“…Rather than being full transporters such as cystic fibrosis transmembrane regulator (CFTR, ABCC7) or the multidrug resistance gene (MDR1, ABCB1), the peroxisomal ABCDs are half-size transporters and need to homo or heterodimerize to become functional. ABCDs are thought to be involved in the transport of fatty acids, based on three principal findings: 1) peroxisomal membranes are not freely permeable, the entrance and exit of metabolites requires the presence of peroxisomal transporter proteins; 2) the two peroxisomal ABC transporters of Saccharomyces cerevisiae, Pxa1 and Pxa2, form functional heterodimers that transports long-chain fatty acyl-CoAs into the peroxisome (20,63); and 3) inactivation of ABCD1 causes the human disease X-linked adrenoleukodystrophy (X-ALD), which is biochemically characterized by the pathognomonic accumulation of saturated VLCFAs, mainly hexacosanoic acid (C26:0), in plasma and tissues. Oxidation of the VLCFA C26:0 and C24:0 is impaired in X-ALD fibroblasts, suggesting that ABCD1 is involved in the import of VLCFAs into the peroxisome for degradation (45).…”