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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