Very Long-Chain Acyl-Coenzyme a Dehydrogenase Deficiency, also known as very long chain acyl-coa dehydrogenase deficiency,is related to vlcad deficiency and myoglobinuria,and has symptoms including hepatomegaly, lethargy and vomiting. An important gene associated with Very Long-Chain Acyl-Coenzyme a Dehydrogenase Deficiency is ACADVL (Acyl-CoA Dehydrogenase, Very Long Chain), and among its related pathways are FOXA2 and FOXA3 transcription factor networks and Mitochondrial Fatty Acid Beta-Oxidation. Affiliated tissues include pancreas, and related mousephenotype adipose tissue