acetoacetate
362,296 routes · scope human · up to 3 steps · built 5 October 2026 · Reactions · API
401 compounds within 3 steps: 15 in 1, 70 in 2, 316 in 3
Three steps
- Acetoacetate:CoA ligase (AMP-forming)
- 3-hydroxy-3-methylglutaryl-CoA synthase (acetoacetyl-CoA)
- propanoyl-CoA C-acyltransferase (3-ketopristanoyl-CoA)
Catalysed by AACS, HMGCS1, ACAA1, MYO5Bcytosol, peroxisomeOne of 2 routes
- Acetoacetate:CoA ligase (AMP-forming)
- 3-hydroxy-3-methylglutaryl-CoA synthase (acetoacetyl-CoA)
- long-chain-fatty-acid-CoA ligase (gamma-linolenate)
Catalysed by AACS, HMGCS1, SLC27A2, ACSL4 and 6 morecytosolOne of 7 routes
- transport of acetoacetate and propanoate (cytosol to extracellular)
- Propanoate:CoA ligase (AMP-forming)
- medium-chain acyl-CoA dehydrogenase (propanoyl-CoA)
Catalysed by SLC16A4, SLC16A5, SLC16A7, SLC16A8 and 6 moreextracellular space, cytosol, mitochondrial matrix
- Acetoacetate:CoA ligase (AMP-forming)
- 3-hydroxy-3-methylglutaryl-CoA synthase (acetoacetyl-CoA)
- long-chain-fatty-acid-CoA ligase (lauric acid)
Catalysed by AACS, HMGCS1, SLC27A2, ACSL4 and 6 morecytosolOne of 9 routes
- Acetoacetate:CoA ligase (AMP-forming)
- 3-hydroxy-3-methylglutaryl-CoA synthase (acetoacetyl-CoA)
- long-chain-fatty-acid-CoA ligase (eicosanoate)
Catalysed by AACS, HMGCS1, SLC27A2, ACSL4 and 6 morecytosolOne of 12 routes
- Acetoacetate:CoA ligase (AMP-forming)
- 3-hydroxy-3-methylglutaryl-CoA synthase (acetoacetyl-CoA)
- Itaconate:CoA ligase (GDP-forming)
Catalysed by AACS, HMGCS1, SUCLG1, SUCLG2 and 1 morecytosol, mitochondrial matrixOne of 4 routes
- Acetoacetate:CoA ligase (AMP-forming)
- 3-hydroxy-3-methylglutaryl-CoA synthase (acetoacetyl-CoA)
- long-chain-fatty-acid-CoA ligase ((6Z,9Z)-octadecadienoic acid)
Catalysed by AACS, HMGCS1, SLC27A2, ACSL4 and 6 morecytosolOne of 13 routes
- Acetoacetate:CoA ligase (AMP-forming)
- 3-hydroxy-3-methylglutaryl-CoA synthase (acetoacetyl-CoA)
- long-chain-fatty-acid-CoA ligase (myristic acid)
Catalysed by AACS, HMGCS1, SLC27A2, ACSL4 and 6 morecytosolOne of 11 routes
- Acetoacetate:CoA ligase (AMP-forming)
- 3-hydroxy-3-methylglutaryl-CoA synthase (acetoacetyl-CoA)
- Octanoyl-CoA:L-carnitine O-octanoyltransferase
Catalysed by AACS, HMGCS1, CROTcytosol, mitochondrial matrixOne of 20 routes
- Acetoacetate:CoA ligase (AMP-forming)
- 3-hydroxy-3-methylglutaryl-CoA synthase (acetoacetyl-CoA)
- long-chain-fatty-acid-CoA ligase (stearate)
Catalysed by AACS, HMGCS1, SLC27A2, ACSL4 and 5 morecytosolOne of 15 routes
- transport of acetoacetate and pyruvate (cytosol to mitochondria)
- (S)-lactate + NAD(+) = pyruvate + NADH + H(+)
- prostaglandin E1(out) + 2 (S)-lactate(in) = prostaglandin E1(in) + 2 (S)-lactate(out)
Catalysed by LDHA, LDHB, LDHC, LDHAL6A and 2 moremitochondrial matrix, cytosol, inner side of the membrane, outer side of the membraneOne of 2 routes
- transport of acetoacetate and L-lactate (cytosol to extracellular)
- Transport of 15-Keto-Prostaglandin F2A, Lactate Antiport
- Formation of Prostaglandin I2
Catalysed by SLC16A4, SLC16A5, SLC16A7, SLC16A8 and 1 moreextracellular space, cytosol
- transport of acetoacetate and pyruvate (cytosol to mitochondria)
- (S)-lactate + NAD(+) = pyruvate + NADH + H(+)
- prostaglandin F2alpha(out) + 2 (S)-lactate(in) = prostaglandin F2alpha(in) + 2 (S)-lactate(out)
Catalysed by LDHA, LDHB, LDHC, LDHAL6A and 2 moremitochondrial matrix, cytosol, inner side of the membrane, outer side of the membraneOne of 4 routes
- transport of acetoacetate and pyruvate (cytosol to mitochondria)
- (S)-lactate + NAD(+) = pyruvate + NADH + H(+)
- prostaglandin H2(out) + 2 (S)-lactate(in) = prostaglandin H2(in) + 2 (S)-lactate(out)
Catalysed by LDHA, LDHB, LDHC, LDHAL6A and 2 moremitochondrial matrix, cytosol, inner side of the membrane, outer side of the membraneOne of 2 routes
- transport of acetoacetate and pyruvate (cytosol to mitochondria)
- (S)-lactate + NAD(+) = pyruvate + NADH + H(+)
- prostaglandin D2(out) + 2 (S)-lactate(in) = prostaglandin D2(in) + 2 (S)-lactate(out)
Catalysed by LDHA, LDHB, LDHC, LDHAL6A and 2 moremitochondrial matrix, cytosol, inner side of the membrane, outer side of the membraneOne of 4 routes
- transport of acetoacetate and pyruvate (cytosol to mitochondria)
- (R)-3-Amino-2-methylpropanoate:pyruvate aminotransferase
- D-alanine(out) + L-alanine(in) = D-alanine(in) + L-alanine(out)
Catalysed by AGXT2, SLC7A10mitochondrial matrix, cytosol, inner side of the membrane, outer side of the membraneOne of 2 routes
- transport of acetoacetate and formate (cytosol to extracellular)
- Formate:tetrahydrofolate ligase (ADP-forming)
- 5,10-Methenyltetrahydrofolate 5-hydrolase (decyclizing)
Catalysed by SLC16A4, SLC16A5, MTHFD1extracellular space, cytosolOne of 2 routes
- transport of acetoacetate and L-lactate (cytosol to extracellular)
- (S)-Lactate:ferricytochrome-c 2-oxidoreductase
- 13(S)-HPODE to 13-oxy-radical-octadecadienoate conversion
Catalysed by SLC16A4, SLC16A5, SLC16A7, SLC16A8 and 2 moreextracellular space, cytosol, mitochondrial matrix
- transport of acetoacetate and formate (cytosol to extracellular)
- transport of chloride and formate (cytosol to extracellular)
- Transport of Guanidinoacetic Acid
Catalysed by SLC16A4, SLC16A5, SLC26A4extracellular space, cytosol
- Acetoacetate:CoA ligase (AMP-forming)
- 3-hydroxy-3-methylglutaryl-CoA synthase (acetoacetyl-CoA)
- acyl-CoA:sphingosine N-acyltransferase
Catalysed by AACS, HMGCS1, ASAH1, ACER2 and 2 morecytosol, Golgi apparatusOne of 3 routes
- transport of acetoacetate and pyruvate (cytosol to mitochondria)
- (R)-3-Amino-2-methylpropanoate:pyruvate aminotransferase
- D-threonine(out) + L-alanine(in) = D-threonine(in) + L-alanine(out)
Catalysed by AGXT2, SLC7A10mitochondrial matrix, cytosol, inner side of the membrane, outer side of the membraneOne of 2 routes
- transport of acetate and acetoacetate (cytosol to extracellular)
- N-acetyl-D-glucosamine 6-phosphate + H2O = D-glucosamine 6-phosphate + acetate
- N-acetyl-alpha-D-glucosamine 1-phosphate = N-acetyl-D-glucosamine 6-phosphate
Catalysed by SLC16A4, SLC16A5, SLC16A6, SLC16A7 and 3 moreextracellular space, cytosol
- transport of acetoacetate and pyruvate (cytosol to mitochondria)
- N-Acetylneuraminate pyruvate-lyase (N-acetyl-D-mannosamine-forming)
- CTP:N-acetylneuraminate cytidylyltransferase
Catalysed by NPL, CMASmitochondrial matrix, cytosol, nucleusOne of 2 routes
- transport of acetate and acetoacetate (cytosol to extracellular)
- N-(acetyl)-sphing-4-enine + H2O = sphing-4-enine + acetate
- N-(acetyl)-sphing-4-enine + a 1,2-diacyl-sn-glycero-3-phosphocholine = 1-O-acyl-N-(acetyl)-sphing-4-enine + a 2-acyl-sn-glycero-3-phosphocholine
Catalysed by SLC16A4, SLC16A5, SLC16A6, SLC16A7 and 3 moreextracellular space, cytosol
- transport of acetoacetate and pyruvate (cytosol to mitochondria)
- (R)-3-Amino-2-methylpropanoate:pyruvate aminotransferase
- transport of alanine and tryptophan (cytosol to extracellular)
Catalysed by AGXT2, SLC7A5mitochondrial matrix, cytosol, extracellular spaceOne of 10 routes
- transport of acetoacetate and L-lactate (cytosol to extracellular)
- transport of L-lactate and urate (cytosol to extracellular)
- urate(out) + glutathione(in) = urate(in) + glutathione(out)
Catalysed by SLC16A4, SLC16A5, SLC16A7, SLC16A8 and 3 moreextracellular space, cytosol, inner side of the membrane, outer side of the membrane
- transport of acetoacetate and pyruvate (cytosol to mitochondria)
- (R)-3-Amino-2-methylpropanoate:pyruvate aminotransferase
- L-threonine(out) + L-alanine(in) = L-threonine(in) + L-alanine(out)
Catalysed by AGXT2, SLC7A10mitochondrial matrix, cytosol, inner side of the membrane, outer side of the membraneOne of 5 routes
- transport of acetoacetate and pyruvate (cytosol to mitochondria)
- (R)-3-Amino-2-methylpropanoate:pyruvate aminotransferase
- beta-alanine(out) + L-alanine(in) = beta-alanine(in) + L-alanine(out)
Catalysed by AGXT2, SLC7A10mitochondrial matrix, cytosol, inner side of the membrane, outer side of the membraneOne of 4 routes
- transport of acetoacetate and pyruvate (cytosol to mitochondria)
- L-Serine:pyruvate aminotransferase
- hydroxypyruvate aldose-ketose-isomerase
Catalysed by AGXT, HYImitochondrial matrix, cytosolOne of 2 routes
- Acetoacetate:CoA ligase (AMP-forming)
- 3-hydroxy-3-methylglutaryl-CoA synthase (acetoacetyl-CoA)
- N-acetylglutamate synthase (N-acetyl-L-asparagine)
Catalysed by AACS, HMGCS1, NAGScytosol, mitochondrial matrixOne of 12 routes
- transport of acetoacetate and pyruvate (cytosol to mitochondria)
- (R)-3-Amino-2-methylpropanoate:pyruvate aminotransferase
- transport of alanine and phenylalanine (cytosol to extracellular)
Catalysed by AGXT2, SLC7A5mitochondrial matrix, cytosol, extracellular spaceOne of 14 routes
- Acetoacetate:CoA ligase (AMP-forming)
- 3-hydroxy-3-methylglutaryl-CoA synthase (acetoacetyl-CoA)
- N-acetylglutamate synthase (N-acetyl-L-cystathionine)
Catalysed by AACS, HMGCS1, NAGScytosol, mitochondrial matrix
- transport of acetate and acetoacetate (cytosol to extracellular)
- N-(acetyl)-sphing-4-enine + H2O = sphing-4-enine + acetate
- N-(acetyl)-sphing-4-enine + a 1,2-diacyl-sn-glycero-3-phosphocholine = 1-O-acyl-N-(acetyl)-sphing-4-enine + a 1-acyl-sn-glycero-3-phosphocholine
Catalysed by SLC16A4, SLC16A5, SLC16A6, SLC16A7 and 3 moreextracellular space, cytosol
- transport of acetoacetate and pyruvate (cytosol to mitochondria)
- N(1)-methylguanosine(37) in tRNA(Phe) + pyruvate + S-adenosyl-L-methionine = 4-demethylwyosine(37) in tRNA(Phe) + 5'-deoxyadenosine + L-methionine + CO2 + H2O
- S-methyl-L-methionine + L-homocysteine = 2 L-methionine + H(+)
Catalysed by TYW1B, TYW1, BHMT2mitochondrial matrix, cytosol
- transport of acetoacetate and pyruvate (cytosol to mitochondria)
- N(1)-methylguanosine(37) in tRNA(Phe) + pyruvate + S-adenosyl-L-methionine = 4-demethylwyosine(37) in tRNA(Phe) + 5'-deoxyadenosine + L-methionine + CO2 + H2O
- S-methyl-L-methionine + L-homocysteine = 2 L-methionine + H(+)
Catalysed by TYW1B, TYW1, BHMT2mitochondrial matrix, cytosol
- transport of acetoacetate and pyruvate (cytosol to mitochondria)
- pyruvate kinase (dTDP)
- 2-phospho-D-glycerate hydro-lyase (phosphoenolpyruvate-forming)
Catalysed by PKM, PKLR, ENO1, ENO2 and 1 moremitochondrial matrix, cytosol
- transport of acetoacetate and pyruvate (cytosol to mitochondria)
- (R)-3-Amino-2-methylpropanoate:pyruvate aminotransferase
- N(omega),N(omega)-dimethyl-L-arginine + pyruvate = 5-(3,3-dimethylguanidino)-2-oxopentanoate + L-alanine
Catalysed by AGXT2mitochondrial matrix, cytosolOne of 7 routes
- Acetoacetate:CoA ligase (AMP-forming)
- 3-hydroxy-3-methylglutaryl-CoA synthase (acetoacetyl-CoA)
- acyl-CoA:sphingosine N-acyltransferase
Catalysed by AACS, HMGCS1, ASAH1, ACER2 and 2 morecytosol, Golgi apparatusOne of 2 routes
- transport of acetoacetate and pyruvate (cytosol to mitochondria)
- (R)-3-Amino-2-methylpropanoate:pyruvate aminotransferase
- trans-4-hydroxy-L-proline(out) + L-alanine(in) + Na(+)(out) = trans-4-hydroxy-L-proline(in) + L-alanine(out) + Na(+)(in)
Catalysed by AGXT2, SLC1A4mitochondrial matrix, cytosol, inner side of the membrane, outer side of the membraneOne of 2 routes
- transport of acetate and acetoacetate (cytosol to extracellular)
- N-acetylcadaverine + H2O = cadaverine + acetate
- N-acetylcadaverine + H2O = cadaverine + acetate
Catalysed by SLC16A4, SLC16A5, SLC16A6, SLC16A7 and 2 moreextracellular space, cytosol
- transport of acetoacetate and pyruvate (cytosol to mitochondria)
- 2-oxo-3-sulfanylpropanoate + [thioredoxin]-dithiol = [thioredoxin]-disulfide + hydrogen sulfide + pyruvate + H(+)
- 2-oxo-3-sulfanylpropanoate + L-kynurenine = kynurenate + L-cysteine + H2O
Catalysed by MPST, AADATmitochondrial matrix, cytosolOne of 2 routes