AMACR

Alpha-methylacyl-CoA racemase
Identifiers
Symbols AMACR; CBAS4; RACE; RM
External IDs OMIM604489 MGI1098273 HomoloGene7410 GeneCards: AMACR Gene
EC number 5.1.99.4
Orthologs
Species Human Mouse
Entrez 23600 17117
Ensembl ENSG00000242110 ENSMUSG00000022244
UniProt Q9UHK6 Q3TUS8
RefSeq (mRNA) NM_001167595.1 NM_008537.4
RefSeq (protein) NP_001161067.1 NP_032563.2
Location (UCSC) Chr 5:
33.99 – 34.01 Mb
Chr 15:
10.91 – 10.93 Mb
PubMed search [1] [2]

Alpha-methylacyl-CoA racemase, also known as AMACR, is a protein which in humans is encoded by the AMACR gene.[1][2]

Contents

Function

The AMACR protein helps to metabolize certain fatty acids within the body.

Clinical significance

Several studies have suggested that AMACR can be used as a prostate cancer biomarker.[3]

AMACR deficiency has recently been discovered. The first documented case was in 2006. It is in a class of disorders called peroxisome biogenesis disorders (PBD) although it is quite different than other peroxisomal disorders and does not share classic Refsum disorder symptoms. It causes an accumulation of pristanic acid, DHCA and EHCA and to a lesser extent VLCFA and phytanic acid. "His condition would have been missed if they hadn't measured the pristanic acid concentration." [4]

It can cause mental impairment,confusion, learning difficulties and liver damage. It can be treated by dietary elimination of pristanic and phytanic acid from meats such as beef, lamb, chicken, and dairy products, however compliance to the diet is low due to dietary habits, and loss of weight.[5][6]

References

  1. ^ "Entrez Gene: AMACR alpha-methylacyl-CoA racemase". http://www.ncbi.nlm.nih.gov/sites/entrez?Db=gene&Cmd=ShowDetailView&TermToSearch=23600. 
  2. ^ Schmitz W, Helander HM, Hiltunen JK, Conzelmann E (September 1997). "Molecular cloning of cDNA species for rat and mouse liver alpha-methylacyl-CoA racemases". Biochem. J.. 326 ( Pt 3): 883–9. PMC 1218746. PMID 9307041. http://www.biochemj.org/bj/326/0883/bj3260883.htm. 
  3. ^ Rubin MA, Bismar TA, Andrén O, Mucci L, Kim R, Shen R, Ghosh D, Wei JT, Chinnaiyan AM, Adami HO, Kantoff PW, Johansson JE (June 2005). "Decreased alpha-methylacyl CoA racemase expression in localized prostate cancer is associated with an increased rate of biochemical recurrence and cancer-specific death". Cancer Epidemiol. Biomarkers Prev. 14 (6): 1424–32. doi:10.1158/1055-9965.EPI-04-0801. PMID 15941951. 
  4. ^ McLean BN, Allen J, Ferdinandusse S, Wanders RJ (March 2002). "A new defect of peroxisomal function involving pristanic acid: a case report". J. Neurol. Neurosurg. Psychiatr. 72 (3): 396–9. doi:10.1136/jnnp.72.3.396. PMC 1737782. PMID 11861706. http://www.repository.naturalis.nl/document/33804. 
  5. ^ Chedrawi A, Clark GD (2007-03-08). "Peroxisomal Disorders: Overview - eMedicine Neurology". medscape.com. http://emedicine.medscape.com/article/1177387-overview. Retrieved 2009-03-16. 
  6. ^ Wanders RJA, Waterham HR, Leroy BP (2006-03-20). "Refsum Disease". GeneReviews -- NCBI Bookshelf. http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=gene&part=refsum. Retrieved 2009-03-16. 

Further reading