Final answer:
The inactive ALDH enzyme in people carrying the mutation prevents the breakdown of acetate, leading to the accumulation of acetaldehyde and symptoms such as a flushed appearance, nausea, and an irregular heartbeat.
Step-by-step explanation:
The correct answer is b. An inactive ALDH enzyme would prevent the breakdown of acetate to carbon dioxide and water which prevents the elimination of the byproducts of alcohol from the body.
The ALDH enzyme is responsible for converting acetaldehyde, a toxic byproduct of alcohol metabolism, into acetate. This mutation results in an inactive ALDH enzyme, which means that acetaldehyde is not efficiently broken down into acetate. As a result, acetaldehyde builds up in the body, leading to symptoms such as a flushed appearance, nausea, and an irregular heartbeat when alcohol is consumed.