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Lipolysis pathways refer to the regulated hydrolysis of triacylglycerols (TAGs) stored in adipocyte lipid droplets into glycerol and free fatty acids (FFAs), primarily mediated by sequential action of three enzymes: adipose triglyceride lipase (ATGL/PNPLA2) for the initial TAG-to-diacylglycerol step, hormone-sensitive lipase (HSL) for diacylglycerol hydrolysis, and monoacylglycerol lipase (MGL) for final glycerol release.[1][3][7] This process is hormonally controlled, with catecholamines binding β-adrenergic receptors to activate adenylyl cyclase, elevate cAMP, and trigger protein kinase A (PKA) phosphorylation of perilipin (PLIN1) and HSL, enabling lipase translocation to lipid droplets and co-activation by CGI-58 (ABHD5).[1][3][4] Dysregulation contributes to metabolic disorders: excessive lipolysis drives FFAs release fueling insulin resistance and hepatic steatosis in obesity/type 2 diabetes, while impaired lipolysis promotes lipid accumulation in fatty liver disease; in cancer, it supports tumor proliferation via FFA supply or cachexia.[2][4][6] Although not a single therapeutic target, pathway components like ATGL, HSL, and regulators (e.g., β3-ARs, ABHD5) are explored for modulation—agonists for obesity/thermogenesis, inhibitors for hyperlipolysis—with challenges including FLD risk from lipase knockout.[4] Overall, balanced lipolysis is critical for energy homeostasis, PPAR signaling, and thermogenesis in brown adipose tissue.[3][4]
Activation of cAMP/PKA pathway via β-adrenergic receptors leading to phosphorylation of perilipin (PLIN1), HSL, and release of CGI-58 to activate ATGL; direct HSL phosphorylation and translocation to lipid droplets; inhibition of phosphodiesterase to sustain cAMP; disruption of ABHD5-PLIN1 interaction
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