Methylmalonate-semialdehyde dehydrogenase (acylating)

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Methylmalonate-semialdehyde dehydrogenase (acylating) (MMSDH) is an enzyme that in humans is encoded by the ALDH6A1 gene. This enzyme is involved in the metabolism of amino acids, specifically in the valine, leucine, and isoleucine degradation pathway. It catalyzes the oxidation of methylmalonate semialdehyde to propionyl-CoA, a critical step in the process of converting amino acids into energy. The activity of MMSDH is essential for the proper metabolism of certain amino acids and for maintaining energy balance within cells.

Function[edit | edit source]

Methylmalonate-semialdehyde dehydrogenase plays a crucial role in the metabolism of amino acids, particularly in the catabolism of branched-chain amino acids such as valine, leucine, and isoleucine. These amino acids are essential, meaning they cannot be synthesized by the body and must be obtained from the diet. Once inside the body, their carbon skeletons are used in the production of energy. MMSDH facilitates this process by converting methylmalonate semialdehyde, a byproduct of amino acid degradation, into propionyl-CoA. Propionyl-CoA can then enter the citric acid cycle (also known as the Krebs cycle or TCA cycle), where it is further metabolized to produce energy.

Genetic Information[edit | edit source]

The ALDH6A1 gene, located on chromosome 14, encodes the MMSDH enzyme. Mutations in this gene can lead to metabolic disorders, highlighting the enzyme's importance in human metabolism. The study of these genetic variations can provide insight into various metabolic diseases and potential therapeutic targets.

Clinical Significance[edit | edit source]

Deficiencies in MMSDH activity can lead to metabolic disorders, including various forms of methylmalonic aciduria. These conditions are characterized by the accumulation of methylmalonic acid and related metabolites in the blood and urine, which can lead to a range of symptoms from mild to severe, including developmental delay, metabolic acidosis, and even death if untreated. Understanding the function and regulation of MMSDH is crucial for diagnosing and treating these metabolic disorders.

Research Directions[edit | edit source]

Research on MMSDH and its gene, ALDH6A1, continues to uncover its roles not only in metabolism but also in diseases such as diabetes, obesity, and certain types of cancer. Studies are exploring how alterations in the expression or activity of this enzyme might contribute to disease states and whether it could serve as a biomarker or target for novel therapies.

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Contributors: Prab R. Tumpati, MD