{"id":51,"date":"2023-11-06T10:45:02","date_gmt":"2023-11-06T10:45:02","guid":{"rendered":"https:\/\/liveunlimitedpku-dev-001.azurewebsites.net\/en-gb\/liveunlimited\/?page_id=51"},"modified":"2025-07-31T09:27:54","modified_gmt":"2025-07-31T09:27:54","slug":"what-is-pku","status":"publish","type":"page","link":"https:\/\/pku.biomarin.com\/en-gb\/liveunlimited\/what-is-pku\/","title":{"rendered":"What is PKU?"},"content":{"rendered":"<div id=\"acf-block-6548d8e803832\" class=\"hero hero-no-overlay hero-large-first-para\">\n            <div class=\"hero-background-image hero-background-image-desktop\" style=\"background-image: url(https:\/\/pku.biomarin.com\/en-gb\/liveunlimited\/wp-content\/uploads\/sites\/8\/2023\/11\/tup.png?v=0.74);\"><\/div>\n\t    <div class=\"hero-background-image hero-background-image-mobile\" style=\"background-image: url(https:\/\/pku.biomarin.com\/en-gb\/liveunlimited\/wp-content\/uploads\/sites\/8\/2023\/11\/Tupperware.png?v=0.74);\"><\/div>\n    \t<div class=\"overlay\"><\/div>\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t\t<div class=\"hero-content\">\n\t\t\t    \t\t\t\t    <span class=\"section-title\">Life is complicated when you don&#8217;t have the tools you need<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t    <h1>WHAT IS PKU?\n<\/h1>\n\t\t\t\t\t\t\t\t\t\t\t\t    <p>Only 1 in 10 people surveyed are aware of PKU!<sup>12<\/sup><\/p>\n<p>Phenylketonuria (PKU) is a rare, lifelong metabolic condition which limits a person\u2019s ability to break down protein, which may lead to cumulative toxic effects on the brain<sup>1<\/sup>.<\/p>\n<p>With PKU, the food you eat directly impact the way your brain functions.<\/p>\n\t\t\t\t\t\t\t\t\n                <p class=\"inline-buttons\">\n                                                        <\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n<div id=\"acf-block-6548ddf13e044\" class=\"block split-content equal-bias\" data-muted-autoplay=\"false\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t                                                                <div class=\"content-block first-block\">\n                                                                                                                                                                                                                                                                                    \n                                    \n                                    \n                                    \n                                    <figure>\n                                        <div class=\"image\">\n                                                                                            <img decoding=\"async\" class=\"\" src=\"https:\/\/pku.biomarin.com\/en-gb\/liveunlimited\/wp-content\/uploads\/sites\/8\/2023\/11\/Foodyoueat.png?v=0.74\" alt=\"Photo of green veg on dark kitchen surface\" \/>                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                    \n                                            <div class=\"content-block second-block\">\n                                                                                                <p>People with PKU have a problem with the phenylalanine hydroxylase (PAH) enzyme, and so can\u2019t fully break down an amino acid called Phenylalanine (Phe), which is found in all protein-containing foods (e.g. nuts, meat, eggs, dairy) and sweeteners such as aspartame<sup>1<\/sup>.<\/p>\n<p>If too much protein is consumed, high levels of Phe build-up in a person\u2019s blood and disrupt the balance of neurotransmitters \u2013 or even cause physical damage to the brain itself. This can result in neurological symptoms such as problems with memory and attention, depression and anxiety<sup>2<\/sup>.<\/p>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-6548ddf13e102\" class=\"block split-content equal-bias bg-band bg-band-primary\" data-muted-autoplay=\"false\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t                                                                <div class=\"content-block first-block\">\n                                                                                                <h2>The condition is screened for during the new-born heel prick test, and affects around 1 in 10,000 people in Europe<sup>1,3<\/sup><\/h2>\n                                                                                    <\/div>\n                    \n                                            <div class=\"content-block second-block\">\n                                                                                                                                                                                                                                                                                    \n                                    \n                                    \n                                    \n                                    <figure>\n                                        <div class=\"image\">\n                                                                                            <img decoding=\"async\" class=\"\" src=\"https:\/\/pku.biomarin.com\/en-gb\/liveunlimited\/wp-content\/uploads\/sites\/8\/2024\/02\/baby-foot.jpg?v=0.74\" alt=\"new-born heel prick test\" \/>                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-6548ddf13e2e5\" class=\"block wrapped-content block-tight-top\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-6548ddf13e44a\" class=\"block-wysiwyg\">\n            <h3>PKU is an inherited autosomal recessive disease. This means that if both parents are carriers of the defective PKU gene, their baby has a 1 in 4 chance of suffering from PKU<sup>4<\/sup>. The condition is tested for in almost all European countries during the new born heel prick test, but general awareness of the condition remains low.<\/h3>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-6548ddf13e4fd\" class=\"block split-content equal-bias\" data-muted-autoplay=\"false\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t                                                                <div class=\"content-block first-block\">\n                                                                                                <h2>There is currently no cure for PKU, and management should be lifelong.<\/h2>\n<p>Until fairly recently, doctors thought that PKU was a condition that was outgrown once the brain fully developed as a teenager. However, we now know that high blood Phe levels continue to result in damage at any age, and so the condition should be managed for life<sup>5<\/sup>.<\/p>\n<p>A heavily restricted diet and\/or medical treatment is needed to keep Phe levels under control, but can place a huge burden on adults \u2013 impacting quality of life, personal relationships, and contributing to anxiety, stress and depression<sup>6,7<\/sup>.<\/p>\n                                                                                    <\/div>\n                    \n                                            <div class=\"content-block second-block\">\n                                                                                                                                                                                                                                                                                    \n                                    \n                                    \n                                    \n                                    <figure>\n                                        <div class=\"image\">\n                                                                                            <img decoding=\"async\" class=\"\" src=\"https:\/\/pku.biomarin.com\/en-gb\/liveunlimited\/wp-content\/uploads\/sites\/8\/2023\/11\/AdobeStock_428548283-scaled-1-1900x1266.jpeg\" alt=\"Woman reading product label in grocery store\" \/>                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-660455b0acd99\" class=\"block cards cards-3-col\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t\t<div class=\"cards-title\">\n\t\t\t    \t\t\t\t\t\t\t\t    <p>You can find out more about PKU in children, teens and adults by clicking the links below<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"cards-wrapper\">\n\t\t\t    \n<div id=\"acf-block-660455b0ad239\" class=\"card card-fixed-button\" data-muted-autoplay=\"false\">\n    \t    \n\n                    <img decoding=\"async\" class=\"card-image\" src=\"https:\/\/pku.biomarin.com\/en-gb\/liveunlimited\/wp-content\/uploads\/sites\/8\/2024\/03\/Target_Kid.jpg?v=0.74\" alt=\"\" \/>        \n\t    <div class=\"card-content\">\n                            <h4>Children<br \/>\ndiagnosed with PKU\n<\/h4>\n        \n                                                                                                                                                                                                                                                                                    \n                                                                                        <\/div>\n                                <div class=\"card-actions\">\n                            \n                            <p><a class=\"button button-external\" href=\"https:\/\/www.pkuliving.eu\/parents-and-care-teams\" target=\"_blank\"> I am a parent of a child with PKU <\/a><\/p>\n                                                                                    <\/div>\n<\/div>\n\n<div id=\"acf-block-660455b0ad2b8\" class=\"card card-fixed-button\" data-muted-autoplay=\"false\">\n    \t    \n\n                    <img decoding=\"async\" class=\"card-image\" src=\"https:\/\/pku.biomarin.com\/en-gb\/liveunlimited\/wp-content\/uploads\/sites\/8\/2024\/03\/Target_Teen.jpg?v=0.74\" alt=\"\" \/>        \n\t    <div class=\"card-content\">\n                            <h4>Teens and young adults<br \/>\ngrowing up with PKU\n<\/h4>\n        \n                                                                                                                                                                                                                                                                                    \n                                                                                        <\/div>\n                                <div class=\"card-actions\">\n                            \n                            <p><a class=\"button button-external\" href=\"https:\/\/www.pkuliving.eu\/teens-and-young-adults\" target=\"_blank\"> I am a teen with PKU <\/a><\/p>\n                                                                                    <\/div>\n<\/div>\n\n<div id=\"acf-block-660455b0ad326\" class=\"card card-fixed-button\" data-muted-autoplay=\"false\">\n    \t    \n\n                    <img decoding=\"async\" class=\"card-image\" src=\"https:\/\/pku.biomarin.com\/en-gb\/liveunlimited\/wp-content\/uploads\/sites\/8\/2024\/03\/Target_adult.jpg?v=0.74\" alt=\"\" \/>        \n\t    <div class=\"card-content\">\n                            <h4>Adults<br \/>\nliving with PKU\n<\/h4>\n        \n                                                                                                                                                                                                                                                                                    \n                                                                                        <\/div>\n                                <div class=\"card-actions\">\n                            \n                            <p><a class=\"button button-external\" href=\"https:\/\/www.pkuliving.eu\/adults\" target=\"_blank\">I am an adult with PKU<\/a><\/p>\n                                                                                    <\/div>\n<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-6582ff8310609\" class=\"block split-content equal-bias bg-band bg-band-primary\" data-muted-autoplay=\"false\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t                                                                <div class=\"content-block first-block\">\n                                                                                                <h2>The impact of untreated or poorly managed PKU can be severe<\/h2>\n                                                                                    <\/div>\n                    \n                                            <div class=\"content-block second-block\">\n                                                                                                <p>High or unstable blood Phe levels can lead to<sup>8,9<\/sup>:<\/p>\n<ul>\n<li>\n<strong>Slow processing of information<\/strong>\n<\/li>\n<li>\n<strong>Behavioral or social problems<\/strong>\n<\/li>\n<li>\n<strong>Intellectual disability<\/strong>\n<\/li>\n<li>\n<strong>Problems with memory<\/strong>\n<\/li>\n<li>\n<strong>Seizures and tremors<\/strong>\n<\/li>\n<li>\n<strong>Inattention<\/strong>\n<\/li>\n<li>\n<strong>Anxiety, depression and irritability<\/strong>\n<\/li>\n<\/ul>\n<p>People with PKU also face a high number of physical co-morbidities, including obesity, renal insufficiency with hypertension, and osteoporosis<sup>10<\/sup>.<\/p>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-6582fc1798f20\" class=\"block wrapped-content block-tight-top\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-6582fd84e0f26\" class=\"block-wysiwyg\">\n            <h2>Adults with PKU often face a difficult cycle of dietary management<\/h2>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-6582fd84e1b41\" class=\"block split-content equal-bias bottom-border block-tight-top block-tight-bottom\" data-muted-autoplay=\"false\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t                                                                <div class=\"content-block first-block\">\n                                                                                                <p>Adhering to the diet required to control Phe levels requires careful planning. But the neurocognitive effects of PKU itself can make this even more difficult. And this is exacerbated even more by poor adherence to the diet \u2013 creating a vicious cycle for PKU patients<sup>7,9<\/sup>.<\/p>\n<p>After the age of 18, it is common for people\u2019s control of their PKU to decrease. This is likely due to a number of factors, including busy lifestyles, difficulties finding PKU-suitable food when socialising, and fewer specialist centres for adults<sup>11<\/sup>.<\/p>\n<p>Even if people with PKU are able to strictly adhere to the diet, this can have a negative impact on other areas of their lives, with 34% reporting relationship difficulties with friends, family or partners, and 44% experiencing social exclusion<sup>7<\/sup>.<\/p>\n<p>Find out more about what the Live Unlimited PKU campaign is doing to support change <a href=\"https:\/\/pku.biomarin.com\/en-gb\/liveunlimited\/what-needs-to-change\/\" rel=\"noopener\">here<\/a>.<\/p>\n                                                                                    <\/div>\n                    \n                                            <div class=\"content-block second-block\">\n                                                                                                                                                                                                                                                                                    \n                                    \n                                                                                                                \n                                    \n                                    <figure>\n                                        <div class=\"image image-rounded\">\n                                                                                            <img decoding=\"async\" class=\"\" src=\"https:\/\/pku.biomarin.com\/en-gb\/liveunlimited\/wp-content\/uploads\/sites\/8\/2023\/12\/hannah-olinger-NXiIVnzBwZ8-unsplash-B-e1715712926628.png?v=0.74\" alt=\"\" \/>                                                                                    <\/div>\n                                                                            <\/figure>\n                                                                                    <\/div>\n                                                \t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-6548ddf13e901\" class=\"block references\">\n    <div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t    \t\t\t    <h4>References:\n<\/h4>\n\t\t\t\t\t\t                <ol>\n                                                                                                                        <li><span>Wegberg AMJ, MacDonald A, Ahring K, et al. The complete European guidelines on phenylketonuria: diagnosis and treatment. Orphanet J Rare Dis. 2017;12(1):162. Published 2017 Oct 12. doi:10.1186\/s13023-017-0685-2.\n<\/span><\/li>\n                                                                                                                                                <li><span>Bilder DA et Al. Systematic Review and Meta-Analysis of Neuropsychiatric Symptoms and Executive Functioning in Adults With Phenylketonuria. Dev Neuropsychol. 2016 May-Jun;41(4):245-260.\n<\/span><\/li>\n                                                                                                                                                <li><span>Pitt, J. Newborn Screening. Clin Biochem Rev. 2010 May; 31(2): 57\u201368.\n<\/span><\/li>\n                                                                                                                                                <li><span>NORD. 2019. Phenylketonuria. Available at: https:\/\/rarediseases.org\/rare-diseases\/phenylketonuria\/  Last accessed April 2019\n<\/span><\/li>\n                                                                                                                                                <li><span>Berry et Al. Newborn screening 50 years later: access issues faced by adults with PKU. Genetics in Medicine volume 15, pages591\u2013599 (2013)\n<\/span><\/li>\n                                                                                                                                                <li><span>Al Hafid N, Christodoulou J. Phenylketonuria: a review of current and future treatments. Transl Pediatr. 2015;4(4):304\u2013317. doi:10.3978\/j.issn.2224-4336.2015.10.07\n<\/span><\/li>\n                                                                                                                                                <li><span>Ford, S. et Al. Living with Phenylketonuria: Lessons from the PKU community. Molecular Genetics and Metabolism Report. 2018\n<\/span><\/li>\n                                                                                                                                                <li><span>BioMarin Pharmaceuticals. 2017.Phe In The Brain | PKU. Phenylketonuria (PKU) Information [ONLINE]. Available at: www.pku.com\/about-pku\/phe-in-the-brain . Last accessed: April 2019\n<\/span><\/li>\n                                                                                                                                                <li><span>BioMarin Pharmaceuticals. 2019. PKU. [ONLINE] Available at: www.biomarin.com\/patients\/ diseases\/pku  Last accessed: April 2019\n<\/span><\/li>\n                                                                                                                                                <li><span>Burton, B., Jones, K., Cederbaum, S., Rohr, F., Waisbren, S., Irwin, D., Kim, G., Lilienstein, J., Alvarez, I., Jurecki, E. and Levy, H. (2018). Prevalence of comorbid conditions among adult patients diagnosed with phenylketonuria. Molecular Genetics and Metabolism, 125(3), pp.228-234.\n<\/span><\/li>\n                                                                                                                                                <li><span>Cazzorla C et Al. Living with phenylketonuria in adulthood: The PKU ATTITUDE study. Molecular Genetics and Metabolism Reports 16 (2018) 39\u201345\n<\/span><\/li>\n                                                                                                                                                <li><span>BioMarin commissioned polling company Alligator to conduct a six-question online survey amongst nationally representative samples from the UK, France, Germany, Italy, Spain, Sweden, The Netherlands and Turkey, with 4,151 total respondents in total.* The survey was completed between 1st and 6th June 2019. Respondents were asked to rate six life milestones on a 5 point scale from \u2018Not at all\u2019 stressful to \u2018extremely\u2019 stressful. Total number of respondents with an underlying health condition: 1,932. A total of 130 PKU patients were collected separately in partnership with patient groups in Italy, Sweden, Spain, Turkey, and The Netherlands.\n<\/span><\/li>\n                                                            <\/ol>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-51","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>What is PKU? | Live Unlimited PKU<\/title>\n<meta name=\"description\" content=\"With PKU, the food you eat can impact the way your brain works. 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