2017
DOI: 10.1097/mol.0000000000000390
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ATP-citrate lyase: genetics, molecular biology and therapeutic target for dyslipidemia

Abstract: The efficacy of bempedoic acid as an LDL-C-lowering agent has validated ACLY inhibition as a therapeutic strategy. Positive results of phase 3 patient studies, together with long-term cardiovascular disease outcome trials, are required to establish ACLY as a major new target in cardiovascular medicine.

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Cited by 79 publications
(32 citation statements)
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“…ATP-citrate lyase (ACLY) is a cytosolic enzyme responsible for the production of acetyl-CoA -a substrate for de novo cholesterol and fatty acid synthesis (32)(33)(34)(35). ACLY is regulated by AKT signaling and has been a focus of recent clinical trials to treat hypercholesterolemia and NAFLD (33,35).…”
Section: Parental Genetic Insulin Resistance Impacts Body Weight Trajmentioning
confidence: 99%
See 1 more Smart Citation
“…ATP-citrate lyase (ACLY) is a cytosolic enzyme responsible for the production of acetyl-CoA -a substrate for de novo cholesterol and fatty acid synthesis (32)(33)(34)(35). ACLY is regulated by AKT signaling and has been a focus of recent clinical trials to treat hypercholesterolemia and NAFLD (33,35).…”
Section: Parental Genetic Insulin Resistance Impacts Body Weight Trajmentioning
confidence: 99%
“…ATP-citrate lyase (ACLY) is a cytosolic enzyme responsible for the production of acetyl-CoA -a substrate for de novo cholesterol and fatty acid synthesis (32)(33)(34)(35). ACLY is regulated by AKT signaling and has been a focus of recent clinical trials to treat hypercholesterolemia and NAFLD (33,35). On the other hand, 3-hydroxy-3-methylglutaryl-CoA reductase (HMGCR), a rate-limiting enzyme for cholesterol synthesis and a target of statins (36), is increased in NAFLD and correlates with the histological severity of the disease (37).…”
Section: Parental Genetic Insulin Resistance Impacts Body Weight Trajmentioning
confidence: 99%
“…Interestingly, genes associated with the fatty acid beta oxidation pathway are significantly upregulated in LAM. For example, expression of ACLY, a key enzyme in the shift from the TCA cycle to lipid formation that has been shown to cause lipid droplet accumulation 69 , is significantly higher in LAM than in microglia without lipid droplets. Similarly, RNA-Seq analysis of lipid droplet-rich microglia in LPS-treated young mice and in GRN -/mice revealed significant enrichment of pathways related to metabolism, including TCA cycle and fatty acid beta oxidation.…”
Section: What Causes Lipid Droplet Formation In Lam?mentioning
confidence: 99%
“…Therefore, there exists a clear need for a better understanding of the catalytic and allosteric biochemistry of the enzyme. Although a great deal of effort has gone into understanding the signaling cascades and post-translational modifications that tune ACLY function in the cell (36), limited knowledge about the molecular basis for ACLY function has held back the development of ACLY therapeutic treatments.…”
Section: Role Of Atp-citrate Lyase Multimerization In Catalysismentioning
confidence: 99%