Cholesterol in brain disease: Sometimes determinant and frequently implicated
Open accessAbstract
Cholesterol is essential for neuronal physiology, both during development and in the adult life: as a major component of cell membranes and precursor of steroid hormones, it contributes to the regulation of ion permeability, cell shape, cell-cell interaction, and transmembrane signaling. Consistently, hereditary diseases with mutations in cholesterol-related genes result in impaired brain function during early life. In addition, defects in brain cholesterol metabolism may contribute to neurological syndromes, such as Alzheimer's disease (AD), Huntington's disease (HD), and Parkinson's disease (PD), and even to the cognitive deficits typical of the old age. In these cases, brain cholesterol defects may be secondary to disease-causing elements and contribute to the functional deficits by altering synaptic functions. In the first part of this review, we will describe hereditary and non-hereditary causes of cholesterol dyshomeostasis and the relationship to brain diseases. In the second part, we will focus on the mechanisms by which perturbation of cholesterol metabolism can affect synaptic function.
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The beneficial effects of statins in Mecp2-deficient mice presumably reflect mechanisms of action other than inhibition of cholesterol synthesis, given that brain cholesterol synthesis is already moderately suppressed in these mice.
“As statins were designed to act primarily by inhibiting cholesterol synthesis, their beneficial effects in the Mecp2-deficient mouse presumably reflect other mechanisms of action given that brain cholesterol synthesis is already moderately suppressed in these mice (Orth and Bellosta, 2012; Martin et al., 2014).”
From Suppression of brain cholesterol synthesis in male Mecp2-deficient mice is age dependent and not accompanied by a concurrent change in the rate of fatty acid synthesis (2017) · cites this paper as Martin et al., 2014
The ‘Cholesterol in brain disease: hereditary causes’ section (page unavailable) reports decreased brain sterol synthesis in adult Mecp2-mutant mice and improved behavior and lifespan after fluvastatin treatment. The ‘Therapeutic approaches to cholesterol-related brain diseases’ section (page unavailable) describes other possible beneficial actions of statins. The paper does not conclude that those other actions explain fluvastatin’s benefits in the Mecp2-deficient mice. (LLM, conf=0.86)
Experimental — accuracy not yet measuredDiet-derived cholesterol cannot cross the BBB and cannot compensate the low cholesterol level in the brain of SLOS patients with neurologic symptoms.
“Nevertheless, diet-derived cholesterol cannot cross the BBB and cannot compensate the low cholesterol level in the brain [3,24].”
From Loss of Mevalonate/Cholesterol Homeostasis in the Brain: A Focus on Autism Spectrum Disorder and Rett Syndrome (2019) · cites this paper as [24]
The most severe DHCR7 mutations cause fetal or newborn death, while less severe variants cause developmental defects in specific organs such as facial and cranial malformations, hypospadia or complete gonadal absence.
“The most severe mutations of this gene cause fetal or newborn death, while less severe variants cause developmental defects in specific organs such as facial and cranial malformations, hypospadia or complete gonadal absence [24].”
From Loss of Mevalonate/Cholesterol Homeostasis in the Brain: A Focus on Autism Spectrum Disorder and Rett Syndrome (2019) · cites this paper as [24]
Cholesterol has been implied in the production and clearance of beta amyloid.
“Cholesterol has been implied in the production and clearance of beta amyloid [24].”
From Loss of Mevalonate/Cholesterol Homeostasis in the Brain: A Focus on Autism Spectrum Disorder and Rett Syndrome (2019) · cites this paper as [24]
Disruption of cholesterol homeostasis perturbs cell-autonomous and non-cell-autonomous functions, including inhibition of crucial signaling pathways and cellular crosstalk.
“Disruption of cholesterol homeostasis has also been shown to perturb cell-autonomous and non-cell-autonomous functions, including inhibition of crucial signaling pathways and cellular crosstalk (Bjorkhem and Meaney, 2004; Martin et al., 2014).”
From Sterol dysregulation in Smith–Lemli–Opitz syndrome causes astrocyte immune reactivity through microglia crosstalk (2022) · cites this paper as Martin et al., 2014
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- Authors
- Martín, M. G., Pfrieger, F., & Dotti, C. G.
- Affiliations
- Consejo Nacional de Investigaciones Científicas y Técnicas (AR)
- Centre National de la Recherche Scientifique (FR)
- Consejo Superior de Investigaciones Científicas (ES)
- Corresponding author
- Martín, Mauricio G
- Pfrieger, Frank
- Dotti, Carlos G
- Venue
- The EMBO Reports
- Published
- 2014-09-15
- Volume
- 15
- Issue
- 10
- Pages
- 1036-1052
- ISSN
- 1469-221X (ISSN-L)
- 1469-3178
- PMC
- PMC4253844
- OpenAlex
- W2027703774
- Cited by
- 304
- References
- 235
- Citations by year
- 2026: 18 · 2025: 28 · 2024: 31 · 2023: 42 · 2022: 40 · 2021: 27 · 2020: 30 · 2019: 24 · 2018: 25 · 2017: 12 · 2016: 16 · 2015: 10
- FWCI
- 2.35
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- EMBO Reports (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- Lirias (submittedVersion)
- CONICET Digital (CONICET) (submittedVersion, cc-by-nc-sa)
- Topics
- Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Physiology › Lysosomal Storage Disorders Research
- Keywords
- brain cholesterol, cholesterol metabolism, Alzheimer's disease, Huntington's disease, Parkinson's disease, cognitive impairment, synaptic function, ion permeability, transmembrane signaling
- MeSH terms
- Alzheimer Disease, Cell Membrane, Cholesterol, Humans, Huntington Disease, Mutation, Neurons, Parkinson Disease, Gonadal Steroid Hormones, Lipid Metabolism
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