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Bile acid synthesis from cholesterol: regulatory and auxiliary pathways.

Abstract
Bile acid synthesis from cholesterol can occur via two pathways, one initiated by sterol 27-hydroxylase activity or one initiated by that of cholesterol 7 alpha-hydroxylase. In contrast to cholesterol 7 alpha-hydroxylase, which is found in the liver, sterol 27-hydroxylase is a widely distributed mitochondrial enzyme with high activity in vascular endothelial cells. Although both pathways lead to the production of chenodeoxycholic and cholic acids, the key step, 7 alpha-hydroxylation, is governed by two different enzymes. Both 27-hydroxycholesterol and 3 beta-hydroxy-5-cholestenoic acid, the metabolites of cholesterol occurring via sterol 27-hydroxylase activity, normally circulate in plasma. After their uptake by the liver they are metabolized mostly to chenodeoxycholic acid, which down-regulates the activity of cholesterol 7 alpha-hydroxylase, the rate-limiting step for the production of bile acids in the liver. Because of this relationship and also in view of the accelerated atherosclerosis and cholesterol deposition in tissues that occur as a consequence of genetically determined sterol 27-hydroxylase deficiency and of the potent biologic effect of 27-hydroxycholesterol in cell culture, it is proposed that this metabolic pathway serves a regulatory function. The pathway beginning with cholesterol 7 alpha-hydroxylation is modulated by genetic, hormonal, and probably dietary factors, and becomes most prominent with the interruption of the enterohepatic circulation of bile acids.
AuthorsN B Javitt
JournalFASEB journal : official publication of the Federation of American Societies for Experimental Biology (FASEB J) Vol. 8 Issue 15 Pg. 1308-11 (Dec 1994) ISSN: 0892-6638 [Print] United States
PMID8001744 (Publication Type: Journal Article, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Bile Acids and Salts
  • Hydroxycholesterols
  • 27-hydroxycholesterol
  • Cytochrome P-450 Enzyme System
  • Cholesterol
  • Steroid Hydroxylases
  • Cholesterol 7-alpha-Hydroxylase
  • CYP27A1 protein, human
  • Cholestanetriol 26-Monooxygenase
Topics
  • Animals
  • Bile Acids and Salts (biosynthesis)
  • Cholestanetriol 26-Monooxygenase
  • Cholesterol (metabolism)
  • Cholesterol 7-alpha-Hydroxylase (metabolism)
  • Cytochrome P-450 Enzyme System (metabolism)
  • Humans
  • Hydroxycholesterols (metabolism)
  • Steroid Hydroxylases (metabolism)

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