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Mitochondrial trans-2-enoyl-CoA reductase (MECR) is a mitochondrial enzyme that catalyzes the final step in the mitochondrial fatty acid synthesis (mtFAS) pathway: the NADPH-dependent reduction of trans-2-enoyl thioesters. This reaction is crucial for producing octanoic acid—a precursor for lipoic acid synthesis—which is essential for aerobic metabolism. Mutations or disruptions in MECR are linked to MEPAN syndrome and related neurological disorders. Overexpression can increase PPARα activity. It remains an underexplored drug target.
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