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Las membranas mitocondriales son impermeables para los steres de coenzima A (CoA) y cidos grasos de cadena larga, por lo que la unin de la L-carnitina a los grupos acetilo mediante la carnitina aciltransferasa es esencial para la transferencia de los cidos grasos acetilados a las mitocondrias y para su posterior oxidacin en la matriz mitocondrial (ver figura 1)