Target intelligence / Profile preview

Long-chain specific acyl-CoA dehydrogenase, mitochondrial (ACADL)

Target
ACADL
Molecular classification
Enzyme, mitochondrial flavoenzyme, member of the acyl-CoA dehydrogenase family
01

Overview

Long-chain specific acyl-CoA dehydrogenase (mitochondrial), encoded by the ACADL gene, is a mitochondrial flavoenzyme that catalyzes the initial dehydrogenation step in the beta-oxidation of long-chain fatty acids (typically C12–C16 acyl-CoA), an essential process for energy production from fat. It is one of four key mitochondrial enzymes performing this function. ACADL deficiency is a rare inborn error of metabolism characterized by impaired fatty acid oxidation, nonketotic hypoglycemia, and increased risk for hepatic and cardiac dysfunction. Regulation of ACADL is important for lipid turnover and systemic energy homeostasis; its dysfunction or altered expression is implicated in metabolic diseases and, potentially, in cancer biology via interaction with the Hippo/YAP pathway. Pharmacological induction (e.g., via PPARα agonists such as fenofibrate) increases ACADL expression and activity, promoting lipid catabolism, while animal studies suggest roles in cardiac and pulmonary health[1][3][4][5].

Other names
Long-chain acyl-CoA dehydrogenaseacyl-CoA dehydrogenase long chainLCADACAD4acyl-Coenzyme A dehydrogenase, long chain
02

Mechanism of action

Pharmacological upregulation (e.g., fenofibrate promotes ACADL transcription, enhancing fatty acid catabolism); Targeting Hippo/YAP pathway in cancer (restoration suppresses YAP activity in HCC cells).

03

Biological functions

Fatty acid beta-oxidationMitochondrial energy productionLipid metabolismRegulation of blood metabolite levelsFatty acid and branched-chain amino acid metabolismRegulation of systemic energy homeostasis
04

Disease associations

Inborn errors of metabolism (LCAD deficiency, nonketotic hypoglycemia)Metabolic disease (hepatic steatosis, systemic energy imbalance)Possible role in cardiac hypertrophy, pulmonary disease, insulin resistance (based on animal studies)Tumor suppressor in hepatocellular carcinoma (HCC) via Hippo/YAP signaling
05

Safety considerations

Therapeutic upregulation: risk of altered energy metabolism, unknown off-target effectsGenetic defects: risk of severe hypoglycemia, lipid accumulation, or organ dysfunction
06

Interacting drugs

Fenofibrate (PPARα agonist, increases ACADL expression in animal models)
07

Biomarkers

ACADL deficiency: biomarker for suspecting LCAD deficiency in nonketotic hypoglycemiaExpression/deficiency: indicator for metabolic state and disease risk (e.g., steatosis, cardiac phenotype)Potential biomarker in liver cancer prognosis/treatment (via YAP pathway)

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