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== '''Implications or Possible Applications''' ==
== '''Implications or Possible Applications''' ==
The first diagnosed cases of Phenylketonuria (PKU), otherwise known as Folling's Disease, were identified in 1934 by Norwegian doctor and biochemist Asbjorn Folling. Dr. Folling found that the urine of two of his young mentally handicapped patients contained a high level of phenylalanine. Follwing this discovery, it was found that the absence or malfunction of the phenylalanine hydroxylase enzyme is due to the mutation of the ''PAH'' gene  and inherited autosomal recessively. This may result in a genetic disorder known as Phenylketonuria (PKU). This information was not utilized until the early 1950s when it was found that under a low phenylalanine diet, some of the symptoms found in children suffering from PKU could be reversed. Due to a diet rich in phenylalanine, this enzyme is vital in the regulation in phenylalanine plasma concentration by converting about 75% of the amino acid to tyrosine. Excessive amounts of phenylalanine has been shown to cause mental retardation in humans. Presently, it is regulation to screen newborns children for phenylketonuria with a simple blood or urine test. <ref> January 2005: Phenylalanine Hydroxylase [http://www.pdb.org/pdb/education_discussion/molecule_of_the_month/download/PhenylalanineHydroxylase.pdf]</ref> Due to his discovery and development of the PKU test, Dr. Folling is remembered as one of the most important medical scientists that has not received a Nobel Prize for Physiology or Medicine. <ref> January 2005: Phenylalanine Hydroxylase [http://www.pdb.org/pdb/education_discussion/molecule_of_the_month/download/PhenylalanineHydroxylase.pdf]</ref>
The first diagnosed cases of Phenylketonuria (PKU), otherwise known as Folling's Disease, were identified in 1934 by Norwegian doctor and biochemist Asbjorn Folling. Dr. Folling found that the urine of two of his young mentally handicapped patients contained a high level of phenylalanine. Follwing this discovery, it was found that the absence or malfunction of the phenylalanine hydroxylase enzyme is due to the mutation of the ''PAH'' gene  and inherited autosomal recessively. This may result in a genetic disorder known as Phenylketonuria (PKU). This information was not utilized until the early 1950s when it was found that under a low phenylalanine diet, some of the symptoms found in children suffering from PKU could be reversed. Due to a diet rich in phenylalanine, this enzyme is vital in the regulation in phenylalanine plasma concentration by converting about 75% of the amino acid to tyrosine. Excessive amounts of phenylalanine has been shown to cause mental retardation in humans. Presently, it is regulation to screen newborns children for phenylketonuria with a simple blood or urine test. <ref> January 2005: Phenylalanine Hydroxylase [http://www.pdb.org/pdb/education_discussion/molecule_of_the_month/download/PhenylalanineHydroxylase.pdf]</ref> Due to his discovery and development of the PKU test, Dr. Folling is remembered as one of the most important medical scientists that has not received a Nobel Prize for Physiology or Medicine. <ref> Dr. Ivar Asbjorn Folling- The Man Who discovered PKU Disorder [http://http://www.pkutest.com/2012/07/12/dr-ivar-asbjorn-folling-discovered-pku-disorder/]</ref>


==== Symptoms ====
==== Symptoms ====

Revision as of 02:48, 7 November 2012

This Sandbox is Reserved from 30/08/2012, through 01/02/2013 for use in the course "Proteins and Molecular Mechanisms" taught by Robert B. Rose at the North Carolina State University, Raleigh, NC USA. This reservation includes Sandbox Reserved 636 through Sandbox Reserved 685.
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Phenylalanine HydroxylasePhenylalanine Hydroxylase

Phenylalanine Hydroxylase(PheOH), otherwise known as phenylalaine-4-monooxygenase, is an enzyme produced by the PAH gene found on the twelfth chromosome in the human genome, but it is also found in some bacteria. This enzyme functions as a catalyst in the conversion of the amino acids phenylalanine to tyrosine by adding a hydroxyl group (-OH) to the benzene ring of the amino acid. This is why this protein is therefore classified as a hydroxylase. In most organisms, this hydroxylation process is the first step in phenylalanine degradation. A faulty PAH gene can cause an increase in phenylalanine level in the plasma, resulting in the genetic disorder Phenylketonuria (PKU).[1]

StructureStructure

This is a model of the pheylalanine hydroxylase dimer as found in humans. The green ball in within each subunit represents the iron ion in the catalytic domains.

Drag the structure with the mouse to rotate

PheOH can exist as a dimer or tetramer with identical subunits. Each subunit is organized to have a regulatory, a catalytic and a tetramerization domain. The native form of human PheOH has an estimated secondary structure composed 48% alpha-helices, 28% extended structures, 12% beta-turns, and 12% non-structured conformations. The more structured elements are usually concentrated in the catalytic C-terminal domain of the protein, while the more flexible and unstructured elements are grouped in the regulatory N-terminal domain.[2]

Catalytic Domain The catalytic domain of phenylalanine hydroxylase includes resides 143-410. This region has a basket-like arrangement consisting of 13 alpha-helices and 8 beta-strands. This region of the protein also includes the active site. The active site of PheOH can be found in the center of the catalytic domain and is characterized by a 13 Angstroms deep and 10 Angstroms wide hydrophobic pocket. Lining the active site are 3 glutamates, 2 histadines and 1 tyrosine residue along with hydrophobic residues for a total of 34 amino acids. Covering the entrance of the active site is a short loop consisting or residues 378-381. The center of each catalytic domain consists of an iron ion which is vital to the enzyme activity. The iron atom binds in the active site to . Histadine 285 and 290 were found to be required for the binding of iron through site directed mutagenisis studies. The iron ions are coordinated to three water molecules and arrange in an octahedral geometry. The active site also binds the cofactor tetrahydrobiopterin. This cofactor binds closely to the iron ion and forma hydrogen bonds with two of the three water molecules. The cofactor also forms hydrogen bonds with the carbonyl oxygen of the protein residues including Ala322, Gly247, and Leu249 and the amide of Leu249. Tetramerization Domain

The PheOH model protein was generated via x-ray crystallography.[3]


MechanismMechanism

Although the exact mechanism of phenylalanine degradation is still not fully understood, the main reaction requires the addition of an hydroxyl group to the benzene ring of the phenylalanine residue. In order for this process to occur, the cofactor tetrahydrobiopterin(BH4) loses two hydrogen atoms to become dihydrobiopterin. BH4 acts as a reductant by reducing one of the diatomic oxygens while the other is added to the 6-membered ring. In order to stabilize the substrate- enzyme complex as this reaction occurs, an iron atom within the protein is necessary. It is within the active site that the hydrogen atom from phenylalanine is stripped off and replaced with a hydroxyl group.[4]

Reaction catalyzed by PheOH


Implications or Possible ApplicationsImplications or Possible Applications

The first diagnosed cases of Phenylketonuria (PKU), otherwise known as Folling's Disease, were identified in 1934 by Norwegian doctor and biochemist Asbjorn Folling. Dr. Folling found that the urine of two of his young mentally handicapped patients contained a high level of phenylalanine. Follwing this discovery, it was found that the absence or malfunction of the phenylalanine hydroxylase enzyme is due to the mutation of the PAH gene and inherited autosomal recessively. This may result in a genetic disorder known as Phenylketonuria (PKU). This information was not utilized until the early 1950s when it was found that under a low phenylalanine diet, some of the symptoms found in children suffering from PKU could be reversed. Due to a diet rich in phenylalanine, this enzyme is vital in the regulation in phenylalanine plasma concentration by converting about 75% of the amino acid to tyrosine. Excessive amounts of phenylalanine has been shown to cause mental retardation in humans. Presently, it is regulation to screen newborns children for phenylketonuria with a simple blood or urine test. [5] Due to his discovery and development of the PKU test, Dr. Folling is remembered as one of the most important medical scientists that has not received a Nobel Prize for Physiology or Medicine. [6]

SymptomsSymptoms

Phenylalanine plays a variety of roles in the body among which is the production of melanin, the pigment responsible for hair and and skin color. Infants with an over abundance of this residue may therefore have a lighter skin, hair and eye color than those who do not. [7]

Other symptoms may include:

- Delayed mental and social skills

- Head size significantly below normal

- Hyperactivity

- Jerking movements of the arms or legs

- Mental retardation

- Seizures

- Skin rashes

- Tremors

- Unusual positioning of hands

TreatmentTreatment

PKU diet

Treatment for such a PKU is a low phenylalanine diet and early detection. Those who start the diet early and adhere to it will have better mental and physical health. Infants diagnosed with the disease can fed a specially made formula called Lofenalac while others should follow a diet plan as illustrated in the image to the left. The main rule to follow is to avoid protein sources rich in phenylalanine and sugars containing aspartame. Taking extra supplements like fish oil can replace the fatty acids missing from the phenylalanine free diet and may also improve neurological development. PKU can also be caused by a deficiency in or inability to regenerate tetrahydrobipternin, the cofactor essential to the function of PheOH. Although this is not usually the cause of PKU, patients can be treated by taking tetrahydrobiopterin supplements. If the diet is not strictly followed, mental retardation may result after the first year of life. [8]


ReferencesReferences

  1. College, Davidson. The Structure-Function of Phenylalanine Hydroxylase [1]
  2. Chehin, R., M. Thorolfsson, PM. Knappskog, A. Martinez, T. Flatmark, JL. Arrondo, and A. Muga,Domain structure and stability of human phenylalanine hydroxylase inferred from infrared spectroscopy[2]
  3. Erlandsen H., DirSci; Marianne G. Patch, PhD; Alejandra Gamez, PhD; Mary Straub; and Raymond C. Stevens, PhD. Structural Studies on Phenylalanine Hydroxylase and Implications Toward Understanding and Treating Phenylketonuria [3]
  4. College, Davidson. Phenylalanine Hydroxylase [4]
  5. January 2005: Phenylalanine Hydroxylase [5]
  6. Dr. Ivar Asbjorn Folling- The Man Who discovered PKU Disorder [6]
  7. A.D.A.M Medical Encyclopedia, Phenylketonuria. [7]
  8. A.D.A.M Medical Encyclopedia, Phenylketonuria. [8]

Proteopedia Page Contributors and Editors (what is this?)Proteopedia Page Contributors and Editors (what is this?)

OCA, Sophia Yang, Tara Figliola