Abstract
A new metabolic disorder characterised by the excessive excretion of β-alanine, 3-hydroxypropionic acid,R-andS-3-amino- and 3-hydroxyisobutyric acids andS-2-(hydroxymethyl)butyric acid is probably due to deficient activities of malonic, methylmalonic and ethylmalonic semialdehyde dehydrogenases. These dehydrogenation reactions could be mediated by one enzyme, or by enzymes with a common subunit, and bothR- andS-methylmalonic semialdehydes seem to be equally affected. The patient is now aged 4 years and has developed normally. He has a persistent gross hypermethioninaemia which is probably unrelated to the other biochemical abnormalities.
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Pollitt, R.J., Green, A. & Smith, R. Excessive excretion of β-alanine and of 3-hydroxypropionic,R- andS-3-aminoisobutyric,R- andS-3-hydroxyisobutyric andS-2-(hydroxymethyl)butyric acids probably due to a defect in the metabolism of the corresponding malonic semialdehydes. J Inherit Metab Dis 8, 75–79 (1985). https://doi.org/10.1007/BF01801669
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DOI: https://doi.org/10.1007/BF01801669