Desaturation of fatty acyl-CoA in vertebrates is an example of the mixed-function oxidase reaction.

Fumonisin B occupies the space and electrostatic interactions of both sphinganine (or sphingosine) and fatty acyl-CoA in ceramide synthase.

If the fatty acid began with an odd number of carbons, however, β-oxidation breaks the fatty acyl-CoA down until the three carbon propionyl-CoA is formed.

The two amino acids hold a water molecule in place allowing it to attack in a syn addition to an α-β unsaturated acyl-CoA at the β-carbon.

Often, oxygen is reduced to either water (cytochrome oxidase of the mitochondrial electron transfer chain) or hydrogen peroxide (dehydrogenation of fatty acyl-CoA in peroxisomes).

The acetyl CoA is then sent to the citric acid cycle while the remaining acyl-CoA is brokendown further into acetyl-CoAs.

MCAD, or Medium Chain Acyl-CoA Dehydrogenase deficiency, the disorder Bryce has, is one of the more common "inborn errors of metabolism."

Next the fatty acyl-CoA is oxidized and broken down into an acetyl CoA molecule and another acyl-CoA.

CPT-I inhibitors: Etomoxir, Oxfenicine, Perhexiline CPT-I (carnitine palmitoyl transferase) converts fatty acyl-CoA to fatty acyl-carnitine.

Long chain fatty acyl-CoA synthetase plays a crucial role in intermediary metabolism by catalyzing the formation of fatty acyl-CoA by a two-step process proceeding through an adenylated intermediate.

The formation of fatty acyl-CoA is catalyzed in two steps: a stable intermediate of fatty acyl-AMP molecule and then the product is formed-fatty acid acyl-CoA molecule.