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Publication : Hepatic synthesis of triacylglycerols containing medium-chain fatty acids is dominated by diacylglycerol acyltransferase 1 and efficiently inhibited by etomoxir.

First Author  Wunderling K Year  2021
Journal  Mol Metab Volume  45
Pages  101150 PubMed ID  33359403
Mgi Jnum  J:331125 Mgi Id  MGI:6714638
Doi  10.1016/j.molmet.2020.101150 Citation  Wunderling K, et al. (2021) Hepatic synthesis of triacylglycerols containing medium-chain fatty acids is dominated by diacylglycerol acyltransferase 1 and efficiently inhibited by etomoxir. Mol Metab 45:101150
abstractText  OBJECTIVE: Medium-chain fatty acids (MCFAs) play an increasing role in human nutrition. In the liver, one fraction is used for synthesis of MCFA-containing triacylglycerol (MCFA-TG), and the rest is used for oxidative energy production or ketogenesis. We investigated which enzymes catalyse the synthesis of MCFA-TG and how inhibition of MCFA-TG synthesis or fatty acid (FA) oxidation influences the metabolic fate of the MCFAs. METHODS: FA metabolism was followed by time-resolved tracing of alkyne-labelled FAs in freshly isolated mouse hepatocytes. Quantitative data were obtained by mass spectrometry of several hundred labelled lipid species. Wild-type hepatocytes and cells from diacylglycerol acyltransferase (DGAT)1(-/-) mice were treated with inhibitors against DGAT1, DGAT2, or FA beta-oxidation. RESULTS: Inhibition or deletion of DGAT1 resulted in a reduction of MCFA-TG synthesis by 70%, while long-chain (LC)FA-TG synthesis was reduced by 20%. In contrast, DGAT2 inhibition increased MCFA-TG formation by 50%, while LCFA-TG synthesis was reduced by 5-25%. Inhibition of beta-oxidation by the specific inhibitor teglicar strongly increased MCFA-TG synthesis. In contrast, the widely used beta-oxidation inhibitor etomoxir blocked MCFA-TG synthesis, phenocopying DGAT1 inhibition. CONCLUSIONS: DGAT1 is the major enzyme for hepatic MCFA-TG synthesis. Its loss can only partially be compensated by DGAT2. Specific inhibition of beta-oxidation leads to a compensatory increase in MCFA-TG synthesis, whereas etomoxir blocks both beta-oxidation and MCFA-TG synthesis, indicating a strong off-target effect on DGAT1.
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