alpha -Methylacyl-CoA racemase plays an important role in the beta -oxidati
on of branched-chain fatty acids and fatty acid derivatives because it cata
lyzes the conversion of several (2R)-methyl-branched-chain fatty acyl-CoAs
to their (S)-stereoisomers. Only stereoisomers with the 2-methyl group in t
he (S)-configuration can be degraded via beta -oxidation. Patients with a d
eficiency of alpha -methylacyl-CoA racemase accumulate in their plasma pris
tanic acid and the bile acid intermediates di- and trihydroxycholestanoic a
cid, which are all substrates of the peroxisomal beta -oxidation system. Su
bcellular fractionation experiments, however, revealed that both in humans
and rats alpha -methylacyl-CoA racemase is bimodally distributed to both th
e peroxisome and the mitochondrion. Our findings show that the peroxisomal
and mitochondrial enzymes are produced from the same gene and that, as a co
nsequence, the bimodal distribution pattern must be the result of different
ial targeting of the same gene product. In addition, we investigated the ph
ysiological role of the enzyme in the mitochondrion. Both in vitro studies
with purified heterologously expressed protein and in vivo studies in fibro
blasts of patients with an alpha -methylacyl-CoA racemase deficiency reveal
ed that the mitochondrial enzyme plays a crucial role in the mitochondrial
beta -oxidation of the breakdown products of pristanic acid by converting (
2R,6)-dimethylheptanoyl-CoA to its (S)-stereoisomer.