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Living with Methylcrotonyl-CoA carboxylase deficiency

An inherited condition in which the body can't fully break down the protein building block leucine. Many people have no symptoms.

Understanding Methylcrotonyl-CoA carboxylase deficiency

Methylcrotonyl-CoA carboxylase (MCC) deficiency is an inherited disorder in which the body lacks an enzyme needed to break down the amino acid leucine.

Signs vary, even within a family. Many people never have symptoms, and some do not have them until adulthood. Others have signs in infancy or early childhood after an infection, a long time without food, or a high-protein diet. Features may include feeding difficulties, delayed development, vomiting, low energy, and low muscle tone.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Poor weight gain in infancy
  • Low muscle tone (hypotonia)
  • Movement differences
  • Vomiting
  • Feeding difficulties
  • Low energy

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Organic Acidemia Association
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Does my child need a special diet or care plan when sick?
How long can my child safely go without food?
Should family members be tested?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive

Changes in genes (also called variants) cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticInherited Metabolic

Also known as: 3 methylcrotonylglycinuria; 3-mcc deficiency; 3-methylcrotonyl-coa carboxylase deficiency; 3-methylcrotonylglycinuria; 3mcc deficiency; beta-methylcrotonylglycinuria, type 1

Patient organizations

Source: NIH GARD · Methylcrotonyl-CoA carboxylase deficiencyGARD ID 10954 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Methylcrotonyl-CoA carboxylase deficiency.

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