Amino Acid & Protein Metabolism · NEET PG Preparation Biochemistry

A 45-year-old man comes to the physician because of progressive fatigue, joint pain, and bluish-black discoloration of his sclerae and ear cartilage.…

Practice question from Amino Acid & Protein Metabolism (NEET PG Preparation Biochemistry), with the correct answer and a step-by-step solution.

medium · MCQ · Q-A64A71

A 45-year-old man comes to the physician because of progressive fatigue, joint pain, and bluish-black discoloration of his sclerae and ear cartilage. His urine turns dark upon standing when exposed to air. This patient's condition is most likely caused by a deficiency of which of the following enzymes?

  1. A.Tyrosinase
  2. B.Homogentisate 1,2-dioxygenaseCorrect answer
  3. C.Fumarylacetoacetate hydrolase
  4. D.Alpha-keto acid dehydrogenase

Solution

Alkaptonuria is an autosomal recessive disorder caused by a deficiency of homogentisate 1,2-dioxygenase in the degradation pathway of tyrosine and phenylalanine. This leads to an accumulation of homogentisic acid, which binds to collagen in connective tissues (ochronosis) and oxidizes to a dark pigment when exposed to air in urine.

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