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Acyl-CoA:diacylglycerol acyltransferase 1 and 2 (DGAT1, DGAT2)

Target
DGAT1, DGAT2
Molecular classification
Enzyme, Transferase, Lipid metabolism enzyme
01

Overview

Acyl-CoA:diacylglycerol acyltransferases—DGAT1 and DGAT2—are key enzymes responsible for the final step in triglyceride synthesis. They catalyze the esterification of diacylglycerol with fatty acyl-CoA to form triacylglycerols (triglycerides), which are then stored in lipid droplets or secreted as components of lipoproteins. These enzymes are highly expressed in tissues central to energy storage and lipid metabolism, including adipose tissue and liver[3][7][4]. While both isoforms perform similar biochemical functions, genetic studies show that they have distinct physiological roles; for example, loss of DGAT2 is lethal shortly after birth due to severely reduced triglyceride stores, whereas loss of DGAT1 leads to resistance against diet-induced obesity but can cause other side effects such as skin abnormalities[7][3]. Pharmacological inhibition of these enzymes is being explored as a therapeutic strategy for obesity-related diseases due to their central role in fat accumulation and metabolic regulation[3].

Other names
Diacylglycerol O-acyltransferase 1Diacylglycerol O-acyltransferase 2Triacylglycerol synthaseTriglyceride synthase enzymes
02

Mechanism of action

Inhibition of triglyceride synthesis by blocking the final step catalyzed by DGAT enzymes[3]

03

Biological functions

Triglyceride (triacylglycerol) synthesisEnergy storage regulationLipid droplet formation in adipocytes and liver cells
04

Disease associations

ObesityType 2 diabetesHepatic steatosis (fatty liver disease)Metabolic syndrome
05

Safety considerations

Complete inhibition may cause adverse effects such as alopecia or impaired mammary gland development[3]
06

Interacting drugs

Experimental DGAT inhibitors (e.g., PF‐04620110 for DGAT1; no widely approved drugs as of now)
07

Biomarkers

Tissue triglyceride levels (liver/adipose)Expression/activity of DGAT1/DGAT2 in metabolic tissues

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