Neutral cholesterol ester hydrolase 1

Neutral Cholesterol Ester Hydrolase 1 (NCEH1), also known as KIAA1363, is an enzyme that in humans is encoded by the NCEH1 gene. This enzyme plays a crucial role in cholesterol metabolism, specifically in the hydrolysis of cholesterol esters to free cholesterol and fatty acids within cells. This process is vital for the maintenance of cellular cholesterol homeostasis and has implications for various physiological and pathological processes, including lipid disorders, cardiovascular diseases, and cancer metabolism.

Function

NCEH1 is a key enzyme involved in the intracellular metabolism of cholesterol. It catalyzes the hydrolysis of cholesterol esters, which are a storage form of cholesterol, into free cholesterol and fatty acids. This reaction is essential for the regulation of cholesterol levels within cells and for the proper distribution of cholesterol to cell membranes and lipoproteins. By modulating the pool of free cholesterol, NCEH1 influences several cellular processes, including membrane fluidity, lipid raft formation, and the synthesis of steroid hormones.

Clinical Significance

Alterations in the activity or expression of NCEH1 have been associated with various metabolic and cardiovascular diseases. Overexpression of NCEH1 has been observed in certain cancers, suggesting a role in tumor progression and resistance to therapy. Conversely, reduced NCEH1 activity is linked to the accumulation of cholesterol esters in macrophages, contributing to the formation of foam cells and the development of atherosclerotic plaques. Therefore, NCEH1 represents a potential therapeutic target for the treatment of cardiovascular diseases and certain types of cancer.

Genetic Regulation

The NCEH1 gene is located on chromosome 15q22.31 and consists of multiple exons. The regulation of NCEH1 gene expression is complex and involves various transcription factors and regulatory elements. Hormonal and nutritional factors can also influence NCEH1 expression, indicating a tight integration of this enzyme's activity within broader metabolic pathways.

Pharmacological Modulation

Given its role in cholesterol metabolism and disease, NCEH1 is a target for pharmacological intervention. Inhibitors of NCEH1 have been explored for their potential to reduce cholesterol ester levels in macrophages, aiming to prevent or treat atherosclerosis. Conversely, strategies to enhance NCEH1 activity are being investigated for cancer therapy, where reducing cholesterol esterification might impair tumor growth and survival.

Research Directions

Ongoing research is focused on elucidating the detailed mechanisms of NCEH1 action, its regulation under physiological and pathological conditions, and its interactions with other enzymes and metabolic pathways. Understanding these aspects is crucial for developing targeted therapies that can modulate NCEH1 activity for the treatment of diseases associated with cholesterol metabolism.

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