Sandbox Reserved 1549: Difference between revisions

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VLCDA clinical mutation can lead to disease state. VLCAD is used to break down very long-chain fatty acids, and they are found in food and body’s fat tissue [[1]]. Fatty acids play a crucial role which provides energy for heart and muscle [[2]]. Thus, VLCAD deficiency can cause severe neonatal cardiomyopathy and liver failure which occur mostly in adolescence or adulthood [[2]]. In addition, if the body does not have sufficient amount of VLCAD, it would affect the metabolism of the body [[1]]. There are several mutation sites that have been found. Mutation R429W is severe in childhood phenotype [[2]]. Arg-429 on the helix K makes salt-bridge with Glu-384 on helix I [[2]]. The enzyme is destabilized, and the salt bridge is broken due to the replacing charged residue with the bulky neutral residue [[2]]. Another mutation site is R416H which is found on the helix J [[2]]. Both sites, R429 and R416H, are located close the catalytic glutamate [[2]]. Site R416H has Arg-416 interacts with Asp 391 by making salt bridge and interacts with Gln-395 though hydrogen bond [[2]]. Mutation in R416H causes problem to the position of helix J [[2]]. Furthermore, forming salt bridge with the opposing monomer can affect the dimer interaction [[2]].  
VLCDA clinical mutation can lead to disease state. VLCAD is used to break down very long-chain fatty acids, and they are found in food and body’s fat tissue [[1]]. Fatty acids play a crucial role which provides energy for heart and muscle [[2]]. Thus, VLCAD deficiency can cause severe neonatal cardiomyopathy and liver failure which occur mostly in adolescence or adulthood [[2]]. In addition, if the body does not have sufficient amount of VLCAD, it would affect the metabolism of the body [[1]]. There are several mutation sites that have been found. Mutation R429W is severe in childhood phenotype [[2]]. Arg-429 on the helix K makes salt-bridge with Glu-384 on helix I [[2]]. The enzyme is destabilized, and the salt bridge is broken due to the replacing charged residue with the bulky neutral residue [[2]]. Another mutation site is R416H which is found on the helix J [[2]]. Both sites, R429 and R416H, are located close the catalytic glutamate [[2]]. Site R416H has Arg-416 interacts with Asp 391 by making salt bridge and interacts with Gln-395 though hydrogen bond [[2]]. Mutation in R416H causes problem to the position of helix J [[2]]. Furthermore, forming salt bridge with the opposing monomer can affect the dimer interaction [[2]].  


Deficient VLCAD affects 1 person in 40,000 to 120,000 people, thus, it is a very rare diseases [[1]].  
Deficient VLCAD affects 1 person in 40,000 to 120,000 people, thus, it is a very rare diseases.




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</StructureSection>
</StructureSection>
== References ==
== Notes ==
<references/>
<references/>
1. VLCAD deficiency - Genetics Home Reference - NIH. (2019, April 02). Retrieved April 30, 2019, from https://ghr.nlm.nih.gov/condition/very-long-chain-acyl-coa-dehydrogenase-deficiency


2. McAndrew, R. P., Wang, Y., Mohsen, A. W., He, M., Vockley, J., & Kim, J. J. (2008). Structural basis for substrate fatty acyl chain specificity: crystal structure of human very-long-chain acyl-CoA dehydrogenase. The Journal of biological chemistry, 283(14), 9435–9443. doi:10.1074/jbc.M709135200. Retrieved April 30, 2019, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2431035/
== Reference ==
 
1. VLCAD deficiency - Genetics Home Reference - NIH. (2019, April 02). Retrieved April 30, 2019, from [https://ghr.nlm.nih.gov/condition/very-long-chain-acyl-coa-dehydrogenase-deficiency]
 
2. McAndrew, R. P., Wang, Y., Mohsen, A. W., He, M., Vockley, J., & Kim, J. J. (2008). Structural basis for substrate fatty acyl chain specificity: crystal structure of human very-long-chain acyl-CoA dehydrogenase. The Journal of biological chemistry, 283(14), 9435–9443. doi:10.1074/jbc.M709135200. Retrieved April 30, 2019, from [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2431035/]