TY - CHAP M1 - Book, Section TI - Disorders of Fatty Acid Oxidation A1 - Vockley, Jerry A2 - Kline, Mark W. PY - 2018 T2 - Rudolph's Pediatrics, 23e AB - Mitochondrial fatty acid oxidation provides the main source of energy for heart and skeletal muscle and, through generation of acetyl-coenzyme A (CoA), for tricarboxylic acid (TCA) cycle function and ketone body production; it also provides energy for other tissues when the supply of glucose is limited. Long-chain fatty acids entering the cell are esterified with carnitine before being transported across the mitochondrial membrane through a series of steps known as the carnitine cycle. The free CoA esters then undergo β-oxidation in the mitochondrial matrix (Fig. 145-1). Disorders that interfere with any of these steps limit energy production in heart and skeletal muscle at rest and reduce the ability of other tissues, including the brain, to tolerate a low-glucose milieu during times of increased energy demand. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1182928966 ER -