cholesterol, fatty lipid found in the body tissues and blood plasma of vertebrates; it is only sparingly soluble in water, but much more soluble in some organic solvents. A steroid, cholesterol can be found in large concentrations in the brain, spinal cord, and liver. The liver is the most important site of cholesterol biosynthesis, although other sites include the adrenal glands and reproductive organs. By means of several enzymatic reactions, cholesterol is synthesized from acetic acid; it then serves as the major precursor for the synthesis of vitamin D3, of the various steroid hormones, including cortisol, cortisone, and aldosterone in the adrenal glands, and of the sex hormones progesterone, estrogen, and testosterone. Cholesterol is excreted from the liver in the form of a secretion known as bile; it sometimes crystallizes in the gall bladder to form gallstones. The insolubility of cholesterol in water is also a factor in the development of atherosclerosis (see arteriosclerosis), the pathological deposition of plaques of cholesterol and other lipids on the insides of major blood vessels, a condition associated with coronary artery disease. This buildup of cholesterol in the blood vessels may constrict the passages considerably and inhibit the flow of blood to and from the heart. Recent research has shown that the relative abundance of certain protein complexes, called lipoproteins, to which cholesterol becomes attached may be the real cause of cholesterol buildup in the blood vessels. High-density lipoprotein (HDL) carries cholesterol out of the bloodstream for excretion, while low-density lipoprotein (LDL) carries it back into the system for use by various body cells. Researchers believe that HDL and LDL levels in the bloodstream may be at least as important as cholesterol levels, and now measure both to determine risk for heart disease. Reducing consumption of foods containing cholesterol and saturated fat has been found to lower blood cholesterol levels. Cholesterol levels can also be reduced with drugs, most especially with HMG-CoA reductase inhibitors (commonly called "statins"), such as lovastatin (Mevacor) and atorvastatin (Lipitor), and by regular exercise.

Waxy organic compound found in blood and all animal tissues. It is a steroid, with molecular formula C₂₇H₄₆O, containing four rings in its structure. Cholesterol is essential to life; it is a primary component of cell membranes and a starting or intermediate material from which the body makes bile acids, other steroid hormones, and vitamin D. It is made in the liver and some other organs, in greater or lesser amounts depending on the amount recently consumed in the diet. It circulates in the blood in compounds called lipoproteins, since it is not water-soluble alone. Excess cholesterol in the blood forms deposits in arteries (see arteriosclerosis), which can lead to coronary heart disease. Michael Brown (born 1941) and Joseph Goldstein (born 1940) won a Nobel Prize in 1985 for their work in discovering this process. Since the body makes cholesterol from fats, blood cholesterol cannot be reduced by limiting only the amount of cholesterol in the diet; the amount of fat, especially saturated fat (see saturation, fatty acid) must also be reduced. Seealso triglyceride.

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