32583-7
Phenyllactate [Presence] in Urine
Active
Part Description
LP18451-2 Phenyllactate
L-3-Phenyllactic acid (or PLA) is a chiral aromatic compound involved in phenylalanine metabolism. It is likely produced from phenylpyruvate via the action of lactate dehydrogenase. The D-form of this organic acid is typically derived from bacterial sources while the L-form is almost certainly endogenous. Levels of phenyllactate are normally very low in blood or urine. High levels of PLA in the urine or blood are often indicative of phenylketonuria (PKU) and hyperphenylalaninemia (HPA). PKU is due to lack of the enzyme phenylalanine hydroxylase (PAH), so that phenylalanine is converted not to tyrosine but to phenylpyruvic acid (a precursor of phenylactate). In particular, excessive phenylalanine is typically metabolized into phenylketones through, a transaminase pathway route involving glutamate. Metabolites of this transamination reaction include phenylacetate, phenylpyruvate and phenethylamine. In persons with PKU, dietary phenylalanine either accumulates in the body or some of it is converted to phenylpyruvic acid and then to phenyllactate through the action of lactate dehydrogenase. Individuals with PKU tend to excrete large quantities of phenylpyruvate, phenylacetate and phenyllactate, along with phenylalanine, in their urine. If untreated, mental retardation effects and microcephaly are evident by the first year along with other symptoms which include: unusual irritability, epileptic seizures and skin lesions. Hyperactivity, EEG abnormalities and seizures, and severe learning disabilities are major clinical problems later in life. A "musty or mousy" odor of skin, hair, sweat and urine (due to phenylacetate accumulation); and a tendency to hypopigmentation and eczema are also observed. The neural-development effects of PKU are primarily due to the disruption of neurotransmitter synthesis. In particular, phenylalanine is a large, neutral amino acid which moves across the blood-brain barrier (BBB) via the large neutral amino acid transporter (LNAAT). Excessive phenylalanine in the blood saturates the transporter. Thus, excessive levels of phenylalanine significantly decrease the levels of other LNAAs in the brain. But since these amino acids are required for protein and neurotransmitter synthesis, phenylalanine accumulation disrupts brain development, leading to mental retardation.
Copyright Copyright ©2005-2009 Genome Alberta (Reference to original publication: Wishart DS, Knox C, Guo AC, et al. HMDB: a knowledgebase for the human metabolome. Nucleic Acids Res. 2009 37(Database issue):D603-610.)
Source: Human Metabolome Database,
Human Metabolome Database
LOINC Names Get Info
- Fully-Specified Name
- Phenyllactate:
PrThr: Pt: Urine: Ord: - Long Common Name
- Phenyllactate [Presence] in Urine
- Short Name
- Phenyllactate Ur Ql
- Display Name
- Phenyllactate Ql (U)
- Consumer Name Alpha Get Info
- Phenyllactate, Urine
Part Model Get Info
Basic Attributes
- Class
- CHEM
- Type
- Laboratory
- First Released
- Version 2.08
- Last Updated
- Version 2.73 (MIN)
- Change Reason
- The PrThr property is used for LOINC terms whose results are reported using an ordered categorical scale, regardless of whether or not an internal threshold was used to make that determination. This change was approved by the Laboratory LOINC Committee in June 2016.
- Order vs. Observation
- Both
- Common Test Rank Get Info
- 11410
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| cs-CZ | Czech (Czechia) | Fenyllaktát: |
| el-GR | Greek (Greece) | Φαινυλακτικό οξύ: Synonyms: CHEM Ord PrThr Pt Ούρα Φαινυλακτικό οξύ |
| es-AR | Spanish (Argentina) | fenilactato: |
| es-ES | Spanish (Spain) | Fenilactato: |
| es-MX | Spanish (Mexico) | Fenilactato: |
| et-EE | Estonian (Estonia) | Fenüüllaktaat: Synonyms: Järgarvuline Juhuslik Uriin |
| fr-CA | French (Canada) | Phényllactate: |
| fr-FR | French (France) | 3-phényllactate: |
| fr-BE | French (Belgium) | Phényllactate: |
| it-IT | Italian (Italy) | Fenillattato: Synonyms: Chimica Presenza o Soglia Punto nel tempo (episodio) |
| ko-KR | Korean (Korea, Republic Of) | 페닐젖산: |
| nl-NL | Dutch (Netherlands) | fenyllactaat: |
| pl-PL | Polish (Poland) | Fenylomleczan: |
| pt-BR | Portuguese (Brazil) | Fenillactato: Synonyms: Phenyllactic acid; |
| ru-RU | Russian (Russian Federation) | Фениллактат: Synonyms: Порядковый Точка во времени; |
| tr-TR | Turkish (Turkey) | Fenillaktat: Synonyms: Mevcut |
| zh-CN | Chinese (China) | 苯乳酸: Synonyms: 依次型; |
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