This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Pathology
[{'content': 'All enzyme activity is increased in fasting state Except \nSelect and explain. \nA. Acetyl - CoA carboxylase, B. Carnitine acyl transferase, C. PEPCK, D. Pyruvate carboxylase', 'role': 'user'}, {'content': 'Answer: A \nExplanation: MetabolismRegulatory enzymesLipid metabolism Fatty acid oxidation Carnitine acyl transferase 1KetogenesisHMG CoA synthaseLipolysis Hormone sensitive lipaseCarbohydrate metabolism Glycogenolysis Glycogen phosphorylase Gluconeogenesis Pyruvate carboxylasePhospho enol pyruvate carboxykinase (PEPCK)Fructose1,6 bisphosphataseGlucose-6-phosphatase(Refer: DM Vasudevan, Textbook of Biochemistry, 7th edition, pg no: 102-103)', 'role': 'assistant'}]