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The Fatty acid transport protein (FATP) family, members of the solute carrier family 27 (SLC27A1–6), consists of transmembrane proteins that facilitate the uptake and metabolic activation of long-chain fatty acids [1, 5]. These proteins are unique for their dual functionality, possessing both transport capabilities and intrinsic very long-chain acyl-CoA synthetase activity, which allows for "vectorial acylation"—the simultaneous transport and esterification of fatty acids to trap them within the cell [2, 11]. FATPs are expressed in key metabolic tissues such as the heart, liver, and skeletal muscle, where they act as gatekeepers for lipid flux [3, 12]. Dysregulation of FATP-mediated lipid uptake is strongly linked to lipotoxicity, a process central to the development of insulin resistance, non-alcoholic fatty liver disease (NAFLD), and type 2 diabetes [4, 6, 8]. Consequently, they are regarded as significant therapeutic targets, with inhibitors like Lipofermata (targeting FATP2) being explored for the treatment of metabolic disorders [4, 5]. Safety concerns regarding their inhibition include potential defects in the skin barrier (related to FATP4) and disruptions in bile acid homeostasis (related to FATP5) [5, 8].
Small-molecule inhibition of transmembrane fatty acid transport and intrinsic acyl-CoA synthetase activity to reduce ectopic lipid accumulation and prevent lipotoxicity.
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