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Overview
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Background
Ketoisovaleric acid is an abnormal metabolite originated from the incomplete breakdown of branched-chain amino acids. Chronically high levels of ketoisovaleric acid are associated with maple syrup urine disease (MSUD). MSUD is an inherited metabolic disorder caused by deficiency of branched-chain α-keto acid dehydrogenase complex activity which leads to accumulation of the branched-chain α-keto acids including α-ketoisocaproic acid, α-ketoisovaleric acid and α-keto-β-methylvaleric acid, as well as their respective amino acids in blood and urine. From a chemistry perspective, ketoisovaleric acid is a keto acid, which is a subclass of organic acids. Abnormally high levels of organic acids in blood (organic acidemia), urine (organic aciduria), the brain, as well as other tissues result in general metabolic acidosis.
1. HMDB0000019 (alpha-Ketoisovaleric acid). The Human Metabolome Database. Retrieved on September 7, 2021.
2. Bridi R, Braun CA, Zorzi GK, et al. alpha-keto acids accumulating in maple syrup urine disease stimulate lipid peroxidation and reduce antioxidant defences in cerebral cortex from young rats. Metabolic Brain Disease, 2005, 20(2): 155-167.
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Overview