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Fibrate Mechanism of Action - The Center for Cholesterol Management

Fibrate Mechanism of Action - The Center for Cholesterol Management

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<strong>Fibrate</strong>s and Triglyceride Synthesis<br />

Hepatocyte<br />

Free <strong>Cholesterol</strong> Cholesteryl<br />

ester<br />

FFA<br />

Diacylglyc<br />

erol<br />

XDGAT2<br />

Endoplasmic<br />

Reticulum<br />

Apo B Lipidation<br />

TG<br />

Diacylglycerol 2<br />

acyltransferase (DGAT2)<br />

is a microsomal enzyme<br />

that plays a role in the<br />

hepatic assembly <strong>of</strong> de<br />

novo synthesized fatty<br />

acid into TG<br />

DGAT2 catalyzes the terminal and<br />

only committed step in cellular TG<br />

synthesis by using diacylglycerol and<br />

fatty acyl-CoA as its substrates<br />

Gemfibrozil, a fibrate noncompetitively<br />

and directly<br />

inhibits DGAT2 reducing TG<br />

synthesis and subsequently<br />

apoB lipidation<br />

Zhu D, et al Atherosclerosis 2002, 164:221–228.

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