Biosynthesis of cholesterol

Synthesis within the body starts with the mevalonate pathway where two molecules of acetyl CoA condense to form acetoacetyl-CoA. This is followed by a second condensation between acetyl CoA and acetoacetyl-CoA to form 3-hydroxy-3-methylglutaryl CoA (HMG-CoA). This molecule is then reduced to mevalonate by the enzyme HMG-CoA reductase. Production of mevalonate is the rate-limiting and irreversible step in cholesterol synthesis and is the site of action for statins.

Acetyl-CoA is coming from Citric Acid Cycle.

Mevalonate pathway

Step 1 Acetoacetyl-CoA thiolase

Step 2 hydroxymethylglutaryl-CoA synthase or HMG-CoA synthase; EC 2.3.3.10

Step 3 HMG-CoA Reductase


Crystal Structure of HMG-CoA, (PDB code 1dq8)

Drag the structure with the mouse to rotate

ReferencesReferences

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Alexander Berchansky