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Hepatic lipogenesis enzymes and transcriptional regulators

Molecular classification
Enzyme (e.g., acetyl-CoA carboxylase, fatty acid synthase), Transcription factor (e.g., SREBP-1c, ChREBP, Liver X receptor), Other (pathway term, not a molecule)
01

Overview

The hepatic lipogenesis pathway describes the series of biochemical reactions in the liver that convert carbohydrates (such as glucose and fructose) into fatty acids and triglycerides for energy storage[2][3][4][5]. This process is tightly regulated by hormones (notably insulin) and nutrient status, and is controlled by specific enzymes (acetyl-CoA carboxylase, fatty acid synthase, etc.) and transcription factors (SREBP-1c, ChREBP, Liver X receptor)[1][4]. Dysregulation of this pathway is implicated in several metabolic diseases, notably non-alcoholic fatty liver disease, obesity, and insulin resistance[2][1][3]. The pathway is a major therapeutic target for metabolic syndrome and associated liver disorders, with efforts focused on inhibiting key enzymes or the transcriptional programs that drive excessive lipid synthesis and storage.

Other names
Hepatic lipogenesisLiver lipid synthesis pathwayDe novo lipogenesis (DNL)Lipogenic pathway
02

Mechanism of action

Enzyme inhibition (blocking ACC, FASN reduces fatty acid synthesis; decreases lipid accumulation) Transcription factor modulation (blocking/activating SREBP-1c or ChREBP influences enzyme expression and pathway activity) Insulin pathway modulation (affects lipogenic transcription and enzyme activity)

03

Biological functions

Fatty acid synthesisTriglyceride synthesisRegulation of hepatic lipid and energy metabolismNutrient storage
04

Disease associations

Non-alcoholic fatty liver disease (NAFLD)ObesityInsulin resistance/metabolic syndromeHepatosteatosisCardiovascular disease (via VLDL production and secretion)
05

Safety considerations

Hepatic steatosis/fatty liver (excess pathway activation)Insulin resistance (lipogenic overactivation)Cardiovascular risks (via VLDL and cholesterol effects)Risk of hypoglycemia if pathway is excessively inhibited
06

Interacting drugs

FASN inhibitors (e.g., TVB-2640, still experimental)

4 more in the full profile.

07

Biomarkers

Increased hepatic triglyceridesPlasma VLDL levelsLiver enzyme levels (ALT, AST in NAFLD context)Blood insulin/glucose (as upstream regulators)Expression/activity of ACC, FASN, SREBP-1c (mRNA/protein)

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