N
The Daily Insight

What enzyme is involved in alkaptonuria?

Author

John Peck

Updated on April 04, 2026

The gene involved in alkaptonuria is the HGD gene. This provides instructions for making an enzyme called homogentisate oxidase, which is needed to break down homogentisic acid. You need to inherit two copies of the faulty HGD gene (one from each parent) to develop alkaptonuria.

Which enzyme deficiency can cause alkaptonuria?

Alkaptonuria is an autosomal recessive disorder caused by a deficiency of the enzyme homogentisate 1,2-dioxygenase. This enzyme deficiency results in increased levels of homogentisic acid, a product of tyrosine and phenylalanine metabolism.

Why is benedicts test positive in alkaptonuria?

Reducing sugar, Ascorbic acid, High level of uric acid or glucuronide may give Benedict’s test positive. Result should be counter checked with Uristrip / Dipstrip for Glucose. Alkaptonuria gives Uristrip test negative.

How do you test for alkaptonuria?

Your doctor can use a test called gas chromatography to look for traces of homogentisic acid in your urine. They can also use DNA testing to check for the mutated HGD gene. Family history is very useful in making a diagnosis of alkaptonuria.

What are the symptoms of alkaptonuria?

Alkaptonuria is an inherited condition that causes urine to turn black when exposed to air. The three major features of alkaptonuria are the presence of dark urine, ochronosis, a buildup of dark pigment in connective tissues such as cartilage and skin, and arthritis of the spine and larger joints.

What type of mutation is alkaptonuria?

Alkaptonuria is caused by mutation of the homogentisate 1,2-dioxygenase (HGD) gene. The HGD gene contains instructions for creating (encoding) an enzyme known as homogentisate 1,2-dioxygenase. This enzyme is essential for the breakdown of homogentisic acid.

What kind of mutation causes alkaptonuria?

Is alkaptonuria autosomal recessive?

Alkaptonuria is inherited as an autosomal recessive trait. Recessive genetic disorders occur when an individual inherits the same abnormal gene for the same trait from each parent.

What chromosome is alkaptonuria found on?

On chromosome 3 there’s a gene with a special role in the history of genetics. It’s a gene associated with a disease called alkaptonuria, which turns urine black and earwax red.

Is alkaptonuria contagious?

Alkaptonuria is inherited, which means it is passed down through families.

What is alkaptonuria caused by?

Alkaptonuria is an autosomal recessive disorder caused by a deficiency of the enzyme homogentisate 1,2-dioxygenase. This enzyme deficiency results in increased levels of homogentisic acid, a product of tyrosine and phenylalanine metabolism.

What is the prognosis of ochronosis alkaptonuria?

Ochronosis also occurs in the cardiac valves, and there is a high percentage of alkaptonuric patients older than 50 years with aortic valve thickening, stenosis, and insufficiency (90). There is currently no cure for alkaptonuria.

Is there a cure for alkaptonuria?

There is currently no cure for alkaptonuria. Some have advocated the consumption of up to 1g of ascorbate per day to diminish pigment deposition in the cartilage by increasing renal excretion of homogentisic acid or its oxidized metabolite (87,91). However, this approach seems to have little clinical effect (86).