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Aminoadipate-semialdehyde dehydrogenase (AASDH) is a human enzyme encoded by the AASDH gene, also known as acyl-CoA synthetase family member 4 (ACSF4), and is found in various tissues, with high expression in the liver[3][7]. This enzyme is part of the non-ribosomal peptide synthetase family and contains an AMP-binding (adenylation) domain, a phosphopantetheine-binding domain, and a pyrroloquinoline quinone (PQQ) binding domain[3][4][7]. Functionally, it is involved in lysine catabolism, specifically catalyzing a key step in the conversion of L-2-aminoadipate 6-semialdehyde to L-2-aminoadipate, using NAD+ or NADP+ as a cofactor, and is part of both lysine biosynthesis and degradation pathways[5][1]. Additionally, it has been demonstrated to bind beta-alanine in an ATP-dependent manner, forming a thioester intermediate, suggesting a role in beta-alanine activation and possibly rare post-translational or post-transcriptional modifications[2][4][6]. Clinically, mutations in the AASDH gene are associated with hyperlysinemia, an inherited metabolic disorder characterized by increased lysine levels, which can be asymptomatic or present with a spectrum of symptoms. The enzyme does not appear to be a current therapeutic target and no drugs are known to interact specifically with AASDH[1][7][4].
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