Fibrates such as bezafibrate and fenofibrate, alongside highly selective PPARα agonists like GW7647 and WY-14643, serve to enhance the expression of genes involved in the breakdown of fatty acids, which in turn may raise the enzymatic demand for ACSM5. By activating PPARα, these compounds not only elevate the transcription of genes directly linked to fatty acid oxidation but also set the stage for ACSM5 to play a more prominent role in cellular lipid processing. In parallel, PPARγ agonists, including rosiglitazone and pioglitazone, traditionally associated with modulating glucose metabolism, are known to have a significant bearing on lipid handling within the cell. Their influence on lipid metabolism provides a conducive environment for ACSM5 activity by potentially altering fatty acid availability and necessitating increased ACSM5-mediated metabolism. The branched-chain amino acid L-Leucine can initiate a cascade of events through the activation of the mTOR pathway, a central regulator of cell growth and protein synthesis, which may also have repercussions on the expression levels of ACSM5.
Further indirect activation pathways involve compounds such as L-Carnitine, which is crucial for the shuttling of fatty acids into the mitochondria for subsequent beta-oxidation, an essential process that creates a demand for the substrate channeling functions of ACSM5. The suite of omega-3 fatty acids, namely α-linolenic acid, Eicosa-5Z,8Z,11Z,14Z,17Z-pentaenoic Acid (20:5, n-3), and Docosa-4Z,7Z,10Z,13Z,16Z,19Z-hexaenoic Acid (22:6, n-3), is integral to the modulation of lipid metabolism, which can signal the need for ACSM5's enzymatic action. Additionally, SIRT1 activators like resveratrol can modulate cellular metabolism by influencing the acetylation status of transcription factors, potentially leading to an upregulation of ACSM5 expression.
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