Once inside the mitochondrial matrix, a second enzyme, Carnitine Palmitoyltransferase 2 (CPT2), detaches the L-Carnitine, releasing the fatty acid so it can undergo beta-oxidationa process that breaks down the fat into acetyl-CoA
Consistent with these principles, clinically approved anti-obesity GLP-1RAs include liraglutide, semaglutide, and tirzepatide [23,24,25,26,27,28,29,30,31], while beinaglutide is only approved in China [32]
Nature 456 , 470476 (2008)
Plates were incubated at 37 C and evaluated
While several CYP51A1 inhibitors have shown promise in preclinical and clinical settings, their use in humans remains limited by off-target effects, structural specificity, and adverse interactions