TY - CHAP M1 - Book, Section TI - Chapter 137. Disorders of Branched Chain Amino and Organic Acid Metabolism A1 - Goodman, Stephen I. A1 - Saudubray, Jean-Marie A2 - Rudolph, Colin D. A2 - Rudolph, Abraham M. A2 - Lister, George E. A2 - First, Lewis R. A2 - Gershon, Anne A. PY - 2011 T2 - Rudolph's Pediatrics, 22e AB - The three essential branched chain aminoacids (BCAAs), leucine, isoleucine, and valine encompass about 25% of human protein. They are metabolized in mitochondria. The first two catabolic steps are common to the three BCAAs (Fig. 137-1). 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, is also highly regulated by a kinase/phosphatase system and plays a key role in nitrogen metabolism. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/16 UR - accesspediatrics.mhmedical.com/content.aspx?aid=6724685 ER -