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Methylmalonyl
CoA epimerase
Methylmalonyl
CoA mutase
Malonyl-CoA
decarboxylase,
mitochondrial
Acetyl-CoA
carboxylase 1
Acetyl-CoA
acetyltransferase,
mitochondrial
Methylmalonate-
semialdehyde
dehydrogenase
[acylating],
mitochondrial
4-aminobutyrate
aminotransferase,
mitochondrial
Enoyl-CoA
hydratase,
mitochondrial
3-
hydroxyisobutyryl-
CoA hydrolase,
mitochondrial
Medium-chain
specific
acyl-CoA
dehydrogenase,
mitochondrial
Acetyl-coenzyme
A synthetase
Acyl-CoA
synthetase
short-chain
family member 3
Acyl-CoA
synthetase
short-chain
family member 3
Acetyl-coenzyme
A synthetase
Methylmalonate-
semialdehyde
dehydrogenase
[acylating],
mitochondrial
Propionyl-CoA
carboxylase
alpha chain,
mitochondrial
Propionyl-CoA
carboxylase
beta chain,
mitochondrial
branched-chain
alpha-keto
dehydrogenase
complex
L-lactate
dehydrogenase A
chain
Acetyl-CoA
Succinyl-CoA
Propionic acid
Hydroxypropionic
acid
Propionyl-CoA
β-Alanine
2-Ketobutyric acid
Malonyl-CoA semialdehyde
3-Hydroxypropionyl-CoA
S-Methylmalonyl-CoA
R-Methylmalonyl-CoA
L-Valine
(S)-
Methylmalonic
acid
semialdehyde
Methylmalonic
acid
Accumulation
Malonyl-CoA
CO2
ATP
Hydrogen
carbonate
Pi
ADP
Acetoacetyl-CoA
CoA
Malonic
semialdehyde
CoA
NAD
CO2
NADH
Oxoglutaric
acid
L-Glutamic acid
Acrylyl-CoA
H2 O
H2 O
CoA
AMP
PPi
Propinol adenylate
ATP
Pantetheine
ATP
Pantetheine
AMP
PPi
AMP
AMP
H2 O
NAD
CoA
NADH
Hydrogen
carbonate
Hydrogen
carbonate
ATP
ADP
H+
CoA
NAD
NADH
2-Hydroxybutyric acid
NAD
NADH
H+
Adenosylcobalamin
Biotin
Manganese
Pyridoxal
5'-phosphate
FAD
Biotin
FAD
Thiamine
pyrophosphate
electron-
transfer
flavoprotein
Reduced
electron-
transfer
flavoprotein
Pyruvate
Metabolism
Citric Acid
Cycle
Valine,
Leucine, and
Isoleucine
Degradation
Pantothenate
and CoA
Biosynthesis
Cysteine and
Methionine
Metabolism
Glycine,
Serine, and
Threonine
Metabolism
Mitochondria
Mitochondrial Matrix
Intracellular Space
Extracellular Space
Mitochondria
Mcee
Mut
Mlycd
Acaca
Acat1
Aldh6a1
Abat
Echs1
Hibch
Acadm
Acss1
Acss3
Acss3
Acss1
Aldh6a1
Pcca
Pccb
Bckdha
Ldha
Acetyl-CoA
Succinyl-CoA
Propionic acid
Hydroxypropionic
acid
Propionyl-CoA
β-Alanine
2-Ketobutyric
acid
Malonyl-CoA
semialdehyde
3-
Hydroxypropionyl-
CoA
S-
Methylmalonyl-
CoA
R-
Methylmalonyl-
CoA
L-Valine
(S)-
Methylmalonic
acid
semialdehyde
Methylmalonic
acid
Accumulation
Malonyl-CoA
Carbon dioxide
Adenosine
triphosphate
Hydrogen
carbonate
Phosphoric acid
Adenosine
diphosphate
Acetoacetyl-CoA
Coenzyme A
Malonic
semialdehyde
Coenzyme A
NAD
Carbon dioxide
NADH
Oxoglutaric
acid
L-Glutamic acid
Acrylyl-CoA
Water
Water
Coenzyme A
Adenosine
monophosphate
Pyrophosphate
Propinol
adenylate
Adenosine
triphosphate
Pantetheine
Adenosine
triphosphate
Pantetheine
Adenosine
monophosphate
Pyrophosphate
Adenosine
monophosphate
Adenosine
monophosphate
Water
NAD
Coenzyme A
NADH
Hydrogen
carbonate
Hydrogen
carbonate
Adenosine
triphosphate
Adenosine
diphosphate
Hydrogen
Coenzyme A
NAD
NADH
2-
Hydroxybutyric
acid
NAD
NADH
Hydrogen Ion
electron-
transfer
flavoprotein
Reduced
electron-
transfer
flavoprotein
Pyruvate
Metabolism
Citric Acid
Cycle
Intestinal
Microflora
Valine,
Leucine, and
Isoleucine
Degradation
Pantothenate
and CoA
Biosynthesis
Cysteine and
Methionine
Metabolism
Glycine,
Serine, and
Threonine
Metabolism
Mcee
Mut
Mlycd
Acaca
Acat1
Aldh6a1
Abat
Echs1
Hibch
Acadm
Acss1
Acss3
Acss3
Acss1
Aldh6a1
Pcca
Pccb
Bckdha
Ldha
Ac-CoA
Suc-CoA
3:0
3OH
PropCoA
b-Ala
2KBA
MaCoAsa
3HP-CoA
S-MmCoA
R-MmCoA
Val
22M3O
Isosca
Accumulation
MalyCoA
CO2
ATP
HCO3
Pi
ADP
ActaCoA
CoA
MalSah
CoA
NAD
CO2
NADH
AKG
Glu
AcryCoA
H2 O
H2 O
CoA
AMP
PPi
ProAdyl
ATP
Panethn
ATP
Panethn
AMP
PPi
AMP
AMP
H2 O
NAD
CoA
NADH
HCO3
HCO3
ATP
ADP
H+
CoA
NAD
NADH
2HBA
NAD
NADH
H+
Adnscbn
Biotin
Mn2+
Pyr-5'P
FAD
Biotin
FAD
ThiamPP
ETF
RETF
PW000054
PW000005
PW000051
PW000032
C a M M
G S a T
Mitochondria
Mitochondrial Matrix
Intracellular Space
Extracellular Space
Mitochondria
Mcee
Mut
Mlycd
Acaca
Acat1
Aldh6a1
Abat
Echs1
Hibch
Acadm
Acss1
Acss3
Acss3
Acss1
Aldh6a1
Pcca
Pccb
Bckdha
Ldha
Ac-CoA
Suc-CoA
3:0
3OH
PropCoA
b-Ala
2KBA
MaCoAsa
3HP-CoA
S-MmCoA
R-MmCoA
Val
22M3O
Isosca
Accumulation
MalyCoA
CO2
ATP
HCO3
PhosfrA
ADP
ActaCoA
CoA
MalSah
CoA
NAD
CO2
NADH
AKG
Glu
AcryCoA
H2O
H2O
CoA
AMP
Ppi
ProAdyl
ATP
Panethn
ATP
Panethn
AMP
Ppi
AMP
AMP
H2O
NAD
CoA
NADH
HCO3
HCO3
ATP
ADP
H2
CoA
NAD
NADH
2HBA
NAD
NADH
H+
ETF
RETF
PW000054
PW000005
Int Mic
PW000051
PW000032
C a M M
G S a T