HPPD can be linked to one of the oldest known inherited metabolic disorders known as
alkaptonuria, which is caused by high levels of homogentisate in the blood stream. HPPD is also directly linked to
Type III tyrosinemia When the active HPPD enzyme concentration is low in the human body, it results in high levels of tyrosine concentration in the blood, which can cause mild intellectual disability at birth, and degradation in vision as a patient grows older. In
Type I tyrosinemia, a different enzyme,
fumarylacetoacetate hydrolase is mutated and doesn't work, leading to very harmful products building up in the body. Fumarylacetoacetate hydrolase acts on tyrosine after HPPD does, so scientists working on making
herbicides in the class of
HPPD inhibitors hypothesized that inhibiting HPPD and controlling tyrosine in the diet could treat this disease. A series of small clinical trials were attempted with one of their compounds,
nitisinone were conducted and were successful, leading to nitisinone being brought to market as an
orphan drug. == Role in Hematophagus Insects ==