The product of acetyl-CoA carboxylase (ACC), malonyl-CoA, inhibits oxidation of long chain fatty acids by mitochondria. Cardiac-specific deletion of ACC-2 is associated with increased oxidation of fatty acids, as expected, the effects on glucose oxidation are controversial, and increased oxidation of stored triglycerides has been postulated. Expression of the other isoform, ACC-1, is preserved in ACC-2 mutant hearts, so alternative sources of malonyl-CoA may be important. We found that knock out of both isoforms was associated with a small increase in fatty acid oxidation, a small decrease in glucose oxidation, and little effect on oxidation of stored energy supplies.
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