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9T5S

Crystal structure of human PPARalpha in complex with co-activator PGC-1 alpha peptide and bempedoic acid

This is a non-PDB format compatible entry.
Summary for 9T5S
Entry DOI10.2210/pdb9t5s/pdb
DescriptorPeroxisome proliferator-activated receptor alpha, Peroxisome proliferator-activated receptor gamma coactivator 1-alpha, Bempedoic acid, ... (4 entities in total)
Functional Keywordsperoxisome proliferator-activated receptor alpha (pparalpha), bempedoic acid (ba), nuclear receptor, activator, transcription
Biological sourceHomo sapiens (human)
More
Total number of polymer chains4
Total formula weight70314.00
Authors
Useini, A.,Strater, N.,Kuenze, G.,Heiker, J.T.,Sheikh, B.N. (deposition date: 2025-11-05, release date: 2025-12-17, Last modification date: 2026-04-22)
Primary citationPapa, C.,Rose, A.,Martin, H.N.G.,Useini, A.,Geier, F.,Liao, L.,Rodriguez-Aguilera, J.R.,Valina-Allo, P.,Hoffmann, A.,Tvardovskiy, A.,Zulfqar, F.,Zimmerman, A.,Schicht, G.,Ott, F.,Korner, C.,Engelmann, B.,Rolle-Kampczyk, U.,von Bergen, M.,Meier, M.,Bartke, T.,Seehofer, D.,Kloting, N.,Matz-Soja, M.,Damm, G.,Boeckel, J.N.,Buescher, J.M.,Bluher, M.,Laufs, U.,Bondareva, O.,Strater, N.,Kunze, G.,Heiker, J.T.,Sheikh, B.N.
Bempedoic acid directly binds and activates PPAR alpha.
Cell Metab., 38:824-, 2026
Cited by
PubMed Abstract: Bempedoic acid (BA) is a recently approved drug that lowers cholesterol and hepatic lipids, yet its mechanism of action remains incompletely understood. Here, we combine transcriptomic, biochemical, and structural approaches to show that BA directly binds to and activates peroxisome proliferator-activated receptor alpha (PPARα). BA treatment robustly induced PPARα signaling and fatty acid oxidation in primary hepatocytes and mouse liver. Through X-ray crystallography, we uncovered that BA binds to the ligand-binding domain of PPARα and stabilizes its active conformation. BA activated PPARα target genes independently of very-long-chain acyl-coenzyme A (CoA) synthetase (ACSVL1), the liver-enriched enzyme that converts BA to its bempedoyl-CoA form. Notably, BA-mediated induction of fatty acid oxidation required PPARα. Together, this work reveals direct PPARα activation as a key mechanism of BA action, providing a molecular basis for its lipid-lowering effects and suggesting broader therapeutic potential beyond the liver.
PubMed: 41592562
DOI: 10.1016/j.cmet.2025.12.018
PDB entries with the same primary citation
Experimental method
X-RAY DIFFRACTION (1.74 Å)
Structure validation

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