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3-hydroxyisobutyryl-CoA hydrolase, mitochondrial (HIBCH), is a nuclear-encoded, mitochondrial matrix enzyme that catalyzes the hydrolysis of 3-hydroxyisobutyryl-CoA to 3-hydroxyisobutyrate, a key step in the catabolic pathway of the essential branched-chain amino acid valine[1][2][3][4][6]. Deficiency of HIBCH activity impairs valine degradation, causing a buildup of toxic intermediates and severe mitochondrial dysfunction, clinically manifesting as HIBCH deficiency syndrome, a rare, inherited metabolic disorder with neurological symptoms such as developmental delay, seizures, and Leigh-like features on imaging[3][5]. HIBCH also plays a role in supporting mitochondrial energy metabolism, linking amino acid degradation to TCA cycle intermediates and oxidative phosphorylation, and is under investigation for its potential role in cancer cell metabolism[2][4].
Not currently targeted by medicines; hypothetical mechanisms would involve either: - Enzyme replacement/modulation to restore deficient HIBCH activity in metabolic disease - Potential metabolic pathway modulation in cancer cells by altering valine catabolism
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