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Any 3-methylcrotonyl-CoA carboxylase deficiency in which the cause of the disease is a mutation in the MCCC1 gene.
Features include always present findings: Elevated urinary 3-methylcrotonylglycine level, 3-hydroxyisovaleric aciduria, and Global developmental delay. 21 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 4 | Seizure, Intellectual disability, Overactive reflexes (hyperreflexia) |
Digestive system | 3 | Acute hepatic steatosis, Feeding difficulties in infancy, Vomiting |
Muscles | 2 | Low muscle tone (hypotonia), Generalized hypotonia |
Growth and development | 1 | Failure to thrive |
Kidneys and urinary system | 1 | Elevated urinary 3-methylcrotonylglycine level |
Metabolism | 1 | Episodic metabolic acidosis |
Bones and joints | 1 | Severe backward arching of the body (opisthotonus) |
Lungs and breathing | 1 | Apnea |
MCCC1 encodes methylcrotonyl-CoA carboxylase subunit 1 (725 aa). Biotin-attachment subunit of the 3-methylcrotonyl-CoA carboxylase, an enzyme that catalyzes the conversion of 3-methylcrotonyl-CoA to 3-methylglutaconyl-CoA, a critical step for leucine and isovaleric... Highest expression in Cells EBV-transformed lymphocytes (35.8 TPM) and Ovary (28.1 TPM).
3-methylcrotonyl-CoA carboxylase 1 deficiency is associated with mutations in the MCCC1 gene on chromosome 3.
The MCCC1 protein participates in Btn-MCCC1 mutants pathway.
MCCC1 is classified as a druggable target (Enzyme category) with score 0.0.
Genetic testing for MCCC1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for 3-methylcrotonyl-CoA carboxylase 1 deficiency has been reported in the published literature.
Phenotype severity distribution: 3 always present features.
No clinical trials have been registered for 3-methylcrotonyl-CoA carboxylase 1 deficiency.
9 publications have been identified in PubMed for 3-methylcrotonyl-CoA carboxylase 1 deficiency. Research spans Diagnostic / Biomarker (44%), Review / Meta-Analysis (22%), and Case Report / Case Series (22%).
Langeveld M (2025). [PMID: 40610367](https://pubmed.ncbi.nlm.nih.gov/40610367/). *J Inherit Metab Dis*. [Review / Meta-Analysis]
Lin Y (2025). [PMID: 40835664](https://pubmed.ncbi.nlm.nih.gov/40835664/). *Sci Rep*. [Epidemiology / Natural History]
Gulzar MM (2025). [PMID: 40639867](https://pubmed.ncbi.nlm.nih.gov/40639867/). *BMJ Case Rep*. [Case Report / Case Series]
Aukes R (2025). [PMID: 40937535](https://pubmed.ncbi.nlm.nih.gov/40937535/). *J Inherit Metab Dis*. [Review / Meta-Analysis]
Gragnaniello V (2025). [PMID: 41440811](https://pubmed.ncbi.nlm.nih.gov/41440811/). *Int J Neonatal Screen*. [Diagnostic / Biomarker]
Al Mutairi F (2024). [PMID: 39484073](https://pubmed.ncbi.nlm.nih.gov/39484073/). *Mol Genet Metab Rep*. [Diagnostic / Biomarker]
Lin W (2024). [PMID: 39188588](https://pubmed.ncbi.nlm.nih.gov/39188588/). *Mol Genet Metab Rep*. [Diagnostic / Biomarker]
Terracciano R (2024). [PMID: 39055105](https://pubmed.ncbi.nlm.nih.gov/39055105/). *Mol Genet Metab Rep*. [Diagnostic / Biomarker]
Zhang LM (2024). [PMID: 39148390](https://pubmed.ncbi.nlm.nih.gov/39148390/). *Zhongguo Dang Dai Er Ke Za Zhi*. [Case Report / Case Series]
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 8:45 AM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
AI-curated news mentioning 3-methylcrotonyl-CoA carboxylase 1 deficiency
Updated Jul 8, 2026
A new treatment for children aged 2 or older with sickle cell disease has been approved by the U.S. Food & Drug Administration. In a press release on Wednesday, the FDA announced it had approved Casgevy, the first gene therapy for children with sickle cell disease. (NewsNation) — A new treatment for children aged 2 or older with sickle cell disease has been approved by the Food & Drug Administration (FDA). In a Wednesday news release, the FDA announced it had approved Casgevy, the first gene therapy for children with the disease. “Casgevy is a gene therapy consisting of the patient’s own (autologous) hematopoietic (blood) stem cells, administered as a one-time single dose for intravenous infusion,” the release noted. “Pediatric patients as young as 2 years of age can now access a critical additional treatment option to treat these debilitating, life-threatening diseases,” Karim Mikhail, the acting director of the Center for Biologics Evaluation and Research, wrote. “These disorders carry a heavy burden for children and their families, affecting growth, development, and long-term health in profound ways,” Megha Kaushal, acting deputy director of the Office of Therapeutic Products in CBER, said in the release.