Homogentisate dioxygenase (HGO) cleaves the aromatic ring during the metabo
lic degradation of Phe and Tyr. HGO deficiency causes alkaptonuria (AKU), t
he first human disease shown to be inherited as a recessive Mendelian trait
. Crystal structures of apo-HGO and EIGO containing an iron ion have been d
etermined at 1.9 and 2.3 Angstrom resolution, respectively. The HGO protome
r, which contains a 280-residue N-terminal domain and a 140-residue C-termi
nal domain, associates as a hexamer arranged as a dimer of trimers, The act
ive site iron ion is coordinated near the interface between subunits in the
HGO trimer by a Glu and two His side chains. HGO represents a new structur
al dass of dioxygenases. The largest group of AKU associated missense mutat
ions affect residues located in regions of contact between subunits.