Propionyl-CoA carboxylase (PCC) is a biotin-dependent mitochondrial enzyme that catalyzes the conversion of propionyl-CoA to D-methylmalonyl-CoA. PCC consists of two heterologous subunits, ␣ PCC and  PCC, which are encoded by the nuclear PCCA and PCCB genes, respectively. Deficiency of PCC results in a metabolic disorder, propionic acidemia, which is sufficiently severe to cause neonatal death. We have purified three PCCs containing pathogenic mutations in the  subunit (R165W, E168K, and R410W) and one PCCB polymorphism (A497V) to homogeneity to elucidate the potential structural and functional effects of these substitutions. We observed no significant difference in K m values for propionyl-CoA between wild-type and the variant enzymes, which indicated that these substitutions had no effect on the affinity of the enzyme for this substrate. Furthermore, the kinetic studies indicated that mutation R410W was not involved in propionyl-CoA binding in contrast to a previous report. The three mutant PCCs had half the catalytic efficiency of wild-type PCC as judged by the k cat /K m ratios. No significant differences have been observed in molecular mass or secondary structure among these enzymes. However, the variant PCCs were less thermostable than the wild-type. Following incubation at 47°C, blue native-PAGE revealed a lower oligomeric form (␣ 2  2 ) in the three mutants not detectable in wildtype and the polymorphism. Interestingly, the lower oligomeric form was also observed in the corresponding crude Escherichia coli extracts. Our biochemical data and the structural analysis using a  PCC homology model indicate that the pathogenic nature of these mutations is more likely to be due to a lack of assembly rather than disruption of catalysis. The strong favorable effect of the co-expressed chaperone proteins on PCC folding, assembly, and activity suggest that propionic acidemia may be amenable to chaperone therapy.Four different biotin-dependent carboxylases are known to play a central role in mammalian metabolic pathways, such as oxidation of odd-chain fatty acids, catabolism of branched amino acids, fatty acid synthesis, and gluconeogenesis. One of these is propionyl-CoA carboxylase (PCC, 1 EC 6.4.1.3), which catalyzes the conversion of propionyl-CoA to D-methylmalonylCoA in the mitochondrial matrix (1). This enzyme consists of two nonidentical subunits, ␣ and , encoded by two different nuclear genes, designated PCCA and PCCB, respectively. Structural studies of the human enzyme have indicated that ␣ PCC is 72 kDa in size, whereas  PCC is 54 kDa. Overall, PCC has an ␣ 6  6 structure (1, 2). Mutations in either gene result in an autosomal recessive disease, propionic acidemia (MIM 606054), which usually presents as a life-threatening ketoacidosis in the neonatal period with protein intolerance, vomiting, failure to thrive, lethargy, and profound metabolic acidosis symptoms. This disease can result in mental retardation and can be sufficiently severe to cause neonatal death (1).The cDNAs for ␣ and  subunits hav...