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Deficiência de acil-CoA desidrogenase de cadeias médias
ORPHA:42CID-10 · E71.3CID-11 · 5C52.01OMIM 201450DOENÇA RARA

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.

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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.

Pesquisas ativas
4 ensaios
14 total registrados no ClinicalTrials.gov
Publicações científicas
450 artigos
Último publicado: 2026 Apr 9

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-9 / 100 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
6.85
Worldwide
Início
Infancy
+ neonatal
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: E71.3
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (7)
0202010279
Dosagem de aminoácidos (erros inatos)metabolic_test
0202010295
Dosagem de ácidos orgânicos na urinagenetic_test
0202010490
Teste de triagem para erros inatos do metabolismonewborn_screening
0202010694
Sequenciamento completo do exoma (WES)rehabilitation
0202080013
Teste do pezinho (triagem neonatal)nutritional
0301070040
Atendimento em reabilitação — doenças raras
+1 outros procedimentos
Você se identifica com essa condição?
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Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🧠
Neurológico
9 sintomas
💪
Músculos
7 sintomas
🫃
Digestivo
6 sintomas
📏
Crescimento
2 sintomas
🫘
Rins
2 sintomas
❤️
Coração
2 sintomas

+ 19 sintomas em outras categorias

Características mais comuns

100%prev.
Acidose metabólica
Frequência: 20/20
100%prev.
Nível urinário elevado de ácido 7-hidroxi-octanoico
Frequência: 2/2
100%prev.
Atividade reduzida da acil-CoA desidrogenase de cadeia média tecidual
Frequência: 3/3
55%prev.
Vômitos
Frequente (79-30%)
55%prev.
Fraqueza fatigável dos músculos do pescoço
Frequente (79-30%)
55%prev.
Hiperamonemia
Frequente (79-30%)
48sintomas
Muito frequente (3)
Frequente (12)
Ocasional (25)
Sem dados (8)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 48 características clínicas mais associadas, ordenadas por frequência.

Acidose metabólicaMetabolic acidosis
Frequência: 20/20100%
Nível urinário elevado de ácido 7-hidroxi-octanoicoElevated urinary 7-hydroxyoctanoic acid level
Frequência: 2/2100%
Atividade reduzida da acil-CoA desidrogenase de cadeia média tecidualReduced tissue medium-chain acyl-CoA dehydrogenase activity
Frequência: 3/3100%
VômitosVomiting
Frequente (79-30%)55%
Fraqueza fatigável dos músculos do pescoçoFatigable weakness of neck muscles
Frequente (79-30%)55%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico450PubMed
Últimos 10 anos149publicações
Pico201617 papers
Linha do tempo
2026Hoje · 2026🧪 2006Primeiro ensaio clínico📈 2016Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

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.

ACADMMedium-chain specific acyl-CoA dehydrogenase, mitochondrialDisease-causing germline mutation(s) inTolerante
FUNÇÃO

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

LOCALIZAÇÃO

Mitochondrion matrix

VIAS BIOLÓGICAS (4)
Beta oxidation of octanoyl-CoA to hexanoyl-CoABeta oxidation of decanoyl-CoA to octanoyl-CoA-CoAmitochondrial fatty acid beta-oxidation of unsaturated fatty acidsPPARA activates gene expression
MECANISMO DE DOENÇA

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.

OUTRAS DOENÇAS (1)
medium chain acyl-CoA dehydrogenase deficiency
HGNC:89UniProt:P11310

Medicamentos aprovados (FDA)

1 medicamento encontrado nos registros da FDA americana.

💊 DOJOLVI (TRIHEPTANOIN)
Ver no DailyMed/FDA

Variantes genéticas (ClinVar)

463 variantes patogênicas registradas no ClinVar.

🧬 ACADM: NM_000016.6(ACADM):c.949C>A (p.Gln317Lys) ()
🧬 ACADM: NM_000016.6(ACADM):c.970G>C (p.Ala324Pro) ()
🧬 ACADM: NM_000016.6(ACADM):c.876del (p.Gln293fs) ()
🧬 ACADM: NM_000016.6(ACADM):c.31-1G>A ()
🧬 ACADM: GRCh37/hg19 1p31.3-22.3(chr1:66341994-88260975)x1 ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 5 variantes classificadas pelo ClinVar.

5
Patogênica (100.0%)
VARIANTES MAIS SIGNIFICATIVAS
ACADM: NM_000016.6(ACADM):c.659C>T (p.Thr220Ile) [Conflicting classifications of pathogenicity]
ACADM: NM_000016.6(ACADM):c.599+1G>A [Pathogenic/Likely pathogenic]
ACADM: NM_000016.6(ACADM):c.244dup (p.Trp82fs) [Pathogenic]
ACADM: NM_000016.6(ACADM):c.1102_1105del (p.Ala369fs) [Pathogenic/Likely pathogenic]
ACADM: NM_000016.6(ACADM):c.985A>G (p.Lys329Glu) [Pathogenic/Likely pathogenic]

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
2Fase 24
1Fase 11
·Pré-clínico7
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 12 ensaios
Carregando informações de tratamento...

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

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

4 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

14 ensaios clínicos encontrados, 4 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

Timeline de publicações
125 papers (10 anos)
#1

Clinical, Biochemical and Molecular Characterisation of Newborns With Fatty Acid β-Oxidation Disorders: Novel Variants in the ACADM , ACADVL and SLC22A5 Genes.

Clinical genetics2026 Apr

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.

#2

Exploring Deleterious Nonsynonymous SNPs in the ACADM Gene: Insights Into Medium-Chain Acyl-CoA Dehydrogenase Deficiency (MCADD) via In Silico Analysis.

Genetics research2026

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.

#3

Acute Fatty Liver of Pregnancy and Fetal Fatty Acid Oxidation Disorders: A Systematic Review.

O&amp;G open2026 Feb

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.

#4

Energetic stress in combination with impaired fatty acid oxidation induces sequestration of CoA and adaptation of CoA metabolism.

The FEBS journal2026 Feb 07

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.

#5

Tachycardiomyopathy-like presentation in neonatal MCAD deficiency: A novel cardiac phenotype.

European journal of medical genetics2026 Mar

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

Ver todas no PubMed

📚 EuropePMC238 artigos no totalmostrando 147

2026

Exploring Deleterious Nonsynonymous SNPs in the ACADM Gene: Insights Into Medium-Chain Acyl-CoA Dehydrogenase Deficiency (MCADD) via In Silico Analysis.

Genetics research
2026

Acute Fatty Liver of Pregnancy and Fetal Fatty Acid Oxidation Disorders: A Systematic Review.

O&amp;G open
2026

Energetic stress in combination with impaired fatty acid oxidation induces sequestration of CoA and adaptation of CoA metabolism.

The FEBS journal
2026

Tachycardiomyopathy-like presentation in neonatal MCAD deficiency: A novel cardiac phenotype.

European journal of medical genetics
2025

Expanded Newborn Screening for Inborn Errors of Metabolism at a Single Center in Louisiana (2005-2024): Outcomes.

International journal of neonatal screening
2025

Medium-chain Acyl-CoA Dehydrogenase Deficiency Identified by MS/MS Newborn Screening Challenges.

Journal of mother and child
2025

Challenges in evaluating whole genome sequencing for newborn screening: series of systematic reviews and roadmap for evidence generation for policy advisers.

BMJ medicine
2025

Effects of dietary management for medium-chain acyl-CoA dehydrogenase deficiency (MCADD) on eating behaviour in childhood, adolescence and young adulthood.

BMC nutrition
2025

Medium-Chain Acyl-CoA Dehydrogenase Deficiency (MCADD) Newborn Screening in Italy: Five Years' Experience from a Nationwide Program.

International journal of neonatal screening
2025

High-resolution native electrophoresis in-gel activity assay reveals biological insights of medium-chain fatty acyl-CoA dehydrogenase deficiency.

Scientific reports
2026

Clinical, Biochemical and Molecular Characterisation of Newborns With Fatty Acid β-Oxidation Disorders: Novel Variants in the ACADM , ACADVL and SLC22A5 Genes.

Clinical genetics
2025

Prevalence and Mutation Analysis of Medium-Chain Acyl-CoA Dehydrogenase Deficiency Detected by Newborn Screening in Hefei, China.

International journal of neonatal screening
2025

Lipidomic Profiling of Red Blood Cells in the Mitochondrial Fatty Acid β-oxidation Disorder MCADD Reveals Phospholipid and Sphingolipid Dysregulation.

Journal of proteome research
2025

Effective 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 metabolism
2025

C4OH-carnitine: an important marker of ketosis in patients with and without inborn errors of metabolism.

Molecular genetics and metabolism
2025

Lipidome 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 lipids
2025

Early-Onset Inherited Metabolic Diseases: When Clinical Symptoms Precede Newborn Screening-Insights from Emilia-Romagna (Italy).

Children (Basel, Switzerland)
2025

iPSC-Derived Liver Organoids as a Tool to Study Medium Chain Acyl-CoA Dehydrogenase Deficiency.

Journal of inherited metabolic disease
2025

Medium-Chain Acyl-CoA Dehydrogenase Deficiency Disorder as a Cause of Acute Liver Failure in a 23-Month-Old Baby.

Journal of medical cases
2025

Mechanistic insights into impaired β-oxidation and its role in mitochondrial dysfunction: A comprehensive review.

Diabetes research and clinical practice
2025

Medium-chain acyl-CoA dehydrogenase deficiency in North Macedonia - ten years experience.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2025

Assessment of Fasting Metabolism With Microdialysis Indicates Earlier Lipolysis in Children With VLCADD Than MCADD.

Acta paediatrica (Oslo, Norway : 1992)
2024

Diagnostic challenges and outcome of fatty acid oxidation defects in a tertiary care center in Lebanon.

Orphanet journal of rare diseases
2024

A newborn Screening Programme for Inborn errors of metabolism in Galicia: 22 years of evaluation and follow-up.

Orphanet journal of rare diseases
2024

Recurrent familial case of early childhood sudden death: Complex post mortem genetic investigations.

Forensic science international. Genetics
2024

Impact 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 Society
2024

Plasma lipidomics analysis reveals altered profile of triglycerides and phospholipids in children with Medium-Chain Acyl-CoA dehydrogenase deficiency.

Journal of inherited metabolic disease
2024

Assessing the quality and value of metabolic chart data for capturing core outcomes for pediatric medium-chain acyl-CoA dehydrogenase (MCAD) deficiency.

BMC pediatrics
2024

Drug Resistant Epilepsy (DRE) Secondary to 3-Hydroxy Acyl-CoA Dehydrogenase Deficiency (HADH) in Siblings.

Indian journal of pediatrics
2023

Case report: Diagnosis of a patient with Sifrim-Hitz-Weiss syndrome, development and epileptic encephalopathy-14, and medium chain acyl-CoA dehydrogenase deficiency.

Frontiers in pediatrics
2023

Personalised modelling of clinical heterogeneity between medium-chain acyl-CoA dehydrogenase patients.

BMC biology
2023

Heptanoic and medium branched-chain fatty acids as anaplerotic treatment for medium chain acyl-CoA dehydrogenase deficiency.

Molecular genetics and metabolism
2023

Low Fasting Concentrations of Glucagon in Patients with Very Long-Chain Acyl-CoA Dehydrogenase Deficiency.

Metabolites
2023

[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 genetics
2023

Untargeted Metabolomics Identifies Biomarkers for MCADD Neonates in Dried Blood Spots.

International journal of molecular sciences
2023

Functional and structural impact of 10 ACADM missense mutations on human medium chain acyl-Coa dehydrogenase.

Biochimica et biophysica acta. Molecular basis of disease
2023

Messenger RNA rescues medium-chain acyl-CoA dehydrogenase deficiency in fibroblasts from patients and a murine model.

Human molecular genetics
2023

Acylglycine Analysis by Ultra-Performance Liquid Chromatography-Tandem Mass Spectrometry (UPLC-MS/MS).

Current protocols
2023

Medium Chain Acyl-CoA Dehydrogenase Deficiency: 3 years of Newborn Screening.

Irish medical journal
2023

Hypoparathyroidism and medium-chain Acyl-CoA dehydrogenase deficiency, an unusual association.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2023

A Young Female With Medium-Chain Acyl-CoA Dehydrogenase Deficiency (MCADD): A Case Report.

Cureus
2023

Free carnitine concentrations and biochemical parameters in medium-chain acyl-CoA dehydrogenase deficiency: Genotype-phenotype correlation.

Clinical genetics
2022

A Remimazolam and Remifentanil Anesthetic for a Pediatric Patient With a Medium-Chain Acyl-CoA Dehydrogenase Deficiency: A Case Report.

A&amp;A practice
2022

Medium-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 pathology
2023

Medium-chain Acyl-COA dehydrogenase deficiency: Pathogenesis, diagnosis, and treatment.

Endocrinology, diabetes &amp; metabolism
2022

ACADM Frameshift Variant in Cavalier King Charles Spaniels with Medium-Chain Acyl-CoA Dehydrogenase Deficiency.

Genes
2022

Screening 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 sciences
2022

Tandem 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.)
2022

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 chemistry
2022

Newborn screening and genetic variation of medium chain acyl-CoA dehydrogenase deficiency in the Chinese population.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2022

Epilepsy and inborn errors of metabolism in adults: The diagnostic odyssey of a young woman with medium-chain acyl-coenzyme A dehydrogenase deficiency.

Epilepsia open
2022

Plasma carnitine concentrations in Medium-chain acyl-CoA dehydrogenase deficiency: lessons from an observational cohort study.

Journal of inherited metabolic disease
2022

Lymphocyte Medium-Chain Acyl-CoA Dehydrogenase Activity and Its Potential as a Diagnostic Confirmation Tool in Newborn Screening Cases.

Journal of clinical medicine
2022

Sudden neonatal death in individuals with medium-chain acyl-coenzyme A dehydrogenase deficiency: limit of newborn screening.

European journal of pediatrics
2022

Diagnosis of inborn errors of metabolism within the expanded newborn screening in the Madrid region.

JIMD reports
2022

Target Diseases for Neonatal Screening in Germany.

Deutsches Arzteblatt international
2021

Normal Biomarkers in an Acute Presentation in a Known Case of Medium-Chain Acyl-Coenzyme A Dehydrogenase Deficiency.

Clinical chemistry
2022

Selective 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 pediatrie
2021

Status epilepticus and coma leading to death in a boy caused by Medium-chainacyl-coA dehydrogenase deficiency.

Iranian journal of child neurology
2021

Screening 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 sciences
2021

Impact 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.

Nutrients
2021

Patient and family engagement in the development of core outcome sets for two rare chronic diseases in children.

Research involvement and engagement
2022

Altered mitochondrial metabolism in peripheral blood cells from patients with inborn errors of β-oxidation.

Clinical and translational science
2021

"It's Just Always Eating": The Experiences of Young People Growing up Medium Chain Acyl-coA Dehydrogenase Deficiency.

Global qualitative nursing research
2021

Core Outcome Sets for Medium-Chain Acyl-CoA Dehydrogenase Deficiency and Phenylketonuria.

Pediatrics
2021

Subacute hypoglycemia during gastroenteritis in a child with medium-chain acyl-CoA dehydrogenase deficiency.

Pediatrics international : official journal of the Japan Pediatric Society
2021

Successful 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
2021

[New Inborn Errors of Metabolism added in the French program of neonatal screening].

Medecine sciences : M/S
2021

Very Long-Chain Acyl-CoA Dehydrogenase Deficiency: High Incidence of Detected Patients With Expanded Newborn Screening Program.

Frontiers in genetics
2021

A 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 disease
2021

Clinical, Biochemical, and Molecular Analyses of Medium-Chain Acyl-CoA Dehydrogenase Deficiency in Chinese Patients.

Frontiers in genetics
2021

Neonatal Screening for Congenital Metabolic and Endocrine Disorders—Results From Germany for the Years 2006–2018.

Deutsches Arzteblatt international
2021

Coexistence of medium chain acyl-CoA dehydrogenase deficiency (MCADD) and type 1 diabetes (T1D): a management challenge.

BMJ case reports
2021

Genotype and residual enzyme activity in medium-chain acyl-CoA dehydrogenase (MCAD) deficiency: Are predictions possible?

Journal of inherited metabolic disease
2020

[Newborn Screening Program in the Community of Madrid: evaluation of positive cases.].

Revista espanola de salud publica
2021

Management Principles for Acute Illness in Patients With Medium-Chain Acyl-Coenzyme A Dehydrogenase Deficiency.

Pediatrics
2020

Essential oils can cause false-positive results of medium-chain acyl-CoA dehydrogenase deficiency.

Molecular genetics and metabolism reports
2020

NGS-based expanded carrier screening for genetic disorders in North Indian population reveals unexpected results - a pilot study.

BMC medical genetics
2020

Post-Analytical Tools for the Triage of Newborn Screening Results in Follow-up Can Reduce Confirmatory Testing and Guide Performance Improvement.

International journal of neonatal screening
2020

Diagnosis, 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 reports
2020

Assessment of candidate variants causative of inborn metabolic diseases in SUDI cases in South Africa, and a case report.

International journal of legal medicine
2019

Medium Chain Acyl-CoA Dehydrogenase Deficiency (MCADD) in the Irish Paediatric Population.

Irish medical journal
2020

Inborn errors of metabolism detectable by tandem mass spectrometry in Beijing.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2020

Increased antioxidant response in medium-chain acyl-CoA dehydrogenase deficiency: does lipoic acid have a protective role?

Pediatric research
2020

Outcomes in pediatric studies of medium-chain acyl-coA dehydrogenase (MCAD) deficiency and phenylketonuria (PKU): a review.

Orphanet journal of rare diseases
2020

Bayesian multiple hypotheses testing in compositional analysis of untargeted metabolomic data.

Analytica chimica acta
2020

Clinical and biochemical outcomes of patients with medium-chain acyl-CoA dehydrogenase deficiency.

Molecular genetics and metabolism
2020

Oxidative 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
2019

[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 genetics
2019

The Addition of MCADD to the Newborn Blood Spot Screening Programme.

Irish medical journal
2019

New Ratios for Performance Improvement for Identifying Acyl-CoA Dehydrogenase Deficiencies in Expanded Newborn Screening: A Retrospective Study.

Frontiers in genetics
2019

FLAD1-associated multiple acyl-CoA dehydrogenase deficiency identified by newborn screening.

Molecular genetics &amp; genomic medicine
2019

Epidemiology of rare diseases detected by newborn screening in the Czech Republic.

Central European journal of public health
2019

Medium-chain acyl-coenzyme A dehydrogenase deficiency: Six cases in the Chinese population.

Pediatrics international : official journal of the Japan Pediatric Society
2019

A nationwide retrospective observational study of population newborn screening for medium-chain acyl-CoA dehydrogenase (MCAD) deficiency in the Netherlands.

Journal of inherited metabolic disease
2019

Health 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 diseases
2019

Age-Specific Cut-off Values of Amino Acids and Acylcarnitines for Diagnosis of Inborn Errors of Metabolism Using Liquid Chromatography Tandem Mass Spectrometry.

BioMed research international
2019

Anesthetic management for a patient with medium-chain acyl-CoA dehydrogenase deficiency in an outpatient setting using ketamine and fentanyl.

Journal of clinical anesthesia
2019

[Medium-chain acyl-CoA dehydrogenase deficiency: neonatal screening and follow-uP].

Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics
2019

Follow-up of fatty acid β-oxidation disorders in expanded newborn screening era.

European journal of pediatrics
2018

Selective Screening of Fatty Acids Oxidation Defects and Organic Acidemias by Liquid Chromatography/tandem Mass Spectrometry Acylcarnitine Analysis in Brazilian Patients.

Archives of medical research
2018

Diversity 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 reports
2018

Diagnostic potential of stored dried blood spots for inborn errors of metabolism: a metabolic autopsy of medium-chain acyl-CoA dehydrogenase deficiency.

Journal of clinical pathology
2018

A novel method for quantitation of acylglycines in human dried blood spots by UPLC-tandem mass spectrometry.

Clinical biochemistry
2018

Medium-chain acyl-CoA dehydrogenase deficiency: Two novel ACADM mutations identified in a retrospective screening.

The Journal of international medical research
2018

Flux analysis of inborn errors of metabolism.

Journal of inherited metabolic disease
2018

Loss of the Mitochondrial Fatty Acid β-Oxidation Protein Medium-Chain Acyl-Coenzyme A Dehydrogenase Disrupts Oxidative Phosphorylation Protein Complex Stability and Function.

Scientific reports
2017

Medium chain acyl-CoA dehydrogenase deficiency in a premature infant.

Pediatric reports
2017

Establishing core outcome sets for phenylketonuria (PKU) and medium-chain Acyl-CoA dehydrogenase (MCAD) deficiency in children: study protocol for systematic reviews and Delphi surveys.

Trials
2019

More than blindsight: Case report of a child with extraordinary visual capacity following perinatal bilateral occipital lobe injury.

Neuropsychologia
2017

[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 sciences
2017

Fatty acid oxidation defects presenting as primary myopathy and prominent dropped head syndrome.

Neuromuscular disorders : NMD
2017

MRI in medium-chain acyl-coenzyme a dehydrogenase deficiency: neuroimaging during the first month.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2017

Biochemical characteristics of newborns with carnitine transporter defect identified by newborn screening in California.

Molecular genetics and metabolism
2017

Parental Experiences of Raising a Child With Medium Chain Acyl-CoA Dehydrogenase Deficiency.

Global qualitative nursing research
2017

Correcting 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 metabolism
2018

Investigating the link of ACAD10 deficiency to type 2 diabetes mellitus.

Journal of inherited metabolic disease
2016

Unveiling 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.

Biochemistry
2016

Living on the edge: substrate competition explains loss of robustness in mitochondrial fatty-acid oxidation disorders.

BMC biology
2016

Medium-chain acyl-Coenzyme A dehydrogenase deficiency (MCADD): a cause of severe hypoglycaemia in an apparently well child.

BMJ case reports
2017

A retrospective review of anesthesia and perioperative care in children with medium-chain acyl-CoA dehydrogenase deficiency.

Paediatric anaesthesia
2016

Screening of MCAD deficiency in Japan: 16years' experience of enzymatic and genetic evaluation.

Molecular genetics and metabolism
2016

[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 pediatrics
2016

Neonates 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 Genetics
2016

Fatty Acid Beta-Oxidation Disorders: A Brief Review.

Annals of neurosciences
2016

221 newborn-screened neonates with medium-chain acyl-coenzyme A dehydrogenase deficiency: Findings from the Inborn Errors of Metabolism Collaborative.

Molecular genetics and metabolism
2017

Variants of uncertain significance in newborn screening disorders: implications for large-scale genomic sequencing.

Genetics in medicine : official journal of the American College of Medical Genetics
2016

cis-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 acta
2016

Morbidity and mortality among exclusively breastfed neonates with medium-chain acyl-CoA dehydrogenase deficiency.

Genetics in medicine : official journal of the American College of Medical Genetics
2016

Insights into Medium-chain Acyl-CoA Dehydrogenase Structure by Molecular Dynamics Simulations.

Chemical biology &amp; drug design
2016

Significance of ACADM mutations identified through newborn screening of MCAD deficiency in Japan.

Molecular genetics and metabolism
2016

The health system impact of false positive newborn screening results for medium-chain acyl-CoA dehydrogenase deficiency: a cohort study.

Orphanet journal of rare diseases
2015

Intermediate MCAD Deficiency Associated with a Novel Mutation of the ACADM Gene: c.1052C>T.

Case reports in genetics
2016

Inborn Errors of Metabolism (Metabolic Disorders).

Pediatrics in review
2016

Quantification of Free Carnitine and Acylcarnitines in Plasma or Serum Using HPLC/MS/MS.

Methods in molecular biology (Clifton, N.J.)
2016

Inborn Errors of Metabolism in the United Arab Emirates: Disorders Detected by Newborn Screening (2011-2014).

JIMD reports
2015

[Mass Screening for Inborn Errors of Metabolism].

Rinsho byori. The Japanese journal of clinical pathology
2015

Medium-chain acyl-CoA dehydrogenase deficiency associated with a novel splice mutation in the ACADM gene missed by newborn screening.

BMC medical genetics
2015

Medium-Chain Acyl-CoA Dehydrogenase Deficiency in Adulthood: A Potential Diagnosis in a Patient with Mental Status Changes Suspected of Drug Toxicity.

Journal of forensic sciences
2015

Child Neurology: medium-chain acyl-coenzyme A dehydrogenase deficiency.

Neurology
2015

Medium-Chain Acyl-CoA Dehydrogenase Deficiency: Evaluation of Genotype-Phenotype Correlation in Patients Detected by Newborn Screening.

JIMD reports
2015

Oxidized phosphatidylcholines suggest oxidative stress in patients with medium-chain acyl-CoA dehydrogenase deficiency.

Talanta
2015

Detection of inborn errors of metabolism using GC-MS: over 3 years of experience in southern China.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2015

Abnormal Newborn Screening in a Healthy Infant of a Mother with Undiagnosed Medium-Chain Acyl-CoA Dehydrogenase Deficiency.

JIMD reports
2015

Targeted metabolomics in the expanded newborn screening for inborn errors of metabolism.

Molecular bioSystems
2015

Different Viewpoints: International Perspectives on Newborn Screening.

Journal of medical biochemistry
2015

Medium-chain Acyl-CoA dehydrogenase deficiency presenting with neonatal pulmonary haemorrhage.

Maternal health, neonatology and perinatology
Ver todos os 238 no EuropePMC

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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.

  1. Clinical, Biochemical and Molecular Characterisation of Newborns With Fatty Acid &#x3b2;-Oxidation Disorders: Novel Variants in the ACADM , ACADVL and SLC22A5 Genes.
    Clinical genetics· 2026· PMID 41022664mais citado
  2. Exploring Deleterious Nonsynonymous SNPs in the ACADM Gene: Insights Into Medium-Chain Acyl-CoA Dehydrogenase Deficiency (MCADD) via In Silico Analysis.
    Genetics research· 2026· PMID 41767627mais citado
  3. Acute Fatty Liver of Pregnancy and Fetal Fatty Acid Oxidation Disorders: A Systematic Review.
    O&amp;G open· 2026· PMID 41727930mais citado
  4. Energetic stress in combination with impaired fatty acid oxidation induces sequestration of CoA and adaptation of CoA metabolism.
    The FEBS journal· 2026· PMID 41652904mais citado
  5. Tachycardiomyopathy-like presentation in neonatal MCAD deficiency: A novel cardiac phenotype.
    European journal of medical genetics· 2026· PMID 41611076mais citado
  6. 2023 MCADD patient and family education summit with providers: meeting highlights, congruences and contradictions.
    Orphanet J Rare Dis· 2026· PMID 41957765recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:42(Orphanet)
  2. OMIM OMIM:201450(OMIM)
  3. MONDO:0008721(MONDO)
  4. GARD:540(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. 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

Deficiência de acil-CoA desidrogenase de cadeias médias
Compêndio · Raras BR

Deficiência de acil-CoA desidrogenase de cadeias médias

ORPHA:42 · MONDO:0008721
Prevalência
1-9 / 100 000
Herança
Autosomal recessive
CID-10
E71.3 · Distúrbios do metabolismo de ácidos graxos
CID-11
Ensaios
4 ativos
Início
Infancy, Neonatal
Prevalência
6.85 (Worldwide)
MedGen
UMLS
C0220710
EuropePMC
Wikidata
Papers 10a
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