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Description
If the activity of methylmalonyl-CoA mutase is absent or decreased, e.g., due to hereditary defects of the apoprotein or to B 12 deficiency, toxic methylmalonic acid (MMA) is formed and the excess of methylmalonic acid is excreted in the urine

Activated fibroblasts secrete a significant amount of collagen fibers at the periphery of the granuloma, forming a dense capsule that ultimately creates the three-layer pathological structure of classic gout stones: the inner MSU crystal core, the middle chronic inflammatory granuloma zone, and the outer fibrous capsule
LyJ.SaingT.Kaur SinghM.Vera TudelaE.MorrisD.et al

Both forms of the enzyme are required for the operation of the malate-aspartate shuttle

however, its effects on fat grafts are unclear