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CHOLESTEROL
METABOLISM
CHOLESTEROL
Cholesterol Synthesis
• Perhydrocyclopentanophenanthrene structure consists of four fused
rings
• Cholesterol contains a hydroxyl group at C3, double bond between C5 &
C6, eight-membered hydrocarbon chain at C17, & methyl groups at C10
& C13
Cholesterol
Perhydrocyclopentanophenanthrene
Fig. 1
Fig.2
CHOLESTEROL
FUNCTIONS OF CHOLESTEROL
CHOLESTEROL
BIOSYNTHESIS
•All the carbon atoms of
cholesterol are derived from
acetyl CoA
•Liver and Intestine are
major sites of cholesterol
STEPS OF DE NOVO
CHOLESTEROL SYNTHESIS
• Step 1—Biosynthesis of Mevalonate
• Step 2—Formation of Isoprenoid Units
• Step 3—Six Isoprenoid Units Form
Squalene
• Step 4—Formation of Lanosterol
• Step 5—Formation of Cholesterol
2 Acetyl-CoA
Acetoacetyl-CoA
HMG-CoA
Mevalonate Several steps
3 Acetyl-CoA
HMG-CoA
Mevalonate
Isopentenyl pyrophosphate X6
Squalene
Lanosterol
Cholesterol
C6
C5
C30
C30
C27
Cholesterol Synthesis
Stage I: Acetyl CoA to Mevalonate
A. B. C.
Rate limiting step
Fig.3
Cholesterol Synthesis Stage 2:
Mevalonate to 2 Activated Isoprenes
• Transfer 3 ATP to Mevalonate in
order to activate C5 & OH-group of
C3
• Phosphate group at C3 & Carboxyl
group of C1 leave, which produces a
double bound
• This allows for two active isoprenes
Fig.5
Cholesterol Synthesis Stage 3:
Condensation of Isoprenes to for Squalene
• 1) Head to tail attachment of
isoprenes to form Geranyl
pyrophosphate
• 2) Head to tail condensation of
Geranyl pyrophosphate and
isopentenylpyrophosphate to form
Farnesyl pyrophosphate
• 3) Head to head fusion of two
Farnesyl pyrophosphate to form
squalene
Fig.6
Cholesterol Synthesis Stage 4:
Squalene to Four-Ring Steroid Nucleus
• Squalene monooxygenase adds oxygen to form an epoxide
• Unsaturated carbons (double bonds) are aligned to allow cyclization and
formation of lanosterol
• After many reaction get cholesterol
Fig. 7
Fates of Cholesterol
• Membranes
• Cholesterol Ester
• Biliary Cholesterol
• Bile Acids
Cholesterol Esters
• Acyl-CoA:cholesterol acyl
transferase (ACAT) is an ER
membrane protein
• ACAT transfers fatty acid of
CoA to C3 hydroxyl group of
cholesterol
• Excess cholesterol is stored as
cholesterol esters in cytosolic
lipid droplets
Fig. 8
Bile Salts
• Bile acids & salts are effective detergents
• Synthesized in the liver
• Stored & concentrated in the gallbladder
• Discharged into gut and aides in absorption of
intraluminal lipids, cholesteral, & fat soluble vitamines
• Bile acid refers to the protonated form while bile salts
refers to the ionized form
– The pH of the intestine is 7 and the pKa of bile salts is 6, which
means that 50% are protonated
• These terms are sometimes used interchangeably
Synthesis of Bile Salts
• Rate-limiting step performed by the 7α-hydroxylase (CYP7A1) and is
regulated by bile salt concentration
• End product: Cholic acid series & Chenocholic acid series
• Bile salts can be conjugated & become better detergents
Fig. 9 Fig. 10
Regulation of de novo synthesis of
cholesterol
Cholesterol Synthesis
Stage I: Regulation by Covalent Modification
• Short-term regulation by
phosphorylation &
dephosphorylation
• Adenosine monophosphate (AMP)
activated kinase phosphorylates
HMG-CoA
• Glucagon, sterols, glucocorticoids
& low ATP levels inactivate HMG-
CoA
• Insulin, thyroid hormone, high ATP
levels activate enzyme
Fig. 4C
HMG-CoA reductase
(active)
HMG-CoA reductase
(Inactive)
Acetyl-CoA
HMG-CoA
Mevalonate
CHOLESTER
Insuli
n
Glucagon
Increased caloric intake,
Thyroid hormone
Bile acids, glucocorticoids, Dietary
cholesterol
P
Dephosphorylation
Phosphorylation
+
+
+
-
Competitive inhibitor drugs of HMG-
CoA REDUCTASE
IMPORTANT COMPUNDS
SYNTHESIZED FROM
CHOLESTEROL
CHOLESTEROL-BIOLOGICAL
IMPORTANT COMPONDS
FORMATION OF BILE ACIDS
• Bile acids are synthesized in the liver from cholesterol.
• They contain 24 carbon atoms
Cholesterol
7-α- hydroxyl cholesterol
Bile acids
Vitamin C
O2
H2O
7-α- hydroxylase
FORMATION OF STEROID HORMONES
Cholesterol
Progesterone
Androgens
Estrogens
Glucocorticoids Mineralocorticoids
Cholesterol
7-dehydrocholesterol
CHOLECALCIFEROL
[Vitamin D3]
UV light
Dehydrogenase
FORMATION OF VITAMIN D
BLOOD CHOLESTEROL
EXCRETION OF CHOLESTREROL
• Cholesterol is excreted in faeces
• Cannot be destroyed by oxidation to CO2
and H2O, because of absence of enzyme
capable of catabolising the steroid nucleus
• About 1gm of cholesterol is eliminated
from the body per day
DISORDER OF CHOLESTEROL
METABOLISM
8 cholesterol metabolism.pptx
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