Carnitine shuttle system and beta oxidation of fatty acids Clinical Biochemistry department College of medicine AL Mustansiriyah University Dr. Ali al bayati Lipid metabolism Short Note On Carnitine Shuttle: Fatty acids are oxidized in mitochondria, and synthesized in the cytoplasm. Long chain fatty acids must form an active intermediate, fatty acyl CoA, before being oxidized inside mitochondria. Catherine Carnitine Shuttle an overview ScienceDirect Topics Carnitine Shuttle Purpose and Mechanism YouTube Frontiers Carnitine Traffic in Cells. Link With Cancer