HADHB and peroxisomal disease: The intra-peroxisomal processing of the peroxisomal β-oxidation enzymes acyl-CoA oxidase 1 (ACOX1) and 3-ketoacyl-CoA thiolase was not altered, suggesting normal peroxisomal matrix protein import and processing activity in contrast to fibroblasts from a patient with a peroxisomal biogenesis disorder (Fig. 2).