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Phenylalanine and Tyrosine Metabolism

Phenylalaninum, Tyrosinum

For medical students2 min readUpdated 2026-10-10

Phenylalanine is an essential amino acid that is normally predominantly converted into tyrosine. This pathway initiates the synthesis of vital regulators (catecholamines, thyroid hormones, melanins) and provides energy metabolism in the liver.

Amino acid typeMixed (glucogenic and ketogenic)
Mediator synthesisDopamine, norepinephrine, epinephrine
Common pathologyPhenylketonuria (hydroxylase deficiency)
CatabolismDegradation to fumarate and acetoacetate

Main Pathway: Conversion to Tyrosine

Up to 80% of dietary phenylalanine not used for tissue protein synthesis undergoes hydroxylation.

The resulting tyrosine is a conditionally essential amino acid because animal cells cannot independently synthesize the aromatic ring. During the reaction, the coenzyme is oxidized to $H_2 ext{BP}$, and its regeneration requires the enzyme dihydropteridine reductase, which utilizes $NADPH+H^+$.

Major Pathways of Tyrosine Utilization

The further fate of tyrosine depends on the tissue type:

  1. In the liver (energy metabolism). Tyrosine loses its amino group (via tyrosine aminotransferase + vitamin $B_6$), turning into $p$-hydroxyphenylpyruvate. After a series of complex reactions involving cleavage of the aromatic ring by dioxygenases, fumarate (enters the Krebs cycle or gluconeogenesis) and acetoacetate (a ketone body) are formed.
  2. In melanocytes (pigmentation). With the participation of the enzyme tyrosinase and copper ions ($Cu^+$), tyrosine is oxidized to DOPA and then converted into melanin pigments.
  3. In the thyroid gland. Serves as a precursor for thyroid hormones—iodothyronines.
  4. In nervous tissue and the adrenal medulla. Used for catecholamine synthesis.

Synthesis of Catecholamines

Synthesis occurs in nerve terminals and the adrenal medulla.

The rate-limiting step is the first reaction—the formation of DOPA from tyrosine. It is catalyzed by tyrosine hydroxylase, which is tightly regulated: inhibited by the end product (norepinephrine) and activated by phosphorylation (cAMP-dependent protein kinase) or cortisol.

Steps of synthesis:

  1. Tyrosine → DOPA. Enzyme: tyrosine hydroxylase ($H_4 ext{BP}$, $O_2$, $Fe^{2+}$).
  2. DOPA → Dopamine. Enzyme: DOPA decarboxylase (cofactor: pyridoxal phosphate). $CO_2$ is released.
  3. Dopamine → Norepinephrine. Enzyme: dopamine $eta$-hydroxylase (cofactors: vitamin C, copper, $O_2$).
  4. Norepinephrine → Epinephrine. Enzyme: phenylethanolamine $N$-methyltransferase. The methyl group donor is S-adenosylmethionine (SAM).

Hereditary Enzymopathies

Disorders of amino acid metabolism lead to severe conditions:

Mnemonic

To memorize the catecholamine synthesis pathway, use the sequence: Tyrosine → DOPA → Dopamine → Norepinephrine → Epinephrine (Think: Try Doing Daily New Exercises).

Frequently asked questions

Which specific thyroid hormones are synthesized from tyrosine?

Thyroid hormones of the iodothyronine group are synthesized from tyrosine in the thyroid gland. Within the thyroglobulin protein molecule, the following active hormones are formed:

  • Thyroxine ($T_4$ or tetraiodothyronine) — formed by the condensation of two diiodotyrosine (DIT) molecules.
  • Triiodothyronine ($T_3$) — formed by the condensation of monoiodotyrosine (MIT) and diiodotyrosine (DIT).

The synthesis involves iodination of tyrosine residues mediated by thyroid peroxidase. Only the free plasma fraction of hormones is active, with $T_3$ providing the primary clinical effect.

What intermediate metabolites are formed in the pathway from p-hydroxyphenylpyruvate to fumarate?

During tyrosine catabolism from $p$-hydroxyphenylpyruvate to fumarate, the following intermediates are sequentially formed:

  • Homogentisic acid — formed by the action of $p$-hydroxyphenylpyruvate dioxygenase.
  • Maleylacetoacetate — the product of aromatic ring cleavage by homogentisate dioxygenase.
  • Fumarylacetoacetate — produced via maleylacetoacetate isomerization.

In the final reaction, fumarylacetoacetate undergoes hydrolysis to yield fumarate and acetoacetate.

Which toxic phenylalanine derivatives accumulate in phenylketonuria?

In phenylketonuria, blockade of the primary metabolic pathway leads to the accumulation of phenylalanine itself and alternative pathway metabolites (toxic phenylketones):

  • Phenylpyruvate (phenylpyruvic acid) — the primary transamination product.
  • Phenyllactate — the reduction product of phenylpyruvate.
  • Phenylacetate — decarboxylation product.
  • Phenylacetylglutamine — formed by conjugating phenylacetate with glutamine.

High concentrations of these substances exert neurotoxic effects, impairing central nervous system development.

Why are phenylalanine and tyrosine classified as glucogenic and ketogenic?

During their hepatic degradation, fumarate is formed (which can be used for gluconeogenesis, making them glucogenic), along with acetoacetate (a classic ketone body, making them ketogenic).

Why is tetrahydrobiopterin coenzyme deficiency dangerous?

It is required for the function of several hydroxylases. Its deficiency disrupts the metabolism not only of phenylalanine but also of tyrosine and tryptophan, blocking the synthesis of catecholamines and serotonin in the brain (malignant PKU).

What happens in alkaptonuria?

Due to a genetic defect in homogentisate dioxygenase, the breakdown of the aromatic ring is interrupted. Homogentisic acid accumulates in the body, polymerizes in tissues, and turns urine dark upon exposure to air.

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