Phenylketonuria (PKU) is a genetic disease which results in a raised concentration of the amino acid phenylalanine in the blood. If left untreated in a newborn baby, it can lead to brain damage. For this reason, babies may be tested for PKU soon after birth.
For some genetic diseases, the proportion of individuals that have the disease can vary in different parts of the world. Sometimes this is due to different environmental conditions. The number of cases of PKU is approximately ten times higher in Europe than in Sub-Saharan Africa.
- Individuals who are carriers of the recessive allele for PKU are more resistant to ochratoxin A, produced by a fungus found on contaminated grain products.
- Ochratoxin A has been linked to a form of renal cancer.
- The fungi that produce ochratoxin A are less common in dry regions such as Sub-Saharan Africa.
Suggest and explain the mechanism which has resulted in the different number of cases of PKU in European and Sub-Saharan populations.



