Cholesterol classification
Cholesterol
is polycyclic alcohol. Traditionally it is counted as a steroid belonging to
the sterols' group (sterols) to the lipids. However, contrary to popular
confusion, it is not fat. The steroids belong to the group of isoprenoids,
which, unlike the fats, are not esters of fatty acids and alcohol but can have
hydrophilic poles as diverse patterns in their basic hydrophobic structure.
Like many substances, cholesterol is sensitive to oxidants.
Autoxidation processes can lead to many reaction products. To date, more than
eighty such substances are known, which often have considerable physiological
effects. The oxidation products are isolated and purified by chromatographic
methods. Your secure identification takes place at z. B. by spectroscopic or
spectrometric techniques such as mass spectrometry. A comprehensive description
of these cholesterol oxidation products is given in Leland L. Smith's work:
Cholesterol Autoxidation.
Physiology
Cholesterol is a zoosterol that is essential for humans and
animals. In humans, cholesterol is mostly (90%) produced ( synthesized ) in the
body, in adults in an amount of 1 to 2 g per day, and only a small part of it
can be ingested with food. The cholesterol absorption is on average 0.1 to 0.3
g per day and maybe at most 0.5 g to be increased per day.
All animals synthesize cholesterol. Starting from
"activated acetic acid," acetyl-CoA, isopentenyl diphosphate is
produced in four steps via mevalonic acid. Another three reaction steps lead to
squalene. After the ring closure to lanosterol, around a dozen enzymatic
reactions follow, running in parallel until cholesterol is finally formed. This
last section is not known in full, but the enzymes involved have been
identified.
Cholesterol is excreted in the liver by being secreted into
the intestines in the form of bile acids via the biliary tract (around 500 mg
per day). Bile acids are necessary to absorb water-insoluble food components,
including cholesterol. Cholesterol is emulsified by bile acids and interested
in the small intestine. Since around 90% of the bile acids are reabsorbed, cholesterol's
excretion is correspondingly ineffective. Through drugs like colestyramine,
which binds bile acids and makes their re-absorption more difficult,
cholesterol excretion can be increased. However, the lowering of the
cholesterol level is compensated for by an increase in the density of LDL
receptors on liver cells and the increased absorption of cholesterol from the
blood into the liver, partly also by increased new synthesis.
Biosynthesis
The biosynthesis of cholesterol, which was elucidated in
particular by Konrad Bloch's work, Feodor Lynen, George Joseph Popják, and John
W. Cornforth, starts the end products of the mevalonate biosynthetic pathway,
from dimethylallyl pyrophosphate and isopentenyl pyrophosphate, and requires 13
further reactions. In humans, the liver and the intestinal lining are the main cholesterol
synthesis sites.
Regulation
The balance between required, self-produced, and cholesterol
ingested through food is maintained through various mechanisms. The inhibition
of HMG-CoA reductase, the most critical enzyme in cholesterol biosynthesis, by
cholesterol (HMG-CoA reductase is even more strongly inhibited by lanosterol, a
precursor of cholesterol) can be considered necessary. This metabolic pathway
(cholesterol synthesis) inhibits "their" enzyme; this is a typical
example of negative feedback. Also, HMG-CoA reductase's half-life is significantly
shortened when the lanosterol level is increased. It then increasingly binds to
the proteins Insig-1 and Insig-2binds, leading to their breakdown in the
proteasome. There are many other, less
direct regulatory mechanisms that operate at the transcriptional level. The
proteins SCAP, Insig-1, and Insig-2, are essential here. In the presence of
cholesterol, for which they have a binding site, they regulate the activity of
a large number of genes via the proteolytic activation of SREBPs. Also, insulin
plays a role here, as it u. A. increases the transcription of SREBP1c.
HMG-CoA reductase, the key enzyme in cholesterol
biosynthesis, can be precisely and effectively inhibited by various substances
(for example, statins, which, as HMG-CoA reductase inhibitors, represent a particular
class of drugs). Uptake into the cell is activated via the LDL receptor.
The cholesterol level depends primarily on the body's production
and only secondarily on food intake. There are also a large number of genetic
hypercholesterolemia. The cholesterol level can also be increased due to other
diseases (for example, due to hypothyroidism, renal insufficiency, or metabolic
syndrome ).
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