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Step 1
First, propionyl-CoA carboxylase (with biotin as a cofactor) carboxylates it to D-methylmalonyl-CoA.
Step 2
This is epimerized to the L-isomer by methylmalonyl-CoA epimerase.
Step 3
methylmalonyl-CoA mutase, using coenzyme B12, rearranges it into succinyl-CoA, which can enter the citric acid cycle. ATP provides energy for the initial carboxylation.
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