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Cholesterol 7 alpha-hydroxylase (CYP7A1) is a cytochrome P450 heme enzyme that catalyzes the first and rate-limiting step in the classic pathway of bile acid synthesis from cholesterol. It is essential for cholesterol catabolism, bile acid production, and overall cholesterol homeostasis. Mutations or dysregulation of CYP7A1 are associated with hyperlipidemia, gallstone disease, and resistance to statin therapy. It's also a potential therapeutic target for various metabolic and liver diseases.
Inhibition of CYP7A1 leads to reduced bile acid synthesis and increased cholesterol levels. Activation leads to increased bile acid synthesis.
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