Extract:Propionate metabolism in human skin fibroblasts was studied in cells from three controls and one patient with methylmalonic acidemia. In the control cells, propionate-2-14C was metabolized to succinate and thence into the citric acid cycle, as indicated by the appearance of the C label in CO2, succinate, aspartate, and glutamate. The patient’s fibroblasts accumulated methylmalonate and failed to convert the C label as readily into CO2, aspartate, and glutamate. Speculation:Human skin fibroblasts cultured from a patient with methylmalonic acidemia offer an in vitro technique of pinpointing the defective site in this disorder. Furthermore, the kinetic properties of the mutant enzyme can be readily investigated. © International Pediatrics Research Foundation, Inc. 1969. All Rights Reserved.