A deficiência de acil-CoA desidrogenase de cadeia média (MCAD) (MCADD) é um erro inato da oxidação mitocondrial de ácidos graxos caracterizado por uma crise metabólica rapidamente progressiva, muitas vezes apresentando-se como hipoglicemia hipocetótica, letargia, vômitos, convulsões e coma, que pode ser fatal na ausência de intervenção médica de emergência.
Introdução
O que você precisa saber de cara
A deficiência de acil-CoA desidrogenase de cadeia média (MCAD) (MCADD) é um erro inato da oxidação mitocondrial de ácidos graxos caracterizado por uma crise metabólica rapidamente progressiva, muitas vezes apresentando-se como hipoglicemia hipocetótica, letargia, vômitos, convulsões e coma, que pode ser fatal na ausência de intervenção médica de emergência.
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 19 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 48 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
1 gene identificado com associação a esta condição. Padrão de herança: Autosomal recessive.
Medium-chain specific acyl-CoA dehydrogenase is one of the acyl-CoA dehydrogenases that catalyze the first step of mitochondrial fatty acid beta-oxidation (FAO), breaking down fatty acids into acetyl-CoA and allowing the production of energy from fats (PubMed:1970566, PubMed:21237683, PubMed:2251268, PubMed:8823175). The first step of FAO consists in the proR-proR stereospecific alpha, beta-dehydrogenation of fatty acyl-CoA thioesters using the electron transfer flavoprotein (ETF) as their physi
Mitochondrion matrix
Acyl-CoA dehydrogenase medium-chain deficiency
An inborn error of mitochondrial fatty acid beta-oxidation which causes fasting hypoglycemia, hepatic dysfunction and encephalopathy, often resulting in death in infancy.
Medicamentos aprovados (FDA)
1 medicamento encontrado nos registros da FDA americana.
Variantes genéticas (ClinVar)
463 variantes patogênicas registradas no ClinVar.
Classificação de variantes (ClinVar)
Distribuição de 5 variantes classificadas pelo ClinVar.
Vias biológicas (Reactome)
4 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Deficiência de acil-CoA desidrogenase de cadeias médias
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Pesquisa ativa
Ensaios clínicos abertos e novidades científicas recentes
Ensaios em destaque
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4 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.
Outros ensaios clínicos
14 ensaios clínicos encontrados, 4 ativos.
Publicações mais relevantes
Clinical, Biochemical and Molecular Characterisation of Newborns With Fatty Acid β-Oxidation Disorders: Novel Variants in the ACADM , ACADVL and SLC22A5 Genes.
In this study, we aimed to assess clinical, laboratory and molecular features of newborns with clinical suspicion for systemic primary carnitine deficiency (CUD), medium-chain acyl-CoA dehydrogenase deficiency (MCADD) and very long-chain acyl-CoA dehydrogenase deficiency (VLCADD). The implementation of newborn screening programs for fatty acid β-oxidation disorders (FAODs) has changed the natural course of these diseases, facilitating the initiation of preventive or therapeutic measures for affected newborns shortly after birth. This study included 94 newborns who were admitted between 2016 and 2023 because of biochemical signs of CUD, MCADD and VLCADD, and provided clinical, biochemical and genotypic data. Definitive molecular diagnosis confirmed that 16/94 newborns (17%) were true positives of the NBS, and 17 novel variants were detected in SLC22A5, ACADM and ACADVL genes. We assessed the clinical evolution of patients over time. This study expands the genotypic spectrum of SLC22A5, ACADM and ACADVL and highlights the role of genetics in identifying and correctly characterising FAODs.
Exploring Deleterious Nonsynonymous SNPs in the ACADM Gene: Insights Into Medium-Chain Acyl-CoA Dehydrogenase Deficiency (MCADD) via In Silico Analysis.
Medium-chain acyl-CoA dehydrogenase deficiency (MCADD), a potentially lethal metabolic disorder, is often associated with single-nucleotide polymorphisms (SNPs) in the acyl-CoA dehydrogenase, medium-chain (ACADM) gene. The current research investigates the structural and functional implications of these genetic variants through diverse bioinformatics techniques. A range of in silico techniques were utilized to thoroughly evaluate the effect of nonsynonymous SNPs. Molecular docking and molecular dynamics simulation evaluation comprehensively validated the mutational impact on protein's stability. Gene interaction analysis demonstrated that ACADM is involved in several cellular pathways and co-expression networks. Two nsSNPs, rs121434282 and rs200724875, were found to have a significant impact on the composition and functionality of ACADM. This research lays the foundation for precision medicine advancements, specifically against metabolic disorders. Thorough validation of the proposed nsSNPs, supported by animal models, is crucial for understanding their role in MCADD.
Acute Fatty Liver of Pregnancy and Fetal Fatty Acid Oxidation Disorders: A Systematic Review.
To evaluate the association between maternal acute fatty liver of pregnancy (AFLP) and fetal fatty acid oxidation (FAO) disorders and to define the clinical and genetic characteristics of mothers with AFLP and their fetuses affected by FAO disorders, we performed a systematic literature review of all reported cases of AFLP that underwent genetic testing for FAO disorders. We searched PubMed, Ovid MEDLINE, Cochrane Library, CINAHL (EBSCO), Scopus, and ClinicalTrials.gov. Terms included were related to AFLP and FAO testing. We conducted a systematic literature review from inception through May 18, 2025, to evaluate the relationship between AFLP and fetal FAO disorders. Studies were eligible for inclusion if they evaluated the relationship between AFLP and fetal FAO disorders and provided both detailed pregnancy characteristics for AFLP and the workup of maternal and/or fetal FAO disorder. Twenty-seven studies with 77 AFLP cases that underwent genetic or biochemical testing for maternal or fetal FAO disorders were included. Of these 77 pregnancies, 27 (35.1%) were associated with confirmed fetal FAO disorders. The 27 neonates with FAO disorders included 22 fetuses (81.5%) with LCHAD deficiency, three (11.1%) with medium-chain acyl-CoA dehydrogenase deficiency, one (3.7%) with short-chain acyl-CoA dehydrogenase deficiency, and one (3.7%) with carnitine palmitoyl transferase-I deficiency. Stillbirth and infant mortality was reported in 14 of 22 cases (63.6%) with LCHAD deficiency, and there were no recorded fetal or neonatal deaths with other FAO disorders or those with negative genetic testing. One maternal death was reported in a pregnancy with negative genetic testing for FAO disorders and one patient in a coma at the time of publication with an LCHAD-deficient pregnancy. Presentation of AFLP with gastrointestinal manifestations occurred in 87.8% of patients. Acute fatty liver of pregnancy is associated with fetal FAO disorders in about a third of cases, with the most common FAO disorder being LCHAD deficiency. Both AFLP and LCHAD deficiency are associated with high morbidity and mortality in mothers and neonates. Evaluation for fetal and maternal LCHAD deficiency should be part of the diagnostic evaluation in AFLP. PROSPERO, CRD42021247166.
Energetic stress in combination with impaired fatty acid oxidation induces sequestration of CoA and adaptation of CoA metabolism.
Coenzyme A (CoA) is a vital cofactor involved in 8-10% of all metabolic reactions in human cells. Different inherited enzyme deficiencies in which the oxidation of acyl-CoAs is hampered have been hypothesised to share a phenotype characterised by toxic accumulation of acyl-CoA and a concomitant decline in free CoA (CoASH) levels, whereby CoASH becomes limiting for other metabolic reactions. This is referred to as CoASH sequestration. There is, however, limited experimental evidence for this hypothesis. Using a combination of approaches, we test this hypothesis in medium-chain acyl-CoA dehydrogenase deficiency (MCADD), the most common deficiency of mitochondrial fatty acid oxidation (mFAO), under energetic stress. Both in vitro MCAD-knockout (KO) HepG2 cells and a kinetic model of mFAO showed decreased CoASH, elevated medium-chain acyl-CoA, and decreased long-chain acyl-CoA levels. MCAD-KO mice exposed to fasting and cold as energetic stressors had a significantly increased total CoA pool and increased expression of CoA biosynthetic enzymes in the liver, indicative of an upregulated CoA biosynthesis. Expression of carnitine acyltransferases and acyl-CoA thioesterases, enzymes that liberate CoASH from acyl-CoAs, was also upregulated, suggesting an adaptive response of CoA metabolism to decreased CoASH. Finally, computational model simulations showed that a combination of elevated total CoA and thioesterase activity led to normalisation of both CoASH and medium-chain acyl-CoA levels. Together, the results provide the first evidence for the CoA sequestration hypothesis in MCADD. The observed adaptation of CoA metabolism under energetic stress may act as a compensatory response that counteracts CoASH depletion and accumulation of toxic medium-chain acyl-CoAs.
Tachycardiomyopathy-like presentation in neonatal MCAD deficiency: A novel cardiac phenotype.
Medium-chain acyl-CoA dehydrogenase deficiency (MCADD) is the most common fatty acid oxidation disorder in Europe. Clinical onset typically occurs between 3 and 24 months of life with hypoketotic hypoglycemia, while neonatal presentations are less common. Although the disorder classically manifests with metabolic decompensation, atypical cardiac involvement has occasionally been reported but remains exceedingly rare. MCADD is included in many newborn screening programs, enabling early detection and timely management. We report a full-term female neonate who, at 3 days of life, developed severe metabolic decompensation with refractory supraventricular tachyarrhythmias, severe systolic dysfunction, and biventricular dilation requiring maximal inotropic support. Expanded newborn screening revealed a profile consistent with MCADD, and genetic testing identified a homozygous variant in the ACADM gene, described according to HGVS nomenclature as ACADM(NM_000016.6):c.985A > C p.(Lys329Gln). Disease-specific management, including high-rate intravenous glucose administration, carnitine supplementation, and a tailored low-fat diet, resulted in complete normalization of cardiac function within 48 hours. This case represents a tachycardiomyopathy-like presentation of neonatal-onset MCADD, a novel and rarely described cardiac phenotype. It emphasizes the importance of considering fatty acid oxidation disorders in the differential diagnosis of unexplained arrhythmias and cardiomyopathy in neonates, particularly before newborn screening results are available. Early diagnosis and prompt initiation of metabolic treatment are essential to reverse potentially life-threatening cardiac manifestations in MCADD. This report highlights a novel phenotype and expands the clinical spectrum of neonatal-onset MCADD.
Publicações recentes
2023 MCADD patient and family education summit with providers: meeting highlights, congruences and contradictions.
Exploring Deleterious Nonsynonymous SNPs in the ACADM Gene: Insights Into Medium-Chain Acyl-CoA Dehydrogenase Deficiency (MCADD) via In Silico Analysis.
Acute Fatty Liver of Pregnancy and Fetal Fatty Acid Oxidation Disorders: A Systematic Review.
Energetic stress in combination with impaired fatty acid oxidation induces sequestration of CoA and adaptation of CoA metabolism.
Tachycardiomyopathy-like presentation in neonatal MCAD deficiency: A novel cardiac phenotype.
📚 EuropePMC238 artigos no totalmostrando 147
Exploring Deleterious Nonsynonymous SNPs in the ACADM Gene: Insights Into Medium-Chain Acyl-CoA Dehydrogenase Deficiency (MCADD) via In Silico Analysis.
Genetics researchAcute Fatty Liver of Pregnancy and Fetal Fatty Acid Oxidation Disorders: A Systematic Review.
O&G openEnergetic stress in combination with impaired fatty acid oxidation induces sequestration of CoA and adaptation of CoA metabolism.
The FEBS journalTachycardiomyopathy-like presentation in neonatal MCAD deficiency: A novel cardiac phenotype.
European journal of medical geneticsExpanded Newborn Screening for Inborn Errors of Metabolism at a Single Center in Louisiana (2005-2024): Outcomes.
International journal of neonatal screeningMedium-chain Acyl-CoA Dehydrogenase Deficiency Identified by MS/MS Newborn Screening Challenges.
Journal of mother and childChallenges in evaluating whole genome sequencing for newborn screening: series of systematic reviews and roadmap for evidence generation for policy advisers.
BMJ medicineEffects of dietary management for medium-chain acyl-CoA dehydrogenase deficiency (MCADD) on eating behaviour in childhood, adolescence and young adulthood.
BMC nutritionMedium-Chain Acyl-CoA Dehydrogenase Deficiency (MCADD) Newborn Screening in Italy: Five Years' Experience from a Nationwide Program.
International journal of neonatal screeningHigh-resolution native electrophoresis in-gel activity assay reveals biological insights of medium-chain fatty acyl-CoA dehydrogenase deficiency.
Scientific reportsClinical, Biochemical and Molecular Characterisation of Newborns With Fatty Acid β-Oxidation Disorders: Novel Variants in the ACADM , ACADVL and SLC22A5 Genes.
Clinical geneticsPrevalence and Mutation Analysis of Medium-Chain Acyl-CoA Dehydrogenase Deficiency Detected by Newborn Screening in Hefei, China.
International journal of neonatal screeningLipidomic Profiling of Red Blood Cells in the Mitochondrial Fatty Acid β-oxidation Disorder MCADD Reveals Phospholipid and Sphingolipid Dysregulation.
Journal of proteome researchEffective algorithm to differentiate NBS MCADD cases from carriers and non-carriers and an assessment of the utility of the second newborn screen for MCADD.
Molecular genetics and metabolismC4OH-carnitine: an important marker of ketosis in patients with and without inborn errors of metabolism.
Molecular genetics and metabolismLipidome plasticity in medium- and long-chain fatty acid oxidation disorders: Insights from dried blood spot lipidomics.
Biochimica et biophysica acta. Molecular and cell biology of lipidsEarly-Onset Inherited Metabolic Diseases: When Clinical Symptoms Precede Newborn Screening-Insights from Emilia-Romagna (Italy).
Children (Basel, Switzerland)iPSC-Derived Liver Organoids as a Tool to Study Medium Chain Acyl-CoA Dehydrogenase Deficiency.
Journal of inherited metabolic diseaseMedium-Chain Acyl-CoA Dehydrogenase Deficiency Disorder as a Cause of Acute Liver Failure in a 23-Month-Old Baby.
Journal of medical casesMechanistic insights into impaired β-oxidation and its role in mitochondrial dysfunction: A comprehensive review.
Diabetes research and clinical practiceMedium-chain acyl-CoA dehydrogenase deficiency in North Macedonia - ten years experience.
Journal of pediatric endocrinology & metabolism : JPEMAssessment of Fasting Metabolism With Microdialysis Indicates Earlier Lipolysis in Children With VLCADD Than MCADD.
Acta paediatrica (Oslo, Norway : 1992)Diagnostic challenges and outcome of fatty acid oxidation defects in a tertiary care center in Lebanon.
Orphanet journal of rare diseasesA newborn Screening Programme for Inborn errors of metabolism in Galicia: 22 years of evaluation and follow-up.
Orphanet journal of rare diseasesRecurrent familial case of early childhood sudden death: Complex post mortem genetic investigations.
Forensic science international. GeneticsImpact of newborn screening for fatty acid oxidation disorders on neurological outcome: A Belgian retrospective and multicentric study.
European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology SocietyPlasma lipidomics analysis reveals altered profile of triglycerides and phospholipids in children with Medium-Chain Acyl-CoA dehydrogenase deficiency.
Journal of inherited metabolic diseaseAssessing the quality and value of metabolic chart data for capturing core outcomes for pediatric medium-chain acyl-CoA dehydrogenase (MCAD) deficiency.
BMC pediatricsDrug Resistant Epilepsy (DRE) Secondary to 3-Hydroxy Acyl-CoA Dehydrogenase Deficiency (HADH) in Siblings.
Indian journal of pediatricsCase report: Diagnosis of a patient with Sifrim-Hitz-Weiss syndrome, development and epileptic encephalopathy-14, and medium chain acyl-CoA dehydrogenase deficiency.
Frontiers in pediatricsPersonalised modelling of clinical heterogeneity between medium-chain acyl-CoA dehydrogenase patients.
BMC biologyHeptanoic and medium branched-chain fatty acids as anaplerotic treatment for medium chain acyl-CoA dehydrogenase deficiency.
Molecular genetics and metabolismLow Fasting Concentrations of Glucagon in Patients with Very Long-Chain Acyl-CoA Dehydrogenase Deficiency.
Metabolites[Analysis of clinical characteristics and ACADM gene variants in four children with Medium chain acyl-CoA dehydrogenase deficiency].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsUntargeted Metabolomics Identifies Biomarkers for MCADD Neonates in Dried Blood Spots.
International journal of molecular sciencesFunctional and structural impact of 10 ACADM missense mutations on human medium chain acyl-Coa dehydrogenase.
Biochimica et biophysica acta. Molecular basis of diseaseMessenger RNA rescues medium-chain acyl-CoA dehydrogenase deficiency in fibroblasts from patients and a murine model.
Human molecular geneticsAcylglycine Analysis by Ultra-Performance Liquid Chromatography-Tandem Mass Spectrometry (UPLC-MS/MS).
Current protocolsMedium Chain Acyl-CoA Dehydrogenase Deficiency: 3 years of Newborn Screening.
Irish medical journalHypoparathyroidism and medium-chain Acyl-CoA dehydrogenase deficiency, an unusual association.
Journal of pediatric endocrinology & metabolism : JPEMA Young Female With Medium-Chain Acyl-CoA Dehydrogenase Deficiency (MCADD): A Case Report.
CureusFree carnitine concentrations and biochemical parameters in medium-chain acyl-CoA dehydrogenase deficiency: Genotype-phenotype correlation.
Clinical geneticsA Remimazolam and Remifentanil Anesthetic for a Pediatric Patient With a Medium-Chain Acyl-CoA Dehydrogenase Deficiency: A Case Report.
A&A practiceMedium-chain acyl-CoA dehydrogenase deficiency (MCADD) precipitating unexpected death in an infant: Report of a case and a brief review of literature.
The Malaysian journal of pathologyMedium-chain Acyl-COA dehydrogenase deficiency: Pathogenesis, diagnosis, and treatment.
Endocrinology, diabetes & metabolismACADM Frameshift Variant in Cavalier King Charles Spaniels with Medium-Chain Acyl-CoA Dehydrogenase Deficiency.
GenesScreening and follow-up results of neonate medium-chain acyl-CoA dehydrogenase deficiency in Zibo, Shandong province.
Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciencesTandem Mass Spectrometry for the Analysis of Plasma/Serum Acylcarnitines for the Diagnosis of Certain Organic Acidurias and Fatty Acid Oxidation Disorders.
Methods in molecular biology (Clifton, N.J.)Analysis of gene mutations of medium-chain acyl-coenzyme a dehydrogenase deficiency (MCADD) by next-generation sequencing in Henan, China.
Clinica chimica acta; international journal of clinical chemistryNewborn screening and genetic variation of medium chain acyl-CoA dehydrogenase deficiency in the Chinese population.
Journal of pediatric endocrinology & metabolism : JPEMEpilepsy and inborn errors of metabolism in adults: The diagnostic odyssey of a young woman with medium-chain acyl-coenzyme A dehydrogenase deficiency.
Epilepsia openPlasma carnitine concentrations in Medium-chain acyl-CoA dehydrogenase deficiency: lessons from an observational cohort study.
Journal of inherited metabolic diseaseLymphocyte Medium-Chain Acyl-CoA Dehydrogenase Activity and Its Potential as a Diagnostic Confirmation Tool in Newborn Screening Cases.
Journal of clinical medicineSudden neonatal death in individuals with medium-chain acyl-coenzyme A dehydrogenase deficiency: limit of newborn screening.
European journal of pediatricsDiagnosis of inborn errors of metabolism within the expanded newborn screening in the Madrid region.
JIMD reportsTarget Diseases for Neonatal Screening in Germany.
Deutsches Arzteblatt internationalNormal Biomarkers in an Acute Presentation in a Known Case of Medium-Chain Acyl-Coenzyme A Dehydrogenase Deficiency.
Clinical chemistrySelective screening for inborn errors of metabolism by tandem mass spectrometry at Sohag University Hospital, Egypt.
Archives de pediatrie : organe officiel de la Societe francaise de pediatrieStatus epilepticus and coma leading to death in a boy caused by Medium-chainacyl-coA dehydrogenase deficiency.
Iranian journal of child neurologyScreening and follow-up results of fatty acid oxidative metabolism disorders in 608 818 newborns in Jining, Shandong province.
Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciencesImpact of Newborn Screening and Early Dietary Management on Clinical Outcome of Patients with Long Chain 3-Hydroxyacyl-CoA Dehydrogenase Deficiency and Medium Chain Acyl-CoA Dehydrogenase Deficiency-A Retrospective Nationwide Study.
NutrientsPatient and family engagement in the development of core outcome sets for two rare chronic diseases in children.
Research involvement and engagementAltered mitochondrial metabolism in peripheral blood cells from patients with inborn errors of β-oxidation.
Clinical and translational science"It's Just Always Eating": The Experiences of Young People Growing up Medium Chain Acyl-coA Dehydrogenase Deficiency.
Global qualitative nursing researchCore Outcome Sets for Medium-Chain Acyl-CoA Dehydrogenase Deficiency and Phenylketonuria.
PediatricsSubacute hypoglycemia during gastroenteritis in a child with medium-chain acyl-CoA dehydrogenase deficiency.
Pediatrics international : official journal of the Japan Pediatric SocietySuccessful perioperative management of a pediatric patient with medium-chain acyl-CoA dehydrogenase deficiency using a continuous tissue glucose monitoring device: A case report.
Saudi journal of anaesthesia[New Inborn Errors of Metabolism added in the French program of neonatal screening].
Medecine sciences : M/SVery Long-Chain Acyl-CoA Dehydrogenase Deficiency: High Incidence of Detected Patients With Expanded Newborn Screening Program.
Frontiers in geneticsA generic emergency protocol for patients with inborn errors of metabolism causing fasting intolerance: A retrospective, single-center study and the generation of www.emergencyprotocol.net.
Journal of inherited metabolic diseaseClinical, Biochemical, and Molecular Analyses of Medium-Chain Acyl-CoA Dehydrogenase Deficiency in Chinese Patients.
Frontiers in geneticsNeonatal Screening for Congenital Metabolic and Endocrine Disorders—Results From Germany for the Years 2006–2018.
Deutsches Arzteblatt internationalCoexistence of medium chain acyl-CoA dehydrogenase deficiency (MCADD) and type 1 diabetes (T1D): a management challenge.
BMJ case reportsGenotype and residual enzyme activity in medium-chain acyl-CoA dehydrogenase (MCAD) deficiency: Are predictions possible?
Journal of inherited metabolic disease[Newborn Screening Program in the Community of Madrid: evaluation of positive cases.].
Revista espanola de salud publicaManagement Principles for Acute Illness in Patients With Medium-Chain Acyl-Coenzyme A Dehydrogenase Deficiency.
PediatricsEssential oils can cause false-positive results of medium-chain acyl-CoA dehydrogenase deficiency.
Molecular genetics and metabolism reportsNGS-based expanded carrier screening for genetic disorders in North Indian population reveals unexpected results - a pilot study.
BMC medical geneticsPost-Analytical Tools for the Triage of Newborn Screening Results in Follow-up Can Reduce Confirmatory Testing and Guide Performance Improvement.
International journal of neonatal screeningDiagnosis, genetic characterization and clinical follow up of mitochondrial fatty acid oxidation disorders in the new era of expanded newborn screening: A single centre experience.
Molecular genetics and metabolism reportsAssessment of candidate variants causative of inborn metabolic diseases in SUDI cases in South Africa, and a case report.
International journal of legal medicineMedium Chain Acyl-CoA Dehydrogenase Deficiency (MCADD) in the Irish Paediatric Population.
Irish medical journalInborn errors of metabolism detectable by tandem mass spectrometry in Beijing.
Journal of pediatric endocrinology & metabolism : JPEMIncreased antioxidant response in medium-chain acyl-CoA dehydrogenase deficiency: does lipoic acid have a protective role?
Pediatric researchOutcomes in pediatric studies of medium-chain acyl-coA dehydrogenase (MCAD) deficiency and phenylketonuria (PKU): a review.
Orphanet journal of rare diseasesBayesian multiple hypotheses testing in compositional analysis of untargeted metabolomic data.
Analytica chimica actaClinical and biochemical outcomes of patients with medium-chain acyl-CoA dehydrogenase deficiency.
Molecular genetics and metabolismOxidative damage in mitochondrial fatty acids oxidation disorders patients and the in vitro effect of l-carnitine on DNA damage induced by the accumulated metabolites.
Archives of biochemistry and biophysics[Tandem mass spectrometry analysis and genetic diagnosis of neonates with fatty acid oxidation disorders in central and northern regions of Guangxi].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsThe Addition of MCADD to the Newborn Blood Spot Screening Programme.
Irish medical journalNew Ratios for Performance Improvement for Identifying Acyl-CoA Dehydrogenase Deficiencies in Expanded Newborn Screening: A Retrospective Study.
Frontiers in geneticsFLAD1-associated multiple acyl-CoA dehydrogenase deficiency identified by newborn screening.
Molecular genetics & genomic medicineEpidemiology of rare diseases detected by newborn screening in the Czech Republic.
Central European journal of public healthMedium-chain acyl-coenzyme A dehydrogenase deficiency: Six cases in the Chinese population.
Pediatrics international : official journal of the Japan Pediatric SocietyA nationwide retrospective observational study of population newborn screening for medium-chain acyl-CoA dehydrogenase (MCAD) deficiency in the Netherlands.
Journal of inherited metabolic diseaseHealth services use among children diagnosed with medium-chain acyl-CoA dehydrogenase deficiency through newborn screening: a cohort study in Ontario, Canada.
Orphanet journal of rare diseasesAge-Specific Cut-off Values of Amino Acids and Acylcarnitines for Diagnosis of Inborn Errors of Metabolism Using Liquid Chromatography Tandem Mass Spectrometry.
BioMed research internationalAnesthetic management for a patient with medium-chain acyl-CoA dehydrogenase deficiency in an outpatient setting using ketamine and fentanyl.
Journal of clinical anesthesia[Medium-chain acyl-CoA dehydrogenase deficiency: neonatal screening and follow-uP].
Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatricsFollow-up of fatty acid β-oxidation disorders in expanded newborn screening era.
European journal of pediatricsSelective Screening of Fatty Acids Oxidation Defects and Organic Acidemias by Liquid Chromatography/tandem Mass Spectrometry Acylcarnitine Analysis in Brazilian Patients.
Archives of medical researchDiversity in the incidence and spectrum of organic acidemias, fatty acid oxidation disorders, and amino acid disorders in Asian countries: Selective screening vs. expanded newborn screening.
Molecular genetics and metabolism reportsDiagnostic potential of stored dried blood spots for inborn errors of metabolism: a metabolic autopsy of medium-chain acyl-CoA dehydrogenase deficiency.
Journal of clinical pathologyA novel method for quantitation of acylglycines in human dried blood spots by UPLC-tandem mass spectrometry.
Clinical biochemistryMedium-chain acyl-CoA dehydrogenase deficiency: Two novel ACADM mutations identified in a retrospective screening.
The Journal of international medical researchFlux analysis of inborn errors of metabolism.
Journal of inherited metabolic diseaseLoss of the Mitochondrial Fatty Acid β-Oxidation Protein Medium-Chain Acyl-Coenzyme A Dehydrogenase Disrupts Oxidative Phosphorylation Protein Complex Stability and Function.
Scientific reportsMedium chain acyl-CoA dehydrogenase deficiency in a premature infant.
Pediatric reportsEstablishing core outcome sets for phenylketonuria (PKU) and medium-chain Acyl-CoA dehydrogenase (MCAD) deficiency in children: study protocol for systematic reviews and Delphi surveys.
TrialsMore than blindsight: Case report of a child with extraordinary visual capacity following perinatal bilateral occipital lobe injury.
Neuropsychologia[Screening for fatty acid oxidation disorders of newborns in Zhejiang province:prevalence, outcome and follow-up].
Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciencesFatty acid oxidation defects presenting as primary myopathy and prominent dropped head syndrome.
Neuromuscular disorders : NMDMRI in medium-chain acyl-coenzyme a dehydrogenase deficiency: neuroimaging during the first month.
Journal of pediatric endocrinology & metabolism : JPEMBiochemical characteristics of newborns with carnitine transporter defect identified by newborn screening in California.
Molecular genetics and metabolismParental Experiences of Raising a Child With Medium Chain Acyl-CoA Dehydrogenase Deficiency.
Global qualitative nursing researchCorrecting false positive medium-chain acyl-CoA dehydrogenase deficiency results from newborn screening; synthesis, purification, and standardization of branched-chain C8 acylcarnitines for use in their selective and accurate absolute quantitation by UHPLC-MS/MS.
Molecular genetics and metabolismInvestigating the link of ACAD10 deficiency to type 2 diabetes mellitus.
Journal of inherited metabolic diseaseUnveiling the Pathogenic Molecular Mechanisms of the Most Common Variant (p.K329E) in Medium-Chain Acyl-CoA Dehydrogenase Deficiency by in Vitro and in Silico Approaches.
BiochemistryLiving on the edge: substrate competition explains loss of robustness in mitochondrial fatty-acid oxidation disorders.
BMC biologyMedium-chain acyl-Coenzyme A dehydrogenase deficiency (MCADD): a cause of severe hypoglycaemia in an apparently well child.
BMJ case reportsA retrospective review of anesthesia and perioperative care in children with medium-chain acyl-CoA dehydrogenase deficiency.
Paediatric anaesthesiaScreening of MCAD deficiency in Japan: 16years' experience of enzymatic and genetic evaluation.
Molecular genetics and metabolism[An analysis of clinical characteristics and gene mutation in two patients with medium- and short-chain acyl-CoA dehydrogenase deficiency].
Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatricsNeonates at risk of medium-chain acyl-CoA dehydrogenase deficiency: a perinatal protocol for use before population neonatal screening test results become available.
Genetics in medicine : official journal of the American College of Medical GeneticsFatty Acid Beta-Oxidation Disorders: A Brief Review.
Annals of neurosciences221 newborn-screened neonates with medium-chain acyl-coenzyme A dehydrogenase deficiency: Findings from the Inborn Errors of Metabolism Collaborative.
Molecular genetics and metabolismVariants of uncertain significance in newborn screening disorders: implications for large-scale genomic sequencing.
Genetics in medicine : official journal of the American College of Medical Geneticscis-4-Decenoic and decanoic acids impair mitochondrial energy, redox and Ca(2+) homeostasis and induce mitochondrial permeability transition pore opening in rat brain and liver: Possible implications for the pathogenesis of MCAD deficiency.
Biochimica et biophysica actaMorbidity and mortality among exclusively breastfed neonates with medium-chain acyl-CoA dehydrogenase deficiency.
Genetics in medicine : official journal of the American College of Medical GeneticsInsights into Medium-chain Acyl-CoA Dehydrogenase Structure by Molecular Dynamics Simulations.
Chemical biology & drug designSignificance of ACADM mutations identified through newborn screening of MCAD deficiency in Japan.
Molecular genetics and metabolismThe health system impact of false positive newborn screening results for medium-chain acyl-CoA dehydrogenase deficiency: a cohort study.
Orphanet journal of rare diseasesIntermediate MCAD Deficiency Associated with a Novel Mutation of the ACADM Gene: c.1052C>T.
Case reports in geneticsInborn Errors of Metabolism (Metabolic Disorders).
Pediatrics in reviewQuantification of Free Carnitine and Acylcarnitines in Plasma or Serum Using HPLC/MS/MS.
Methods in molecular biology (Clifton, N.J.)Inborn Errors of Metabolism in the United Arab Emirates: Disorders Detected by Newborn Screening (2011-2014).
JIMD reports[Mass Screening for Inborn Errors of Metabolism].
Rinsho byori. The Japanese journal of clinical pathologyMedium-chain acyl-CoA dehydrogenase deficiency associated with a novel splice mutation in the ACADM gene missed by newborn screening.
BMC medical geneticsMedium-Chain Acyl-CoA Dehydrogenase Deficiency in Adulthood: A Potential Diagnosis in a Patient with Mental Status Changes Suspected of Drug Toxicity.
Journal of forensic sciencesChild Neurology: medium-chain acyl-coenzyme A dehydrogenase deficiency.
NeurologyMedium-Chain Acyl-CoA Dehydrogenase Deficiency: Evaluation of Genotype-Phenotype Correlation in Patients Detected by Newborn Screening.
JIMD reportsOxidized phosphatidylcholines suggest oxidative stress in patients with medium-chain acyl-CoA dehydrogenase deficiency.
TalantaDetection of inborn errors of metabolism using GC-MS: over 3 years of experience in southern China.
Journal of pediatric endocrinology & metabolism : JPEMAbnormal Newborn Screening in a Healthy Infant of a Mother with Undiagnosed Medium-Chain Acyl-CoA Dehydrogenase Deficiency.
JIMD reportsTargeted metabolomics in the expanded newborn screening for inborn errors of metabolism.
Molecular bioSystemsDifferent Viewpoints: International Perspectives on Newborn Screening.
Journal of medical biochemistryMedium-chain Acyl-CoA dehydrogenase deficiency presenting with neonatal pulmonary haemorrhage.
Maternal health, neonatology and perinatologyAssociações
Organizações que acompanham esta doença — pra ter apoio e orientação
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Comunidades
Grupos ativos de quem convive com esta doença aqui no Raras
Ainda não existe comunidade no Raras para Deficiência de acil-CoA desidrogenase de cadeias médias
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- Clinical, Biochemical and Molecular Characterisation of Newborns With Fatty Acid β-Oxidation Disorders: Novel Variants in the ACADM , ACADVL and SLC22A5 Genes.
- Exploring Deleterious Nonsynonymous SNPs in the ACADM Gene: Insights Into Medium-Chain Acyl-CoA Dehydrogenase Deficiency (MCADD) via In Silico Analysis.
- Acute Fatty Liver of Pregnancy and Fetal Fatty Acid Oxidation Disorders: A Systematic Review.
- Energetic stress in combination with impaired fatty acid oxidation induces sequestration of CoA and adaptation of CoA metabolism.
- Tachycardiomyopathy-like presentation in neonatal MCAD deficiency: A novel cardiac phenotype.
- 2023 MCADD patient and family education summit with providers: meeting highlights, congruences and contradictions.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:42(Orphanet)
- OMIM OMIM:201450(OMIM)
- MONDO:0008721(MONDO)
- GARD:540(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Q750826(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
