d. Branched-Chain Amino Acid Degradation
Pathways Contain Themes Common to All
Acyl-CoA Oxidations
Degradation of the branched-chain amino acids isoleucine,
leucine, and valine begins with three reactions that employ
common enzymes (Fig. 26-21, top): (1) transamination to the
corresponding ␣-keto acid, (2) oxidative decarboxylation
to the corresponding acyl-CoA, and (3) dehydrogenation
by FAD to form a double bond.
The remainder of the isoleucine degradation pathway (Fig.
26-21, left) is identical to that of fatty acid oxidation (Section
25-2C): (4) double-bond hydration, (5) dehydrogenation by
NAD
⫹
, and (6) thiolytic cleavage yielding acetyl-CoA and
propionyl-CoA, which is subsequently converted to succinyl-
CoA. Valine degradation is a variation on this theme (Fig.
26-21, center): Following (7) double-bond hydration, (8) the
CoA thioester bond is hydrolyzed before (9) the second dehy-
drogenation reaction.The thioester bond is then regenerated
as propionyl-CoA in the sequence’s last reaction (10), an ox-
idative decarboxylation rather than a thiolytic cleavage.
e. Maple Syrup Urine Disease Results from a Defect
in Branched-Chain Amino Acid Degradation
Branched-chain ␣-keto acid dehydrogenase (BCKDH;
also known as ␣-ketoisovalerate dehydrogenase), which
catalyzes Reaction 2 of branched-chain amino acid degra-
dation (Fig. 26-21), is a multienzyme complex containing
three enzymatic components, E1, E2, and E3, together
with BCKDH kinase (phosphorylation inactivates) and
BCKDH phosphatase (dephosphorylation activates),
which impart control by covalent modification. This com-
plex closely resembles the pyruvate dehydrogenase and
␣-ketoglutarate dehydrogenase multienzyme complexes
(Sections 21-2A and 21-3D). Indeed, all three of these mul-
tienzyme complexes share a common protein component,
E3 (dihydrolipoyl dehydrogenase), and employ the coen-
zymes thiamine pyrophosphate (TPP), lipoamide, and
FAD in addition to their terminal oxidizing agent, NAD
⫹
.
A genetic deficiency in BCKDH causes maple syrup
urine disease (MSUD), so named because the consequent
buildup of branched-chain ␣-keto acids imparts the urine
with the characteristic odor of maple syrup. Unless
promptly treated by a diet low in branched-chain amino
acids (but not too low because they are essential amino
acids; Section 26-5), MSUD is rapidly fatal.
MSUD is an autosomal recessive disorder that is caused
by defects in any of four of the complex’s six subunits, E1␣,
E1, E2, or E3 (E1 is an ␣
2

2
heterotetramer). The determi-
nation of the X-ray structure of human BCKDH E1 by Wim
Hol (Fig. 26-22) has enabled the interpretation of several of
the mutations causing MSUD.The most common mutation is
Y393N-␣, the so-called Mennonite mutation, which occurs
once in every 176 live births in the Old Order Mennonite
population (versus 1 in 185,000 worldwide). This mutation is
so common among Old Order Mennonites that it has been
attributed to a founder effect, that is, a mutation that origi-
nated in one of the handful of founders of this isolated com-
munity. The E1 tetramer can be considered to be a dimer of
␣ heterodimers with a TPP cofactor at the interface be-
tween an ␣ subunit and a  subunit and with each ␣ subunit
contacting both the  and ¿ subunits (Fig. 26-22a). The
amino acid change in the Mennonite mutation occurs at the
␣–¿ interface:Tyr 393␣ is hydrogen bonded to both His 385␣
and Asp 328¿ (Fig. 26-22b). Its mutation to Asn disrupts
these interactions and thereby impedes tetramerization.
Section 26-3. Metabolic Breakdown of Individual Amino Acids 1039
Figure 26-22 X-ray structure of the E1 component of the
human branched-chain ␣-keto acid dehydrogenase multienzyme
complex. (a) The ␣
2

2
heterotetramer.The ␣ subunits are colored
cyan and orange, and the  subunits are blue and pink. The
thiamine pyrophosphate (TPP) cofactor and Tyr 393␣ (which is
mutated to Asn in the Mennonite mutation, causing maple syrup
urine disease) are shown in space-filling form with TPP C green,
Tyr 393␣ C gold, N blue, O red, S yellow, and P magenta. Note
the similarity of this structure to that of the E1 component of the
pyruvate dehydrogenase multienzyme complex (Fig. 21-12a).
(b) The ␣–¿ interface colored as in Part a and showing the
interactions of Tyr 393␣ with His 385␣ and Asp 328¿. The side
chains of these residues are drawn in ball-and-stick form with C
green, N blue, and O red and with the hydrogen bonds between
them represented by dashed lines. [Based on an X-ray structure
by Wim Hol, University of Washington. PDBid 1DTW.]
(b)
(a)
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