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Published on: December 16, 2021
Methylmalonic acid in aging and disease
Joanne Tejero1, Felicia Lazure2, Ana P Gomes2
1Department of Molecular Oncology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL 33612, USA; Department of Molecular Medicine, University of South Florida Morsani College of Medicine, Tampa, FL 33612, USA.
Abstract:
Metabolic byproducts have conventionally been disregarded as waste products without functions. In this opinion article, we bring to light the multifaceted role of methylmalonic acid (MMA), a byproduct of the propionate metabolism pathway mostly commonly known as a clinical biomarker of vitamin B12 deficiency. MMA is normally present at low levels in the body, but increased levels can come from different sources, such as vitamin B12 deficiency, genetic mutations in enzymes related to the propionate pathway, the gut microbiota, and aggressive cancers. Here, we describe the diverse metabolic and signaling functions of MMA and discuss the consequences of increased MMA levels, such as during the aging process, for several age-related human pathologies.
Insights
Methylmalonic acid (MMA), a metabolic byproduct, has diverse functions beyond being a biomarker for vitamin B12 deficiency. Elevated MMA levels are linked to aging and various age-related diseases.
Area of Science:
- Biochemistry
- Metabolism
- Cellular Biology
Background:
- Metabolic byproducts are often considered waste.
- Methylmalonic acid (MMA) is primarily known as a biomarker for vitamin B12 deficiency.
- Increased MMA levels can arise from various factors including B12 deficiency, genetic mutations, gut microbiota, and cancer.
Purpose of the Study:
- To highlight the multifaceted roles of methylmalonic acid (MMA).
- To discuss the metabolic and signaling functions of MMA.
- To explore the consequences of elevated MMA in aging and age-related diseases.
Main Methods:
- Literature review and synthesis of existing research on MMA.
- Analysis of MMA's role in propionate metabolism.
- Discussion of MMA's impact on cellular signaling pathways.
Main Results:
- MMA possesses diverse metabolic and signaling functions.
- Elevated MMA levels are associated with the aging process.
- Increased MMA contributes to several age-related human pathologies.
Conclusions:
- Methylmalonic acid (MMA) has significant biological functions beyond its role as a clinical biomarker.
- Understanding MMA's roles is crucial for addressing age-related diseases.
- Further research into MMA metabolism and signaling is warranted.
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