Fatty acid synthesis: acetyl-CoA carboxylase, fatty acid synthase, regulation

Fatty acid synthesis occurs in the cytosol of hepatocytes and adipocytes. The carbon source is mitochondrial acetyl-CoA (via the citrate shuttle). The key regulatory step is acetyl-CoA carboxylase (ACC): it is activated by citrate and insulin, and inhibited by palmitoyl-CoA and glucagon (via AMPK). Fatty acid synthase (a multidomain enzyme) elongates the chain up to palmitate (C16). When carbohydrates are in excess: glucose → pyruvate → acetyl-CoA → fatty acids (de novo lipogenesis).

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Substrates and compartmentalization of fatty acid synthesis

Fatty acid synthesis takes place in the cytosol and requires three main substrates: acetyl-CoA as a source of carbon atoms, NADPH as a reducing equivalent, and ATP as an energy source. Acetyl-CoA is formed in the mitochondrial matrix via oxidative decarboxylation of pyruvate, whereas the assembly of fatty acids occurs outside the mitochondria. NADPH is supplied by the pentose phosphate pathway and the malic enzyme reaction. ATP is synthesized in the mitochondria.

Citrate shuttle: transport of acetyl residues into the cytosol

The inner mitochondrial membrane is impermeable to acetyl-CoA, so acetyl residues are transported into the cytosol as part of citrate.

Thus, the citrate shuttle simultaneously supplies acetyl-CoA for synthesis and a portion of the required NADPH.

Regulatory reaction: acetyl-CoA carboxylase

The first and key regulatory step is the carboxylation of acetyl-CoA to form malonyl-CoA. The reaction is catalyzed by acetyl-CoA carboxylase, an enzyme of the ligase class that uses biotin as a cofactor. The reaction requires CO₂ and ATP; the products are malonyl-CoA, ADP, and inorganic phosphate. Malonyl-CoA serves as an activated two-carbon donor for further chain elongation and simultaneously acts as an inhibitor of fatty acid transport into the mitochondria (via suppression of carnitine acyltransferase I), which uncouples synthesis from β-oxidation.

Fatty acid synthase and the elongation cycle

Fatty acid synthase (palmitate synthase) is a multienzyme complex consisting of two identical polypeptide chains, each containing an acyl carrier protein (ACP) with a phosphopantetheine SH-group and an SH-group of a cysteine residue in the active center of the condensing domain.

  1. Acetyltransacylase transfers the acetyl residue to the cysteine SH-group.
  2. Malonyltransacylase transfers the malonyl residue to the phosphopantetheine SH-group.
  3. Condensation: the acetyl group is transferred to the malonyl group with the simultaneous release of CO₂, forming acetoacetyl-ACP.
  4. First reduction of the keto group by NADPH to β-hydroxybutyryl-ACP.
  5. Dehydration with the elimination of H₂O.
  6. Second reduction of the double bond involving NADPH; butyryl-ACP is formed.

Each subsequent cycle elongates the chain by two carbon atoms using a new malonyl-CoA. After seven cycles, palmitoyl-ACP (C16) is formed. Thioesterase hydrolyzes the thioester bond, releasing free palmitate.

Further modifications and essential fatty acids

Other fatty acids are formed from palmitate via elongation and desaturation. In the human body, desaturases can only introduce double bonds between the carboxyl group and the ninth carbon atom. Therefore, polyunsaturated fatty acids with double bonds beyond C9 (linoleic, linolenic) are essential and must be obtained from the diet, predominantly as part of plant fats (recommended daily intake is 80–100 g).

Regulation of acetyl-CoA carboxylase

The activity of the regulatory enzyme is controlled by two mechanisms.

Induction of lipogenic enzymes by insulin

During prolonged carbohydrate intake, elevated levels of insulin induce the transcription of key lipogenic enzymes:

Synthesized fatty acids do not accumulate in a free state, but are immediately used to form triacylglycerols.

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