2023
DOI: 10.1016/j.jlr.2023.100407
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The lipogenic enzyme acetoacetyl-CoA synthetase and ketone body utilization for denovo lipid synthesis, a review

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Cited by 16 publications
(5 citation statements)
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“…AACS has the ability to use ketone bodies for the creation of cholesterol and fatty acids, converting acetoacetate into its CoA ester to generate acetoacetyl-CoA in the cytosol [108]. This process is facilitated by HMGCS, which transforms acetoacetyl-CoA into 3-hydroxy-3-methylglutaryl-CoA (HMG-CoA) [109,110]. Subsequently, HMGCRa is able to facilitate the transformation of HMG-CoA into mevalonic acid in order to generate cholesterol [111].…”
Section: Discussionmentioning
confidence: 99%
“…AACS has the ability to use ketone bodies for the creation of cholesterol and fatty acids, converting acetoacetate into its CoA ester to generate acetoacetyl-CoA in the cytosol [108]. This process is facilitated by HMGCS, which transforms acetoacetyl-CoA into 3-hydroxy-3-methylglutaryl-CoA (HMG-CoA) [109,110]. Subsequently, HMGCRa is able to facilitate the transformation of HMG-CoA into mevalonic acid in order to generate cholesterol [111].…”
Section: Discussionmentioning
confidence: 99%
“…Acetoacetyl-CoA (AcAc-CoA) synthetase (AACS) (AcAc-CoA ligase, Enzyme Commission no. : 6.2.1.16) is a cytosolic lipogenic enzyme found in many tissues involved in lipid synthesis 35 . AACS is a highly regulated enzyme found in developing brain during myelination 36 , which is essential for neural development 37 .…”
Section: Discussionmentioning
confidence: 99%
“…AACS is a highly regulated enzyme found in developing brain during myelination 36 , which is essential for neural development 37 . Additionally, AACS catalyzes the coupling of acetoacetate (AcAc), one of the ketone bodies (KBs), to CoA to produce cytosolic AcAc-CoA, which is be utilized directly for the synthesis of cytosolic HMG-CoA and then for cholesterol synthesis 35 . From this perspective, AACS' regulation of lipid metabolism is congruent with MSMO1 and occurs upstream of it.…”
Section: Discussionmentioning
confidence: 99%
“…The lower fatty acid oxidation rate on the ketogenic diet caused an imbalance between fatty acid supply (fatty acid delivery and uptake) and demand (oxidation) and a doubling of nonoxidative myocardial fatty acid disposal (Figure 1). In addition, ketones themselves may have contributed to the increase in myocardial lipids through increased lipogenesis [3]. These data demonstrate that a ketogenic diet has potentially adverse cardiac effects because chronically elevated myocardial lipid content can cause cardiac lipotoxicity [4].…”
Section: Figurementioning
confidence: 99%