Target intelligence / Profile preview

Acyl-coenzyme A binding protein (ACBP)

Target
ACBP
Molecular classification
cytosolic binding protein, neuropeptide, other
01

Overview

Acyl-coenzyme A binding protein (ACBP), also known as diazepam binding inhibitor (DBI) or endozepine, is a highly conserved, small (~10 kDa) cytoplasmic protein that binds medium- and long-chain acyl-CoA esters with high affinity and acts as an intracellular carrier of these key metabolic intermediates[1][3]. Extracellularly, ACBP/DBI functions as a neuropeptide that can modulate the activity of the GABA type A receptor by competing with benzodiazepines at their binding site, thus influencing inhibitory neurotransmission[1][2][3][5]. ACBP/DBI is implicated in the regulation of appetite and body composition, immune responses, and multiple anabolic and catabolic processes including lipid synthesis and mitochondrial fatty acid β-oxidation[2][3][5]. Elevated circulating levels of ACBP/DBI are associated with obesity, aging, increased cancer risk, metabolic syndrome, and inflammation, while targeted neutralization of ACBP/DBI shows therapeutic promise in preclinical models of cancer, osteoarthritis, and metabolic disorders by enhancing autophagy and modulating immune responses[2][3][5]. **References:** [1] Wikipedia: Acyl-CoA-binding protein [2] PMC11378439 [3] Nature Cell Death Discovery [5] Nature Cell Death and Differentiation

Other names
diazepam binding inhibitorDBIendozepineEPendozepine-like peptideoctadecaneuropeptide (ODN)
02

Mechanism of action

competitive inhibition/displacement of benzodiazepines at GABA type A receptor; modulation of immune responses by inhibiting autophagy and altering T cell profiles; regulation of lipid metabolic pathways via acyl-CoA transport/binding

03

Biological functions

intracellular binding and transport of acyl-CoA estersmodulation of GABA type A receptor activityneuroendocrine regulationappetite controlregulation of lipid metabolismmodulation of immune responsesinhibition of autophagy
04

Disease associations

cancerobesitymetabolic syndromeosteoarthritisneuropsychiatric disordersinflammationother
05

Safety considerations

potential impact on neuropsychiatric function if targeted (e.g., appetite regulation, depression, anxiety)possible systemic effects due to widespread metabolic and immune rolestheoretical risk of altering GABAergic neurotransmissioneffects on immune homeostasis
06

Interacting drugs

monoclonal antibodies against ACBP/DBI

2 more in the full profile.

07

Biomarkers

plasma ACBP/DBI concentration (predictive for cancer risk and progression, indicator of metabolic syndrome, marker for osteoarthritis severity)

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