MCAD
Mutation leading to unstable protein
glycine conjugated fatty acids
dicarboxyl fatty acids
hypoglycemia, no ketone bodies
Primary Carnation Deficiency
Lack of membrane transporters for carnitine
high cytoplasmic carnitine, because carnitine can’t get into the cell
Treatment: Add excess Carnitine
Secondary Carnitine DEficiency
CAT2 deficiency
can’t get carnitine off of the Acetyl-CoA so there is no free carnitine
high acyl-carnitine in the blood