“…However, there were strong, significant positive correlations between neonatal %FM and accumulation of multiple LCAC (specifically C12, C12:1, C14, C14:1, C14:2, C16:1, C18:2, and total LCAC) and long-chain hydroxy acylcarnitine species (LCOH, specifically C14-OH, C14:1-OH, C16:1-OH, and total LCOH) in the OB, but not NW, group (all P < 0.05, r > 0.60, FDR < 0.05, Figure 2 and Supplemental Table 2). These acylcarnitine signatures have been related to deficiencies in, and are substrates for, the very long-chain acyl-coa dehydrogenase (VLCAD) and long-chain 3-hydroxyacyl-CoA dehydrogenase (LCHAD) enzymatic steps of β-oxidation (28). Similar increases in LCAC and LCOH have been reported previously in plasma of adults with established obesity, and they serve as biomarkers of incomplete β-oxidation (14,18,29).…”