Alkaptonuria: An example of a “fundamental disease”—A rare disease with important lessons for more common disorders
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Fundamental diseases are rare diseases that help elucidate mechanisms of common disorders.

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Alkaptonuria (AKU), an iconic Mendelian disease, is a prototypic fundamental disease.

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Studying AKU has identified new disease mechanisms in osteoarthritis including the exposed collagen hypothesis.

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HDMPs, identified in AKU and then OA, constitute a newly discovered mechanism of joint destruction.

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