Target intelligence / Profile preview

Perilipin-5 (PLIN5)

Target
PLIN5
Molecular classification
Lipid droplet-associated protein, Perilipin family, Other
01

Overview

Perilipin-5 (PLIN5) is a member of the perilipin protein family that is primarily associated with the surface of intracellular lipid droplets, particularly in tissues with high rates of fatty acid oxidation such as heart, skeletal muscle, brown adipose tissue, and liver[1][2][3]. It plays a central role in lipid homeostasis: balancing fatty acid storage and release, shielding cells from lipotoxicity by regulating the access of lipases (enzymes that break down fat) to lipid stores, and mediating the interaction between lipid droplets and mitochondria for efficient energy metabolism[1][2]. PLIN5 expression is tightly regulated in response to metabolic demands via upstream transcription factors like PPARs, and its dysregulation is linked to various metabolic diseases, including steatosis, cardiomyopathy, metabolic syndrome, and possibly certain cancers[1][2][3]. While there are no direct drugs currently known to target PLIN5, its modulation—via drugs affecting broader lipid metabolic regulators—represents both an opportunity and a challenge in therapeutic development.

Other names
OXPATLSDP5PAT-1LSDA5MLDPLipid storage droplet protein 5OXPATperilipin 5perilipin 5
02

Mechanism of action

PPAR agonists increase PLIN5 expression by binding regulatory elements in the PLIN5 gene and stimulating its transcription, particularly in tissues with elevated fatty acid metabolism[2]. No direct inhibitors or pharmacological modulators of PLIN5 protein function are currently established[2].

03

Biological functions

Regulation of lipid droplet biogenesis and degradationRegulation of lipolysis (fat breakdown) and lipogenesis (fat synthesis)Maintenance of lipid droplet homeostasisPromotion of lipid droplet-mitochondria association in oxidative tissuesRegulation of fatty acid oxidation and energy metabolismModulation of nuclear signaling related to fatty acid oxidation
04

Disease associations

Cardiovascular disease (cardiac steatosis, mitochondrial dysfunction, cardiac hypertrophy, cardiac dysfunction)Liver diseases (hepatic steatosis)Skeletal muscle diseases (metabolic dysfunction)Cancer (implicated in carcinogenesis)Metabolic syndrome and insulin resistance (controversial; research ongoing)Other (fibrosis)
05

Safety considerations

Manipulation of PLIN5 could potentially lead to harmful lipid accumulation (steatosis), mitochondrial dysfunction, or increased lipotoxicity (leading to cell damage and organ dysfunction), especially in heart and liver[2].Overexpression is associated with lipid accumulation and maintenance of function, but deficiency can lead to lipotoxicity and tissue dysfunction[2].The dual and context-dependent role in both cytoprotection and disease pathogenesis poses complexity for therapeutic targeting[3].
06

Interacting drugs

PPAR agonists (e.g., pioglitazone)
07

Biomarkers

PLIN5 expression levels can serve as a biomarker for tissue oxidative metabolic state, lipid droplet content, and potentially for susceptibility to lipid-induced metabolic dysfunction (e.g., steatosis or lipotoxicity in muscle, liver, and heart)[3].May be a marker for skeletal muscle oxidative capacity and insulin sensitivity[3].

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