Mechanism of degradation of the steroid side chain in the formation of bile acids.
Mechanism of degradation of the steroid side chain in the formation of bile acids.
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DOI:
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发表时间:
1992-04
影响因子:
6.5
通讯作者:
Ingemar Björkhem
中科院分区:
文献类型:
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作者:
Ingemar Björkhem
The most important pathway for the metabolism and excretion of cholesterol in mammals is the formation of bile acids. The two major primary bile acids, cholic and chenodeoxycholic acids, are formed in the liver and secreted in bile to the intestine. The conversion of cholesterol into bile acids involves almost all the conceivable mechanisms for conversion of a lipophilic compound into an excretable water-soluble product (for a general review, see ref. 1). Of the more than 15 different enzymes participating in the conversion, hydroxylases, oxidoreductases, and conjugating systems are of particular importance for increasing the polarity. The enzymes that modify the steroid nucleus are able to convert the nonpolar 3~hydroxyA5-steroid into a considerably more polar 5~holestane-?i~~,7~~-dihydroxyr 5pcholestane-Sa, 7a, 12a-trihydroxy steroid. The enzymes involved in these conversions are mainly located in the endoplasmic reticulum and the cytosol. The enzymes involved in the steroid side-chain degradation convert the highly nonpolar Cpsteroid side-chain into a chain-shortened carboxylic acid conjugated to an amino acid. These enzymes are mainly located in the mitochondria and in the peroxisomes. According to current concepts, the conversion of cholesterol into bile acids in mammals starts with the nuclear transformations, and most or all of these changes precede those of the steroid side-chain. Based on early in vivo and in vitro work on rats, the sequence of reactions shown in Fig. 1 was formulated about 25 years ago for the conversion of cholesterol into cholic and chenodeoxycholic acids. It is evident, however, that alternative pathways exist where some or most of the changes in the steroid side-chain precede the changes in the nucleus. As the flux of bile acids probably does not regulate any of the pathways where 7a-hydroxylation is not the first step, it seems that the cholesterol 7a-hydroxylase is the only enzyme that is capable of regulating the overall conversion into bile acids. The steroid side chain of plant sterols contains a methyl or an ethyl group in 24position. This means that the normal mechanism for side-chain degradation cannot be operative. In view of the very low degree of absorption of these steroids, there is less need for a specialized degradative enzyme. In at least one mammalian species, however, a system has been evolved that is able to convert plant sterols into highly polar conjugated Cnl-bile acids. In the present review, the emphasis is on the most important mechanism for steroid side-chain degradation in connection with bile acid biosynthesis, the 27-