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Balancing cholesterol in the brain: from synthesis to disposal
Abstract
The cholesterol is a vital component of cell membranes and myelin sheaths, and a precursor for essential molecules such as steroid hormones. In humans, cholesterol is partially obtained through the diet, while the majority is synthesized in the body, primarily in the liver. However, the limited exchange between the central nervous system and peripheral circulation, due to the presence of the blood-brain barrier, necessitates cholesterol in the brain to be exclusively acquired from local de novo synthesis. This cholesterol is reutilized efficiently, rendering a much slower overall turnover of the compound in the brain as compared with the periphery. Furthermore, brain cholesterol is regulated independently from peripheral cholesterol. Numerous enzymes, proteins, and other factors are involved in cholesterol synthesis and metabolism in the brain. Understanding the unique mechanisms and pathways involved in the maintenance of cholesterol homeostasis in the brain is critical, considering perturbations to these processes are implicated in numerous neurodegenerative diseases. This review focuses on the developing understanding of cholesterol metabolism in the brain, discussing the sites and processes involved in its synthesis and regulation, as well as the mechanisms involved in its distribution throughout, and elimination from, the brain.
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The Bloch pathway generally appears as typical for astrocytes, while microglia cells seem to preferentially resort to the Kandutsch-Russell pathway.
“while the Bloch pathway generally appears as typical for astrocytes, microglia cells seem to preferentially resort to the Kandutsch–Russell pathway; thus, the shift to this enzymatic cascade might reflect a sort of astrocyte polarization to a cell-type more specialized in immune responses [53].”
From ApoE3 vs. ApoE4 Astrocytes: A Detailed Analysis Provides New Insights into Differences in Cholesterol Homeostasis (2022) · cites this paper as [53]
The shift to the Kandutsch-Russell pathway might reflect a sort of astrocyte polarization to a cell-type more specialized in immune responses.
“while the Bloch pathway generally appears as typical for astrocytes, microglia cells seem to preferentially resort to the Kandutsch–Russell pathway; thus, the shift to this enzymatic cascade might reflect a sort of astrocyte polarization to a cell-type more specialized in immune responses [53].”
From ApoE3 vs. ApoE4 Astrocytes: A Detailed Analysis Provides New Insights into Differences in Cholesterol Homeostasis (2022) · cites this paper as [53]
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Zhang, J., Zhang, Y., Wang, J., Xia, Y., Zhang, J., & Chen, L. (2024) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-024-01911-3 · Cited by 1,138
Staurenghi, E., Leoni, V., Lo Iacono, M., Sottero, B., Testa, G., Giannelli, S., Leonarduzzi, G., & Gamba, P. (2022) · Antioxidants · doi:10.3390/antiox11112168 · Cited by 24
Metadata
- Authors
- Qian, L., Chai, A. B., Gelissen, I. C., & Brown, A. J.
- Affiliations
- School of Biotechnology and Biomolecular Sciences, Faculty of Science, University of New South Wales, Sydney, New South Wales, 2052, Australia
- School of Pharmacy, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales 2006, Australia
- Venue
- Exploration of Neuroprotective Therapy
- Publisher
- Open Exploration Publishing
- Published
- 2022-01-05
- Pages
- 1-27
- Cited by
- 31
- References
- 29
- Language
- en
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