Two genes control expression of mitochondrial carnitine palmitoyltransferas
e-1 (CPT-I), the enzyme that catalyzes the primary rate-controlling step in
fatty acid oxidation. Two CPT-I isoforms have been found-a "liver" isoform
(CPT-1 alpha) expressed in most tissues, but not in Skeletal muscles, and
a "muscle" isoform (CPT-1 beta) expressed in muscles and adipocytes. Liver
CPT-1 alpha increases dramatically at birth, but heart CPT-1 alpha is abund
ant in the fetus and diminishes at birth. Insulin, thyroid hormone, and fat
ty acids regulate expression of CPT-1 alpha in liver, whereas electrical st
imulation increases CPT-1 beta and decreases CPT-1 alpha in cardiac myocyte
s. Both genes are TATA-less and contain Spl transcription factor binding si
tes upstream of the start site of transcription. Multiple transcripts of bo
th CPT-1 alpha and CPT-1 beta exist, some of which may have roles in regula
ting fatty acid oxidation.