Abstract
ADULTS with alcaptonuria develop a destructive arthritis secondary to the deposition of a melanin-like pigment in their connective tissues, especially skin, tendon and Cartilage (ochronosis). The biochemical steps leading to ochronosis involve the chemical binding of oxidized and/or polymerized derivatives of homogentisic acid (HGA), the metabolite accumulating in the blood in alcaptonuria, to these connective tissues, with subsequent physico-chemical alterations in the properties of collagen1. HGA seems to be converted to an oxidized polymerized derivative through the formation of a labile, oxidized intermediate, benzoquinone acetic acid (BQA). Both steps in this conversion are catalysed by HGA polyphenol oxidase, a copper-requiring enzyme2.
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LUSTBERG, T., SCHULMAN, J. & SEEGMILLER, J. Decreased Binding of 14C-Homogentisic Acid induced by Ascorbic Acid in Connective Tissues of Rats with Experimental Alcaptonuria. Nature 228, 770–771 (1970). https://doi.org/10.1038/228770a0
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DOI: https://doi.org/10.1038/228770a0
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