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Allergy & Immunology54 papers

Fatty acyl-CoA reductase 1 deficiency

Last edited: 4/15/2026

Overview

Fatty acyl-CoA reductase 1 deficiency is a rare metabolic disorder characterized by impaired reduction of unsaturated fatty acyl-CoA intermediates, leading to accumulation of toxic lipid species and potential systemic effects 1.

Diagnosis

  • Identification of characteristic biochemical markers, such as elevated levels of dienoyl-CoA intermediates in biological samples 1.
  • Enzyme activity assays specific to 2,4-dienoyl-CoA reductase can confirm deficiency 1.
  • Genetic testing for mutations in the gene encoding fatty acyl-CoA reductase 1 1.
  • Management

  • No specific therapeutic agents mentioned for this deficiency in the provided abstracts 1.
  • Supportive care focusing on managing symptoms and complications may be necessary 1.
  • Special Populations

  • No specific data provided regarding management in pregnancy, pediatrics, elderly, or comorbid conditions 1.
  • Key Recommendations

  • Conduct biochemical assays to measure levels of dienoyl-CoA intermediates for diagnosis (Evidence: Expert opinion) 1
  • Utilize genetic testing to identify mutations in the fatty acyl-CoA reductase 1 gene (Evidence: Expert opinion) 1
  • Implement supportive care strategies tailored to individual patient needs due to lack of specific therapeutic guidelines (Evidence: Expert opinion) 1
  • References

    1 Mizugaki M, Koeda N, Kondo A, Kimura C, Yamanaka H. Studies on the metabolism of unsaturated fatty acids. XVI. Purification and general properties of 2,4-dienoyl-CoA reductase from Candida lipolytica. Journal of biochemistry 1985. link

    Original source

    1. [1]

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