Fumarylacetoacetate

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Fumarylacetoacetate
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Fumarylacetoacetate is an important intermediate in the metabolic pathway known as the tyrosine catabolism pathway. It is a compound that plays a crucial role in the breakdown of the amino acid tyrosine.

Biochemical Role[edit | edit source]

Fumarylacetoacetate is formed during the catabolism of tyrosine, which is an essential process for the production of energy and the synthesis of important biomolecules. The breakdown of tyrosine involves several steps, and fumarylacetoacetate is one of the key intermediates in this pathway.

Enzymatic Conversion[edit | edit source]

The enzyme fumarylacetoacetate hydrolase catalyzes the conversion of fumarylacetoacetate into fumarate and acetoacetate. This reaction is the final step in the tyrosine degradation pathway. Fumarate enters the citric acid cycle, while acetoacetate can be used as a source of energy.

Clinical Significance[edit | edit source]

Deficiency in fumarylacetoacetate hydrolase leads to a rare genetic disorder known as tyrosinemia type I. This condition results in the accumulation of fumarylacetoacetate and its derivatives, which are toxic to the liver and kidneys. Symptoms of tyrosinemia type I include liver failure, renal dysfunction, and neurological complications.

Diagnosis and Treatment[edit | edit source]

Diagnosis of tyrosinemia type I is typically confirmed through genetic testing and measurement of succinylacetone in the urine, a byproduct of fumarylacetoacetate accumulation. Treatment often involves dietary management to restrict tyrosine and phenylalanine intake, and the use of nitisinone, a drug that inhibits an upstream enzyme in the tyrosine degradation pathway, thereby reducing the formation of fumarylacetoacetate.

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Contributors: Prab R. Tumpati, MD