coenzyme–requiring flavin-dependent enzymes such as
glutathione reductase and dihydrolipoyl dehydrogenase
(Section 21-2B).
b. Phenylalanine Hydroxylase Is Controlled by
Phosphorylation and by Allosteric Interactions
PAH initiates the detoxification of high concentrations
of phenylalanine as well as the synthesis of the cate-
cholamine hormones and neurotransmitters (Section 26-4B).
It is allosterically activated by its substrate, phenylalanine,
and by phosphorylation at its Ser 16 by the cAMP-dependent
protein kinase A (PKA; Section 18-3Cb). Its second sub-
strate, BH
4
, allosterically inhibits the enzyme.
c. The NIH Shift
An unexpected aspect of the PAH reaction is that a
3
H
atom, which begins on C4 of phenylalanine’s phenyl ring,
ends up on C3 of this ring in tyrosine (Fig. 26-28, right)
rather than being lost to the solvent by replacement with
the OH group. The mechanism postulated to account for
this NIH shift (so called because it was first characterized
by chemists at the National Institutes of Health) involves
the activation of oxygen by the pterin and Fe cofactors to
form the pterin-4a-carbinolamine and a reactive oxyferryl
group [Fe(IV)“O
2⫺
; Fig. 26-30, Steps 1 and 2] that reacts
with the substrate to form an epoxide across the phenyl
ring’s 3,4 bond (Fig. 26-30, Step 3).This is followed by epox-
ide opening to form a carbocation at C3 (Fig.26-30, Step 4).
Migration of a hydride from C4 to C3 forms a more stable
carbocation (an oxonium ion; Fig. 26-30, Step 5). This mi-
gration is followed by ring aromatization to form tyrosine
(Fig. 26-30, Step 6). Tyrosine hydroxylase and tryptophan
hydroxylase (Section 26-4B) are both homologous to
phenylalanine hydroxylase and utilize this same NIH shift
reaction mechanism, although there may not be an epoxide
intermediate in these cases.
Reaction 3 in the phenylalanine degradation pathway
(Fig. 26-26) provides another example of an NIH shift.
This reaction, which is catalyzed by the Fe(II)-containing
p-hydroxyphenylpyruvate dioxygenase, involves the oxida-
tive decarboxylation of an ␣-keto acid as well as ring hy-
droxylation. In this case, the NIH shift involves migration
of an alkyl group rather than of a hydride ion to form a
more stable carbocation (Fig. 26-31). This shift, which has
been demonstrated through isotope-labeling studies (rep-
resented by the different symbols in Figs. 26-26 and 26-31),
accounts for the observation that C3 is bonded to C4 in
p-hydroxyphenylpyruvate but to C5 in homogentisate.
d. Alkaptonuria and Phenylketonuria Result from
Defects in Phenylalanine Degradation
Archibald Garrod realized in the early 1900s that human
genetic diseases result from specific enzyme deficiencies.
We have repeatedly seen how this realization has con-
tributed to the elucidation of metabolic pathways. The first
such disease to be recognized was alkaptonuria, which,Gar-
rod observed, resulted in the excretion of large quantities of
homogentisic acid.This condition results from deficiency of
homogentisate dioxygenase (Fig. 26-26, Reaction 4).Alkap-
tonurics suffer no ill effects other than arthritis later in life
(although their urine darkens alarmingly because of the
rapid air oxidation of the homogentisate they excrete).
Individuals suffering from phenylketonuria (PKU) are
not so fortunate. Severe mental retardation occurs within a
few months of birth if the disease is not detected and treated
immediately (see below). Indeed, ⬃1% of the patients in
mental institutions were, at one time (before routine screen-
ing), phenylketonurics. PKU is caused by the inability to hy-
droxylate phenylalanine (Fig. 26-26, Reaction 1) and there-
fore results in increased blood levels of phenylalanine
(hyperphenylalaninemia). The excess phenylalanine is
transaminated to phenylpyruvate
by an otherwise minor pathway. The “spillover” of phen-
ylpyruvate (a phenylketone) into the urine was the first ob-
servation connected with the disease and gave the disease
its name, although it has since been demonstrated that it is
the high concentration of phenylalanine itself that gives rise
to brain dysfunction. All babies born in the United States
are now screened for PKU immediately after birth by test-
ing for elevated levels of phenylalanine in the blood.
Classic PKU results from a deficiency in phenylalanine
hydroxylase (PAH). When this was established in 1947, it
was the first human inborn error of metabolism whose ba-
sic biochemical defect had been identified. Since then, over
O
C
Phenylpyruvate
CH
2
COO
–
Section 26-3. Metabolic Breakdown of Individual Amino Acids 1045
Figure 26-29 The active site of the Fe(II) form of phenylalanine
hydroxylase (PAH) in complex with 5,6,7,8-tetrahydrobiopterin
(BH
4
). The Fe(II) (orange sphere) is octahedrally coordinated
(gray lines) by His 285, His 290, and Glu 330 (C green, N blue,
and O red) and three water molecules (red spheres). BH
4
atom
O4 is hydrogen bonded (black dashed lines) to two of these
water molecules. [Based on an X-ray structure by Edward
Hough, University of Tromsø, Norway. PDBid 1J8U.]
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