Alkaptonuria, also known as ochronosis, is an inherited disorder caused by a deficiency in the enzyme homogentisic acid oxidase (HGO). This enzyme is responsible for breaking down the amino acid tyrosine, which is found in many foods. When HGO is unable to break down tyrosine, it accumulates in the body and forms a pigment known as ochronotic pigment. This pigment is responsible for the characteristic yellow-brown discoloration of the skin, cartilage, and other tissues.
Cause
Alkaptonuria is caused by a mutation in the HGO gene. This gene is responsible for producing the enzyme homogentisic acid oxidase, which is necessary for breaking down the amino acid tyrosine. When the gene contains a mutation, the enzyme is unable to properly break down tyrosine, resulting in an accumulation of ochronotic pigment in the body.
Symptoms
The main symptom of alkaptonuria is a yellow-brown discoloration of the skin, cartilage, and other tissues. This discoloration may be present at birth or it may develop over time. Other symptoms may include arthritis, heart problems, kidney stones, and urinary tract infections.
Diagnosis
Alkaptonuria is diagnosed through urine tests, genetic testing, and physical examinations. Urine tests can detect the presence of ochronotic pigment in the urine, while genetic testing can identify the mutation in the HGO gene. Physical examinations may include X-rays, CT scans, and MRI scans to look for signs of joint damage.
Treatment
There is no cure for alkaptonuria, but there are treatments available to manage the symptoms. These treatments may include pain medications, joint replacement surgery, and the use of dietary supplements to increase the body’s supply of tyrosine. Additionally, lifestyle changes such as avoiding certain foods and avoiding certain activities can help to reduce the amount of ochronotic pigment in the body.