Target intelligence / Profile preview

Acyl-coenzyme A oxidase (ACOX)

Target
ACOX
Molecular classification
Enzyme, Oxidoreductase, Peroxisomal enzyme
01

Overview

Acyl-coenzyme A oxidase is a peroxisomal oxidoreductase enzyme that catalyzes the first and rate-limiting step of the fatty acid beta-oxidation pathway, specifically oxidizing acyl-CoA to 2,3-trans-enoyl-CoA while producing hydrogen peroxide as a byproduct[2][3][5][6]. It is essential for lipid catabolism and energy homeostasis as it enables the breakdown of fatty acids for subsequent cellular utilization. The enzyme uses FAD as a cofactor and exhibits substrate specificity based on side chain length and structure, with different isoforms adapted for various types of fatty acids[1][5]. Acyl-coenzyme A oxidase is vital for normal human physiology; mutations or reduced activity are linked to severe peroxisomal diseases and have been implicated in cancer, neurodegeneration, and aging processes[4]. It is also important in plant biology for hormone biosynthesis and metabolism[2]. While not directly targeted by current therapeutics, its regulation through peroxisomal and metabolic pathways (including PPARs) is of pharmacological interest.

Other names
Acyl-CoA oxidaseAcyl coenzyme A oxidaseFatty acyl-CoA oxidaseFatty acyl-coenzyme A oxidaseAcyl-CoA:oxygen 2-oxidoreductase
02

Mechanism of action

Catalytic oxidation of acyl-CoA to 2,3-trans-enoyl-CoA, producing hydrogen peroxide and supporting peroxisomal fatty acid oxidation Regulated by nuclear receptors including PPARs, which could be modulated by synthetic ligands in disease modulation

03

Biological functions

Fatty acid beta-oxidationLipid catabolismRegulation of metabolic pathwaysProduction of hydrogen peroxide within peroxisomes
04

Disease associations

CancerPeroxisomal disorders (e.g., Acyl-CoA oxidase deficiency)Neurodegenerative diseaseAging-related dysfunctionOther (metabolic diseases, especially related to lipid metabolism)
05

Safety considerations

Dysfunction or deficiency leads to peroxisomal disorders and severe metabolic conditions, often fatal in infancy (for example, Acyl-CoA oxidase deficiency)Accumulation of fatty acids and/or hydrogen peroxide may contribute to cellular toxicity[4]Potential oxidative stress if hydrogen peroxide is not efficiently detoxified in peroxisome
06

Interacting drugs

No prominent, widely approved drugs directly targeting acyl-coenzyme A oxidase have been specifically identified in the current search results. Some PPAR agonists (peroxisome proliferator-activated receptor agonists, such as fibrates) may regulate its expression indirectly through peroxisome pathways, but acyl-CoA oxidase itself is not generally a direct drug target[3][4].
07

Biomarkers

Mutations or decreased activity of acyl-coenzyme A oxidase serve as biomarkers for peroxisomal disorders and some metabolic syndromesAltered levels or activity in certain cancers or metabolic diseases may have biomarker potential[4]

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