CPT-1

Carnitine palmitoyltransferase 1 (CPT-1) is an outer mitochondrial membrane enzyme that catalyzes the formation of acylcarnitines from long-chain fatty acyl-CoA and carnitine, thereby controlling the entry of long-chain fatty acids into mitochondria for β-oxidation and serving as a key rate-limiting step in mitochondrial fatty acid oxidation[1][1]. Mechanistically, CPT-1 functions within the carnitine shuttle system and cooperates with CPT2 to support mitochondrial utilization of long-chain fatty acids for energy production[1]. The activity of CPT-1 is tightly regulated by malonyl-CoA, an endogenous inhibitor that suppresses fatty acid oxidation through inhibition of CPT-1-mediated fatty acid transport into mitochondria[2][3][4]. This regulatory axis integrates nutrient status with lipid metabolism and is a central component of the AMPK-ACC-CPT1 pathway controlling mitochondrial β-oxidation[5]. Dysregulation of CPT-1-dependent fatty acid oxidation has been implicated in metabolic disorders, insulin resistance, inherited fatty acid oxidation defects, and cancer-associated metabolic reprogramming[1][6]. Compared with related isoforms, CPT1A is predominantly expressed in liver and exhibits lower sensitivity to malonyl-CoA, whereas CPT1B is enriched in heart and skeletal muscle and displays substantially greater malonyl-CoA sensitivity[4][7]. CPT1C is primarily expressed in the nervous system and possesses distinct biological functions that differ from the canonical fatty acid oxidation roles of CPT1A and CPT1B[8]. For experimental applications, pharmacological inhibition of CPT1, including inhibition of CPT1A activity, is widely used to investigate fatty acid oxidation-dependent metabolic pathways and disease mechanisms[6].
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