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Description
If fatty acid oxidation is defective, fat cannot be utilized, glucose is consumed without regeneration via gluconeogenesis (due to inhibition of pyruvate carboxylase), ketones cannot be produced and there is a drop in glucose levels (hypoglycemia)
Alternatively, acetylcarnitine, produced in excess in mitochondria by CrAT, is transported into cytosol by CACT and enters the nucleus, where a nuclear CrAT converts the acetylcarnitine to acetyl-CoA 67 , and it becomes a source of acetyl groups for histone acetylation

Andrologia 21, 568575

Pharmacol Rep