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The disease is characterized by general metabolic derangement, cardiomyopathy, hyperammonemia, hypoglycemia, muscle weakness, and myopathy, in line with the crucial role of carnitine in FAO (Nezu et al., 1999)

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A possible implication of MCT9 in some cancer types was reported: the transporter seems to be a good diagnostic target to distinguish benign from malignant adrenocortical tumors (Lim et al., 2015