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Short-chain acyl-CoA dehydrogenase (SCAD) Mitochondrial Trifunctional Protein (MTP) Deficiency In addition to deficiencies in the fatty acyl-CoA dehydrogenases, that catalyze the first reaction of mitochondrial long-chain fatty acid -oxidation, deficiencies in the activities of the mitochondrial trifunctional protein (MTP), the enzyme complex that catalyzes the last three reactions of mitochondrial long-chain fatty acid -oxidation, have also been identified

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