ATP-citrate lyase: genetics, molecular biology and therapeutic target for dyslipidemia
Abstract
Purpose of review: ATP-citrate lyase (ACLY) has re-emerged as a drug target for LDL cholesterol (LDL-C) lowering. We review ACLY as a therapeutic strategy, its genetics, its molecular and cellular biology, and also its inhibition. Recent findings: ACLY is a critical enzyme linking glucose catabolism to lipogenesis by providing acetyl-CoA from mitochondrial citrate for fatty acid and cholesterol biosynthesis. Human genetic variants have been associated with enhanced growth and survival of several cancers, and with attenuated plasma triglyceride responses to dietary fish oil. In mice, liver-specific Acly deficiency protects from hepatic steatosis and dyslipidemia, whereas adipose tissue-specific Acly deletion has no phenotype, supporting therapeutic inhibition of ACLY. A lipid-regulating compound, bempedoic acid, was discovered to potently inhibit ACLY, and in animal models, it prevents dyslipidemia and attenuates atherosclerosis. Phase 2 clinical trials revealed that bempedoic acid effectively lowers LDL-C as monotherapy, combined with ezetimibe, added to statin therapy and in statin-intolerant hypercholesterolemic patients. Summary: The efficacy of bempedoic acid as an LDL-C-lowering agent has validated ACLY inhibition as a therapeutic strategy. Positive results of phase 3 patient studies, together with long-term cardiovascular disease outcome trials, are required to establish ACLY as a major new target in cardiovascular medicine.
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Cholesterol accumulation has been observed in phagocytes in an EAE demyelination model in aged mice as a result of excessive uptake of myelin debris.
“Cholesterol accumulation has recently been observed in phagocytes in an EAE demyelination model in aged mice as a result of excessive uptake of myelin debris43.”
From Lipid-droplet-accumulating microglia represent a dysfunctional and proinflammatory state in the aging brain (2020) · cites this paper as [43]
Cites
Ezetimibe Added to Statin Therapy after Acute Coronary Syndromes
Cannon, C. P., Blazing, M. A., Giugliano, R. P., McCagg, A., White, J. A., Theroux, P., Darius, H., Lewis, B. S., Ophuis, T. O., Jukema, J. W., et al. (2015) · New England Journal of Medicine · doi:10.1056/nejmoa1410489 · Cited by 4,487 · see citing works
ATP-citrate lyase links cellular metabolism to histone acetylation
Wellen, K. E., Hatzivassiliou, G., Sachdeva, U. M., Bui, T. V., Cross, J. R., & Thompson, C. B. (2009) · Science · doi:10.1126/science.1164097 · Cited by 2,298 · see citing works
Steinberg, G. R., & Kemp, B. E. (2009) · Physiological Reviews · doi:10.1152/physrev.00011.2008 · Cited by 1,633 · see citing works
ATP citrate lyase inhibition can suppress tumor cell growth
Hatzivassiliou, G., Zhao, F., Bauer, D. E., Andreadis, C., Shaw, A. N., Dhanak, D., Hingorani, S. R., Tuveson, D. A., & Thompson, C. B. (2005) · Cancer Cell · doi:10.1016/j.ccr.2005.09.008 · Cited by 1,086 · see citing works
Lambert, J. E., Ramos–Roman, M. A., Browning, J. D., & Parks, E. J. (2014) · Gastroenterology · doi:10.1053/j.gastro.2013.11.049 · Cited by 1,069 · see citing works
Cholesterol Lowering in Intermediate-Risk Persons without Cardiovascular Disease
Yusuf, S., Bosch, J., Dagenais, G., Zhu, J., Xavier, D., Liu, L., Pais, P., López-Jaramillo, P., Leiter, L. A., Dans, A., et al. (2016) · New England Journal of Medicine · doi:10.1056/nejmoa1600176 · Cited by 848 · see citing works
Boekholdt, S. M., Arsenault, B. J., Mora, S., Pedersen, T. R., LaRosa, J. C., Nestel, P. J., Simes, R. J., Durrington, P., Hitman, G. A., Welch, K. M. A., et al. (2012) · JAMA · doi:10.1001/jama.2012.366 · Cited by 795 · see citing works
Sniderman, A. D., Williams, K., Contois, J. H., Monroe, H. M., McQueen, M. J., de Graaf, J., & Furberg, C. D. (2011) · Circulation: Cardiovascular Quality and Outcomes · doi:10.1161/circoutcomes.110.959247 · Cited by 659 · see citing works
ATP-Citrate Lyase: A Key Player in Cancer Metabolism
Zaidi, N., Swinnen, J. V., & Smans, K. A. (2012) · Cancer Research · doi:10.1158/0008-5472.can-11-4112 · Cited by 549 · see citing works
ATP citrate lyase is an important component of cell growth and transformation
Bauer, D. E., Hatzivassiliou, G., Zhao, F., Andreadis, C., & Thompson, C. B. (2005) · Oncogene · doi:10.1038/sj.onc.1208773 · Cited by 537 · see citing works
Pinkosky, S. L., Newton, R. S., Day, E. A., Ford, R. J., Lhotak, S., Austin, R. C., Birch, C. M., Smith, B. K., Filippov, S., Groot, P. H. E., et al. (2016) · Nature Communications · doi:10.1038/ncomms13457 · Cited by 498 · see citing works
ATP citrate lyase: activation and therapeutic implications in non-small cell lung cancer
Migita, T., Narita, T., Nomura, K., Miyagi, E., Inazuka, F., Matsuura, M., Ushijima, M., Mashima, T., Seimiya, H., Satoh, Y., et al. (2008) · Cancer Research · doi:10.1158/0008-5472.can-08-1235 · Cited by 403 · see citing works
ATP-citrate lyase controls a glucose-to-acetate metabolic switch
Zhao, S., Torres, A., Henry, R. A., Trefely, S., Wallace, M., Lee, J. V., Carrer, A., Sengupta, A., Campbell, S. L., Kuo, Y.-M., et al. (2016) · Cell Reports · doi:10.1016/j.celrep.2016.09.069 · Cited by 394 · see citing works
Tricarballylate and hydroxycitrate: Substrate and inhibitor of ATP: Citrate oxaloacetate lyase
Watson, J. A., Fang, M., & Lowenstein, J. M. (1969) · Archives of Biochemistry and Biophysics · doi:10.1016/0003-9861(69)90532-3 · Cited by 263 · see citing works
ATP-citrate lyase: A mini-review
Chypre, M., Zaidi, N., & Smans, K. A. (2012) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2012.04.144 · Cited by 250 · see citing works
Pinkosky, S. L., Filippov, S. I., Srivastava, R. A. K., Hanselman, J. C., Bradshaw, C. D., Hurley, T. R., Cramer, C. T., Spahr, M. A., Brant, A. F., Houghton, J. L., et al. (2012) · Journal of Lipid Research · doi:10.1194/jlr.m030528 · Cited by 240 · see citing works
Wang, Q. A., Jiang, L., Wang, J., Li, S., Yu, Y., You, J., Zeng, R., Gao, X., Rui, L., Li, W., et al. (2008) · Hepatology · doi:10.1002/hep.22774 · Cited by 212 · see citing works
Phosphorylation of ATP-Citrate Lyase by Nucleoside Diphosphate Kinase
Wagner, P. D., & Vu, N. (1995) · Journal of Biological Chemistry · doi:10.1074/jbc.270.37.21758 · Cited by 195 · see citing works
Potapova, I. A., El‐Maghrabi, M. R., Doronin, S. V., & Benjamin, W. B. (2000) · Biochemistry · doi:10.1021/bi992159y · Cited by 177 · see citing works
Ballantyne, C. M., Davidson, M. H., MacDougall, D. E., Bays, H. E., DiCarlo, L. A., Rosenberg, N. L., Margulies, J., & Newton, R. S. (2013) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2013.05.050 · Cited by 175 · see citing works
AMPK β1 Deletion Reduces Appetite, Preventing Obesity and Hepatic Insulin Resistance
Dzamko, N., van Denderen, B. J. W., Hevener, A. L., Jørgensen, S. B., Honeyman, J., Galic, S., Chen, Z.-P., Watt, M. J., Campbell, D. J., Steinberg, G. R., et al. (2010) · Journal of Biological Chemistry · doi:10.1074/jbc.m109.056762 · Cited by 175 · see citing works
Gutierrez, M. J., Rosenberg, N. L., MacDougall, D. E., Hanselman, J. C., Margulies, J. R., Strange, P., Milad, M. A., McBride, S. J., & Newton, R. S. (2014) · Arteriosclerosis Thrombosis and Vascular Biology · doi:10.1161/atvbaha.113.302677 · Cited by 170 · see citing works
Efficacy and Safety of Rosuvastatin Therapy for Children With Familial Hypercholesterolemia
Avis, H. J., Hutten, B. A., Gagné, C., Langslet, G., McCrindle, B. W., Wiegman, A., Hsia, J. A., Kastelein, J. J. P., & Stein, E. A. (2010) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2009.10.042 · Cited by 166 · see citing works
The Lipogenesis Pathway as a Cancer Target
Abramson, H. N. (2011) · Journal of Medicinal Chemistry · doi:10.1021/jm2005805 · Cited by 166 · see citing works
Guay, C., Madiraju, S. R. M., Aumais, A., Joly, E. C., & Prentki, M. (2007) · Journal of Biological Chemistry · doi:10.1074/jbc.m707294200 · Cited by 158 · see citing works
Use of ETC-1002 to treat hypercholesterolemia in patients with statin intolerance
Thompson, P. D., Rubino, J., Janik, M. J., MacDougall, D. E., McBride, S. J., Margulies, J. R., & Newton, R. S. (2015) · Journal of clinical lipidology · doi:10.1016/j.jacl.2015.03.003 · Cited by 158 · see citing works
ATP-Citrate Lyase Deficiency in the Mouse
Beigneux, A. P., Kosinski, C., Gavino, B. J., Horton, J. D., Skarnes, W. C., & Young, S. G. (2004) · Journal of Biological Chemistry · doi:10.1074/jbc.m310512200 · Cited by 154 · see citing works
Identification of ATP citrate lyase as a phosphoprotein.
Linn, T. C., & Srere, P. A. (1979) · Journal of Biological Chemistry · doi:10.1016/s0021-9258(17)37828-6 · Cited by 147 · see citing works
The role of ATP citrate-lyase in the metabolic regulation of plasma lipids
PEARCE, N. J., Yates, J. W., Berkhout, T. A., Jackson, B., Tew, D. G., Boyd, H., Camilleri, P., Sweeney, P. J., Gribble, A. D., Shaw, A. N., et al. (1998) · Biochemical Journal · doi:10.1042/bj3340113 · Cited by 144 · see citing works
Sato, R., Okamoto, A., Inoue, J., Miyamoto, W., Sakai, Y., Emoto, N., Shimano, H., & Maeda, M. (2000) · Journal of Biological Chemistry · doi:10.1074/jbc.275.17.12497 · Cited by 142 · see citing works
Thompson, P. D., MacDougall, D. E., Newton, R. S., Margulies, J. R., Hanselman, J. C., Orloff, D. G., McKenney, J. M., & Ballantyne, C. M. (2016) · Journal of clinical lipidology · doi:10.1016/j.jacl.2015.12.025 · Cited by 142 · see citing works
Elshourbagy, N. A., Near, J. C., Kmetz, P., Sathe, G. M., Southan, C., Strickler, J. E., Gross, M. S., Young, J. F., Wells, T. N. C., & Groot, P. H. E. (1990) · Journal of Biological Chemistry · doi:10.1016/s0021-9258(19)40033-1 · Cited by 130 · see citing works
Bempedoic Acid (ETC-1002): an Investigational Inhibitor of ATP Citrate Lyase
Bilen, O., & Ballantyne, C. M. (2016) · Current Atherosclerosis Reports · doi:10.1007/s11883-016-0611-4 · Cited by 119 · see citing works
Decreased levels of metabolic enzymes in pancreatic islets of patients with type 2 diabetes
MacDonald, M. J., Longacre, M. J., Langberg, E.-C., Tibell, A., Kendrick, M. A., Fukao, T., & Ostenson, C.-G. (2009) · Diabetologia · doi:10.1007/s00125-009-1319-6 · Cited by 115 · see citing works
Statin myotoxicity: a review of genetic susceptibility factors
Needham, M., & Mastaglia, F. L. (2014) · Neuromuscular Disorders · doi:10.1016/j.nmd.2013.09.011 · Cited by 108 · see citing works
ATP citrate lyase knockdown impacts cancer stem cells in vitro
Hanai, J.-I., Doro, N. C., Seth, P., & Sukhatme, V. P. (2013) · Cell Death and Disease · doi:10.1038/cddis.2013.215 · Cited by 99 · see citing works
Filippov, S. I., Pinkosky, S. L., Lister, R. J., Pawloski, C., Hanselman, J. C., Cramer, C. T., Srivastava, R. A. K., Hurley, T. R., Bradshaw, C. D., Spahr, M. A., et al. (2013) · Journal of Lipid Research · doi:10.1194/jlr.m035212 · Cited by 90 · see citing works
Cloning and expression of a human ATP‐citrate lyase cDNA
Elshourbagy, N. A., Near, J. C., Kmetz, P., Wells, T. N. C., Groot, P. H. E., SAXTY, B. A., HUGHES, S. A., FRANKLIN, M., & Gloger, I. (1992) · European Journal of Biochemistry · doi:10.1111/j.1432-1033.1992.tb16659.x · Cited by 83 · see citing works
Cramer, C. T., Goetz, B. D., Hopson, K. L., Fici, G. J., Ackermann, R., Brown, S. C., Bisgaier, C. L., Rajeswaran, W. G., Oniciu, D. C., & Pape, M. E. (2004) · Journal of Lipid Research · doi:10.1194/jlr.m400018-jlr200 · Cited by 74 · see citing works
Wang, Q. A., Li, S., Jiang, L., Zhou, Y., Li, Z., Shao, M., Li, W., & Liu, Y. (2010) · Journal of Lipid Research · doi:10.1194/jlr.m003335 · Cited by 68 · see citing works
ATP-Citrate Lyase Reduction Mediates Palmitate-induced Apoptosis in Pancreatic Beta Cells
Chu, K. Y., Lin, Y., Hendel, A., Kulpa, J. E., Brownsey, R. W., & Johnson, J. D. (2010) · Journal of Biological Chemistry · doi:10.1074/jbc.m110.157172 · Cited by 67 · see citing works
ATP ‐citrate lyase regulates cellular senescence via an AMPK ‐ and p53‐dependent pathway
Lee, J., Jang, H., Lee, S., Lee, J., Choi, J., Kim, T. W., Cho, E., & Youn, H. (2014) · FEBS Journal · doi:10.1111/febs.13139 · Cited by 62 · see citing works
Effects of nutrients and hormones on gene expression of ATP citrate‐lyase in rat liver
Fukuda, H., Katsurada, A., & Iritani, N. (1992) · European Journal of Biochemistry · doi:10.1111/j.1432-1033.1992.tb17279.x · Cited by 51 · see citing works
Adenosine triphosphate citrate lyase: Emerging target in the treatment of dyslipidemia
Lemus, H. N., & Mendivil, C. O. (2015) · Journal of clinical lipidology · doi:10.1016/j.jacl.2015.01.002 · Cited by 49 · see citing works
Bouchard‐Mercier, A., Rudkowska, I., Lemieux, S., Couture, P., & Vohl, M. (2013) · Journal of Lipid Research · doi:10.1194/jlr.m041590 · Cited by 25 · see citing works
ADP–Mg2+bound to the ATP-grasp domain of ATP-citrate lyase
Sun, T., Hayakawa, K., & Fraser, M. E. (2011) · Acta Crystallographica Section F Structural Biology and Crystallization Communications · doi:10.1107/s1744309111028363 · Cited by 22 · see citing works
Genome-wide pathway analysis in attention-deficit/hyperactivity disorder
Lee, Y. H., & Song, G. G. (2014) · Neurological Sciences · doi:10.1007/s10072-014-1671-2 · Cited by 19 · see citing works
Jin, X., Zhang, K., Guo, X., Myers, R. E., Ye, Z., Zhang, Z., Li, X., Yang, H., & Xing, J. (2014) · Asian Pacific Journal of Cancer Prevention · doi:10.7314/apjcp.2014.15.17.7097 · Cited by 19 · see citing works
Binding of ATP citrate lyase to the microsomal fraction of rat liver.
Linn, T. C., & Srere, P. A. (1984) · Journal of Biological Chemistry · doi:10.1016/s0021-9258(18)90705-2 · Cited by 19 · see citing works
Xie, S., Zhou, F., Wang, J., Cao, H., Chen, Y., Liu, X., Zhang, Z., Dai, J., & He, X. (2015) · World Journal of Surgical Oncology · doi:10.1186/s12957-015-0440-x · Cited by 15 · see citing works
Oniciu, D. C., Dasseux, J., Yang, J., Mueller, R., Pop, E., Denysenko, A., Duan, C., Huang, T., Zhang, L., Krause, B. R., et al. (2005) · Journal of Medicinal Chemistry · doi:10.1021/jm050650j · Cited by 12 · see citing works
Wu, Y., Bao, D., Dai, J., Chen, C. Y., Zhang, H., Yang, Y., Xing, J., Huang, X., & Wan, S.-G. (2015) · Asian Pacific Journal of Cancer Prevention · doi:10.7314/apjcp.2015.16.3.1051 · Cited by 11 · see citing works
Ballantyne, C. M., MacDougall, D. E., Margulies, J. R., Robinson, P. L., Hanselman, J. C., & Lalwani, N. D. (2015) · Circulation · doi:10.1161/circ.132.suppl_3.17499 · Cited by 4 · see citing works
Burke, A. C., Telford, D. E., Sutherland, B. G., Edwards, J. Y., Sawyez, C. G., Newton, R. S., & Huff, M. W. (2016) · Arteriosclerosis Thrombosis and Vascular Biology · doi:10.1161/atvb.36.suppl_1.18 · Cited by 1 · see citing works
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Marschallinger, J., Iram, T., Zardeneta, M., Lee, S. E., Lehallier, B., Haney, M. S., Pluvinage, J. V., Mathur, V., Hahn, O., Morgens, D. W., et al. (2020) · Nature Neuroscience · doi:10.1038/s41593-019-0566-1 · Cited by 1,384 · see citing works
Acetyl-CoA metabolism in cancer
Guertin, D. A., & Wellen, K. E. (2023) · Nature Reviews Cancer · doi:10.1038/s41568-022-00543-5 · Cited by 303 · see citing works
Lipid management in patients with chronic kidney disease
Ferro, C. J., Mark, P. B., Kanbay, M., Sarafidis, P. A., Heine, G. H., Rossignol, P., Massy, Z. A., Mallamaci, F., Valdivielso, J. M., Małyszko, J., et al. (2018) · Nature Reviews Nephrology · doi:10.1038/s41581-018-0072-9 · Cited by 275 · see citing works
ATP citrate lyase: A central metabolic enzyme in cancer
Icard, P., Wu, Z., Fournel, L., Coquerel, A., Lincet, H., & Alifano, M. (2019) · Cancer Letters · doi:10.1016/j.canlet.2019.12.010 · Cited by 240 · see citing works
ATP-citrate lyase (ACLY) in lipid metabolism and atherosclerosis: An updated review
Feng, X., Zhang, L., Xu, S., & Shen, A.-Z. (2019) · Progress in Lipid Research · doi:10.1016/j.plipres.2019.101006 · Cited by 233 · see citing works
Acetyl-CoA Metabolism and Histone Acetylation in the Regulation of Aging and Lifespan
Bradshaw, P. C. (2021) · Antioxidants · doi:10.3390/antiox10040572 · Cited by 185 · see citing works
Metabolic landscape in cardiac aging: insights into molecular biology and therapeutic implications
Xie, S., Xu, S., Deng, W., & Tang, Q. (2023) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-023-01378-8 · Cited by 185 · see citing works
An allosteric mechanism for potent inhibition of human ATP-citrate lyase
Jia, W., Leit, S. M., Kuai, J., Therrien, É., Rafi, S. B., Harwood, H. J., DeLaBarre, B., & Tong, L. (2019) · Nature · doi:10.1038/s41586-019-1094-6 · Cited by 184 · see citing works
Lipid-Lowering Agents: Targets Beyond PCSK9
Hegele, R. A., & Tsimikas, S. (2019) · Circulation Research · doi:10.1161/circresaha.118.313171 · Cited by 171 · see citing works
The IKKβ‐USP30‐ACLY Axis Controls Lipogenesis and Tumorigenesis
Gu, L., Zhu, Y., Lin, X., Lu, B., Zhou, X., Zhou, F., Zhao, Q., Prochownik, E. V., & Li, Y. (2020) · Hepatology · doi:10.1002/hep.31249 · Cited by 147 · see citing works
Molecular Regulation of Lipogenesis, Adipogenesis and Fat Deposition in Chicken
Nematbakhsh, S., Chong, P. P., Selamat, J., Nordin, N., Idris, L. H., & Razis, A. F. A. (2021) · Genes · doi:10.3390/genes12030414 · Cited by 139 · see citing works
Macrophage ATP citrate lyase deficiency stabilizes atherosclerotic plaques
Baardman, J., Verberk, S. G. S., van der Velden, S., Gijbels, M. J., van Roomen, C. P. A. A., Sluimer, J. C., Broos, J. Y., Griffith, G. R., Prange, K. H. M., van Weeghel, M., et al. (2020) · Nature Communications · doi:10.1038/s41467-020-20141-z · Cited by 127 · see citing works
Key Molecules of Fatty Acid Metabolism in Gastric Cancer
Li, C., Zhang, L., Qiu, Z., Deng, W., & Wang, W. (2022) · Biomolecules · doi:10.3390/biom12050706 · Cited by 113 · see citing works
Samsoondar, J. P., Burke, A. C., Sutherland, B. G., Telford, D. E., Sawyez, C. G., Edwards, J. Y., Pinkosky, S. L., Newton, R. S., & Huff, M. W. (2017) · Arteriosclerosis Thrombosis and Vascular Biology · doi:10.1161/atvbaha.116.308963 · Cited by 96 · see citing works
Self-citationCryo-EM as a powerful tool for drug discovery
Drie, J. H. V., & Tong, L. (2020) · Bioorganic & Medicinal Chemistry Letters · doi:10.1016/j.bmcl.2020.127524 · Cited by 94 · see citing works
Dyslipidemia Management in Adults With Diabetes
Lazarte, J., & Hegele, R. A. (2019) · Canadian Journal of Diabetes · doi:10.1016/j.jcjd.2019.07.003 · Cited by 87 · see citing works
The vital role of ATP citrate lyase in chronic diseases
Khwairakpam, A. D., Banik, K., Girisa, S., Shabnam, B., Shakibaei, M., Fan, L., Arfuso, F., Monisha, J., Wang, H., Mao, X., et al. (2019) · Journal of Molecular Medicine · doi:10.1007/s00109-019-01863-0 · Cited by 87 · see citing works
Neto, H. A. P., Ausina, P., Gomez, L. S., Leandro, J. G. B., Zancan, P., & Sola‐Penna, M. (2017) · Frontiers in Immunology · doi:10.3389/fimmu.2017.01478 · Cited by 77 · see citing works
Parental metabolic syndrome epigenetically reprograms offspring hepatic lipid metabolism in mice
Jesus, D. F. D., Orime, K., Kamińska, D., Kimura, T., Basile, G., Wang, C., Haertle, L., Riemens, R. J. M., Brown, N. K., Hu, J., et al. (2020) · Journal of Clinical Investigation · doi:10.1172/jci127502 · Cited by 68 · see citing works
Research progress on the pharmacological effects of berberine targeting mitochondria
Fang, X., Wu, H., Wei, J., Miao, R., Zhang, Y., & Tian, J. (2022) · Frontiers in Endocrinology · doi:10.3389/fendo.2022.982145 · Cited by 72 · see citing works
Molecular basis for acetyl-CoA production by ATP-citrate lyase
Wei, X., Schultz, K. C., Bazilevsky, G. A., Vogt, A. D., & Marmorstein, R. (2019) · Nature Structural & Molecular Biology · doi:10.1038/s41594-019-0351-6 · Cited by 58 · see citing works
Cohain, A. T., Barrington, W. T., Jordan, D. M., Beckmann, N. D., Argmann, C., Houten, S. M., Charney, A. W., Ermel, R., Sukhavasi, K., Franzén, O., et al. (2021) · Nature Communications · doi:10.1038/s41467-020-20750-8 · Cited by 58 · see citing works
Ruscica, M., Banach, M., Sahebkar, A., Corsini, A., & Sirtori, C. R. (2019) · Expert Opinion on Pharmacotherapy · doi:10.1080/14656566.2019.1583209 · Cited by 55 · see citing works
Song, T., Wang, P., Li, C., Li, J. X., Liang, Q., Cao, Y., Dong, P., Shi, H., & Jiang, M. (2020) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2020.111137 · Cited by 52 · see citing works
USP30: Structure, Emerging Physiological Role, and Target Inhibition
Wang, F., Gao, Y. P., Zhou, L., Chen, J., Xie, Z., Ye, Z., & Wang, Y. (2022) · Frontiers in Pharmacology · doi:10.3389/fphar.2022.851654 · Cited by 51 · see citing works
ATP-citrate lyase (ACLY) inhibitors as therapeutic agents: a patenting perspective
Granchi, C. (2022) · Expert Opinion on Therapeutic Patents · doi:10.1080/13543776.2022.2067478 · Cited by 47 · see citing works
Zhang, L., Zhou, Y., Yang, Z., Jiang, L., Yan, X., Zhu, W., Shen, Y., Wang, B., Li, J., & Song, J. (2025) · Journal of Neuroinflammation · doi:10.1186/s12974-025-03334-5 · Cited by 47 · see citing works
Burke, A. C., Telford, D. E., Sutherland, B. G., Edwards, J. Y., Sawyez, C. G., Barrett, P. H. R., Newton, R. S., Pickering, J. G., & Huff, M. W. (2018) · Arteriosclerosis Thrombosis and Vascular Biology · doi:10.1161/atvbaha.117.310676 · Cited by 46 · see citing works
Self-citationLi, B., Mi, J., & Yuan, Q. (2024) · Cell Death Discovery · doi:10.1038/s41420-024-02126-9 · Cited by 43 · see citing works
Lipid lowering drugs and inflammatory changes: an impact on cardiovascular outcomes?
Ruscica, M., Ferri, N., Macchi, C., Corsini, A., & Sirtori, C. R. (2018) · Annals of Medicine · doi:10.1080/07853890.2018.1498118 · Cited by 43 · see citing works
Huang, T., Ying, S.-H., Li, J.-Y., Chen, H., Zang, Y., Wang, W., Li, J. X., Xiong, J., & Hu, J. (2019) · Phytochemistry · doi:10.1016/j.phytochem.2019.112184 · Cited by 43 · see citing works
Nuclear localization of metabolic enzymes in immunity and metastasis
He, Y., Gao, M., Cao, Y., Tang, H., Liu, S., & Tao, Y. (2017) · Biochimica et Biophysica Acta (BBA) - Reviews on Cancer · doi:10.1016/j.bbcan.2017.07.002 · Cited by 39 · see citing works
Wang, Q., Liu, J., Chen, Z., Zheng, J., Wang, Y., & Dong, J. (2023) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2023.116021 · Cited by 40 · see citing works
Bempedoic Acid (ETC-1002): ATP Citrate Lyase Inhibitor
Zagelbaum, N. K., Yandrapalli, S., Nabors, C. C., & Frishman, W. H. (2018) · Cardiology in Review · doi:10.1097/crd.0000000000000218 · Cited by 37 · see citing works
Huang, S.-S., Tsai, C., Kuo, C., Li, Y.-S., & Cheng, S. (2022) · Endocrine · doi:10.1007/s12020-022-03124-6 · Cited by 36 · see citing works
Adenosine Triphosphate Citrate Lyase and Fatty Acid Synthesis Inhibition
Lau, F. D., & Giugliano, R. P. (2023) · JAMA Cardiology · doi:10.1001/jamacardio.2023.2402 · Cited by 38 · see citing works
Identification of key genes involved in type 2 diabetic islet dysfunction: a bioinformatics study
Zhong, M., Wu, Y., Ou, W., Huang, L., & Yang, L. (2019) · Bioscience Reports · doi:10.1042/bsr20182172 · Cited by 33 · see citing works
Modulation of matrix metabolism by ATP-citrate lyase in articular chondrocytes
Chen, L.-Y., Lotz, M., Terkeltaub, R. A., & Liu‐Bryan, R. (2018) · Journal of Biological Chemistry · doi:10.1074/jbc.ra118.002261 · Cited by 28 · see citing works
ATP-citrate lyase multimerization is required for coenzyme-A substrate binding and catalysis
Bazilevsky, G. A., Affronti, H. C., Wei, X., Campbell, S. L., Wellen, K. E., & Marmorstein, R. (2019) · Journal of Biological Chemistry · doi:10.1074/jbc.ra118.006685 · Cited by 28 · see citing works
Structure of ACLY in complex with CoA
Wei, X., & Marmorstein, R. (2019) · Worldwide Protein Data Bank · doi:10.2210/pdb6poe/pdb · Cited by 24 · see citing works
Emerging lipid lowering agents targeting LDL cholesterol
Wójcik, C. (2020) · Postgraduate Medicine · doi:10.1080/00325481.2020.1751422 · Cited by 23 · see citing works
Emerging Fixed-Dose Combination Treatments for Hyperlipidemia
Pappa, E. T., Rizos, C. V., Filippatos, T. D., & Elisaf, M. (2019) · Journal of Cardiovascular Pharmacology and Therapeutics · doi:10.1177/1074248419838506 · Cited by 23 · see citing works
Liu, W., Liu, M., Xiong, H., Xia, L., Yang, Q., Chen, M., Cai, Y., & Li, S. (2022) · International Immunopharmacology · doi:10.1016/j.intimp.2022.109392 · Cited by 22 · see citing works
Ahonen, M. A., Asghar, M. Y., Parviainen, S. J., Liebisch, G., Höring, M., Leidenius, M., Fischer‐Posovszky, P., Wabitsch, M., Mikkola, T. S., Törnquist, K., et al. (2020) · Biochimica et Biophysica Acta (BBA) - Molecular and Cell Biology of Lipids · doi:10.1016/j.bbalip.2020.158841 · Cited by 22 · see citing works
Liu, Y., Wang, M., Guo, Y., Wang, L., & Guo, W. (2023) · Cell Reports · doi:10.1016/j.celrep.2023.112067 · Cited by 20 · see citing works
Fornes, R., Manti, M., Qi, X., Vorontsov, E. A., Sihlbom, C., Nystrom, J. C., Jerlhag, E., Maliqueo, M. A., Hirschberg, A. L., Carlström, M., et al. (2019) · International Journal of Obesity · doi:10.1038/s41366-018-0314-8 · Cited by 19 · see citing works
Arsenault, B. J., Perrot, N., & Puri, R. (2018) · Clinical Pharmacology & Therapeutics · doi:10.1002/cpt.1110 · Cited by 21 · see citing works
Lü, H., Lei, X., Winkler, R., John, S., Kumar, D., Li, W., & Alnouti, Y. (2022) · Lipids in Health and Disease · doi:10.1186/s12944-022-01654-6 · Cited by 18 · see citing works
Chen, B., Xiao, W., Zou, Z., Zhu, J., Li, D., Yu, J., & Yang, H. (2022) · Frontiers in Genetics · doi:10.3389/fgene.2022.879570 · Cited by 18 · see citing works
A role for ATP Citrate Lyase in cell cycle regulation during myeloid differentiation
Rhee, J., Solomon, L. A., & DeKoter, R. P. (2019) · Blood Cells Molecules and Diseases · doi:10.1016/j.bcmd.2019.02.006 · Cited by 18 · see citing works
Bhagavathula, A. S., Matrooshi, N. O. A., Clark, C. C. T., & Rahmani, J. (2020) · Clinical Drug Investigation · doi:10.1007/s40261-020-00989-1 · Cited by 20 · see citing works
Chen, H.-W., Jiang, C., Ma, G.-L., Wu, X., Jiang, W., Li, J., Zang, Y., Li, J. X., Xiong, J., & Hu, J. (2023) · Phytochemistry · doi:10.1016/j.phytochem.2023.113687 · Cited by 17 · see citing works
Zhang, L., Hu, W., Qiu, Z., Li, Z., & Bian, J. (2023) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.3c00179 · Cited by 17 · see citing works
Chen, H., Jiang, C., Li, J., Li, N., Zang, Y., Wu, X., Chen, W., Xiong, J., Li, J. X., & Hu, J. (2021) · RSC Advances · doi:10.1039/d1ra08377e · Cited by 16 · see citing works
Ácido bempedoico. Mecanismo de acción y propiedades farmacocinéticas y farmacodinámicas
Masana, L., & Plana, N. (2021) · Clínica e Investigación en Arteriosclerosis · doi:10.1016/j.arteri.2021.02.012 · Cited by 15 · see citing works
Bempedoic Acid in the Treatment of Patients with Dyslipidemias and Statin Intolerance
Susekov, A. V., Король, Л. А., & Watts, G. F. (2021) · Cardiovascular Drugs and Therapy · doi:10.1007/s10557-020-07139-x · Cited by 13 · see citing works
Tam, B. T., Murphy, J., Khor, N., Morais, J. A., & Santosa, S. (2020) · Endocrinology · doi:10.1210/endocr/bqaa142 · Cited by 13 · see citing works
Ballester, M., Quintanilla, R., Ortega, F. J., Serrano, J. C. E., Cassanyé, A., Rodrı́guez-Palmero, M., Moreno-Muñoz, J. A., Portero‐Otín, M., & Tibau, J. (2020) · Scientific Reports · doi:10.1038/s41598-020-62320-4 · Cited by 12 · see citing works
Diretriz Brasileira de Dislipidemias e Prevenção da Aterosclerose – 2025
Rached, F. H., Miname, M. H., Rocha, V. Z., Zimerman, A., Cesena, F. Y., Sposito, A. C., Santos, R. D., Behr, P. E. B., Bianco, H. T., Alves, R. J., et al. (2025) · Arquivos Brasileiros de Cardiologia · doi:10.36660/abc.20250640 · Cited by 45 · see citing works
Allosteric role of the citrate synthase homology domain of ATP citrate lyase
Wei, X., Schultz, K. C., Pepper, H. L., Megill, E., Vogt, A. D., Snyder, N. W., & Marmorstein, R. (2023) · Nature Communications · doi:10.1038/s41467-023-37986-9 · Cited by 11 · see citing works
Discovery of Allosteric Inhibition of Human ATP-Citrate Lyase
Granchi, C. (2019) · Trends in Pharmacological Sciences · doi:10.1016/j.tips.2019.04.008 · Cited by 11 · see citing works
ATP Citrate Lyase: A New Player Linking Skeletal Muscle Metabolism and Epigenetics
Li, H., & Sartorelli, V. (2018) · Trends in Endocrinology and Metabolism · doi:10.1016/j.tem.2018.01.006 · Cited by 10 · see citing works
Zhu, G., Cao, L., Wu, J., Xu, M., Zhang, Y., Wu, M., & Li, J. (2024) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2024.116875 · Cited by 9 · see citing works
Zang, Y.-J., Shi, M., Tai, L., Hu, Y.-Y., Wang, Y., Zheng, R., Feng, Z., Yuan, H., Wen, X., & Dai, L. X. (2025) · European Journal of Medicinal Chemistry · doi:10.1016/j.ejmech.2025.117684 · Cited by 8 · see citing works
Recent Advances in the Genetics of Atherothrombotic Disease and Its Determinants
Dron, J. S., Ho, R., & Hegele, R. A. (2017) · Arteriosclerosis Thrombosis and Vascular Biology · doi:10.1161/atvbaha.117.309934 · Cited by 8 · see citing works
Research progress and therapeutic strategies in hepatocellular carcinoma metabolic reprogramming
Wang, H., Lun, Y., Xu, D., Jiang, H., Yan, Y., & Yang, X. H. (2025) · Journal of Advanced Research · doi:10.1016/j.jare.2025.08.023 · Cited by 7 · see citing works
Patti, G., Cavallari, I., Cesaro, A., Gragnano, F., Riva, L., Fimiani, F., Cuccia, C., Fresco, C., Calabrò, P., Leonardi, S., et al. (2022) · Vascular Pharmacology · doi:10.1016/j.vph.2022.107137 · Cited by 6 · see citing works
Hu, Z., Liu, Y.-N., Yu, M.-H., Hou, A., Li, J.-Y., Li, Y., & Lei, C. (2024) · Fitoterapia · doi:10.1016/j.fitote.2023.105813 · Cited by 6 · see citing works
Ma, C., Wang, S., Shi, Q., Guo, M.-D., Yang, Y., Fu, J., Chen, X., Mao, Y.-C., Huang, X., Zhu, J., et al. (2025) · PLANT PHYSIOLOGY · doi:10.1093/plphys/kiaf044 · Cited by 5 · see citing works
Juan, Z., Liu, X., Yue, J., Zhang, S., Li, L., & Wei, H. (2024) · Frontiers in Veterinary Science · doi:10.3389/fvets.2024.1429639 · Cited by 5 · see citing works
Dron, J. S., Lazarte, J., & Hegele, R. A. (2018) · Arteriosclerosis Thrombosis and Vascular Biology · doi:10.1161/atvbaha.118.311581 · Cited by 4 · see citing works
Radiogenomic landscape: Assessment of specific phagocytosis regulators in lower-grade gliomas
Maimaiti, A., Abulaiti, A., Tang, B., Dilixiati, Y., Li, X., Yakufu, S., Wang, Y., Jiang, L., & Shao, H. (2023) · Experimental Biology and Medicine · doi:10.1177/15353702231211939 · Cited by 3 · see citing works
Bempedoic acid as adjunct for traditional lipid-lowering therapy in patients with hyperlipidaemia
Schimmenti, C., Sucato, V., Manzone, E., Cancellieri, G., Mortillaro, F., Novo, G., Galassi, A. R., & Venturella, F. (2020) · Coronary Artery Disease · doi:10.1097/mca.0000000000000976 · Cited by 3 · see citing works
Sadasevevam, R., Aminudin, N., & Abdullah, N. (2025) · Prostaglandins & Other Lipid Mediators · doi:10.1016/j.prostaglandins.2025.107011 · Cited by 2 · see citing works
Role of metabolic reprogramming in colorectal cancer and pharmacologic intervention
Chen, Y., Dong, J., Miao, J., Qi, J., & Kong, X. (2025) · International Immunopharmacology · doi:10.1016/j.intimp.2025.115864 · Cited by 2 · see citing works
Chen, L., Ma, J., Xu, W., Shen, F., Yang, Z., Sonne, C., Dietz, R., Li, L., Jie, X., Li, L., et al. (2024) · Evolutionary Applications · doi:10.1111/eva.13731 · Cited by 2 · see citing works
Lü, Y., Wang, Y., Bao, X., Lv, X., & Huang, Y. (2025) · Ecotoxicology and Environmental Safety · doi:10.1016/j.ecoenv.2025.118152 · Cited by 2 · see citing works
The Pathogenetic Basis of the Action of Bempedoic Acid
Petrosyan, A. S., Rud', R. S., Polyakov, P. P., Каде, А. Х., & Zanin, S. A. (2023) · Rational Pharmacotherapy in Cardiology · doi:10.20996/1819-6446-2022-12-11 · Cited by 2 · see citing works
Das, A. M. (2023) · Genes & Nutrition · doi:10.1186/s12263-023-00733-2 · Cited by 1 · see citing works
Efficacy and Safety of Bempedoic Acid in Lipid Disorder Therapy: A Review of Clinical Trials
Dąbrowska, P., Żuber, M., & Dacka, M. (2024) · Prospects in Pharmaceutical Sciences · doi:10.56782/pps.208 · Cited by 1 · see citing works
ATP Citrate Lyase ClACLB-1 Facilitates Citrate Cleavage in Lemon
Lu, C., Yang, W., Zhang, H., Wu, Y., Meng, H., Lv, L., Lu, W., Zhao, D., & Huang, G. (2024) · Plants · doi:10.3390/plants14010053 · Cited by 1 · see citing works
Defining the role of bempedoic acid in lowering low-density lipoprotein cholesterol
Korzh, O. (2020) · Journal of Applied Pharmaceutical Science · doi:10.7324/japs.2020.101217 · Cited by 1 · see citing works
Atherosclerosis: Cholesterol Management
Edmondson, S. D., Burnett, D. A., & Davis, H. R. (2021) · Wiley eBooks · doi:10.1002/0471266949.bmc185.pub2 · Cited by 1 · see citing works
General Perspectives for the Treatment of Atherosclerosis
Gülcan, H. O., & Orhan, İ. E. (2020) · Letters in Drug Design & Discovery · doi:10.2174/1570180817999201016154400
Efficacy and Safety of Bempedoic Acid in Patients with High Cardiovascular Risk: An Update
Çaklılı, Ö. T., Rizzo, M., & Cesur, M. (2024) · Current Vascular Pharmacology · doi:10.2174/0115701611290763240126045433
Zheng, X., Yang, C., Bian, D., Shi, G., Wang, L., Li, X., Chen, Y., Xin, H., & Wang, L. (2026) · Epigenomics · doi:10.1080/17501911.2026.2617186
Li, S., Wang, H., Ye, Q., Wu, Z., Zhang, Z., Wang, X., Hu, X., Chen, J., Liu, J., Guo, D., et al. (2026) · Rice · doi:10.1186/s12284-026-00914-8
Ding, H.-Y., Li, H., Sun, C.-H., Chen, P.-T., Chen, S.-S., Wu, X.-X., Hu, C., Zeng, H., Zheng, J.-P., Chen, K., et al. (2026) · Journal of Advanced Research · doi:10.1016/j.jare.2026.05.054
Aging and Cardiovascular Health: CVIA State-of-the-Art Review
Liu, N., Wang, W., Miao, R., Zhao, J., Yu, C., Hong, W., Zhao, M., Wan, Z., Peng, J., Zhang, L., et al. (2026) · Cardiovascular Innovations and Applications · doi:10.15212/cvia.2026.0009
ATP Citrate Lyase in Metabolic Disease: Mechanistic Insights and Clinical Potential
Wang, W., Li, X., Shi, H., Song, G., Xie, Z., & Li, J. (2026) · iNew Medicine · doi:10.1002/inm3.70077
Research progress on ATP-citrate lyase and its inhibitors: a metabolic-epigenetic perspective
Liu, Q., Sun, H., & Dai, L. (2026) · Journal of Enzyme Inhibition and Medicinal Chemistry · doi:10.1080/14756366.2026.2744392
- Authors
- Burke, A. C., & Huff, M. W.
- Affiliations
- Western University (CA)
- Corresponding author
- Huff, Murray W.
- ORCID
- Huff, Murray W.
- Venue
- Current Opinion in Lipidology
- Published
- 2017-04
- Volume
- 28
- Issue
- 2
- Pages
- 193-200
- ISSN
- 0957-9672 (ISSN-L)
- 1473-6535
- OpenAlex
- W2568968070
- Cited by
- 91
- References
- 54
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 9 · 2023: 11 · 2022: 9 · 2021: 7 · 2020: 14 · 2019: 15 · 2018: 8 · 2017: 4
- FWCI
- 2.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Lipidology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Lipids, and Metabolism
- Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
- Keywords
- ATP citrate lyase, bempedoic acid, LDL cholesterol lowering, dyslipidemia, acetyl-CoA, lipogenesis, hepatic steatosis, atherosclerosis, genetic variants, fish oil, ezetimibe, statin intolerance, hypercholesterolemia, cholesterol biosynthesis, fatty acid synthesis
- MeSH terms
- Animals, ATP Citrate (pro-S)-Lyase, Dicarboxylic Acids, Enzyme Inhibitors, Fatty Acids, Humans, Dyslipidemias, Molecular Targeted Therapy
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