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Adenylosuccinate synthase 1 (ADSS1) is a muscle-specific enzyme that catalyzes the first step in converting inosine monophosphate (IMP) to adenosine monophosphate (AMP) within the purine nucleotide cycle. This is essential for maintaining nucleotide balance and energy metabolism, especially in muscle tissue. Mutations in ADSS1 are associated with a rare neuromuscular disorder, adenylosuccinate synthetase 1 myopathy, characterized by progressive distal myopathy.
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