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Fatty acid synthase I (FAS-I) is a massive, multifunctional enzyme complex in Mycobacterium tuberculosis (Mtb) that is essential for the de novo synthesis of fatty acids (UniProt: P9WGR1). Unlike most bacteria that utilize a Type II fatty acid synthase system (FAS-II), mycobacteria uniquely employ both FAS-I and FAS-II systems; FAS-I produces the C16 and C26 fatty acid precursors that are subsequently elongated by FAS-II to form mycolic acids (PubMed: 10948178). These mycolic acids are critical components of the mycobacterial cell wall, providing a robust permeability barrier and contributing to the organism's virulence and antibiotic resistance (PubMed: 22933061). FAS-I is a validated therapeutic target, most notably for the frontline anti-tuberculosis drug pyrazinamide, which is converted into pyrazinoic acid to inhibit the enzyme's activity (Science: 289(5483)). Inhibition of FAS-I disrupts cell wall integrity and is particularly effective against non-replicating or slowly-growing bacilli, making it vital for shortening the duration of tuberculosis treatment (PubMed: 24511156).
Inhibition of de novo fatty acid synthesis by binding to the enzyme complex, thereby preventing the formation of C16 and C26 fatty acid precursors required for mycolic acid production (Science: 289(5483)).
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