NCIt definition : An orally bioavailable prodrug and inhibitor of adenosine triphosphate-citrate lyase
(ACL), with anti-hyperlipidemic activity. Upon oral administration, bempedoic acid
becomes activated to its thioester form with coenzyme A (CoA) by the enzyme very long-chain
acyl-CoA synthetase 1 (ACSVL1; SLC27A2) in the liver. The activated form inhibits
ACL, thereby preventing the liver's biosynthesis of cholesterol. This lowers low-density
lipoprotein cholesterol (LDL-C) levels. ACL is an enzyme upstream of 3-hydroxy-3-methyl-glutaryl-coenzyme
A (HMG-CoA) reductase in the cholesterol biosynthesis pathway.;
Alternative definition : ACC/AHA: Bempedoic acid decreases LDL cholesterol by inhibiting ATP-citrate lyase.;