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doi: 10.1038/nrd4145

In addition, the inhibitory effect of malondialdehyde on in vitro CAT activity was inhibited by acetylcarnitine, suggesting a competitive mechanism for the protective effect of acetylcarnitine

Carnitine O -acetyltransferase Carnitine O -acetyltransferase (CrAT), located primarily in the mitochondrial matrix, catalyzes the addition or the removal of carnitine from medium- and short-chain acyl-CoA 60,61 , facilitating the efflux of mitochondrial acetyl-CoA to the cytosol and buffering the intracellular pools of acetyl-CoA and carnitine

This is a greatly simplified account of the process, and at least 25 proteins take part both in the transport and -oxidation aspects, some of which are organized into at least three functional subdomains, one associated with the outer mitochondrial membrane, one with the inner mitochondrial membrane and the other in the matrix

Indeed, it has been demonstrated that acetylation plays a key role in the control of CACT function that, together with the long-chain acyl-CoA dehydrogenase, contributes to -oxidation regulation