

The absence of phenylalanine-hydroxylase in the liver of the patients, involves the blocking of the transformation of tyrosin phenylalanine.


degrad2.gif (1028 octets)



So the ph�nylanalanine is not degraded and accumulates in the blood and fabrics of the patient, whereas a part is transformed into acid phenylpyruvic and different catabolites:
This accumulation in the blood and the brain of phenylalanine and these derivatives is toxic for the nervous cells and involve a progressive destruction of the brain.

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