O-Succinyl-L-carnitine (C4DC) is a secondary metabolite that is not directly involved in the normal growth, development or reproduction of an organism.arises from. O-Succinyl-L-carnitine arises from the TCA cycle intermediate succinyl-CoA in plasma and liver. It is an O-acylcarnitine having succinyl as the acyl substituent. O-Succinyl-L-carnitine is used as biomarker for inborn metabolic deseases related to succinyl-CoA synthase function.
Clinica chimica acta; international journal of clinical chemistry, 429, 30-33 (2013-11-26)
Methylmalonic aciduria (MMA) is one of the most frequent organic acidurias, a class of diseases caused by enzymatic defects mainly involved in the catabolism of branched-chain amino acids. Recently, mild MMA and C4-dicarboxylyl-carnitine (C4DC-C) accumulation have been reported in patients
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