Article
Phenotypic Variability and Newly Identified Mutations of the IVD Gene in Japanese Patients with Isovaleric Acidemia.
The Tohoku journal of experimental medicine - 1 Jun 2015
Sakamoto Osamu, Arai-Ichinoi Natsuko, Mitsubuchi Hiroshi, Chinen Yasutsugu, Haruna Hidenori, Maruyama Hidehiko, Sugawara Hidenori, Kure Shigeo
Abstract excerpt
Isovaleric acidemia (IVA) is an autosomal recessive inborn error affecting leucine metabolism. It is caused by a deficiency in isovaleryl-CoA dehydrogenase (IVD), a mitochondrial matrix enzyme that catalyzes the oxidation of isovaleryl-CoA to 3-methylcrotonyl-CoA. IVD is a FAD-containing enzyme, consisting of four identical subunits. Clinical features of IVA include poor feeding, vomiting, lethargy, developmental...
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