Alkaptonuria is an inherited disorder caused by an enzyme deficiency. People who have it are unable to break down the amino acid tyrosine. Normally, when tyrosine is broken down, it produces a pigment called homogentisic acid. In people with alkaptonuria, the homogentisic acid builds up in the body and can cause a variety of health problems.
The Tyrosine Pathway in Alkaptonuria
The tyrosine pathway is the chemical process in which the amino acid tyrosine is broken down. In people without alkaptonuria, the tyrosine pathway begins with the enzyme tyrosinase, which converts tyrosine into homogentisic acid. From there, two other enzymes, maleylacetoacetate isomerase and homogentisate 1,2-dioxygenase, break down the homogentisic acid into other compounds that can be used by the body.
In people with alkaptonuria, the tyrosine pathway is disrupted due to the lack of tyrosinase. Without this enzyme, tyrosine can't be broken down and the homogentisic acid builds up in the body and can cause a variety of health problems. These problems include darkening of the urine, connective tissue damage, arthritis, and kidney and heart problems.
Treatment for Alkaptonuria
Currently, there is no cure for alkaptonuria. However, treatments are available to help manage some of the symptoms. These treatments include dietary modifications, medications, and lifestyle changes.
Dietary modifications can help reduce the amount of tyrosine that is eaten. This can help reduce the amount of homogentisic acid that builds up in the body. Medications such as nitisinone and phenylalanine-restricted diets can also be used to reduce the amount of tyrosine in the body.
Finally, lifestyle changes such as avoiding the sun, wearing protective clothing, and avoiding strenuous activities can help reduce the amount of damage done by the homogentisic acid.
In conclusion, the tyrosine pathway in alkaptonuria is disrupted due to a lack of tyrosinase. Without this enzyme, tyrosine can't be broken down and the homogentisic acid builds up in the body and can cause a variety of health problems. Treatment for alkaptonuria can include dietary modifications, medications, and lifestyle changes.