Review
Acyl-CoA:cholesterol acyltransferases (ACATs/SOATs): Enzymes with multiple sterols as substrates and as activators

https://doi.org/10.1016/j.jsbmb.2014.09.008Get rights and content

Highlights

  • ACATs esterify both sterols and certain steroids including pregnenolonone.

  • ACATs contain two different steroidal binding sites.

  • ACATs are drug targets to treat several human diseases.

  • The novelty of ACAT enzymology can be exploited to develop allosteric ACAT inhibitors.

Abstract

Cholesterol is essential to the growth and viability of cells. The metabolites of cholesterol include: steroids, oxysterols, and bile acids, all of which play important physiological functions. Cholesterol and its metabolites have been implicated in the pathogenesis of multiple human diseases, including: atherosclerosis, cancer, neurodegenerative diseases, and diabetes. Thus, understanding how cells maintain the homeostasis of cholesterol and its metabolites is an important area of study. Acyl-coenzyme A:cholesterol acyltransferases (ACATs, also abbreviated as SOATs) converts cholesterol to cholesteryl esters and play key roles in the regulation of cellular cholesterol homeostasis. ACATs are most unusual enzymes because (i) they metabolize diverse substrates including both sterols and certain steroids; (ii) they contain two different binding sites for steroidal molecules. In mammals, there are two ACAT genes that encode two different enzymes, ACAT1 and ACAT2. Both are allosteric enzymes that can be activated by a variety of sterols. In addition to cholesterol, other sterols that possess the 3-beta OH at C-3, including PREG, oxysterols (such as 24(S)-hydroxycholesterol and 27-hydroxycholesterol, etc.), and various plant sterols, could all be ACAT substrates. All sterols that possess the iso-octyl side chain including cholesterol, oxysterols, various plant sterols could all be activators of ACAT. PREG can only be an ACAT substrate because it lacks the iso-octyl side chain required to be an ACAT activator. The unnatural cholesterol analogs epi-cholesterol (with 3-alpha OH in steroid ring B) and ent-cholesterol (the mirror image of cholesterol) contain the iso-octyl side chain but do not have the 3-beta OH at C-3. Thus, they can only serve as activators and cannot serve as substrates. Thus, within the ACAT holoenzyme, there are site(s) that bind sterol as substrate and site(s) that bind sterol as activator; these sites are distinct from each other. These features form the basis to further pursue ACAT structure–function analysis, and can be explored to develop novel allosteric ACAT inhibitors for therapeutic purposes.

This article is part of a Special Issue entitled ‘Steroid/Sterol signaling’.

Section snippets

ACAT enzymes

Acyl-CoA:cholesterol acyltransferases (ACATs), also known as sterol O-acyltransferases (SOATs), play important roles in cellular cholesterol homeostasis and are drug targets for therapeutic intervention of several diseases including atherosclerosis (reviewed in [1]), Alzheimer’s disease [2], [3], [4], [5] and cancer [6]. In mammals, two genes that encode two different proteins exist: Acat1 and Acat2 [7]. Along with acyl-CoA:diacylglycerol acyltransferase 1 (DGAT1), ACAT1 and ACAT2 are founding

PREG esterification and ACAT

PREG is the obligatory precursor for all steroid hormones. Biosynthesis of PREG occurs in mitochondria, using cholesterol (CHOL) as the precursor [25,26]. Once produced, PREG can be converted by enzymes in the mitochondria and in the ER to various steroid hormones. In addition, PREG can be stored as fatty acyl esters. Steroid fatty acyl esters can provide a means to quickly provide a substrate pool in times of need. Lipoidal conjugates of PREG were first identified in the bovine adrenal [27].

Analysis of ACAT activators when PREG is used as the substrate

Rogers et al. [34] showed that, in the absence of cholesterol, PREG is a very poor substrate. However, the addition of cholesterol in the assay mixture increases the rate of PREG esterification by 100-fold. The result of the converse experiment showed that when CHOL was used as the substrate, PREG had minimal effect on CHOL esterification. These results show that PREG is a substrate but it cannot serve as an activator for ACAT1. Similar results were obtained when ACAT2 was used as the enzyme

ACAT and neurosteroid esterification

Neurosteroids including the steroids PREG, DHEA, progesterone and allopregnanolone etc., are synthesized de novo in the brain by neurons and astrocytes, or are produced in peripheral tissues but accumulate in the central nervous system [39,40]. Various neurosteroids possess many interesting biological activities. For example, neurosteroids can allosterically regulate gamma-aminobutyric acid receptors [41]. PREG sulfate, which contains a sulfate ester at the 3β-hydroxyl moiety, can potentiate

ACAT and oxysterol esterification

Cholesterol is the precursor for various oxidized sterols, such as: 7α-hydroxycholesterol, 22(R)-hydroxycholesterol, 24(S)-hydroxcholesterol, 25-hydroxycholesterol and 27-hydroxycholesterol [48]. 7α-hydroxycholesterol is the obligatory precursor for bile acid biosynthesis. 22(R)-hydroxycholesterol is the obligatory sterol intermediate in order to form PREG. 24(S)-hydroxycholesterol is the major oxysterol present in the brain, and plays important role in mediating the excretion of cholesterol

Future perspectives

ACATs are drug targets. Previously, most of the effort has been focused on targeting ACAT to treat atherosclerosis. Recent work demonstrated substantial benefits of inhibiting ACAT1 in mouse models of Alzheimer’s disease [2], [3], [4], [5]. An additional area of interest is the role ACAT in cancer: ACAT inhibition has been used to block carcinogenesis in vitro in a variety of cancer types including breast cancer [59], glioblastoma [60], and lymphocytic leukemia [61]. In addition, ACAT1 has been

Acknowledgements

We thank Joseph Granger and Bryan Neumann for careful reading of this manuscript. This work is supported by NIH grants AG37609 and HL 60306 to TYC and CCYC.

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