Article
Redefining the phenotype of alpha-methylacyl-CoA racemase (AMACR) deficiency.
Orphanet journal of rare diseases - 23 Sept 2024
Klouwer Femke C C, Roosendaal Stefan D, Hollak Carla E M, Langeveld Mirjam, Poll-The Bwee Tien, Sorge Arlette J van, Wolf Nicole I, Knaap Marjo S van der, Engelen Marc
Abstract excerpt
BACKGROUND: Alpha-methylacyl-CoA racemase (AMACR) deficiency is a rare peroxisomal enzyme deficiency caused by biallelic variants in the AMACR gene. This deficiency leads to the accumulation of toxic bile acid intermediates (R)-trihydroxycholestenoic acid (THCA) and (R)-dihydroxycholestenoic acid (DHCA) and pristanic acid. With less than 20 patients described in literature, the phenotype of AMACR deficiency is...
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