Evidence map›Paper›PMID 28768177›Full record

ArticleCell metabolism2017

Acetyl CoA Carboxylase Inhibition Reduces Hepatic Steatosis but Elevates Plasma Triglycerides in Mice and Humans: A Bedside to Bench Investigation.

Chai-Wan Kim, Carol Addy, Jun Kusunoki, Norma N Anderson, Stanislaw Deja, Xiaorong Fu, Shawn C Burgess, Cai Li, Marcie Ruddy, Manu Chakravarthy and 5 more

Erratum issued Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Cell metabolism, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04395950 (A Phase 1B, Single-Blinded, Linear Two Period, Placebo-controlled Study to Evaluate the Effects of 10 mg/Day of PF-05221304, Liver Targeted Acetyl-CoA Carboxylase Inhibitor), which is not on this map. Cited by 187 papers.

0numbers the graph read from it
0cells of the map it votes in
187citing papers in PubMed
20.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04395950 phase1withdrawnnot on this mapstarted 2020, after this paper: background citation

A Phase 1B, Single-Blinded, Linear Two Period, Placebo-controlled Study to Evaluate the Effects of 10 mg/Day of PF-05221304, Liver Targeted Acetyl-CoA Carboxylase Inhibitor (ACCi) on Very Low Density Lipoprotein ApoB100 and TG Secretion

TypeinterventionalSponsorColumbia UniversityRan2020 to 2021Enrolled0ConditionsNASH (Nonalcoholic Steatohepatitis), NAFLD (Nonalcoholic Fatty Liver Disease)ArmsPF-05221304, Placebo
3 · Its place in the literature

Who cites it

187 citing papers in PubMed, 402 citations in OpenAlex.

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  14. Protective Effects ofAnimals : an open access journal from MDPI · 2026
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  17. Transient fetal hyperglycemia reprograms adipogenesis, lipogenesis, and insulin signaling in zebrafish.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2026
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127 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 1 country.

Chai-Wan KimDepartments of Internal Medicine and Molecular Genetics, University of Texas Southwestern Medical Center, Dallas, TX 75390-9046, USA.
Carol AddyMRL, 2000 Galloping Hill Road, Kenilworth, NJ 07033, USA.
Jun KusunokiMRL, 2000 Galloping Hill Road, Kenilworth, NJ 07033, USA.
Norma N AndersonDepartments of Internal Medicine and Molecular Genetics, University of Texas Southwestern Medical Center, Dallas, TX 75390-9046, USA.
Stanislaw DejaAdvanced Imaging Research Center and Department of Pharmacology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Xiaorong FuAdvanced Imaging Research Center and Department of Pharmacology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Shawn C BurgessAdvanced Imaging Research Center and Department of Pharmacology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Cai LiMRL, 2000 Galloping Hill Road, Kenilworth, NJ 07033, USA.
Marcie RuddyMRL, 2000 Galloping Hill Road, Kenilworth, NJ 07033, USA.
Manu ChakravarthyMRL, 2000 Galloping Hill Road, Kenilworth, NJ 07033, USA.
Steve PrevisMRL, 2000 Galloping Hill Road, Kenilworth, NJ 07033, USA.
Stuart MilsteinAlnylam Pharmaceuticals, 300 Third Street, Cambridge, MA 02142, USA.
Kevin FitzgeraldAlnylam Pharmaceuticals, 300 Third Street, Cambridge, MA 02142, USA.
David E KelleyMRL, 2000 Galloping Hill Road, Kenilworth, NJ 07033, USA.
Jay D HortonDepartments of Internal Medicine and Molecular Genetics, University of Texas Southwestern Medical Center, Dallas, TX 75390-9046, USA. Electronic address: jay.horton@utsouthwestern.edu.
Massanutten Regional Library · USSouthwestern Medical Center · USThe University of Texas Southwestern Medical Center · USAlnylam Pharmaceuticals (United States) · US

Funding

TRANSCRIPTIONAL REGULATION OF LDL RECEPTOR PROMOTERP01HL020948 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI GOLDSTEIN, JOSEPH L · 1985 to 2021
$103.1M
Novel Mechanisms Regulating the Adipocyte-Brain-Hepatocyte AxisP01DK088761 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI SCHERER, PHILIPP E · 2010 to 2019
$17.4M
Factors controlling metabolic flux in the liver - Supplement RevisionR01DK078184 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI Shawn C Burgess · 2008 to 2026
$6.8M
NHLBI NIH HHS P01 HL020948NIDDK NIH HHS P01 DK088761NIDDK NIH HHS R01 DK078184
6 · The paper itself

Abstract

Inhibiting lipogenesis prevents hepatic steatosis in rodents with insulin resistance. To determine if reducing lipogenesis functions similarly in humans, we developed MK-4074, a liver-specific inhibitor of acetyl-CoA carboxylase (ACC1) and (ACC2), enzymes that produce malonyl-CoA for fatty acid synthesis. MK-4074 administered to subjects with hepatic steatosis for 1 month lowered lipogenesis, increased ketones, and reduced liver triglycerides by 36%. Unexpectedly, MK-4074 increased plasma triglycerides by 200%. To further investigate, mice that lack ACC1 and ACC2 in hepatocytes (ACC dLKO) were generated. Deletion of ACCs decreased polyunsaturated fatty acid (PUFA) concentrations in liver due to reduced malonyl-CoA, which is required for elongation of essential fatty acids. PUFA deficiency induced SREBP-1c, which increased GPAT1 expression and VLDL secretion. PUFA supplementation or siRNA-mediated knockdown of GPAT1 normalized plasma triglycerides. Thus, inhibiting lipogenesis in humans reduced hepatic steatosis, but inhibiting ACC resulted in hypertriglyceridemia due to activation of SREBP-1c and increased VLDL secretion.

Indexed as

Acetyl-CoA CarboxylaseAnimalsEnzyme InhibitorsFatty LiverHepatocytesHumansLipoproteins, VLDLMiceMice, KnockoutSterol Regulatory Element Binding Protein 1TriglyceridesACACA protein, humanACACB protein, humanAcacb protein, mouseACC1 protein, mouseAcetyl-CoA CarboxylaseEnzyme InhibitorsLipoproteins, VLDLSREBF1 protein, humanSrebf1 protein, mouseSterol Regulatory Element Binding Protein 1Triglyceridesacetyl-CoA carboxylasehepatic steatosishypertriglyceridemiainhibitorslipogenesismalonyl-CoASREBPs

Identifiers

PMID28768177
PMCPMC5603267
OpenAlexW2740884150

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.