This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pathology
Adrenoleukodystrophy is? 
Select and explain. 
A. AD, B. AR, C. X linked dominant, D. X linked recessive
D: X linked recessive
Answer: D: X linked recessive 
Explanation: Ans. is 'd' i.e., X Linked recessiveAdrenoleukodystrophv:Adrenoleukodystrophy is an X-linked recessive disease associated with mutations in a member of the ATP-binding cassette transpoer family of proteins (ABCD1), which is involved in the transpo of molecules into the peroxisome.In the typical form of the disease, young males present with behavioral changes and adrenal insufficiency.The disease is characterized by the inabil- ity to catabolize very-long-chain fatty acids (VLCFAs) within peroxisomes, resulting in elevated levels of VLCFAs in serum.