Alkaptonuria, also known as Ochronosis, is a rare genetic disorder that affects the body’s ability to break down a certain substance called homogentisic acid (HGA). When this substance builds up in the body, it can cause black urine, which is the most recognizable symptom of Alkaptonuria.
The underlying cause of black urine in Alkaptonuria is the accumulation of homogentisic acid in the body. This substance is normally broken down by an enzyme called homogentisate 1,2-dioxygenase (HGO). People with Alkaptonuria lack this enzyme, which means that the homogentisic acid builds up in the body instead of being broken down and eliminated. This accumulation of HGA leads to a condition known as ochronosis, which is characterized by dark pigmentation of the urine. This dark pigmentation is caused by a reaction between HGA and the pigment melanin, which is found naturally in the body.
In addition to black urine, Alkaptonuria can also cause other symptoms, including joint pain and stiffness, arthritis, and dark spots on the skin. It is important to note that these symptoms can take many years to develop, and may not be noticeable until adulthood.
Alkaptonuria is caused by a mutation in the HGO gene. This mutation is inherited in an autosomal recessive pattern, which means that both parents must pass on the mutated gene in order for their child to have Alkaptonuria. There is currently no cure for Alkaptonuria, but symptoms can be managed with medication, lifestyle changes, and regular monitoring of the condition.