Gene BCKDHB
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Also known as
E1B, MSUD1BOverview
BCKDHB (Branched Chain Keto Acid Dehydrogenase E1 Subunit Beta) encodes the beta subunit of the E1 component of the branched-chain alpha-keto acid dehydrogenase complex (BCKD). This enzyme complex is essential for the catabolism of the branched-chain amino acids leucine, isoleucine, and valine.Mutations in BCKDHB cause maple syrup urine disease (MSUD), an autosomal recessive metabolic disorder characterized by the inability to properly break down branched-chain amino acids. Affected individuals accumulate these amino acids and their toxic byproducts, leading to the characteristic sweet-smelling urine, neurological damage, and potentially fatal metabolic crises if untreated.
Newborn screening for MSUD is now standard in many countries, allowing for early dietary intervention with restricted branched-chain amino acid intake. Understanding your BCKDHB genetic status is important for carrier screening and early diagnosis, as prompt treatment can prevent intellectual disability and other complications.