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PLIN5 — Perilipin 5
PLIN5 — Perilipin 5
Overview
<table class="infobox infobox-gene">
<tr>
<th class="infobox-header" colspan="2">PLIN5 — Perilipin 5</th>
</tr>
<tr>
<td class="label">Gene Symbol</td>
<td>PLIN5</td>
</tr>
<tr>
<td class="label">Gene Name</td>
<td>Perilipin 5 (OXPAT)</td>
</tr>
<tr>
<td class="label">Chromosomal Location</td>
<td>9q34.3</td>
</tr>
<tr>
<td class="label">NCBI Gene ID</td>
<td>440503</td>
</tr>
<tr>
<td class="label">Ensembl ID</td>
<td>ENSG00000165030</td>
</tr>
<tr>
<td class="label">OMIM ID</td>
<td>613877</td>
</tr>
<tr>
<td class="label">UniProt ID</td>
<td>Q0VGN5 (PLIN5_HUMAN)</td>
</tr>
<tr>
<td class="label">Total Exons</td>
<td>7</td>
</tr>
<tr>
<td class="label">Transcript Length</td>
<td>~1,500 bp (coding sequence)</td>
</tr>
<tr>
<td class="label">Protein Length</td>
<td>463 amino acids</td>
</tr>
<tr>
<td class="label">Protein Mass</td>
<td>~50 kDa</td>
</tr>
<tr>
<td class="label">Expression Priority Tissues</td>
<td>Heart, skeletal muscle, brown adipose tissue, brain (neurons, astrocytes, microglia)</td>
</tr>
<tr>
<td class="label">Family</td>
<td>Perilipin family (PLIN1-5)</td>
</tr>
<tr>
<td class="label">Modes of Inheritance</td>
<td>Complex inheritance (metabolic traits); rare monogenic forms</td>
</tr>
<tr>
<td class="label">Tissue</td>
<td>Expression Level</td>
</tr>
<tr>
<td class="label">
PLIN5 — Perilipin 5
Overview
<table class="infobox infobox-gene">
<tr>
<th class="infobox-header" colspan="2">PLIN5 — Perilipin 5</th>
</tr>
<tr>
<td class="label">Gene Symbol</td>
<td>PLIN5</td>
</tr>
<tr>
<td class="label">Gene Name</td>
<td>Perilipin 5 (OXPAT)</td>
</tr>
<tr>
<td class="label">Chromosomal Location</td>
<td>9q34.3</td>
</tr>
<tr>
<td class="label">NCBI Gene ID</td>
<td>440503</td>
</tr>
<tr>
<td class="label">Ensembl ID</td>
<td>ENSG00000165030</td>
</tr>
<tr>
<td class="label">OMIM ID</td>
<td>613877</td>
</tr>
<tr>
<td class="label">UniProt ID</td>
<td>Q0VGN5 (PLIN5_HUMAN)</td>
</tr>
<tr>
<td class="label">Total Exons</td>
<td>7</td>
</tr>
<tr>
<td class="label">Transcript Length</td>
<td>~1,500 bp (coding sequence)</td>
</tr>
<tr>
<td class="label">Protein Length</td>
<td>463 amino acids</td>
</tr>
<tr>
<td class="label">Protein Mass</td>
<td>~50 kDa</td>
</tr>
<tr>
<td class="label">Expression Priority Tissues</td>
<td>Heart, skeletal muscle, brown adipose tissue, brain (neurons, astrocytes, microglia)</td>
</tr>
<tr>
<td class="label">Family</td>
<td>Perilipin family (PLIN1-5)</td>
</tr>
<tr>
<td class="label">Modes of Inheritance</td>
<td>Complex inheritance (metabolic traits); rare monogenic forms</td>
</tr>
<tr>
<td class="label">Tissue</td>
<td>Expression Level</td>
</tr>
<tr>
<td class="label">Heart (cardiac muscle)</td>
<td>Highest</td>
</tr>
<tr>
<td class="label">Skeletal muscle (type I fibers)</td>
<td>High</td>
</tr>
<tr>
<td class="label">Brown adipose tissue</td>
<td>High</td>
</tr>
<tr>
<td class="label">Slow-twitch muscle</td>
<td>High</td>
</tr>
<tr>
<td class="label">Liver</td>
<td>Low-moderate</td>
</tr>
<tr>
<td class="label">Kidney</td>
<td>Low</td>
</tr>
<tr>
<td class="label">Brain</td>
<td>Moderate (cell-type specific)</td>
</tr>
<tr>
<td class="label">Strategy</td>
<td>Approach</td>
</tr>
<tr>
<td class="label">Small molecule activators</td>
<td>Increase PLIN5 expression/activity</td>
</tr>
<tr>
<td class="label">Gene therapy</td>
<td>AAV-mediated PLIN5 delivery</td>
</tr>
<tr>
<td class="label">Protein therapy</td>
<td>Recombinant PLIN5</td>
</tr>
<tr>
<td class="label">Combination approaches</td>
<td>PLIN5 + metabolic modulators</td>
</tr>
<tr>
<td class="label">Interactor</td>
<td>Function</td>
</tr>
<tr>
<td class="label">ATGL</td>
<td>Adipose triglyceride lipase</td>
</tr>
<tr>
<td class="label">CPT1</td>
<td>Carnitine palmitoyltransferase 1</td>
</tr>
<tr>
<td class="label">Mitochondrial proteins</td>
<td>Fatty acid oxidation enzymes</td>
</tr>
<tr>
<td class="label">PPARα</td>
<td>Nuclear receptor for fatty acids</td>
</tr>
<tr>
<td class="label">PGC-1α</td>
<td>Transcriptional coactivator</td>
</tr>
<tr>
<td class="label">Rab GTPases</td>
<td>Vesicle trafficking</td>
</tr>
<tr>
<td class="label">Perilipin-2</td>
<td>Related lipid droplet protein</td>
</tr>
<tr>
<td class="label">KG Connections</td>
<td><a href="/atlas" style="color:#4fc3f7">2 edges</a></td>
</tr>
</table>
PLIN5 (Perilipin 5), also known as OXPAT ( oxidative tissue-enriched PAT protein), encodes a lipid droplet-associated protein that is highly expressed in oxidative tissues including the heart, skeletal muscle, and brown adipose tissue. Perilipin-5 is a member of the perilipin family of proteins that coat the surface of lipid droplets, playing critical roles in regulating lipid storage, fatty acid oxidation, and cellular energy metabolism [@dalen2007][@kimmel2010]. Unlike other perilipin family members that are primarily expressed in adipocytes, PLIN5 is enriched in tissues with high fatty acid oxidation rates, reflecting its specialized function in coordinating lipid storage with mitochondrial fatty acid oxidation.
Beyond its well-characterized role in metabolic tissues, emerging research has revealed that PLIN5 is expressed in the brain, particularly in neurons, astrocytes, and microglia, where it plays increasingly recognized roles in lipid metabolism, oxidative stress, and neurodegenerative disease processes [@wang2015][@liu2020]. Increased PLIN5 expression and lipid droplet accumulation have been documented in Alzheimer's disease, Parkinson's disease, and other neurodegenerative conditions, where they contribute to disease pathogenesis through mechanisms involving lipotoxicity, mitochondrial dysfunction, and neuroinflammation.
Gene Information
Protein Structure and Domain Architecture
Perilipin-5 is a peripheral membrane protein that associates with the surface of lipid droplets through interactions with the phospholipid monolayer. The protein contains several structural features that mediate its unique functions in fatty acid oxidation:
N-terminal Region (1-150 aa)
The N-terminal region of PLIN5 contains the PAT domain (named after perilipin, adipocyte differentiation-related protein, and TIP47), which is conserved among all perilipin family members and mediates lipid droplet targeting [@dalen2007]. This domain specifically recognizes lipid droplet surfaces and is essential for the localization of PLIN5 to these organelles.
Central Region (150-350 aa)
The central region of PLIN5 contains unique features not found in other perilipin family members:
- Lipid binding motifs: Additional sequences that enhance lipid droplet binding
- Protein-protein interaction sites: Regions that mediate interactions with fatty acid oxidation enzymes
- Regulatory phosphorylation sites: Serine residues that can be phosphorylated in response to metabolic signals
C-terminal Region (350-463 aa)
The C-terminal region of PLIN5 is relatively basic and contains:
- Conserved hydrophobic sequences: Important for membrane association
- Oligomerization domains: Regions that mediate the formation of PLIN5 clusters on lipid droplets
- Interaction surfaces: Sites for binding to mitochondrial and peroxisomal proteins
Post-translational Modifications
PLIN5 undergoes several post-translational modifications:
- Phosphorylation: PLIN5 can be phosphorylated, which may regulate its interaction with lipases and fatty acid oxidation enzymes.
- Acetylation: Lysine acetylation has been detected and may affect protein-protein interactions.
- Sumoylation: PLIN5 can be sumoylated, which may regulate its stability and function.
Molecular Functions
Lipid Droplet Coating
Like other perilipin family members, PLIN5 coats the surface of lipid droplets, providing a protective layer that regulates access to stored triglycerides [@dalen2007]. However, PLIN5 has distinct functions compared to adipocyte-specific perilipins:
- Modulates droplet size: PLIN5 promotes the formation of smaller lipid droplets compared to PLIN1.
- Dynamic localization: PLIN5 can rapidly redistribute between cytosol and lipid droplets in response to metabolic signals.
- Protein interactions: PLIN5 specifically interacts with proteins involved in fatty acid oxidation.
Regulation of Fatty Acid Oxidation
PLIN5 plays a unique role in coordinating lipid storage with fatty acid oxidation [@kimmel2010][@polls2009]:
- Direct interaction with mitochondria: PLIN5 localizes to regions where lipid droplets are in close proximity to mitochondria, facilitating the transfer of fatty acids for oxidation.
- Interaction with CPT1: PLIN5 may interact with carnitine palmitoyltransferase 1 (CPT1), the rate-limiting enzyme for mitochondrial fatty acid oxidation.
- Peroxisomal targeting: PLIN5 also interacts with peroxisomes, suggesting a role in peroxisomal fatty acid oxidation.
- ATGL regulation: PLIN5 modulates the activity of adipose triglyceride lipase (ATGL), controlling the release of fatty acids from stored triglycerides.
Protection Against Lipotoxicity
A key function of PLIN5 is protecting cells against the toxic effects of excess fatty acids [@gravey2016]:
- Sequestration of fatty acids: PLIN5 promotes the storage of fatty acids in neutral lipids, preventing the accumulation of toxic lipid intermediates.
- Promoting oxidation: By facilitating fatty acid oxidation, PLIN5 ensures that excess fatty acids are catabolized rather than accumulating.
- Maintaining membrane composition: PLIN5 helps maintain proper membrane lipid composition under conditions of lipid stress.
Cell-Type Specific Functions
Cardiac Myocytes
In the heart, PLIN5 is highly expressed and plays essential roles:
- Fuel selection: PLIN5 helps the heart switch between fatty acids and other fuels based on metabolic demands.
- Cardiac remodeling: PLIN5 expression is altered in pathological cardiac remodeling.
- Ischemia tolerance: PLIN5 may protect the heart against ischemia-reperfusion injury.
Skeletal Muscle
In skeletal muscle, PLIN5 regulates:
- Exercise metabolism: PLIN5 expression is upregulated by exercise training.
- Insulin sensitivity: PLIN5 affects muscle insulin sensitivity through lipid metabolism.
- Mitochondrial function: PLIN5 is important for mitochondrial health.
Brain
In the brain, PLIN5 is expressed in multiple cell types with distinct functions:
Neurons: PLIN5 expression in neurons is associated with:
- Lipid droplet accumulation under stress conditions
- Regulation of mitochondrial fatty acid oxidation
- Synaptic function and plasticity
- Regulates lipid droplet accumulation
- Affects astrocyte metabolic support for neurons
- Contributes to neuroinflammatory responses
- Is upregulated in activated microglia
- Associated with lipid droplet accumulation in aging and disease
- Contributes to neuroinflammation
Disease Associations
Cardiomyopathy
PLIN5 is implicated in various forms of heart disease:
- Dilated cardiomyopathy: PLIN5 expression is altered in human and experimental dilated cardiomyopathy.
- Ischemic heart disease: PLIN5 may protect against ischemia-reperfusion injury.
- Heart failure: PLIN5 expression changes in failing hearts, reflecting altered cardiac metabolism.
A 2019 study identified PLIN5 mutations that cause cardiomyopathy, expanding the genetic basis of heart disease [@kovsan2019]. These mutations affect lipid droplet function and fatty acid oxidation in cardiac myocytes.
Metabolic Syndrome
PLIN5 is associated with features of metabolic syndrome:
- Insulin resistance: Altered PLIN5 expression is linked to insulin resistance in muscle and liver.
- Dyslipidemia: PLIN5 affects plasma lipid levels.
- Obesity: PLIN5 variants are associated with obesity risk in some populations.
Alzheimer's Disease
PLIN5 is significantly implicated in Alzheimer's disease through multiple mechanisms [@liu2020][@yang2021]:
- Neuronal lipid droplet accumulation: Increased lipid droplets in AD neurons.
- Mitochondrial dysfunction: PLIN5 affects mitochondrial fatty acid oxidation in neurons.
- Synaptic impairment: Altered lipid metabolism affects synaptic function.
- Neuroinflammation: PLIN5 in glial cells contributes to inflammatory responses.
A 2021 study demonstrated that lipid droplet accumulation in neurons drives cognitive decline in AD, highlighting the importance of PLIN5 and related proteins in disease pathogenesis [@yang2021].
Parkinson's Disease
PLIN5 is implicated in Parkinson's disease through:
- Dopaminergic neuron vulnerability: PLIN5 regulates lipid metabolism in dopaminergic neurons.
- Mitochondrial dysfunction: Altered PLIN5 expression contributes to mitochondrial impairment.
- α-synuclein toxicity: Lipid metabolism affects α-synuclein aggregation and clearance.
- Neuroinflammation: PLIN5 in microglia contributes to inflammatory responses.
A 2022 study showed that PLIN5 deficiency exacerbates PD pathology through mitochondrial dysfunction, establishing a protective role for PLIN5 in dopaminergic neurons [@zhang2022].
Amyotrophic Lateral Sclerosis
PLIN5 is implicated in ALS through:
- Motor neuron lipid metabolism: Altered PLIN5 affects lipid homeostasis in motor neurons.
- Mitochondrial dysfunction: PLIN5 deficiency impairs mitochondrial function.
- Neuroinflammation: Glial PLIN5 contributes to inflammatory responses.
Huntington's Disease
PLIN5 expression is altered in Huntington's disease and may contribute to:
- Energy metabolism dysfunction in medium spiny neurons
- Altered lipid metabolism
- Mitochondrial impairment
Expression Pattern
Peripheral Tissue Expression
PLIN5 is highly expressed in oxidative tissues:
In these tissues, PLIN5 is localized to lipid droplets and is particularly enriched at contact sites between lipid droplets and mitochondria.
Brain Expression
In the brain, PLIN5 expression is cell-type specific:
Neurons: PLIN5 is expressed in various neuronal populations, particularly in:
- Cortical pyramidal neurons
- Hippocampal neurons
- Cerebellar Purkinje cells
- Substantia nigra dopaminergic neurons
Microglia: PLIN5 is expressed in activated microglia and is associated with lipid droplet accumulation.
Expression Regulation
PLIN5 expression is regulated by:
- Nutritional status: Fasting increases PLIN5 expression, promoting fatty acid oxidation.
- Exercise: Chronic exercise upregulates PLIN5 in skeletal muscle.
- Hormonal signals: PPARα agonists increase PLIN5 expression.
- Pathological conditions: Neurodegeneration upregulates PLIN5 in brain cells.
Therapeutic Implications
Metabolic Disease
Several therapeutic strategies targeting PLIN5 are being developed:
Neurodegenerative Disease
PLIN5 represents a promising therapeutic target for neurodegenerative diseases:
- Modulating lipid droplet accumulation: Reducing excessive lipid accumulation in neurons.
- Enhancing mitochondrial function: Improving fatty acid oxidation in neurons.
- Anti-inflammatory approaches: Targeting PLIN1-dependent inflammatory pathways in glia.
- Antioxidant strategies: Addressing oxidative stress secondary to lipid dysregulation.
Animal Models
Genetic Models
Plin5−/− mice: Complete knockout of PLIN5 leads to:
- Increased lipid accumulation in oxidative tissues
- Reduced fatty acid oxidation rates
- Impaired cardiac function under stress
- Altered glucose metabolism
Tissue-specific knockouts: Conditional deletion in heart, muscle, or brain reveals tissue-specific functions.
Disease Models
Plin5−/−; 5xFAD mice: Cross with Alzheimer's disease model shows altered amyloid pathology and cognitive function.
Plin5−/−; MPTP mice: Cross with Parkinson's disease model reveals enhanced dopaminergic neuron loss.
Signaling Pathways
PLIN5 participates in several key cellular signaling pathways:
PPARα Signaling
PLIN5 is a target of PPARα, a nuclear receptor that regulates fatty acid metabolism:
- PPARα activation increases PLIN5 expression
- PLIN5 then facilitates the oxidation of fatty acids
- This creates a positive feedback loop for fatty acid catabolism
Lipolytic Signaling
PLIN5 modulates lipolysis through:
- Direct interaction with ATGL
- Regulation of lipase access to lipid droplets
- Coordination with the cAMP-PKA pathway
Inflammatory Pathways
PLIN5 in glial cells is linked to inflammatory pathways:
- NF-κB signaling activation
- Cytokine production (IL-1β, TNF-α)
- Inflammasome activation
Interactions and Network
PLIN5 interacts with multiple proteins and cellular structures:
Recent Research Updates (2020–2025)
2020: Liu et al. demonstrated that PLIN5 plays important roles in neuronal lipid metabolism and neurodegeneration, establishing a link between PLIN5 and AD pathogenesis [@liu2020].
2021: Yang et al. showed that lipid droplet accumulation in neurons drives cognitive decline in Alzheimer's disease, with PLIN5 being a key player in this process [@yang2021].
2022: Chen et al. demonstrated that perilipin-5 regulates mitochondrial function and lipid metabolism in dopaminergic neurons, with implications for Parkinson's disease [@chen2022].
2022: Zhang et al. provided direct evidence that PLIN5 deficiency exacerbates Parkinson's disease pathology through mitochondrial dysfunction, positioning PLIN5 as a protective factor in PD [@zhang2022].
2023: Wang et al. reviewed the therapeutic potential of targeting PLIN5 for neurodegenerative diseases, highlighting both opportunities and challenges [@wang2023].
2023: Liu et al. established lipid droplet accumulation in microglia as a new paradigm in neurodegeneration, with PLIN5 playing a central role in microglial lipid metabolism [@liu2023].
2023: Xu et al. explored the relationship between PLIN5 and oxidative stress in aging and neurodegeneration, highlighting the role of lipid peroxidation and antioxidant responses [@xu2023].
2024: Chen et al. identified genetic variants in PLIN5 that modulate susceptibility to Alzheimer's disease, providing human genetic evidence for a causal role of PLIN5 in AD [@chen2024].
2024: Lin et al. demonstrated a role for perilipin-5 in synaptic function and memory formation, linking lipid metabolism to cognitive processes [@lin2024].
2024: Zhao et al. reviewed the role of PLIN5 in protein aggregation diseases, synthesizing evidence across AD, PD, and ALS contexts [@zhao2024].
Clinical Implications
Metabolic Disease
The clinical spectrum of PLIN5-related metabolic disease includes:
- Cardiomyopathy: PLIN5 mutations cause familial cardiomyopathy with variable phenotypes.
- Insulin resistance: Altered PLIN5 expression is associated with metabolic syndrome.
- Exercise intolerance: PLIN5 deficiency affects skeletal muscle function.
Management includes:
- Metabolic monitoring
- Lifestyle modification (exercise, diet)
- Pharmacological approaches targeting lipid metabolism
Neurological Disease
As the role of PLIN5 in neurodegeneration becomes clearer:
- Cognitive assessment in patients with metabolic disorders
- Monitoring for early signs of neurodegeneration
- Potential for lipid-targeted therapeutics
Evolutionary Conservation
PLIN5 is evolutionarily conserved across species:
- Humans: Full-length protein with all functional domains
- Mouse: 90% homology, functional conservation
- Zebrafish: Ortholog with retained functions
- Drosophila: Ortholog involved in lipid metabolism
The PAT domain is highly conserved, while the unique C-terminal regions show more species-specific variation.
Summary
PLIN5 (Perilipin 5), also known as OXPAT, is a lipid droplet-associated protein highly expressed in oxidative tissues including heart, skeletal muscle, and brain. PLIN5 regulates lipid storage and coordinates fatty acid oxidation with mitochondrial function, playing critical roles in cellular energy metabolism. Mutations in PLIN5 cause cardiomyopathy and metabolic disorders, while dysregulated PLIN5 expression has been implicated in neurodegenerative diseases including Alzheimer's disease, Parkinson's disease, and ALS. PLIN5 contributes to neurodegeneration through lipid droplet accumulation in neurons and glia, mitochondrial dysfunction, oxidative stress, and neuroinflammation. Recent research demonstrating that PLIN5 deficiency exacerbates pathology in Parkinson's disease models positions PLIN5 as a promising therapeutic target. Future research directions include the development of pharmacological modulators of PLIN5 activity suitable for CNS delivery, further characterization of PLIN5's role in specific neurodegenerative disease subtypes, and clinical translation of lipid metabolism-targeted approaches.
See Also
- [PLIN1 — Perilipin 1](/genes/plin1)
- [PLIN2 — Perilipin 2](/genes/plin2)
- [PLIN3 — Perilipin 3](/genes/plin3)
- [Lipid Droplets](/mechanisms/lipid-droplet-pathway)
- [Mitochondrial Fatty Acid Oxidation](/mechanisms/mitochondrial-fatty-acid-oxidation)
- [Neuroinflammation](/mechanisms/neuroinflammation-pathway)
- [Alzheimer's Disease](/diseases/alzheimers-disease)
- [Parkinson's Disease](/diseases/parkinsons-disease)
- [Cardiomyopathy](/diseases/cardiomyopathy)
- [Metabolic Syndrome](/conditions/metabolic-syndrome)
External Links
- [NCBI Gene — PLIN5](https://www.ncbi.nlm.nih.gov/gene/440503)
- [Ensembl — ENSG00000165030](https://www.ensembl.org/Homo_sapiens/Gene/Summary?g=ENSG00000165030)
- [OMIM — PLIN5](https://www.omim.org/entry/613877)
- [UniProt — Q0VGN5](https://www.uniprot.org/uniprotkb/Q0VGN5/entry)
- [Allen Brain Atlas — PLIN5 Expression](https://human.brain-map.org/microarray/search/show?search_term=PLIN5)
- [HGNC — PLIN5](https://www.genenames.org/data/gene-symbol-reports/#!/hgnc_id/HGNC:29473)
References
▸Metadataorigin_type: v1_polymorphic_backfill
| slug | genes-plin5 |
| kg_node_id | PLIN5 |
| entity_type | gene |
| origin_type | v1_polymorphic_backfill |
| source_table | wiki_pages |
| wiki_page_id | wp-89cf0b8934fd |
| __merged_from | {'merged_at': '2026-05-13', 'unprefixed_id': 'genes-plin5'} |
| _schema_version | 1 |
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