MLYCD

Chr 16AR

malonyl-CoA decarboxylase

Also known as: MCD

The protein catalyzes the conversion of malonyl-CoA to acetyl-CoA, regulating fatty acid oxidation and the metabolic balance between glucose and lipid utilization in muscle. Mutations cause malonyl-CoA decarboxylase deficiency, an autosomal recessive disorder affecting fatty acid metabolism. The gene shows minimal constraint against loss-of-function variants (pLI 0.0006, LOEUF 0.837), consistent with the recessive inheritance pattern.

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismARLOEUF 0.841 OMIM phenotype
Clinical SummaryMLYCD
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Gene-Disease Validity (ClinGen)
malonic aciduria · ARDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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ClinVar Variants
70 unique Pathogenic / Likely Pathogenic· 108 VUS of 436 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.84LOEUF
pLI 0.001
Z-score 2.06
OE 0.46 (0.270.84)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
-1.76Z-score
OE missense 1.31 (1.201.44)
330 obs / 251.5 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.46 (0.270.84)
00.351.4
Missense OE1.31 (1.201.44)
00.61.4
Synonymous OE1.46
01.21.6
LoF obs/exp: 8 / 17.3Missense obs/exp: 330 / 251.5Syn Z: -3.92
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveMLYCD-related malonyl-CoA decarboxylase deficiencyLOFAR

Predictions shown for reference only — model trained on dominant genes, not applicable to AR conditions.

DN
0.6453th %ile
GOF
0.5072th %ile
LOF
0.2483th %ile

The Badonyi & Marsh prediction model was trained exclusively on dominant disease genes. Predictions are not reliable for genes with autosomal recessive inheritance and are shown at reduced opacity for reference only.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

436 submitted variants in ClinVar

Classification Summary

Pathogenic57
Likely Pathogenic13
VUS108
Likely Benign243
Benign8
Conflicting1
57
Pathogenic
13
Likely Pathogenic
108
VUS
243
Likely Benign
8
Benign
1
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
31
3
23
0
57
Likely Pathogenic
10
2
1
0
13
VUS
1
100
7
0
108
Likely Benign
0
6
43
194
243
Benign
0
1
3
4
8
Conflicting
1
Total4211277198430

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

MLYCD · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

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Clinical Literature
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