Phenylketonuria (PKU): Autosomal Recessive Metabolic Disorder

Biology · Principles of Inheritance and Variation · NEET

Phenylketonuria (PKU) is an autosomal recessive metabolic disorder. The affected person is missing the enzyme phenylalanine hydroxylase, which normally changes the amino acid phenylalanine into tyrosine. So phenylalanine piles up, turns into phenylpyruvic acid, collects in the brain, and causes mental retardation. Memory hook: "PKU = Phenylalanine Keeps Up (it cannot be broken down), so the brain suffers."
Phenylketonuria (PKU): a blocked metabolic stepPhenylalanine(builds up)phenylalaninehydroxylaseenzyme MISSINGTyrosine(not formed)Phenylpyruvic acidbrain -> mental retardationKey factsAutosomal recessiveSingle gene mutationExample of pleiotropyExcreted in urine
In PKU the enzyme phenylalanine hydroxylase is missing (single gene mutation), so phenylalanine cannot become tyrosine. Phenylalanine piles up and turns into phenylpyruvic acid, which harms the brain. Less tyrosine also means less melanin, so hair and skin are lighter - this is why PKU is the NCERT example of pleiotropy.

Your doubts, answered

Is phenylketonuria dominant or recessive?

Phenylketonuria is an AUTOSOMAL RECESSIVE trait. NCERT states clearly: 'This inborn error of metabolism is also inherited as the autosomal recessive trait.' Autosomal means the gene is NOT on the sex chromosome (X or Y), so boys and girls are affected equally. Recessive means a person shows the disease only when BOTH copies of the gene are faulty (homozygous). A person with one faulty copy is a healthy carrier. NEET loves to give a wrong option saying 'Phenylketonuria - autosomal dominant' (NEET 2018/2020) - that option is FALSE.

Which enzyme is missing in phenylketonuria?

The missing enzyme is phenylalanine hydroxylase. Normally this enzyme converts the amino acid phenylalanine into another amino acid called tyrosine. In PKU the gene coding for this enzyme is mutated, so the enzyme is absent or not working. Remember: phenylalanine hydroxylase -> phenylalanine becomes tyrosine. No enzyme means this step is blocked.

What builds up in the body in PKU and why is it harmful?

Because phenylalanine cannot be changed to tyrosine, phenylalanine accumulates in the blood. The extra phenylalanine is then converted into phenylpyruvic acid and other derivatives. These build up in the brain and cause mental retardation. They are also thrown out in urine because the kidney absorbs them poorly. So the two key products to remember are phenylalanine (piles up) and phenylpyruvic acid (harmful derivative).

Is phenylketonuria a Mendelian disorder or a chromosomal disorder?

PKU is a MENDELIAN disorder. Mendelian disorders are caused by mutation (change) in a SINGLE gene, and they pass to children by the same rules Mendel found. NCERT lists Haemophilia, Cystic fibrosis, Sickle-cell anaemia, Colour blindness, Phenylketonuria and Thalassemia as common Mendelian disorders. Chromosomal disorders (like Down's syndrome, Klinefelter's, Turner's) are different - they come from a whole extra or missing chromosome (aneuploidy), not a single gene.

Why is phenylketonuria given as an example of pleiotropy?

Pleiotropy means ONE gene affects MANY traits. In PKU, a single mutated gene (for phenylalanine hydroxylase) causes several different effects at once: mental retardation, and a reduction in hair and skin pigmentation. Skin and hair get lighter because tyrosine (needed to make the pigment melanin) is not formed. Because one gene changes multiple phenotypes, NCERT uses PKU as the standard example of a pleiotropic gene. NEET matching questions (2016, 2023, 2026) repeatedly match 'Pleiotropy' with 'Phenylketonuria'.

How is PKU different from sickle cell anaemia?

Both are autosomal recessive, but the defect is different. In PKU an ENZYME (phenylalanine hydroxylase) is missing, so an amino acid (phenylalanine) piles up - it is a metabolic disorder. In sickle cell anaemia a POINT mutation changes glutamic acid to valine at the 6th position of the beta-globin chain of haemoglobin. So if a question mentions 'Glu to Val in beta-globin', the answer is sickle cell, NOT phenylketonuria.

⚠️ The NEET trap
Phenylketonuria - Autosomal dominant trait
Phenylketonuria - Autosomal recessive trait (enzyme phenylalanine hydroxylase is missing)
🧠 NEET 2018/2020 put 'Phenylketonuria - Autosomal dominant' as a trap option. It is FALSE. PKU is autosomal RECESSIVE. Also do not confuse it with sickle cell anaemia (Glu to Val) - that molecular defect belongs to sickle cell, not PKU.

Real NEET questions

NEET 2018 / 2020

Select the correct match.

A · Sickle cell anaemia - Autosomal recessive trait, chromosome-11
B · Thalassemia - X linked
C · Haemophilia - Y linked
D · Phenylketonuria - Autosomal dominant trait
Solution: Sickle-cell anaemia is autosomal recessive, gene on chromosome 11 - this match is correct. The others are wrong: thalassemia is autosomal recessive (not X-linked), haemophilia is X-linked recessive (not Y-linked), and phenylketonuria is autosomal RECESSIVE (not dominant). So option A is the only correct match.
NEET 2016 Phase 1

Pick out the correct statements: (i) Hemophilia is a sex-linked recessive disease (ii) Down's syndrome is due to aneuploidy (iii) Phenylketonuria is an autosomal recessive gene disorder (iv) Sickle cell anaemia is an autosomal recessive gene disorder

A · (i) and (iv) are correct
B · (ii) and (iv) are correct
C · (i), (iii) and (iv) are correct
D · (i), (ii) and (iii) are correct
Solution: Haemophilia is X-linked recessive (i true), Down's syndrome is aneuploidy - trisomy 21 (ii true), phenylketonuria is autosomal recessive (iii true). Statement (iv) is also true, so more than one option is defensible, but the official NEET key takes option D.
NEET 2026 (1)

Match List I with List II: A. Incomplete dominance B. Co-dominance C. Pleiotropy D. Polygenic inheritance I. Human skin colour II. Inheritance of flower colour in Antirrhinum sp. III. Phenylketonuria disease in humans IV. ABO blood groups

A · A-II, B-IV, C-III, D-I
B · A-I, B-III, C-II, D-IV
C · A-I, B-IV, C-III, D-II
D · A-II, B-I, C-III, D-IV
Solution: Incomplete dominance = snapdragon flower colour (A-II). Co-dominance = ABO blood groups (B-IV). Pleiotropy = phenylketonuria, one gene with many effects (C-III). Polygenic inheritance = human skin colour (D-I). This gives option A. Note: PKU is the NCERT example of pleiotropy.

Solved Principles of Inheritance and Variation NEET PYQs

Try the real previous-year questions from this chapter — each with the answer and a full solution.

See all 65 Principles of Inheritance and Variation NEET PYQs ›
Next concept: Thalassemia (Alpha and Beta) and Its InheritanceKeep learning — 2 minFeeling ready? Solve the Principles of Inheritance and Variation NEET PYQs ›Or practice on your phone — get the free MedicNEET app ›

Frequently asked

What is the full form of PKU?

PKU stands for Phenylketonuria. It is called this because phenyl-ketone bodies (like phenylpyruvic acid) are formed and appear in the urine.

Which amino acid cannot be converted in phenylketonuria?

Phenylalanine cannot be converted into tyrosine because the enzyme phenylalanine hydroxylase is missing. So phenylalanine builds up in the blood and brain.

Why does PKU cause light hair and skin?

Tyrosine is the raw material for melanin, the pigment in hair and skin. Since PKU blocks the making of tyrosine, less melanin is made, so hair and skin are lighter. This is also why PKU is an example of pleiotropy - one gene affects both brain and pigmentation.

Is PKU a metabolic disorder?

Yes. NCERT calls it an 'inborn error of metabolism'. It is a mistake in a metabolic (chemical) pathway caused by a single faulty gene that codes for an enzyme.

Can a child get PKU if only one parent has the faulty gene?

No. PKU is recessive, so a child needs TWO faulty copies (one from each parent) to be affected. If only one parent carries it, the child can be a carrier but will not show the disease.