PMID- 34052835 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210616 IS - 2058-7716 (Print) IS - 2058-7716 (Electronic) IS - 2058-7716 (Linking) VI - 7 IP - 1 DP - 2021 May 29 TI - Simultaneously targeting SOAT1 and CPT1A ameliorates hepatocellular carcinoma by disrupting lipid homeostasis. PG - 125 LID - 10.1038/s41420-021-00504-1 [doi] LID - 125 AB - Lipid homeostasis plays a fundamental role in the development of hepatocellular carcinoma (HCC). However, the mechanisms that regulate lipid homeostasis to avoid lipotoxicity in HCC remain elusive. Here, we found high-fat diet (HFD) improved the expression of sterol o-acyltransferase1 (SOAT1) and carnitine palmitoyltransferase 1A (CPT1A) in diethylnitrosamine-induced HCC. Bioinformatic analysis showed that SOAT1-mediated fatty acid storage and CPT1A-mediated fatty acids oxidation (FAO) formed a double-negative feedback loop in HCC. We verified that SOAT1 inhibition enhanced CPT1A protein, which shuttled the released fatty acids into the mitochondria for oxidation in vivo and in vitro. Besides, we further confirmed that CPT1A inhibition converted excess fatty acids into lipid drops by SOAT1 in vitro. Simultaneously targeting SOAT1 and CPT1A by the small-molecule inhibitors avasimibe and etomoxir had synergistic anticancer efficacy in HCC in vitro and in vivo. Our study provides new mechanistic insights into the regulation of lipid homeostasis and suggests the combination of avasimibe and etomoxir is a novel strategy for HCC treatment. FAU - Ren, Meiling AU - Ren M AD - Department of Abdominal Oncology, Cancer Center and Laboratory of Molecular Targeted Therapy in Oncology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China. FAU - Xu, Huanji AU - Xu H AD - Department of Abdominal Oncology, Cancer Center and Laboratory of Molecular Targeted Therapy in Oncology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China. FAU - Xia, Hongwei AU - Xia H AD - Department of Abdominal Oncology, Cancer Center and Laboratory of Molecular Targeted Therapy in Oncology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China. FAU - Tang, Qiulin AU - Tang Q AD - Department of Abdominal Oncology, Cancer Center and Laboratory of Molecular Targeted Therapy in Oncology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China. FAU - Bi, Feng AU - Bi F AD - Department of Abdominal Oncology, Cancer Center and Laboratory of Molecular Targeted Therapy in Oncology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China. bifeng@scu.edu.cn. LA - eng GR - 81872020/National Natural Science Foundation of China (National Science Foundation of China)/ PT - Journal Article DEP - 20210529 PL - United States TA - Cell Death Discov JT - Cell death discovery JID - 101665035 PMC - PMC8164629 COIS- The authors declare no competing interests. EDAT- 2021/05/31 06:00 MHDA- 2021/05/31 06:01 PMCR- 2021/05/29 CRDT- 2021/05/30 21:05 PHST- 2021/01/20 00:00 [received] PHST- 2021/05/03 00:00 [accepted] PHST- 2021/04/19 00:00 [revised] PHST- 2021/05/30 21:05 [entrez] PHST- 2021/05/31 06:00 [pubmed] PHST- 2021/05/31 06:01 [medline] PHST- 2021/05/29 00:00 [pmc-release] AID - 10.1038/s41420-021-00504-1 [pii] AID - 504 [pii] AID - 10.1038/s41420-021-00504-1 [doi] PST - epublish SO - Cell Death Discov. 2021 May 29;7(1):125. doi: 10.1038/s41420-021-00504-1.