Gene Location: Chromosome 11q22.3-q23.1, spanning 27 kb with 12 exons .
Promoter Region: Lacks a TATA box but contains GC-rich sequences, CAAT boxes, and transcription factor binding sites (e.g., Sp1) .
mRNA Variants: Produces chimeric mRNA via trans-splicing, yielding two isoforms:
50 kDa isoform: Translated from AUG(1397–1399).
56 kDa isoform: Translated from GGC(1274–1276), predominant in human macrophages .
Molecular weight: 45.1 kDa (427 amino acids).
Homotetrameric organization with nine transmembrane domains (TMDs).
ACAT1 catalyzes two critical reactions:
Isoleucine Catabolism: Converts 2-methyl-acetoacetyl-CoA to propionyl-CoA and acetyl-CoA during protein breakdown .
Ketone Metabolism:
Activated by potassium ions binding near the catalytic site .
Upregulated by insulin (via ERK, p38MAPK, and JNK pathways) and leptin .
Symptoms: Ketoacidotic attacks (vomiting, dehydration, coma) before age 2 .
Pathology: Toxic accumulation of organic acids (e.g., 2-methyl-3-hydroxybutyrate) leads to metabolic acidosis and neurological damage .
Mutation Type | Effect | Prevalence |
---|---|---|
Missense (e.g., H302R) | Partial loss of enzymatic activity | ~60% of reported cases |
Nonsense/Frameshift | Complete loss of functional enzyme | ~40% of reported cases |
ACAT1 overexpression is linked to tumor progression and immune evasion:
ACAT1 inhibition elevates CD8+ T cell cholesterol, enhancing anti-tumor immunity .
Avasimibe combined with PD-1 inhibitors synergistically reduces melanoma growth .
Expression System: E. coli-derived recombinant ACAT1 (43.8 kDa, His-tagged) .
Applications:
Human ACAT1 is a 45.1 kDa protein composed of 427 amino acids that forms a homotetrameric structure with nine transmembrane domains (TMDs). The gene is located on chromosome 11q22.3-q23.1, spanning approximately 27 kb and containing twelve exons interrupted by eleven introns . The protein is primarily localized within the mitochondria of cells, where it performs its enzymatic functions related to lipid and protein metabolism .
Methodologically, researchers studying ACAT1 structure should note that the 5′ end of the gene lacks a TATA box but contains numerous GC sequences and two CAAT boxes. Additionally, the gene contains binding sites for various transcription factors, including Sp1, and has a 101-bp DNA fragment immediately upstream from the cap site that demonstrates promoter activity .
ACAT1 catalyzes the reversible formation of acetoacetyl-CoA from two molecules of acetyl-CoA, playing pivotal roles in multiple metabolic pathways . In protein metabolism, ACAT1 is crucial for breaking down the amino acid isoleucine into smaller molecules like acetyl-CoA and propionyl-CoA, which are essential for energy production .
In lipid metabolism, ACAT1 participates in the breakdown of dietary fats and is key in ketone body metabolism, performing critical reactions in both synthesis and degradation of ketones . In the liver specifically, ACAT1 can operate this reaction in reverse as part of the ketogenesis pathway, highlighting its bidirectional metabolic importance .
When investigating ACAT1 metabolic functions experimentally, researchers should consider analyzing enzyme activity in different tissue types, as ACAT1 exhibits tissue-specific expression patterns, with prominent expression in tissues with high metabolic activity like the liver, intestine, and macrophages .
Two significant SNPs have been identified in human ACAT1:
The rs1044925 SNP: The C allele of this SNP is common in populations of central and southern Europe (35.4% allele frequency). In hypercholesterolemic subjects, this SNP shows a sex-specific association with serum HDL-C and ApoAI levels in males, potentially influencing cholesterol levels and cardiometabolic health .
The residue 526 SNP: A single nucleotide polymorphism exists at residue 526 where the codon is either CAG for glutamine (Q) or CGG for arginine (R). Approximately 13% of Japanese and 14% of Chinese populations are homozygous with R526, while about 75-88% of European and 100% of African American populations are homozygous with Q526 . Functionally, ACAT1 with Q526 is catalytically less active than ACAT1 R526 by approximately 40% .
Methodologically, researchers investigating these SNPs should consider population stratification in their study design and perform appropriate genotype-phenotype correlation analyses to understand the functional significance of these genetic variations.
The Q526R polymorphism (CAG to CGG) in human ACAT1 has significant biochemical implications. Research demonstrates that the Q526 variant exhibits approximately 40% less enzymatic activity compared to the R526 variant . This substantial difference in catalytic efficiency suggests potential clinical implications.
For researchers investigating this polymorphism, methodology should include:
Enzyme activity assays comparing both variants under identical conditions
Western blot analysis to confirm equal protein expression levels when comparing activity
Normalization of enzyme activity to account for variations in protein expression
Statistical analysis to determine significance of activity differences
The distribution of these variants shows clear ethnic differences, with R526 being more common in East Asian populations (13-14% homozygosity) while Q526 predominates in European and African American populations (75-100% homozygosity) . This distribution pattern suggests potential for population-specific disease susceptibility studies.
Given the reduced activity of the more common Q526 variant in Western populations, researchers should consider investigating whether this polymorphism correlates with altered susceptibility to metabolic disorders, particularly those involving ketone metabolism, isoleucine processing, or lipid homeostasis.
Current research presents several nuanced and sometimes contradictory findings regarding hormonal regulation of ACAT1. While insulin has been demonstrated to upregulate ACAT1 expression in macrophages, suggesting promotion of cholesterol esterification and storage, the complete regulatory picture appears more complex across different tissue types .
Conversely, glucagon and catecholamines appear to inhibit ACAT1 activity, promoting lipolysis and fatty acid oxidation . This creates an interesting regulatory dichotomy that requires careful experimental design to fully characterize.
Methodological considerations for researchers investigating these regulatory pathways should include:
Tissue-specific analysis of ACAT1 expression and activity in response to hormonal stimuli
Time-course experiments to capture both acute and chronic regulatory effects
Consideration of potential feedback mechanisms and compensatory pathways
Analysis of post-translational modifications that may mediate hormone effects
A critical research gap exists in understanding how these hormonal regulatory mechanisms may be altered in pathological states such as insulin resistance, diabetes, or metabolic syndrome, presenting important opportunities for future investigation.
The human ACAT1 gene produces a chimeric mRNA through an unusual trans-splicing mechanism, where separate transcripts from chromosomes 1 and 7 are spliced together . This chimeric mRNA utilizes two distinct translation initiation sites: AUG(1397-1399) and GGC(1274-1276), resulting in the production of two enzymatically active isoforms of 50-kDa and 56-kDa, respectively .
This unique gene expression mechanism creates several important considerations for experimental design:
Researchers must carefully select primers and probes for gene expression analysis that account for both chromosomal locations
When creating expression constructs, inclusion of appropriate upstream sequences is crucial to capture potential regulatory elements from both chromosomes
Protein detection methods should be designed to detect both the 50-kDa and 56-kDa isoforms
Functional studies should consider potential activity differences between these isoforms
The presence of naturally occurring 56-kDa isoform in human cells, including monocyte-derived macrophages, suggests tissue-specific regulation of this trans-splicing event . This complexity necessitates careful consideration when extrapolating results between different cell types or when using model organisms that may lack this trans-splicing mechanism.
Measuring ACAT1 activity accurately requires consideration of several methodological factors. Based on published research approaches, the following methodologies are recommended:
For cell-based systems:
Normalize enzyme activity by protein expression levels using Western blot analysis with specific ACAT1 antibodies
Include appropriate controls for antibody specificity, as demonstrated in research comparing Q526 and R526 variants
Use loading controls such as tubulin to ensure consistent sample preparation
For recombinant protein analysis:
For clinical samples:
In all experimental systems, researchers should consider the reversible nature of the ACAT1-catalyzed reaction and design assays that can distinguish between forward and reverse reactions depending on the metabolic pathway under investigation.
When conducting genetic analysis of ACAT1 variants, researchers should employ methodologies appropriate to their specific research questions:
For SNP analysis (such as rs1044925 or the Q526R polymorphism):
PCR-RFLP (Restriction Fragment Length Polymorphism) analysis can be utilized when the SNP creates or abolishes a restriction enzyme recognition site
Allele-specific PCR provides a cost-effective approach for known variants
Real-time PCR with allele-specific probes offers higher throughput capabilities
For comprehensive mutation screening:
Targeted sequencing of the entire ACAT1 coding region is necessary to identify the more than 100 known mutations associated with beta-ketothiolase deficiency
Next-generation sequencing approaches may be warranted for population studies
Functional validation of novel variants should be performed through expression studies
Sample collection considerations:
DNA extraction from blood provides high-quality samples for detailed genetic analysis
Saliva or cheek swab samples offer less invasive alternatives suitable for larger population studies
Prior to genetic testing, consultation with appropriate ethics committees is essential, particularly when studying disease-associated variants
When publishing genetic findings, researchers should report allele frequencies in context of specific population backgrounds and consider established nomenclature guidelines to ensure consistency across the literature.
Beta-ketothiolase deficiency (also known as mitochondrial acetoacetyl-CoA thiolase (T2) deficiency) results from mutations in the ACAT1 gene that impair enzyme function. More than 100 ACAT1 mutations have been identified in patients with this condition . The pathophysiological mechanisms involve:
For researchers investigating this disorder, methodological approaches should include:
Analysis of organic acid profiles in urine during both metabolic crises and stable periods
Enzymatic assays in patient fibroblasts or lymphocytes to quantify residual ACAT1 activity
Correlation studies between specific mutations, enzyme activity levels, and clinical severity
Development of appropriate cellular or animal models that recapitulate the biochemical phenotype
Understanding these pathophysiological mechanisms has important implications for newborn screening strategies and management approaches for affected individuals .
ACAT1 plays critical roles in lipid metabolism that have important implications for cardiovascular disease risk. Research indicates several key relationships:
ACAT1 SNPs and lipid profiles: The rs1044925 SNP shows sex-specific associations with serum HDL-C and ApoAI levels in hypercholesterolemic males . Similarly, the -77G>A mutation relates to plasma HDL concentration in hyperlipidemic subjects, with potential impact on cholesterol efflux .
Macrophage foam cell formation: In macrophages, ACAT1 contributes to cholesterol esterification and foam cell formation, key processes in atherosclerosis development . The -77G>A mutation may reduce ACAT1 protein levels, potentially leading to increased free cholesterol and HDL-C efflux, which could be protective against foam cell formation .
Metabolic syndrome connections: ACAT1 dysregulation has been implicated in metabolic disorders including obesity, insulin resistance, and non-alcoholic fatty liver disease (NAFLD), all of which contribute to cardiovascular risk .
For cardiovascular researchers, methodological considerations should include:
Combined assessment of ACAT1 genetic variants with comprehensive lipid profiling
Analysis of ACAT1 expression in relevant tissues (arterial wall, macrophages) from cardiovascular disease patients
Investigation of ACAT1 activity in response to therapeutic interventions (statins, lifestyle modifications)
Consideration of sex-specific effects in study design and analysis
These relationships highlight the potential of ACAT1 as both a biomarker and therapeutic target in cardiovascular disease prevention and management.
The ACAT1 gene is located on chromosome 11q22.3-q23.1 and spans approximately 27 kilobases. It contains twelve exons interrupted by eleven introns . The gene’s promoter region lacks a TATA box but contains multiple GC-rich sequences and CAAT boxes, which are essential for transcription factor binding .
The human ACAT1 gene produces a chimeric mRNA through trans-splicing, a process where separate transcripts from chromosomes 1 and 7 are spliced together . This results in the translation of two isoforms: a 50-kDa ACAT1 and a 56-kDa isoform, both of which are enzymatically active .
The ACAT1 protein is a homotetramer composed of 427 amino acids, with a molecular weight of approximately 45.1 kDa . It has nine transmembrane domains, with the active site containing a histidine residue at the 460th position .
ACAT1 is a mitochondrially localized enzyme that catalyzes the reversible formation of acetoacetyl-CoA from two molecules of acetyl-CoA . This reaction is a critical step in the ketone body metabolism and cholesterol biosynthesis pathways . The enzyme is unique in its ability to use 2-methyl-branched acetoacetyl-CoA as a substrate, making it a distinct thiolase .
The enzyme’s activity is regulated by potassium ions, which bind near the CoA binding site and the catalytic site, causing a structural change in the active site loop . This regulation is essential for the enzyme’s function in various metabolic processes.
Mutations in the ACAT1 gene are associated with 3-ketothiolase deficiency, an inborn error of isoleucine catabolism . This condition is characterized by the urinary excretion of 2-methyl-3-hydroxybutyric acid, 2-methylacetoacetic acid, tiglylglycine, and butanone . Patients with this deficiency may present with metabolic acidosis, developmental delay, and other clinical symptoms.
Recombinant human ACAT1 is produced using various expression systems to study its structure, function, and potential therapeutic applications . The recombinant protein is often tagged with histidine to facilitate purification and characterization . This allows researchers to investigate the enzyme’s role in metabolic pathways and its potential as a target for therapeutic interventions.