Below is an instruction from Human. Write a response.
    ### Instruction:
    What are the genetic changes related to carnitine-acylcarnitine translocase deficiency ?
    ### Response:
    Mutations in the SLC25A20 gene cause CACT deficiency. This gene provides instructions for making a protein called carnitine-acylcarnitine translocase (CACT). This protein is essential for fatty acid oxidation, a multistep process that breaks down (metabolizes) fats and converts them into energy.
    