1T9G | pdb_00001t9g

Structure of the human MCAD:ETF complex

External Resource: Annotation

Domain Annotation: SCOP/SCOPe Classification
Domain Annotation: SCOP2 Classification
Domain Annotation: ECOD Classification
Domain Annotation: CATH
Protein Family Annotation
Gene Ontology: Gene Product Annotation
InterPro: Protein Family Classification
Pharos: Disease Associations

Domain Annotation: SCOP/SCOPe Classification SCOP-e Database Homepage

Chains	Domain Info	Class	Fold	Superfamily	Family	Domain	Species	Provenance Source (Version)
F [auth S]	d1t9gs_	Alpha and beta proteins (a/b)	Adenine nucleotide alpha hydrolase-like	Adenine nucleotide alpha hydrolases-like	ETFP subunits	Small, beta subunit of electron transfer flavoprotein ETFP	human (Homo sapiens ) [TaxId: 9606 ],	SCOPe (2.08)
E [auth R]	d1t9gr_	Alpha and beta proteins (a/b)	Adenine nucleotide alpha hydrolase-like	Adenine nucleotide alpha hydrolases-like	ETFP subunits	Large, alpha subunit of electron transfer flavoprotein ETFP, N-terminal domain	human (Homo sapiens ) [TaxId: 9606 ],	SCOPe (2.08)
D	d1t9gd1	All alpha proteins	Bromodomain-like	Acyl-CoA dehydrogenase C-terminal domain-like	Medium chain acyl-CoA dehydrogenase-like, C-terminal domain	Medium chain acyl-CoA dehydrogenase, C-domain	human (Homo sapiens ) [TaxId: 9606 ],	SCOPe (2.08)
D	d1t9gd2	Multi-domain proteins (alpha and beta)	Acyl-CoA dehydrogenase NM domain-like	Acyl-CoA dehydrogenase NM domain-like	Medium chain acyl-CoA dehydrogenase, NM (N-terminal and middle) domains	Medium chain acyl-CoA dehydrogenase, NM domains	human (Homo sapiens ) [TaxId: 9606 ],	SCOPe (2.08)
C	d1t9gc1	All alpha proteins	Bromodomain-like	Acyl-CoA dehydrogenase C-terminal domain-like	Medium chain acyl-CoA dehydrogenase-like, C-terminal domain	Medium chain acyl-CoA dehydrogenase, C-domain	human (Homo sapiens ) [TaxId: 9606 ],	SCOPe (2.08)
C	d1t9gc2	Multi-domain proteins (alpha and beta)	Acyl-CoA dehydrogenase NM domain-like	Acyl-CoA dehydrogenase NM domain-like	Medium chain acyl-CoA dehydrogenase, NM (N-terminal and middle) domains	Medium chain acyl-CoA dehydrogenase, NM domains	human (Homo sapiens ) [TaxId: 9606 ],	SCOPe (2.08)
B	d1t9gb1	All alpha proteins	Bromodomain-like	Acyl-CoA dehydrogenase C-terminal domain-like	Medium chain acyl-CoA dehydrogenase-like, C-terminal domain	Medium chain acyl-CoA dehydrogenase, C-domain	human (Homo sapiens ) [TaxId: 9606 ],	SCOPe (2.08)
B	d1t9gb2	Multi-domain proteins (alpha and beta)	Acyl-CoA dehydrogenase NM domain-like	Acyl-CoA dehydrogenase NM domain-like	Medium chain acyl-CoA dehydrogenase, NM (N-terminal and middle) domains	Medium chain acyl-CoA dehydrogenase, NM domains	human (Homo sapiens ) [TaxId: 9606 ],	SCOPe (2.08)
A	d1t9ga1	All alpha proteins	Bromodomain-like	Acyl-CoA dehydrogenase C-terminal domain-like	Medium chain acyl-CoA dehydrogenase-like, C-terminal domain	Medium chain acyl-CoA dehydrogenase, C-domain	human (Homo sapiens ) [TaxId: 9606 ],	SCOPe (2.08)
A	d1t9ga2	Multi-domain proteins (alpha and beta)	Acyl-CoA dehydrogenase NM domain-like	Acyl-CoA dehydrogenase NM domain-like	Medium chain acyl-CoA dehydrogenase, NM (N-terminal and middle) domains	Medium chain acyl-CoA dehydrogenase, NM domains	human (Homo sapiens ) [TaxId: 9606 ],	SCOPe (2.08)

Domain Annotation: SCOP2 Classification SCOP2 Database Homepage

Chains	Type	Family Name	Domain Identifier	Family Identifier	Provenance Source (Version)
F [auth S]	SCOP2B Superfamily	Adenine nucleotide alpha hydrolases-like	8044216	3001593	SCOP2B (2022-06-29)
E [auth R]	SCOP2B Superfamily	Adenine nucleotide alpha hydrolases-like	8044214	3001593	SCOP2B (2022-06-29)
D	SCOP2B Superfamily	Acyl-CoA dehydrogenase N-terminal lobe-like	8037424	3001701	SCOP2B (2022-06-29)
D	SCOP2B Superfamily	Acyl-CoA dehydrogenase C-terminal domain-like	8036929	3001580	SCOP2B (2022-06-29)
C	SCOP2B Superfamily	Acyl-CoA dehydrogenase N-terminal lobe-like	8037424	3001701	SCOP2B (2022-06-29)
C	SCOP2B Superfamily	Acyl-CoA dehydrogenase C-terminal domain-like	8036929	3001580	SCOP2B (2022-06-29)
B	SCOP2B Superfamily	Acyl-CoA dehydrogenase N-terminal lobe-like	8037424	3001701	SCOP2B (2022-06-29)
B	SCOP2B Superfamily	Acyl-CoA dehydrogenase C-terminal domain-like	8036929	3001580	SCOP2B (2022-06-29)
A	SCOP2B Superfamily	Acyl-CoA dehydrogenase C-terminal domain-like	8036929	3001580	SCOP2B (2022-06-29)
A	SCOP2B Superfamily	Acyl-CoA dehydrogenase N-terminal lobe-like	8037424	3001701	SCOP2B (2022-06-29)

Domain Annotation: ECOD Classification ECOD Database Homepage

Chains	Family Name	Domain Identifier	Architecture	Possible Homology	Homology	Topology	Family	Provenance Source (Version)
F [auth S]	Usp	e1t9gS1	A: a/b three-layered sandwiches	X: HTH	H: HTH	T: winged helix domain	F: Usp	ECOD (v294.1)
E [auth R]	Usp	e1t9gR1	A: a/b three-layered sandwiches	X: HTH	H: HTH	T: winged helix domain	F: Usp	ECOD (v294.1)
D	Acyl-CoA_dh_M	e1t9gD1	A: a/b three-layered sandwiches	X: HTH	H: PABC(PABP) domain	T: PABC(PABP) domain	F: Acyl-CoA_dh_M	ECOD (v294.1)
D		e1t9gD2	A: a/b three-layered sandwiches	X: ETN0001 domain-like	H: alpha-2-Macroglobulin receptor associated protein (RAP) domain 1	T: alpha-2-Macroglobulin receptor associated protein (RAP) domain 1	F:	ECOD (v294.1)
D	ACOX	e1t9gD3	A: a/b three-layered sandwiches	X: ETN0001 domain-like	H: Flavivirus capsid protein C	T: Flavivirus capsid protein C	F: ACOX	ECOD (v294.1)
C	Acyl-CoA_dh_M	e1t9gC1	A: a/b three-layered sandwiches	X: HTH	H: PABC(PABP) domain	T: PABC(PABP) domain	F: Acyl-CoA_dh_M	ECOD (v294.1)
C		e1t9gC2	A: a/b three-layered sandwiches	X: ETN0001 domain-like	H: alpha-2-Macroglobulin receptor associated protein (RAP) domain 1	T: alpha-2-Macroglobulin receptor associated protein (RAP) domain 1	F:	ECOD (v294.1)
C	ACOX	e1t9gC3	A: a/b three-layered sandwiches	X: ETN0001 domain-like	H: Flavivirus capsid protein C	T: Flavivirus capsid protein C	F: ACOX	ECOD (v294.1)
B	Acyl-CoA_dh_M	e1t9gB1	A: a/b three-layered sandwiches	X: HTH	H: PABC(PABP) domain	T: PABC(PABP) domain	F: Acyl-CoA_dh_M	ECOD (v294.1)
B		e1t9gB2	A: a/b three-layered sandwiches	X: ETN0001 domain-like	H: alpha-2-Macroglobulin receptor associated protein (RAP) domain 1	T: alpha-2-Macroglobulin receptor associated protein (RAP) domain 1	F:	ECOD (v294.1)
B	ACOX	e1t9gB3	A: a/b three-layered sandwiches	X: ETN0001 domain-like	H: Flavivirus capsid protein C	T: Flavivirus capsid protein C	F: ACOX	ECOD (v294.1)
A	Acyl-CoA_dh_M	e1t9gA1	A: a/b three-layered sandwiches	X: HTH	H: PABC(PABP) domain	T: PABC(PABP) domain	F: Acyl-CoA_dh_M	ECOD (v294.1)
A		e1t9gA2	A: a/b three-layered sandwiches	X: ETN0001 domain-like	H: alpha-2-Macroglobulin receptor associated protein (RAP) domain 1	T: alpha-2-Macroglobulin receptor associated protein (RAP) domain 1	F:	ECOD (v294.1)
A	ACOX	e1t9gA3	A: a/b three-layered sandwiches	X: ETN0001 domain-like	H: Flavivirus capsid protein C	T: Flavivirus capsid protein C	F: ACOX	ECOD (v294.1)

Domain Annotation: CATH CATH Database Homepage

Chain	Domain	Class	Architecture	Topology	Homology	Provenance Source (Version)
F [auth S]	3.40.50.620	Alpha Beta	3-Layer(aba) Sandwich	Rossmann fold	HUPs	CATH (4.3.0)
E [auth R]	3.40.50.620	Alpha Beta	3-Layer(aba) Sandwich	Rossmann fold	HUPs	CATH (4.3.0)
D	1.10.540.10	Mainly Alpha	Orthogonal Bundle	Butyryl-Coa Dehydrogenase, subunit A	domain 1	CATH (4.3.0)
D	2.40.110.10	Mainly Beta	Beta Barrel	Butyryl-CoA Dehydrogenase, subunit A	domain 2	CATH (4.3.0)
D	1.20.140.10	Mainly Alpha	Up-down Bundle	Butyryl-CoA Dehydrogenase, subunit A	domain 3	CATH (4.3.0)
C	1.10.540.10	Mainly Alpha	Orthogonal Bundle	Butyryl-Coa Dehydrogenase, subunit A	domain 1	CATH (4.3.0)
C	2.40.110.10	Mainly Beta	Beta Barrel	Butyryl-CoA Dehydrogenase, subunit A	domain 2	CATH (4.3.0)
C	1.20.140.10	Mainly Alpha	Up-down Bundle	Butyryl-CoA Dehydrogenase, subunit A	domain 3	CATH (4.3.0)
B	1.10.540.10	Mainly Alpha	Orthogonal Bundle	Butyryl-Coa Dehydrogenase, subunit A	domain 1	CATH (4.3.0)
B	2.40.110.10	Mainly Beta	Beta Barrel	Butyryl-CoA Dehydrogenase, subunit A	domain 2	CATH (4.3.0)
B	1.20.140.10	Mainly Alpha	Up-down Bundle	Butyryl-CoA Dehydrogenase, subunit A	domain 3	CATH (4.3.0)
A	1.10.540.10	Mainly Alpha	Orthogonal Bundle	Butyryl-Coa Dehydrogenase, subunit A	domain 1	CATH (4.3.0)
A	2.40.110.10	Mainly Beta	Beta Barrel	Butyryl-CoA Dehydrogenase, subunit A	domain 2	CATH (4.3.0)
A	1.20.140.10	Mainly Alpha	Up-down Bundle	Butyryl-CoA Dehydrogenase, subunit A	domain 3	CATH (4.3.0)

Protein Family Annotation Pfam Database Homepage

Chains	Accession	Name	Description	Comments	Source
F [auth S]	PF01012	Electron transfer flavoprotein domain (ETF)	Electron transfer flavoprotein domain	This family includes the homologous domain shared between the alpha and beta subunits of the electron transfer flavoprotein [1].	Domain
E [auth R]	PF01012	Electron transfer flavoprotein domain (ETF)	Electron transfer flavoprotein domain	This family includes the homologous domain shared between the alpha and beta subunits of the electron transfer flavoprotein [1].	Domain
A, B, C, D	PF02771	Acyl-CoA dehydrogenase, N-terminal domain (Acyl-CoA_dh_N)	Acyl-CoA dehydrogenase, N-terminal domain	The N-terminal domain of Acyl-CoA dehydrogenase is an all-alpha domain.	Domain
A, B, C, D	PF02770	Acyl-CoA dehydrogenase, middle domain (Acyl-CoA_dh_M)	Acyl-CoA dehydrogenase, middle domain	Central domain of Acyl-CoA dehydrogenase has a beta-barrel fold.	Domain
A, B, C, D	PF00441	Acyl-CoA dehydrogenase, C-terminal domain (Acyl-CoA_dh_1)	Acyl-CoA dehydrogenase, C-terminal domain	C-terminal domain of Acyl-CoA dehydrogenase is an all-alpha, four helical up-and-down bundle.	Domain

Gene Ontology: Gene Product Annotation Gene Ontology Database Homepage

Chains	Polymer	Molecular Function	Biological Process	Cellular Component
F [auth S]	Electron transfer flavoprotein beta-subunit	electron transfer activity	fatty acid metabolic process lipid catabolic process catabolic process oxoacid metabolic process carboxylic acid metabolic process primary metabolic process lipid modification organic acid metabolic process organic acid catabolic process fatty acid catabolic process monocarboxylic acid catabolic process fatty acid oxidation carboxylic acid catabolic process fatty acid beta-oxidation fatty acid metabolic process lipid catabolic process catabolic process oxoacid metabolic process carboxylic acid metabolic process primary metabolic process lipid modification organic acid metabolic process organic acid catabolic process fatty acid catabolic process monocarboxylic acid catabolic process fatty acid oxidation carboxylic acid catabolic process fatty acid beta-oxidation metabolic process cellular process small molecule metabolic process monocarboxylic acid metabolic process lipid oxidation small molecule catabolic process fatty acid beta-oxidation using acyl-CoA dehydrogenase lipid metabolic process amino acid metabolic process amino acid catabolic process cellular respiration energy derivation by oxidation of organic compounds respiratory electron transport chain electron transport chain generation of precursor metabolites and energy	membrane-bounded organelle intracellular organelle cellular anatomical structure intracellular anatomical structure mitochondrion organelle cytoplasm intracellular membrane-bounded organelle protein-containing complex electron transfer flavoprotein complex membrane-enclosed lumen mitochondrial matrix intracellular organelle lumen organelle lumen
E [auth R]	Electron transfer flavoprotein alpha-subunit, mitochondrial	oxidoreductase activity catalytic activity flavin adenine dinucleotide binding binding nucleoside phosphate binding ion binding anion binding nucleotide binding heterocyclic compound binding small molecule binding electron transfer activity	fatty acid metabolic process lipid catabolic process catabolic process oxoacid metabolic process carboxylic acid metabolic process primary metabolic process lipid modification organic acid metabolic process organic acid catabolic process fatty acid catabolic process monocarboxylic acid catabolic process fatty acid oxidation carboxylic acid catabolic process fatty acid beta-oxidation fatty acid metabolic process lipid catabolic process catabolic process oxoacid metabolic process carboxylic acid metabolic process primary metabolic process lipid modification organic acid metabolic process organic acid catabolic process fatty acid catabolic process monocarboxylic acid catabolic process fatty acid oxidation carboxylic acid catabolic process fatty acid beta-oxidation metabolic process cellular process small molecule metabolic process monocarboxylic acid metabolic process lipid oxidation small molecule catabolic process fatty acid beta-oxidation using acyl-CoA dehydrogenase lipid metabolic process amino acid metabolic process amino acid catabolic process cellular respiration energy derivation by oxidation of organic compounds respiratory electron transport chain electron transport chain generation of precursor metabolites and energy	membrane-bounded organelle intracellular organelle cellular anatomical structure intracellular anatomical structure mitochondrion organelle cytoplasm intracellular membrane-bounded organelle protein-containing complex electron transfer flavoprotein complex membrane-enclosed lumen mitochondrial matrix intracellular organelle lumen organelle lumen
A, B, C, D	Acyl-CoA dehydrogenase, medium-chain specific, mitochondrial	oxidoreductase activity, acting on the CH-CH group of donors, with a flavin as acceptor oxidoreductase activity acyl-CoA dehydrogenase activity oxidoreductase activity, acting on the CH-CH group of donors catalytic activity flavin adenine dinucleotide binding binding nucleoside phosphate binding ion binding anion binding nucleotide binding heterocyclic compound binding small molecule binding medium-chain fatty acyl-CoA dehydrogenase activity oxidoreductase activity, acting on the CH-CH group of donors, with a flavin as acceptor oxidoreductase activity acyl-CoA dehydrogenase activity oxidoreductase activity, acting on the CH-CH group of donors catalytic activity flavin adenine dinucleotide binding binding nucleoside phosphate binding ion binding anion binding nucleotide binding heterocyclic compound binding small molecule binding medium-chain fatty acyl-CoA dehydrogenase activity identical protein binding protein binding	developmental process multicellular organism development multicellular organismal process hepaticobiliary system development gland development animal organ development anatomical structure development liver development system development monosaccharide metabolic process regulation of cellular process gluconeogenesis regulation of primary metabolic process regulation of small molecule metabolic process developmental process multicellular organism development multicellular organismal process hepaticobiliary system development gland development animal organ development anatomical structure development liver development system development monosaccharide metabolic process regulation of cellular process gluconeogenesis regulation of primary metabolic process regulation of small molecule metabolic process small molecule metabolic process regulation of carbohydrate metabolic process regulation of glucose metabolic process regulation of biosynthetic process carbohydrate metabolic process regulation of biological process small molecule biosynthetic process carbohydrate biosynthetic process biological regulation hexose metabolic process primary metabolic process monosaccharide biosynthetic process hexose biosynthetic process biosynthetic process regulation of gluconeogenesis metabolic process cellular process regulation of carbohydrate biosynthetic process regulation of metabolic process glucose metabolic process response to stimulus response to stress response to abiotic stimulus response to cold response to temperature stimulus carnitine metabolic process modified amino acid metabolic process carnitine metabolic process, CoA-linked amino-acid betaine metabolic process fatty acid metabolic process lipid catabolic process catabolic process oxoacid metabolic process carboxylic acid metabolic process lipid modification organic acid metabolic process organic acid catabolic process fatty acid catabolic process monocarboxylic acid catabolic process fatty acid oxidation carboxylic acid catabolic process fatty acid beta-oxidation monocarboxylic acid metabolic process lipid oxidation small molecule catabolic process lipid metabolic process heart development cellular developmental process cardiac muscle tissue development cardiac muscle cell differentiation muscle cell differentiation tissue development cardiocyte differentiation striated muscle tissue development circulatory system development muscle structure development cell differentiation striated muscle cell differentiation muscle tissue development medium-chain fatty acid metabolic process amino-acid betaine biosynthetic process carnitine biosynthetic process modified amino acid biosynthetic process medium-chain fatty acid catabolic process fatty acid beta-oxidation using acyl-CoA dehydrogenase post-embryonic development glucan biosynthetic process polysaccharide biosynthetic process energy derivation by oxidation of organic compounds glycogen metabolic process generation of precursor metabolites and energy glycogen biosynthetic process macromolecule biosynthetic process polysaccharide metabolic process glucan metabolic process energy reserve metabolic process macromolecule metabolic process response to nutrient levels response to starvation	membrane-bounded organelle intracellular organelle cellular anatomical structure intracellular anatomical structure mitochondrion organelle cytoplasm intracellular membrane-bounded organelle mitochondrial membrane membrane organelle envelope mitochondrial envelope organelle membrane cell projection membrane-bounded organelle intracellular organelle cellular anatomical structure intracellular anatomical structure mitochondrion organelle cytoplasm intracellular membrane-bounded organelle mitochondrial membrane membrane organelle envelope mitochondrial envelope organelle membrane cell projection sperm principal piece cilium 9+2 motile cilium sperm flagellum motile cilium plasma membrane bounded cell projection perinuclear theca cytoskeleton perinuclear region of cytoplasm membraneless organelle intracellular membraneless organelle external encapsulating structure extracellular region glycocalyx sperm glycocalyx axon neuron projection membrane-enclosed lumen mitochondrial matrix intracellular organelle lumen organelle lumen nucleus

InterPro: Protein Family Classification InterPro Database Homepage

Chains	Accession	Name	Type
F [auth S]	IPR014730	Electron transfer flavoprotein, alpha/beta-subunit, N-terminal	Domain
F [auth S]	IPR033948	Electron transfer flavoprotein, beta subunit, N-terminal	Domain
F [auth S]	IPR000049	Electron transfer flavoprotein, beta-subunit, conserved site	Conserved Site
F [auth S]	IPR012255	Electron transfer flavoprotein, beta subunit	Family
F [auth S]	IPR014729	Rossmann-like alpha/beta/alpha sandwich fold	Homologous Superfamily
E [auth R]	IPR014730	Electron transfer flavoprotein, alpha/beta-subunit, N-terminal	Domain
E [auth R]	IPR001308	Electron transfer flavoprotein alpha subunit/FixB	Family
E [auth R]	IPR014731	Electron transfer flavoprotein, alpha subunit, C-terminal	Domain
E [auth R]	IPR014729	Rossmann-like alpha/beta/alpha sandwich fold	Homologous Superfamily
E [auth R]	IPR029035	DHS-like NAD/FAD-binding domain superfamily	Homologous Superfamily
E [auth R]	IPR018206	Electron transfer flavoprotein subunit alpha, conserved site	Conserved Site
E [auth R]	IPR033947	Electron transfer flavoprotein, alpha subunit, N-terminal	Domain
A, B, C, D	IPR036250	Acyl-CoA dehydrogenase-like, C-terminal	Homologous Superfamily
A, B, C, D	IPR037069	Acyl-CoA dehydrogenase/oxidase, N-terminal domain superfamily	Homologous Superfamily
A, B, C, D	IPR009100	Acyl-CoA dehydrogenase/oxidase, N-terminal and middle domain superfamily	Homologous Superfamily
A, B, C, D	IPR034180	Medium-chain specific acyl-CoA dehydrogenase	Family
A, B, C, D	IPR009075	Acyl-CoA dehydrogenase/oxidase, C-terminal	Domain
A, B, C, D	IPR006089	Acyl-CoA dehydrogenase, conserved site	Conserved Site
A, B, C, D	IPR013786	Acyl-CoA dehydrogenase/oxidase, N-terminal	Domain
A, B, C, D	IPR006091	Acyl-CoA dehydrogenase/oxidase, middle domain	Domain
A, B, C, D	IPR046373	Acyl-CoA oxidase/dehydrogenase, middle domain superfamily	Homologous Superfamily
A, B, C, D	IPR050741	Acyl-CoA_dehydrogenase	Unknown

Pharos: Disease Associations Pharos Homepage Annotation

Chains	Drug Target	Associated Disease
F [auth S]	Pharos: P38117	multiple acyl-CoA dehydrogenase deficiency ulcerative colitis arthrogryposis glaucoma GLUTARIC ACIDEMIA IIC inherited amino acid metabolic disorder medulloblastoma pancreatic ductal adenocarcinoma breast carcinoma intellectual disability rhabdomyolysis ductal breast carcinoma in situ inborn errors of metabolism invasive ductal breast carcinoma osteosarcoma
E [auth R]	Pharos: P13804	multiple acyl-CoA dehydrogenase deficiency pancreatic ductal adenocarcinoma rhabdomyolysis arthrogryposis GLUTARIC ACIDEMIA IIA hepatocellular carcinoma inherited amino acid metabolic disorder pancreatic intraductal papillary-mucinous neoplasm brain glioma intellectual disability osteoarthritis ovarian cancer plasma cell myeloma inborn errors of metabolism osteoarthritis susceptibility 1
A, B, C, D	Pharos: P11310	medium chain acyl-CoA dehydrogenase deficiency obesity disorder perinatal necrotizing enterocolitis liver failure Weight Gain arthrogryposis intellectual disability lymphoplasmacytic lymphoma necrotizing enterocolitis pancreatic ductal adenocarcinoma rhabdomyolysis B-cell chronic lymphocytic leukemia limb-girdle muscular dystrophy ulcerative colitis ovarian cancer medium chain acyl-CoA dehydrogenase deficiency obesity disorder perinatal necrotizing enterocolitis liver failure Weight Gain arthrogryposis intellectual disability lymphoplasmacytic lymphoma necrotizing enterocolitis pancreatic ductal adenocarcinoma rhabdomyolysis B-cell chronic lymphocytic leukemia limb-girdle muscular dystrophy ulcerative colitis ovarian cancer psoriasis