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Published on: November 17, 2018
Cholesterol metabolism: physiological regulation and diseases
Jiarui Guo1, Silong Chen1, Ying Zhang1,2
1Eye Center of the Second Affiliated Hospital Zhejiang University School of Medicine Hangzhou Zhejiang Province China.
Insights
Disruptions in cholesterol metabolism impact cardiovascular disease and other ailments. This review explores cholesterol
Area of Science:
- Biochemistry
- Cellular Biology
- Metabolic Disorders
Background:
- Cholesterol homeostasis is vital for cellular and systemic health.
- Disordered cholesterol metabolism is linked to cardiovascular disease (CVD) and other systemic conditions.
- The complex regulation of cholesterol involves synthesis, intake, efflux, and storage.
Purpose of the Study:
- To review the human cholesterol metabolic process, emphasizing reverse cholesterol transport (RCT).
- To discuss the impact of abnormal cholesterol metabolism on various diseases.
- To identify potential therapeutic targets for cholesterol-related diseases.
Main Methods:
- Literature review of cholesterol metabolism and its role in disease pathogenesis.
- Analysis of the impact of dysregulated cholesterol on CVD, tumors, neurological, and immune diseases.
- Focus on cholesterol's role in eye diseases.
Main Results:
- Abnormal cholesterol metabolism is implicated in a wide range of systemic diseases.
- The exact mechanisms linking cholesterol metabolism to disease pathogenesis require further elucidation.
- Reverse cholesterol transport (RCT) plays a critical role in maintaining cholesterol balance.
Conclusions:
- Understanding cholesterol metabolism offers new insights into disease pathogenesis.
- Targeting cholesterol metabolism pathways presents potential therapeutic strategies for multiple diseases.
- Further research is needed to clarify the intricate relationship between cholesterol and disease.
Abstract:
Cholesterol homeostasis is crucial for cellular and systemic function. The disorder of cholesterol metabolism not only accelerates the onset of cardiovascular disease (CVD) but is also the fundamental cause of other ailments. The regulation of cholesterol metabolism in the human is an extremely complex process. Due to the dynamic balance between cholesterol synthesis, intake, efflux and storage, cholesterol metabolism generally remains secure. Disruption of any of these links is likely to have adverse effects on the body. At present, increasing evidence suggests that abnormal cholesterol metabolism is closely related to various systemic diseases. However, the exact mechanism by which cholesterol metabolism contributes to disease pathogenesis remains unclear, and there are still unknown factors. In this review, we outline the metabolic process of cholesterol in the human body, especially reverse cholesterol transport (RCT). Then, we discuss separately the impact of abnormal cholesterol metabolism on common diseases and potential therapeutic targets for each disease, including CVD, tumors, neurological diseases, and immune system diseases. At the end of this review, we focus on the effect of cholesterol metabolism on eye diseases. In short, we hope to provide more new ideas for the pathogenesis and treatment of diseases from the perspective of cholesterol.
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