2019
DOI: 10.21873/anticanres.13482
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Acyl-Coenzyme A: Cholesterol Acyltransferase Inhibition in Cancer Treatment

Abstract: Overexpression of acyl-coenzyme A:cholesterol acyltransferase (ACAT) results in increased cholesteryl ester levels and has been involved in a variety of cancer types. As a consequence, cholesterol metabolism has raised interest as a potential target for cancer treatment. Inhibition of ACAT results in suppression of proliferation in a range of cancer cell types both in vitro and in vivo. The exact mechanism of this phenomenon is being investigated, and the most important findings are presented in this review.

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Cited by 26 publications
(20 citation statements)
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References 46 publications
(59 reference statements)
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“…The outcomes of our experiments demonstrate that intracellular cholesteryl ester levels are influenced by extracellular lipid levels and associates with prostate cancer cell proliferation. Consistent with Yue and colleagues [ 17 ], pharmacological inhibition of ACAT1 reduced both cholesteryl ester levels and cell proliferation, which further adds to the growing body of literature promoting the potential for ACAT1 as an anti-cancer therapeutic target (see reviews [ 54 , 55 ]). Further, elevated ACAT1 expression is associated with reduced time to biochemical recurrence of prostate cancer [ 56 ] as well as progression-free and overall survival.…”
Section: Discussionsupporting
confidence: 70%
“…The outcomes of our experiments demonstrate that intracellular cholesteryl ester levels are influenced by extracellular lipid levels and associates with prostate cancer cell proliferation. Consistent with Yue and colleagues [ 17 ], pharmacological inhibition of ACAT1 reduced both cholesteryl ester levels and cell proliferation, which further adds to the growing body of literature promoting the potential for ACAT1 as an anti-cancer therapeutic target (see reviews [ 54 , 55 ]). Further, elevated ACAT1 expression is associated with reduced time to biochemical recurrence of prostate cancer [ 56 ] as well as progression-free and overall survival.…”
Section: Discussionsupporting
confidence: 70%
“…To avoid the cytotoxicity of extensive accumulation of free intercellular cholesterol, acyl-coenzyme A-cholesterol acyltransferase (ACAT) transforms cholesterol into cholesterol ester (CE) and stores it in lipid droplets (LDs) [ 34 ]. ACAT2 deficiency dramatically downregulates the absorption rate of cholesterol, activates SREBP, and enhances the transcription of many regulatory proteins, such as HMGCR and lipoprotein receptor (LDLR), to increase cholesterol uptake and synthesis [ 35 , 36 ].…”
Section: Basic Concepts Of Lipids Metabolismmentioning
confidence: 99%
“…The pool of CoA-SH in the cell is replenished by the enzymes that release it from thioester compounds, e.g., citrate synthase, acyl-coenzyme A: cholesterol acyltransferase (ACAT), many acyland acetyltransferases, acyl-CoA thioesterases, fatty acid synthase (FASN), fatty acid elongase (ELOVL), 3-hydroxy-3-methylglutaryl-CoA reductase (HMGR), and CPT1 (Table 2), [17][18][19][20][21].Notably, changes in the CoA-SH/acetyl-CoA ratio affect not only the regulation of energy metabolism but also the regulation of other cellular processes, such as autophagy, mitosis, and cell death [20,22].…”
Section: Enzymementioning
confidence: 99%
“…The pool of CoA-SH in the cell is replenished by the enzymes that release it from thioester compounds, e.g., citrate synthase, acyl-coenzyme A: cholesterol acyltransferase (ACAT), many acyland acetyltransferases, acyl-CoA thioesterases, fatty acid synthase (FASN), fatty acid elongase (ELOVL), 3-hydroxy-3-methylglutaryl-CoA reductase (HMGR), and CPT1 (Table 2), [17][18][19][20][21].Notably, (A) This review summarizes current knowledge of CoA-SH subcellular concentrations, the roles of CoA-SH synthesis and degradation processes and changes in the level of CoA-SH under pathological conditions, such as neurodegenerative diseases, cancer, myopathies, infectious diseases and the genetic make-up of CoA-SH genes. Finally, the beneficial effects of CoA-SH and pantethine (a dimer of the CoA precursor pantetheine) used at pharmacological doses for the treatment of hyperlipidemia are presented.…”
Section: Enzymementioning
confidence: 99%