Target intelligence / Profile preview

Acetyl-CoA carboxylase complex (ACC)

Target
ACC
Molecular classification
Enzyme, Biotin-dependent carboxylase, Multi-subunit enzyme (in prokaryotes and plants), Multi-domain enzyme (in mammals and most eukaryotes)
01

Overview

**Acetyl-CoA carboxylase complex** is a biotin-dependent enzyme that catalyzes the ATP-dependent carboxylation of acetyl-CoA to malonyl-CoA, the first and rate-limiting step in the synthesis of fatty acids[1][2][3]. ACC exists as a complex of subunits in prokaryotes and as large multi-domain single-chain enzymes in eukaryotes, with two main isoforms in mammals: ACC1 (cytosolic, for fatty acid synthesis) and ACC2 (mitochondrial, involved in regulating fatty acid oxidation)[1][2][4][7]. ACC activity is highly regulated at the transcriptional, post-translational, and allosteric levels, serving as a pivotal metabolic control point integrating hormonal and nutritional signals[1][6]. The enzyme is a validated therapeutic target in metabolic diseases (like obesity and diabetes), as well as in cancer, due to its central role in lipid metabolism and cell proliferation[2][4][7]. Several synthetic inhibitors (including CP-640186 and Soraphen A) and herbicides (targeting plant ACC) demonstrate the broad relevance of ACC inhibition in both medicine and agriculture[4].

Other names
Acetyl-CoA carboxylaseACC complexAcetyl-coenzyme A carboxylaseFatty acid synthase (historically, but not specifically)Acetyl-CoA carboxylase 1 (ACC1)Acetyl-CoA carboxylase 2 (ACC2)
02

Mechanism of action

Inhibition of fatty acid synthesis (inhibitors block carboxylation of acetyl-CoA, reducing malonyl-CoA formation and thus new fatty acid synthesis)[4][7] Inhibition of regulation of fatty acid oxidation (inhibitors affecting ACC2 reduce malonyl-CoA in mitochondria, disinhibiting carnitine palmitoyltransferase I and increasing fatty acid β-oxidation)[4]

03

Biological functions

Fatty acid biosynthesisRegulation of fatty acid oxidationEnergy metabolismMetabolic regulation
04

Disease associations

CancerMetabolic syndromeObesityDiabetesCardiovascular disease
05

Safety considerations

Hypoglycemia risk (via excessive fatty acid oxidation or impaired lipid synthesis)Hepatic lipid dysregulationMuscle weakness (in chronic inhibition, from altered energy metabolism)On-target metabolic effects, possibly leading to dyslipidemia or altered energy storage[4]
06

Interacting drugs

CP-640186

4 more in the full profile.

07

Biomarkers

Malonyl-CoA levels (surrogate of ACC activity)[2][4]Fatty acid synthesis rates (downstream metabolic readouts)

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