Following a severe cold which caused a loss of appetite, a 1 -year-old boy was
hospitalized with hypoglycemia, hyperammonemia, muscle weakness, and cardiac
irregularities. These symptoms were consistent with a defect in the carnitine
transport system. Dietary carnitine therapy was tried unsuccessfully, but a
diet low in long-chain fatty acids and supplemented with medium-chain
triacylglycerols was beneficial.
Carnitine transport of fatty acids from the cytosol to the mitochondria
involves all of the following except
A. hydrolysis of ATP.
B. the exchange of acylcarnitine and free carnitine across the inner
mitochondrial membrane.
C. two carnitine palmitoyl transferases (CPT I and CPT II) located on
different mitochondrial membranes.
D. release of CoASH from fatty acyl CoA in the cytosol.
E. consumption of mitochondrial CoASH.