About 3-methylcrotonyl-CoA carboxylase deficiency

What is 3-methylcrotonyl-CoA carboxylase deficiency?

3-Methylcrotonyl-CoA carboxylase deficiency is an inherited disorder that affects the body's ability to break down certain proteins. It is caused by a deficiency of the enzyme 3-methylcrotonyl-CoA carboxylase, which is responsible for the breakdown of the amino acid leucine. People with this disorder may experience a variety of symptoms, including poor growth, intellectual disability, seizures, and movement disorders.

What are the symptoms of 3-methylcrotonyl-CoA carboxylase deficiency?

The symptoms of 3-methylcrotonyl-CoA carboxylase deficiency include:

-Developmental delay
-Intellectual disability
-Seizures
-Movement disorders
-Growth retardation
-Feeding difficulties
-Vomiting
-Lethargy
-Hypotonia
-Hyperammonemia
-Elevated levels of 3-methylcrotonylglycine in the urine

What are the causes of 3-methylcrotonyl-CoA carboxylase deficiency?

1. Mutations in the MCCC1 gene: This gene provides instructions for making an enzyme called 3-methylcrotonyl-CoA carboxylase. Mutations in this gene can lead to a deficiency of this enzyme, which is the most common cause of 3-methylcrotonyl-CoA carboxylase deficiency.

2. Mutations in the MCCC2 gene: This gene provides instructions for making an enzyme called 3-methylcrotonyl-CoA carboxylase 2. Mutations in this gene can also lead to a deficiency of this enzyme, which is a less common cause of 3-methylcrotonyl-CoA carboxylase deficiency.

3. Inheritance: 3-methylcrotonyl-CoA carboxylase deficiency is usually inherited in an autosomal recessive

What are the treatments for 3-methylcrotonyl-CoA carboxylase deficiency?

The primary treatment for 3-methylcrotonyl-CoA carboxylase deficiency is a low-protein diet supplemented with carnitine and biotin. Other treatments may include medications to reduce the amount of 3-methylcrotonyl-CoA in the body, such as sodium benzoate, and enzyme replacement therapy. In some cases, a liver transplant may be necessary.

What are the risk factors for 3-methylcrotonyl-CoA carboxylase deficiency?

1. Genetic inheritance: 3-methylcrotonyl-CoA carboxylase deficiency is an autosomal recessive disorder, meaning that both parents must pass on a mutated gene in order for a child to be affected.

2. Ethnicity: 3-methylcrotonyl-CoA carboxylase deficiency is more common in certain ethnic groups, such as Ashkenazi Jews, Italians, and French Canadians.

3. Age: 3-methylcrotonyl-CoA carboxylase deficiency is more common in infants and young children.

Is there a cure/medications for 3-methylcrotonyl-CoA carboxylase deficiency?

Yes, there is a cure for 3-methylcrotonyl-CoA carboxylase deficiency. Treatment typically involves a combination of dietary modifications, medications, and supplements. Dietary modifications include avoiding foods high in leucine, isoleucine, and valine, as well as limiting protein intake. Medications such as biotin and carnitine may be prescribed to help the body metabolize fatty acids and amino acids. Supplements such as riboflavin, thiamine, and vitamin B6 may also be recommended.