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British Journal of Ophthalmology 1999;83:680-683; doi:10.1136/bjo.83.6.680
Copyright © 1999 by the BMJ Publishing Group Ltd.
Br J Ophthalmol 1999;83:680-683 ( June )

Ocular ochronosis in alkaptonuria patients carrying mutations in the homogentisate 1,2-dioxygenase gene

Ute Felbora, Yvonne Mutscha, Franz Grehna, Clemens R Müllerb, Wolfram Kressb

a Augenklinik, Universität Würzburg, Würzburg, Germany, b Institut für Humangenetik, Universität Würzburg, Würzburg, Germany

Correspondence to: Wolfram Kress, Institut für Humangenetik, Biozentrum, Am Hubland, D-97074 Würzburg, Germany.

Accepted for publication 6 January 1999

AIMS---To assess the involvement of the recently identified human homogentisate 1,2-dioxygenase gene (HGO) in alkaptonuria (AKU) in two unrelated patients with ochronosis of the conjunctiva, sclera, and cornea.
METHODS---A mutation screen of the entire coding region of the HGO gene was performed using single stranded conformational analysis after polymerase chain reaction with oligonucleotide primers flanking all 14 exons of the HGO gene. Fragments showing aberrant mobility were directly sequenced.
RESULTS---Two homozygous missense mutations, L25P and M368V, were identified, each of which leads to the replacement of a highly conserved amino acid in the HGO protein.
CONCLUSIONS---The authors describe a novel mutation, L25P, in the German population and bring to 18 the total number of known HGO mutations.


© 1999 by British Journal of Ophthalmology

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