Target intelligence / Profile preview

Acyl-CoA-binding protein (ACBP)

Target
ACBP
Molecular classification
Lipid-binding protein, Neuroregulatory peptide (neuropeptide), Intracellular carrier protein, Other
01

Overview

Acyl-CoA-binding protein (ACBP) is a highly conserved, small cytosolic protein (approximately 10 kDa, ~90 amino acids) found across eukaryotes and some prokaryotes. It binds medium- and long-chain acyl-CoA esters with high specificity and affinity, facilitating intracellular fatty acid transport and metabolism, as well as membrane and sphingolipid biosynthesis. ACBP is also known as diazepam binding inhibitor (DBI) or endozepine, reflecting its additional neuroregulatory capacity to displace diazepam from GABA type A receptor binding sites. This dual role links ACBP to energy metabolism, cell signaling, and neuroregulation. Pathologically, its dysregulation is associated with metabolic diseases (obesity, diabetes, steatohepatitis), appetite disorders (including anorexia), and inflammatory processes. Experimental therapeutic approaches targeting ACBP/DBI, such as monoclonal antibodies, have shown promise in animal models for mitigating metabolic disease and fibrosis, though the full risk profile is still under study.

Other names
diazepam binding inhibitor (DBI)endozepine (EP)AcCoA-binding protein
02

Mechanism of action

Inhibition of autophagy via interaction with the γ2 subunit of GABA type A receptor when extracellular. Modulation of appetite and energy metabolism (mechanism in central regulation is not fully elucidated).

03

Biological functions

Intracellular transport of acyl-CoA estersRegulation of fatty acid metabolismMembrane structure upkeepMembrane fusionCeramide (sphingolipid) synthesisPotential modulation of GABA type A receptor (as neuropeptide/endozepine)Signaling in stress response and autophagy
04

Disease associations

ObesityDiabetesLiver pathologies (steatohepatitis, fibrosis)Metabolic syndromeAppetite regulation/disorders (e.g. anorexia)InflammationPotential neurological effects
05

Safety considerations

Potential off-target neuropsychiatric effects (due to modulation of GABAergic signaling)Theoretical risk of affecting autophagy or metabolic pathways broadly if targeted therapeuticallyImmunogenicity concerns for monoclonal antibody therapeutics
06

Interacting drugs

Diazepam (indirectly, via displacement from GABA type A receptor)

1 more in the full profile.

07

Biomarkers

Plasma ACBP/DBI concentrations (proposed as biomarkers in metabolic syndromes, inflammation, and appetite/weight disorders)

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