IVD (Isovaleryl-CoA dehydrogenase, mitochondrial) — review notes

UniProtKB: P26440 | HGNC:6186 | Gene 3712 | Chr 15q15 | EC 1.3.8.4 (also 1.3.8.1)

Core biology (verified)

IVD is a mitochondrial-matrix, FAD-dependent flavoenzyme of the acyl-CoA dehydrogenase
(ACAD) family. It catalyses the third step of leucine catabolism, downstream of the
branched-chain alpha-ketoacid dehydrogenase (BCKDH) complex: the alpha,beta-dehydrogenation
of isovaleryl-CoA (3-methylbutanoyl-CoA) to 3-methylcrotonyl-CoA (3-methylbut-2-enoyl-CoA),
transferring electrons via its FAD to the electron-transfer flavoprotein (ETF).

Disease

Isovaleric acidemia (IVA; MIM:243500; MONDO:0009475), the first recognised organic acidemia,
autosomal recessive; "sweaty feet" odor. Deficiency blocks leucine catabolism -> accumulation of
isovaleric acid, 3-hydroxyisovaleric acid, isovalerylcarnitine (C5), isovalerylglycine; secondary
hyperammonemia (isovaleryl-CoA inhibits NAGS). Corroborated by disorder KB
(~/repos/dismech/kb/disorders/Isovaleric_Acidemia.yaml; MONDO:0009475).

GOA annotation review summary

Deep research (falcon) was requested but the file did not appear within the poll window;
review grounded in UniProt P26440, GOA, cached PMIDs, and the Isovaleric_Acidemia disorder KB.