Target intelligence / Profile preview

Monoacylglycerol acyltransferase 2 (MGAT2)

Target
MGAT2
Molecular classification
Enzyme, Transferase (specifically, acyltransferase), Metabolic enzyme
01

Overview

Monoacylglycerol acyltransferase 2 is a key metabolic enzyme primarily expressed in the small intestine and, to a lesser extent, the liver and kidney. It catalyzes the conversion of monoacylglycerol and acyl-CoA into diacylglycerol, a precursor for triacylglycerol synthesis, facilitating dietary fat absorption and lipoprotein assembly. MGAT2 forms homotetrameric complexes and can interact with other enzymes like DGAT1 to boost lipogenesis. Its inhibition leads to reduced triglyceride synthesis, making it a promising target in the treatment of obesity, metabolic syndrome, and NASH. However, modulating its activity can present safety challenges, particularly around nutrient absorption and GI tolerability. MGAT2 is distinct from MGAT1 and MGAT3 in tissue distribution and physiological function.

Other names
2-acylglycerol O-acyltransferase 2Acyl-CoA:monoacylglycerol acyltransferase 2MOGAT2Monoacylglycerol transferase 2
02

Mechanism of action

Competitive or allosteric inhibition of MGAT2, blocking conversion of monoacylglycerol to diacylglycerol, thus reducing triglyceride synthesis and fat absorption. Pathway modulation leads to decreased serum triglycerides and fat storage

03

Biological functions

Triacylglycerol (TAG) biosynthesis (conversion of monoacylglycerol and acyl-CoA to diacylglycerol, a precursor to TAG)Dietary fat absorption (major role in enterocytes of the small intestine)Lipoprotein assembly for lipid transportLipid metabolism/homeostasis
04

Disease associations

Metabolic diseases (obesity, type 2 diabetes, dyslipidemias)Nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH)Other roles possibly in cardiovascular disease (due to its role in lipid metabolism)
05

Safety considerations

Potential for gastrointestinal adverse effects (diarrhea, malabsorption), as observed with related triglyceride synthesis inhibitorsAlterations in fat-soluble vitamin absorption due to disrupted fat uptakePossible hepatotoxicity from hepatic lipid metabolism changes (requires additional study)
06

Interacting drugs

Experimental MGAT2 inhibitors (no approved drugs targeting MGAT2 directly as of 2024)

2 more in the full profile.

07

Biomarkers

Reduction in serum triglycerides (efficacy marker for MGAT2 inhibition)Hepatic and intestinal MGAT2 expression/activity levels (patient selection/monitoring in clinical trials)

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