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Membrane-bound glycerophospholipid O-acyltransferase 1 (MBOAT1) is a multi-pass transmembrane enzyme of the membrane-bound O-acyltransferase superfamily, localized to the endoplasmic reticulum. Its primary function is to catalyze the transfer of an acyl group from acyl-CoA (preferentially oleoyl-CoA) to lysophospholipids such as lysophosphatidylethanolamine (LPE), lysophosphatidylserine (LPS), and to a lesser extent lysophosphatidylcholine (LPC), forming various phospholipids and participating in the reacylation step of the phospholipid remodeling pathway (Lands cycle). MBOAT1 also plays a role in inhibiting ferroptosis, a regulated form of cell death related to lipid peroxidation, particularly in hormone-responsive cancers and tissues. Its activity and expression are influenced by estrogen and androgen receptor signaling, making it a possible therapeutic target and biomarker for several cancers. Disruption of the MBOAT1 gene is associated with developmental disorders like brachydactyly-syndactyly syndrome. Research suggests a potential role for MBOAT1 in neurite outgrowth and neuronal differentiation. At present, there are no approved drugs directly targeting MBOAT1, but its family is actively investigated for drug development in cancer and other diseases.
Small molecule inhibition of acyltransferase activity (reduction of phospholipid remodeling; theoretical for therapeutic development). Sensitization to ferroptosis via hormone receptor antagonists that downregulate MBOAT1 expression.
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