Molecular Classification
Enzyme, Membrane Bound O-AcylTransferases (MBOATs)
Other Names
Acetyl-CoA acetyltransferase 1, mitochondrial acetoacetyl-CoA thiolase
Disease Roles
Beta-ketothiolase deficiencyAtherosclerosisAlzheimer’s disease

Acyl-coenzyme A:cholesterol O-acyltransferase 1 Overview

Acyl-coenzyme A:cholesterol O-acyltransferase 1 (ACAT1) is an integral membrane enzyme found in the mitochondria and endoplasmic reticulum of cells. It belongs to the membrane-bound O-acyltransferase (MBOAT) family and catalyzes the conversion of free cholesterol and long-chain fatty acyl-CoA into cholesteryl esters for storage or transport. ACAT1 also catalyzes the reversible formation of acetoacetyl-CoA from two molecules of acetyl-CoA during ketogenesis and ketolysis. Mutations in the ACAT1 gene cause beta-ketothiolase deficiency. ACAT1 is considered a drug target for diseases such as atherosclerosis, Alzheimer’s disease and certain cancers.

Mechanism of Action

Inhibition of cholesterol esterification

Biological Functions

Cholesterol esterification
Ketone body metabolism
Isoleucine degradation
Cellular lipid metabolism
Lipid homeostasis

Disease Associations

Beta-ketothiolase deficiency
Atherosclerosis
Alzheimer’s disease
Cancer
Cardiovascular disease

Safety Considerations

No safety concerns listed