Figure 1.
Cholesterol metabolism and pathways in the hepatocyte. The cholesterol pool receives cholesterol from the blood through the LDL receptor (LDLR), LRP and SRB1. Additional inputs to the cholesterol pool are from CE by NCEH and de novo synthesis from AcCoA involving HMG-CoA reductase. Outputs of cholesterol from the pool are to lipoproteins as free cholesterol (FC), and CE by the reaction of cholesterol with non-esterified fatty acid (NEFA) catalysed by ACAT2. ACAT1 catalyses esterification of cholesterol for intracellular storage and cytochrome P4507A (CYP7A) initiates bile acid synthesis. Lipoprotein assembly in the lumen of the ER involves (PL) and TG, apoB and MTP. The lipoproteins synthesised by the liver include VLDL1 and VLDL2, IDL and LDL. The ligand for internalisation of IDL is apoE (E) and for internalisation of LDL is apoB100 (B).