苯丙酮尿症
Phenylketonuria
定义 英文原文(暂无中文)
A rare inborn error of amino acid metabolism characterized by elevated blood phenylalanine and low levels or absence of phenylalanine hydroxylase enzyme. If not detected early or left untreated, the disorder manifests with mild to severe mental disability.
别名
苯丙氨酸羟化酶缺乏症
基本事实
- 遗传方式
- 常染色体隐性
- 发病年龄
- 婴儿期
- 患病率
- 1-9 / 100 000(France)
相关基因 1来自下位疾病
Orphanet 未在本条目上直接标注致病基因。下表由本组所属的下位疾病汇总而来,「来源条目」列给出基因实际标注在哪一个 ORPHA 条目上。
| 基因 | 名称 | 来源条目 |
|---|---|---|
| PAH | phenylalanine hydroxylase | ORPHA:2209 |
临床表型 25
极常见 99–80%1
- 苯丙氨酸尿症 HP:0032351
常见 79–30%14
- 脑白质形态异常 HP:0002500
- 非典型行为 HP:0000708
- 脑电图异常 HP:0002353
- 湿疹样皮炎 HP:0000964
- 全面发育迟缓 HP:0001263
- 生长延迟 HP:0001510
- 高苯丙氨酸血症 HP:0004923
- 皮肤色素减退 HP:0001010
- 重度智力障碍 HP:0010864
- 小头畸形 HP:0000252
- 霉味 HP:0410021
- 骨质减少 HP:0000938
- 癫痫发作 HP:0001250
- 特定的学习障碍 HP:0001328
偶见 29–5%10
- 心血管系统形态异常 HP:0030680
- 焦虑 HP:0000739
- 共济失调 HP:0001251
- 大脑皮质型视觉障碍 HP:0100704
- 痴呆 HP:0000726
- 抑郁 HP:0000716
- 脑病 HP:0001298
- 下肢痉挛 HP:0002061
- 注意力短暂 HP:0000736
- 震颤 HP:0001337
近两年的全球研究 1,718L2
2024/10 起在 Europe PMC 检索所得,按发表时间倒序显示最近 20 篇。标题未译成中文——自动翻译需要接入 LLM 服务,尚未引入。
- 2026-10Longitudinal Metabolic Control in Children With Early-Treated Phenylketonuria
- 2026-09Engineered Escherichia coli Nissle with an inducible phenylalanine degrading cassette and a multi-input kill switch
- 2026-09综述开放获取Continuous Molecular Monitoring Using Electrochemical Aptamer-Based Sensors: Remaining Challenges for Long-Term In Vivo Deployment
- 2026-09A pioneering transition program for adults with phenylketonuria - initial findings from a single-center one-year experience from Poland
- 2026-09综述开放获取Acrodermatitis Dysmetabolica as a Cutaneous Manifestation of Isoleucine Deficiency in Maple Syrup Urine Disease: A Systematic Review of Reported Cases
- 2026-09开放获取The Impact of Prescription Barriers to Special Low Protein Foods and Protein Substitutes on PKU Care: Findings from a National Survey of Metabolic Dietitians
- 2026-09开放获取Identifying Barriers in the Prescription Pathway of Special Low-Protein Foods and Protein Substitutes for People with PKU in the UK: An Industry Perspective
- 2026-09Correction: Sepiapterin: A Distinct, Dual Mechanism of Action that Leads to Potential Treatment Benefits Across the Spectrum of Phenylketonuria Disease Severities
- 2026-09开放获取Lower blood phenylalanine concentrations may be of clinical benefit in adults with phenylketonuria
- 2026-09系统综述综述开放获取Prime Editing for Precision Genetic Medicine: A Systematic Review of Technologies, Delivery, and Therapeutic Applications
- 2026-09Chimeric structural isomer fragments as cost-efficient internal standards for amino acid quantification by mass spectrometry
- 2026-09开放获取Dried Blood Spot-Based Monitoring of Dietary Treatment in Children, Adolescents, and Young Adults with Inherited Disorders of Amino Acid Metabolism: A Four-Year Pilot Study
- 2026-09开放获取Construction of a self-amplifying mRNA-LNP complex for phenylalanine hydroxylase and its efficacy evaluation in gene therapy for phenylketonuria
- 2026-09综述开放获取Gut-on-Chip Models for Host-Microbiome Studies: A Systematic Review
- 2026-09综述开放获取Role of the Gut-Liver-Kidney Axis in Disease Manifestation and Biomarker Alterations
- 2026-09开放获取Population-Specific Carrier Frequencies in an Underrepresented Genetically Heterogeneous Population: Implications for Expanded Carrier Screening
- 2026-09综述Mechanisms of Aging in Phenylketonuria (PKU)
- 2026-09综述开放获取The cost-benefit of newborn screening for X-linked agammaglobulinemia and related B-cell lymphopenia
- 2026-09Dietary supplement practices in children with inherited metabolic disorders receiving protein-restricted diets
- 2026-09综述开放获取High-Content CRISPR Screening: Methods and Applications
境外已获批用于本病的药物 3L2
欧盟 3 项、美国 0 项。同一药物在两地各批一次的,会分别列出。
「境外已获批」不等于「在中国能用」。中间隔着进口注册、临床急需境外新药通道、海南博鳌乐城国际医疗旅游先行区等几条路径,各有各的条件与费用。这一节能确定地告诉你的只有一件事:这个病在世界范围内已经有获得批准的药物,它叫什么名字。拿这个名字去问主治医生,是下一步最省力的做法。
药名一律保留英文原文,不作翻译——中国的药品通用名与英文名的音译经常不一致,译错会让人去找一个不存在的药。
- Kuvan欧盟2008-12-02sapropterin官方记录
- Palynziq欧盟2019-05-03pegvaliase官方记录
- Sephience欧盟2025-06-19sepiapterin官方记录
尚未获批的在研药物(11 项)
这些药已被欧盟或美国的监管机构认定为罕见病用药(英文 orphan drug designation,中文行业里通称「孤儿药资格」——「孤儿」说的是这类药市场太小、没有厂商愿意认领,不是在说病人)。但这只是一种监管身份:意味着监管机构给予研发上的激励,不代表这个药已被证明有效,也不代表将来一定能上市,绝大多数最终不会成药。列在这里是为了看清有哪些方向正在被尝试。
- a strain of modified live probiotic bacterium Escherichia coli (E.coli美国2017-10-18Treatment of phenylketonuria (PKU)官方记录
- recombinant lentivirus vector expressing the human phenylalanine hydro美国2018-10-15Treatment of Phenylketonuria官方记录
- adeno-associated virus vector encoding human phenylalanine hydroxylase美国2019-10-21Treatment of phenylketonuria官方记录
- L-serine, L-threonine, L-leucine, glycine, L-alanine, L-arginine, L-cy美国2020-03-23Treatment of phenylketonuria官方记录
- recombinant adeno-associated virus serotype 8 vector encoding human ph美国2023-01-09Treatment of Phenylketonuria (PKU)官方记录
- a phenylalanine consuming engineered bacteria美国2023-05-08Treatment of Phenylketonuria (PKU)官方记录
- Adeno-associated virus (AAV)-based vector with an engineered capsid se美国2023-09-08Treatment of phenylketonuria (PKU)官方记录
- Small molecule chaperone to stabilize and rescue the activity of dysfu美国2023-12-27Treatment of Phenylketonuria官方记录
- (R)-3-(1-cyclopropyl-3-(2-fluoro-4-(trifluoromethoxy)benzyl)ureido)pip美国2024-04-24treatment of phenylketonuria官方记录
- An in vivo target-primed reverse transcription genome editing product 美国2024-10-09Treatment of phenylketonuria官方记录
- recombinant adeno-associated virus serotype 8-based gene therapy that 美国2025-12-13treatment of phenylketonuria官方记录
数据来自欧洲药品管理局(EMA)的药品与罕见病用药资格公开导出表,以及美国 FDA 的罕见病用药资格数据库(Orphan Drug Product Designation Database)。两边口径不同:欧盟一侧取的是当前状态仍为「已授权」的药品;美国一侧记录的是「曾获批准」这一事实,FDA 的公开表不追踪药物此后是否退市(例如 Relyvrio 于 2024 年撤市,表中仍记为已获批)。请以官方记录页为准。
在中国开展的临床试验 7L2
按病名在 ClinicalTrials.gov 检索、并校验研究中心含中国大陆而来。登记状态不等于现在真的能入组——务必按 NCT 号到原站核实,并与主治医生商量。
登记为可入组 4
- 招募中NCT06687733Safety and Efficacy Study of NGGT002 in Adult Patients With Phenylketonuria中国研究中心 2 个:Bengbu、Shanghai
- 招募中NCT07672756A Clinical Study on the Safety and Tolerability of PL54 Injection in Adult Patients With Phenylketonuria (PKU)中国研究中心 1 个:Hefei
- 招募中NCT07685210GenSci144 Tablets Phase I Clinical Trial中国研究中心 1 个:Jinan
- 尚未开始招募NCT07318909To Evaluate the Safety and Efficacy of GS1168 Injection in Adult Phenylketonuria中国研究中心 1 个:Hefei
其他状态的试验(3 项)
- 已完成NCT03864029Retrospective Observational Safety Effectiveness With Kuvan in hpA中国研究中心 1 个:Chengdu
- 进行中·不再招募NCT06061614Safety and Efficacy Study of NGGT002 in PKU Adult Subjects中国研究中心 1 个:Bengbu
- 已完成NCT05948020Efficacy and Safety of Orally Administered Engineered Probiotics (CBT102-A) for the Treatment of Children With Phenylketonuria中国研究中心 1 个:Shanghai
中国境外的在招试验 35L2
这些试验在中国没有研究中心,通常无法直接报名——入组一般要求在当地居住并接受随访。列在这里是因为它另有用处:看清楚全世界正在试哪些药、做到了哪一期、由谁在做。把药名和 NCT 编号记下来去问主治医生,或据此进一步查该药是否已在境外获批、是否有拓展性用药(expanded access)通道。
CT.gov 报告命中 35 项,此处取回并展示最近的 15 项。
- 尚未开始招募NCT07802366Acceptability and Tolerance Market Research of a Slow Release, Phenylalanine-free Protein Substitute for the Dietary Management of Phenylketonuria英国
- 招募中NCT07825883The Impact of Frequency of Home Phenylalanine Measurements on Metabolic Control in a Population of Patients With Classic Phenylketonuria波兰
- 招募中NCT07551921PheCheck™ Validation Study美国
- 招募中NCT07713758A Trial to Examine if Repinatrabit is Processed Differently in Adults With Reduced Liver or Kidney Function Compared to Adults With Normal Liver and Kidney Function美国
- 尚未开始招募NCT07671859PKU Microtablets Case Studies英国
- 招募中NCT07694440A Study of MZE782 in Adults With PKU美国
- 招募中NCT07477691Immune Modulation During Palynziq® Treatment in Adults (IMPALA)美国
- 招募中NCT07241234A Study to Evaluate Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AG-181 in Subjects With Phenylketonuria波兰、美国
- 招募中NCT07446400A Trial to Examine the Interaction of Repinatrabit With Ethinyl Estradiol/Norethindrone, Metformin,Carbamazepine, Rosuvastatin, and Methotrexate When Administered Together澳大利亚
- 招募中NCT07484945Multiomics Approach in Adult Patients With Phenylketonuria法国
- 尚未开始招募NCT07406009The Psychosocial Functioning of Adults With Phenylketonuria.
- 招募中NCT07220265Impact of Phenylalanine Elevations on Brain and Cognition in Adult PKU Carriers美国
- 招募中NCT07698743Eating Disorders in Patients With Phenylketonuria法国
- 招募中NCT06971731A Study of JNT-517 in Participants With Phenylketonuria (PKU)澳大利亚、加拿大、捷克、法国、德国、日本、荷兰、波兰 等 10 国
- 招募中NCT07728032Impact Of A Phe-Restricted Diet On Gut Health In Children With PKU英国
外部标识与链接
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本页数据来源
- 疾病定义、同义词、基因、表型、流行病学:Orphanet(CC BY 4.0)
- 中文病名:Orphanet 中文包,冻结于 2020-06-01
- 表型中文标签:HPO 简体中文翻译(CHPO 上游成果)