3D model (JSmol)
|Molar mass||118.088 g/mol|
|Melting point||134 °C (273 °F; 407 K)|
|Acidity (pKa)||pKa1 = 3,07|
pKa2 = 5,76
Except where otherwise noted, data are given for materials in their standard state (at 25 °C [77 °F], 100 kPa).
|what is ?)(|
The coenzyme A linked form of methylmalonic acid, methylmalonyl-CoA, is converted into succinyl-CoA by methylmalonyl-CoA mutase, in a reaction that requires vitamin B12 as a cofactor. In this way, it enters the Krebs cycle, and is thus part of one of the anaplerotic reactions.
Increased methylmalonic acid levels may indicate a vitamin B12 deficiency. However, it is sensitive (those with the disease almost always test positive) but not specific (those that do not have the disease do not always test negative). MMA is elevated in 90–98% of patients with B12 deficiency. It has lower specificity as 20–25% of patients over the age of 70 have elevated levels of MMA, but 25–33% of them do not have B12 deficiency. For this reason, MMA test is not routinely recommended in the elderly.
An excess is associated with methylmalonic acidemia.
- "Dissociation Constants Of Organic Acids And Bases". zirchrom.com.
- "Sensitivity and Specificity". www.med.emory.edu.
- "B12 Deficiiency and Dizziness". www.dizziness-and-balance.com.
- Isber, Sonia (2007). "The role of poor nutritional status and hyperhomocysteinemia in complicated pregnancy in Syria" (PDF). doi:10.22028/D291-20838.
- "Methylmalonic Acid, Serum or Plasma (Vitamin B12 Status)". ltd.aruplab.com.