D3.2.7—Phenylketonuria (PKU)

PKU is an inherited recessive condition affecting phenylalanine metabolism, managed by identifying affected individuals and controlling diet in inheritance problems.

Syllabus
First assessment 2025
Objective
D3.2.7
Level
HL

Exam analysis

Chance of appearing3%of analysed past papers
Latest appearanceMay 2025
Most common paperPaper3
Typical marks1–2

Common command terms

  • Explain
  • Outline

Recent exam appearances

May 2025Paper1A ["HL"] · TZ232[ 1 ]D3.2.7—Phenylketonuria (PKU)
May 2024Paper3 ["HL"] · TZ222(b)[ 2 ]D3.2.7—Phenylketonuria (PKU)
May 2024Paper3 ["HL"] · TZ222(a)[ 2 ]D3.2.7—Phenylketonuria (PKU)
May 2016Paper3 ["HL"] · TZ019(b)(ii)[ 1 ]D3.2.7—Phenylketonuria (PKU)
Practice this objective

Coverage 2016–2025 · Updated 16 Jul 2026

PKU Connects a Recessive Allele to Metabolism

Phenylketonuria (PKU) is an autosomal recessive disorder in which mutation reduces the enzyme that converts phenylalanine to tyrosine.

With insufficient enzyme activity, phenylalanine accumulates and tyrosine production is reduced. Two recessive disease alleles are normally required for the affected phenotype.

Genotype → reduced phenylalanine-hydroxylase activity → disrupted phenylalanine-to-tyrosine conversion → altered metabolite concentrations and phenotype.

Restricting dietary phenylalanine lowers the substrate entering the blocked pathway and can reduce the severity of the phenotype.

Diet can change the phenotype but does not remove or rewrite the inherited PKU alleles.

Phenylketonuria (PKU)

Assessment in practice

2–3 marks
How it is assessed

This objective is assessed through essay response, commonly using Explain / Outline.

Command terms

Explain / Outline

What earns marks

Build the answer around this relationship: PKU is usually autosomal recessive, so carriers can be unaffected.

Representative question

Question 1

[Maximum number: 4]

Discuss the causes and treatments of phenylketonuria.

Retrieve the Core Inheritance Route

Core D3.2 is secure when the student can move from allele rules into predictions and evidence: gametes form genotypes, genotypes can produce phenotypes, different dominance patterns need different notation, and pedigrees or plots require evidence-based interpretation.

  • haploid gametes carry one allele and fertilization restores a diploid genotype
  • dominance, codominance, incomplete dominance, environment, and plasticity affect the observed trait
  • PKU, ABO, sex determination, and haemophilia use different inheritance rules and notation
  • pedigrees infer inheritance patterns and box plots summarize continuous variation

Solve Core Inheritance Questions

Core inheritance exam questions reward disciplined reasoning. First identify the inheritance rule, then write the correct notation or evidence, then state the phenotype, ratio, or conclusion. This prevents the common mistake of writing definitions without solving the genetic problem.

  • Use allele and genotype notation correctly for monohybrid, ABO, PKU, haemophilia, and sex-determination contexts.
  • Connect genotype, dominance pattern, environment, or plasticity to phenotype.
  • Use pedigree or box-plot evidence to justify an inheritance or variation conclusion.

Concept essentials

  • PKU is usually autosomal recessive, so carriers can be unaffected.
  • Diet can influence the PKU phenotype by limiting phenylalanine intake.
  • The condition links an allele to an enzyme defect and a metabolic outcome.