Phenylketonuria (PKU)
The key challenge in phenylketonuria (PKU) therapeutic development lies in achieving sustained phenylalanine reduction while overcoming blood-brain barrier penetration limitations. Protheragen leverages cutting-edge insights into the pathogenesis and genetic drivers of PKU to pioneer targeted therapies and precision animal models, accelerating preclinical drug development. Our goal is to offer reliable and end-to-end support to streamline your therapeutic development journey.
Introduction to Phenylketonuria (PKU)
Phenylketonuria (PKU) is an autosomal recessive metabolic disorder caused by deficient phenylalanine hydroxylase (PAH) activity, resulting in toxic accumulation of phenylalanine (Phe) and subsequent neurological damage. Characterized by hyperphenylalaninemia, untreated PKU leads to severe intellectual disability, seizures, and behavioral abnormalities. PKU affects 1 in 10,000-15,000 live births.
Fig.1 Pathological mechanisms involved in phenylketonuria (PKU) and other conditions with hyperphenylalaninemia (HPA). (Wyse A T S, et al., 2021)
Pathogenesis of Phenylketonuria (PKU)
Phenylketonuria (PKU) results from mutations in the PAH gene encoding phenylalanine hydroxylase, causing impaired conversion of phenylalanine (Phe) to tyrosine. This metabolic block leads to toxic Phe accumulation (>1200 μmol/L in classic PKU), which disrupts cerebral neurotransmitter synthesis (dopamine/serotonin deficiency) and myelin formation through competitive inhibition of large neutral amino acid transporters. The resultant neurotoxicity manifests as irreversible intellectual disability if untreated, with severity directly correlating to residual PAH enzyme activity.
Fig.2 Phenylketonuria (PKU) pathophysiology. (Borges A C, et al., 2022)
Therapeutic Development for Phenylketonuria (PKU)
Drug Names | Mechanism of Action | Targets | NCT Number | Research Phase |
Sapropterin Dihydrochloride | Synthetic tetrahydrobiopterin (BH4) cofactor that stabilizes mutant PAH enzymes | Phenylalanine hydroxylase (PAH) enzyme | NCT01650909 | Approved |
Pegvaliase | PEGylated phenylalanine ammonia lyase (PAL) that converts Phe to trans-cinnamic acid and ammonia | Phenylalanine substrate in blood | NCT06305234 | Approved |
JNT-517 | Small molecule inhibitor of phenylalanine transport across intestinal epithelium | SLC6A19 transporter | NCT06637514 | Phase II |
Disclaimer: Protheragen focuses on providing preclinical research services. This table is for information exchange purposes only. This table is not a treatment plan recommendation. For guidance on treatment options, please visit a regular hospital.
Our Services
Recognizing the complexity of diagnosing and treating phenylketonuria (PKU), Protheragen is committed to building a team of experts to provide cutting-edge diagnostic and therapeutic development solutions. Our commitment lies in providing a variety of customized therapy development services to meet the diverse research needs of our customers. We also excel in generating precise disease models that are carefully engineered to replicate the unique features of phenylketonuria (PKU).
Therapeutic Development Services

By Mechanism of Action
Disease Model Development Services

In Vitro Model Development
- PAH Knockout Model: This model features complete PAH gene deletion, resulting in severe hyperphenylalaninemia.
- PAH*R243Q Knock-in Model: This model carries the Asian-prevalent PAH c.835T>C (p.R243Q) point mutation, exhibiting partial PAH activity and BH4-responsive hyperphenylalaninemia.
At Protheragen, we are committed to supporting the development of innovative therapeutics through comprehensive preclinical research services, including pharmacodynamics (PD), pharmacokinetic (PK) and toxicology studies. Our customized approach addresses the unique challenges of your studies and helps you optimize your drug candidates for commercial success. If you are interested in our services, please feel free to contact us for more details and quotation information of related services.
References
- Wyse A T S, Dos Santos T M, Seminotti B, et al. Insights from animal models on the pathophysiology of hyperphenylalaninemia: role of mitochondrial dysfunction, oxidative stress and inflammation[J]. Molecular Neurobiology, 2021, 58(6): 2897-2909.
- Borges A C, Broersen K, Leandro P, et al. Engineering Organoids for in vitro Modeling of Phenylketonuria[J]. Frontiers in Molecular Neuroscience, 2022, 14: 787242.