TY - CHAP M1 - Book, Section TI - Disorders of Branched Chain Amino and Organic Acid Metabolism A1 - Vockley, Jerry A2 - Kline, Mark W. Y1 - 2018 N1 - T2 - Rudolph's Pediatrics, 23e AB - The 3 essential branched chain amino acids (BCAAs), leucine, isoleucine, and valine, encompass about 25% of human protein. They are metabolized in mitochondria. The first 2 catabolic steps are common to the 3 BCAAs (Fig. 132-1). The first reaction, which occurs primarily in muscle, involves reversible transamination to 2-oxo (or keto) acids and is followed by oxidative decarboxylation to coenzyme A (CoA) derivatives by branched chain oxo (or keto) acid dehydrogenase (BCKD). BCKD is similar in structure to pyruvate dehydrogenase (and shares a common subunit), is also highly regulated by a kinase/phosphatase system, and plays a key role in nitrogen metabolism. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1182928364 ER -