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Peer-Reviewed Publication
Hum Mutat2026;20266864813.January 1, 2026Journal Article

Long-Chain Fatty Acid Oxidation Disorder Genes: A Comprehensive Genetic Database of LC-FAOD Variants, Genotypes, and Phenotypes.

Heather Richbourg1, Vanessa Rangel Miller1, Omid Khazaie Japalaghi1, Moeenaldeen AlSayed2, Peter R Baker3, Sean Daugherty1, Tali Ekstein4, Sarah C Grünert5, Mark J Kiel6, Aneal Khan7, Hironori Kobayashi8, Lawrence Korngut9, Stephanie A Monteleone6, Ida Vanessa D Schwartz10, Nicole Miller1, Jerry Vockley11
1Ultragenyx Pharmaceutical Inc., Novato, California, USA.
2College of Medicine, Al-Faisal University, Riyadh, Riyadh Province, Saudi Arabia, alfaisal.edu.
3Anschutz Medical Campus, University of Colorado, Aurora, Colorado, USA, colorado.edu.
4Labcorp, San Francisco, California, USA.
5Children's Hospital, Department of Pediatrics, Adolescent Medicine and Neonatology, Faculty of Medicine, Freiburg University Hospital, Freiburg, Baden-Württemberg, Germany.
6Genomenon, Ann Arbor, Michigan, USA.
7M.A.G.I.C. (Metabolics and Genetics in Canada) Clinic Ltd., Calgary, Alberta, Canada.
8Laboratories Division, Shimane University Hospital, Izumo, Shimane Prefecture, Japan, shimane-u.ac.jp.
9Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada, ucalgary.ca.
10Hospital de Clinicas, Porto Alegre, Rio Grande do Sul, Brazil.
11Division of Medical Genetics and Center for Rare Disease Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania, USA, pitt.edu.

Abstract

Long-chain fatty acid oxidation disorders (LC-FAODs) are characterized by the inability to metabolize long-chain fatty acids. Serious clinical manifestations occur, including cardiomyopathy, hypoglycemia, rhabdomyolysis, and liver failure. Confirming a diagnosis with genetic testing is complicated by the rarity of the disorders, genetic and phenotypic heterogeneity, and the high frequency of varia…

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