27-Hydroxycholesterol

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27-Hydroxycholesterol[edit | edit source]

Chemical structure of 27-Hydroxycholesterol

27-Hydroxycholesterol is a cholesterol metabolite that plays a significant role in various biological processes. It is an oxysterol, which is a type of oxidized cholesterol derivative. 27-Hydroxycholesterol is produced in the body through the action of the enzyme cholesterol 27-hydroxylase (CYP27A1), which adds a hydroxyl group to the 27th carbon of the cholesterol molecule.

Biological Functions[edit | edit source]

27-Hydroxycholesterol is involved in several important physiological and pathological processes. It acts as a ligand for liver X receptors (LXRs), which are nuclear receptors that regulate the expression of genes involved in cholesterol homeostasis, lipid metabolism, and inflammation. By activating LXRs, 27-hydroxycholesterol can influence the expression of genes that control cholesterol efflux, fatty acid synthesis, and inflammatory responses.

Additionally, 27-hydroxycholesterol has been shown to modulate the activity of estrogen receptors, potentially impacting estrogen signaling pathways. This interaction may have implications for diseases such as breast cancer, where estrogen signaling plays a critical role.

Role in Disease[edit | edit source]

27-Hydroxycholesterol has been implicated in the development and progression of several diseases. Its role in atherosclerosis is of particular interest, as it can contribute to the formation of atherosclerotic plaques by influencing cholesterol metabolism and inflammatory processes within the arterial wall.

In the context of neurodegenerative diseases, 27-hydroxycholesterol has been studied for its potential impact on Alzheimer's disease. It can cross the blood-brain barrier and may affect neuronal function and neuroinflammation.

Synthesis and Metabolism[edit | edit source]

The synthesis of 27-hydroxycholesterol occurs primarily in the liver and macrophages, where cholesterol 27-hydroxylase catalyzes the hydroxylation of cholesterol. Once formed, 27-hydroxycholesterol can be further metabolized into other oxysterols or excreted from the body. Its levels are tightly regulated, as imbalances can lead to pathological conditions.

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Contributors: Prab R. Tumpati, MD