Target intelligence / Profile preview

Cholesterol and other lipids (None)

Target
None
Molecular classification
Other (Cholesterol is a sterol; lipids include fatty acids, triglycerides, phospholipids, sphingolipids, sterols)
01

Overview

Cholesterol is a major sterol lipid found in animal cell membranes and transported in the blood via lipoproteins. Other lipids include triglycerides, phospholipids, and sphingolipids. Cholesterol is essential for membrane structure, serves as a precursor for steroid hormones, bile acids, and vitamin D, and modulates receptor, ion channel, and signaling protein function. Dysregulation of cholesterol and lipid metabolism is central to atherosclerosis, cardiovascular disease, and other pathologies. The handling of cholesterol in the body involves several proteins, such as the low-density lipoprotein (LDL) receptor, high-density lipoprotein (HDL), apolipoproteins, and enzymes like HMG-CoA reductase—the latter being a major drug target for lipid-lowering therapy[6][4][5][3].

Other names
CholesterolLipidsSterolsLipoproteins"Good cholesterol" (HDL, not the same as cholesterol)"Bad cholesterol" (LDL, not the same as cholesterol)
02

Mechanism of action

Inhibition of cholesterol biosynthesis (statins inhibit HMG-CoA reductase)[3] Inhibition of cholesterol absorption (ezetimibe) Promotion of cholesterol excretion (bile acid sequestrants)[5] Enhanced LDL receptor recycling and LDL clearance (PCSK9 inhibitors)[4]

03

Biological functions

Membrane structure and organizationRegulation of membrane fluidityPrecursor for steroid hormones, bile acids, vitamin DModulation of membrane proteins and ion channelsCell signaling (e.g., via lipid rafts)
04

Disease associations

Cardiovascular disease (atherosclerosis)Metabolic syndromeNeurodegenerative disease (e.g., Alzheimer’s disease)InflammationOther
05

Safety considerations

Myopathy and liver function abnormalities (statins)Increased risk of diabetes (statins)Neurological side effects (rare, statins)Gastrointestinal side effects (bile acid sequestrants)Fat-soluble vitamin deficiency (rare, with aggressive lipid-lowering)
06

Interacting drugs

Statins (e.g., atorvastatin, simvastatin)

6 more in the full profile.

07

Biomarkers

Serum total cholesterolLDL cholesterolHDL cholesterolTriglyceridesNon-HDL cholesterol

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