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S1. Methylmalonic acidemia is an autosomal recessive metabolic disorder in patients with elevated levels of methylmalonic acid. Which vitamin deficiency can lcad to this disorder? Briefly explain your answer and draw or describe a rough structure of this vitamin.
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Answer #1

Due to deficiency of Vitamin B12.

The inherited forms of methylmalonic acidemia cause defects in the metabolic pathway where methylmalonyl-coenzyme A (CoA) is converted into succinyl-CoA by the enzyme methylmalonyl-CoA mutase.

Vitamin B12 is also needed for the conversion of methylmalonyl-CoA to Succinyl-CoA. Mutations leading to defects in vitamin B12 metabolism or in its transport frequently result in the development of methylmalonic acidemia.

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