Mutations in this gene, along with mutations in
HADHA, result in
trifunctional protein deficiency. Trifunctional protein deficiency is characterized by decreased activity of long-chain 3-hydroxyacyl-CoA dehydrogenase (LCHAD), long-chain enoyl-CoA hydratase, and long-chain thiolase. This deficiency can be classified into 3 main clinical phenotypes:
neonatal onset of a severe, lethal condition resulting in
sudden infant death syndrome (SIDS), infantile onset of a hepatic
Reye-like syndrome, and late-adolescent onset of primarily a skeletal
myopathy. Additionally, some presents showed symptoms associated with myopathy, recurrent and episodic
rhabdomyolysis, and sensorimotor axonal
neuropathy. In some cases, symptoms of the deficiency can present as dilated
cardiomyopathy, congestive
heart failure, and respiratory failure. The deficiency has presented as hydrops fetalis and HELLP syndrome in fetuses. A compound heterozygous mutation of the HADHB gene can cause axonal
Charcot-Marie-tooth disease, which is a neurological disorder, which shows that mutations in this gene can result in deficiencies that present in new forms not currently described. == Interactions ==