Article
Clinical spectrum of acyl-CoA synthetase family member 3-related combined malonic and methylmalonic aciduria: insights from four cases.
Clinical dysmorphology - 1 Jul 2026
Gokalp Sabire, Basan Hacer, Olgac Asburce, Kucukcongar Yavas Aynur, Kilic Mustafa
Abstract excerpt
BACKGROUND: Acyl-conezyme A (CoA) synthetase family member 3 ( ACSF3 ) related combined malonic and methylmalonic aciduria (CMAMMA) is an inborn error of metabolism involving defective activation of malonic and methylmalonic acids to CoA derivatives. The resulting deficiency of malonyl-CoA disrupts mitochondrial fatty acid synthesis, lipid metabolism, and protein malonylation. Although regarded as a benign...
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