Homogentisic acid oxidase (HGO) is an enzyme responsible for breaking down homogentisic acid in the body. Deficiency of this enzyme is a rare inherited disorder known as alkaptonuria, or ochronosis. Alkaptonuria is believed to affect only one in one million people, and is characterized by the production of dark urine and joint stiffness.
Symptoms of HGO Deficiency
The most common symptom of HGO deficiency is darkening of the urine, which is caused by the buildup of homogentisic acid in the body. This can occur as early as infancy and can increase as the person ages. Other symptoms include:
• Joint pain and stiffness, especially in the lower back, neck, and knees
• Darkening of the skin, especially in exposed areas such as the elbows, knees, and knuckles
• Heart problems, such as arrhythmias
• Eye problems, such as cataracts
Treatment of HGO Deficiency
There is currently no cure for alkaptonuria, but several treatments can help manage the symptoms. These include:
• Regular exercise to maintain joint flexibility
• Physical therapy to strengthen the muscles and maintain joint mobility
• Pain medications to reduce pain
• Vitamin supplements to prevent deficiencies
• Dietary modifications to reduce the amount of homogentisic acid in the body
• Surgery to correct heart and eye problems
Prevention of HGO Deficiency
There is no known way to prevent alkaptonuria, but it can be detected through genetic testing. If you have a family history of alkaptonuria, it is important to be tested to determine if you are a carrier of the disease. If you are a carrier, you can take steps to reduce the risk of passing the disease on to your children.