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Originally published In Press as doi:10.1074/jbc.M103828200 on July 19, 2001

J. Biol. Chem., Vol. 276, Issue 40, 37004-37010, October 5, 2001
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From Brain to Bile
EVIDENCE THAT CONJUGATION AND omega -HYDROXYLATION ARE IMPORTANT FOR ELIMINATION OF 24S-HYDROXYCHOLESTEROL (CEREBROSTEROL) IN HUMANS*

Ingemar BjörkhemDagger §, Ulla AnderssonDagger , Ewa Ellis, Gunvor AlveliusDagger , Lars Ellegård||, Ulf DiczfalusyDagger , Jan Sjövall**, and Curt Einarsson

From the Dagger  Divisions of Clinical Chemistry and  Gastroenterology and Hepatology, Karolinska Institutet, Huddinge University Hospital, S-141 86 Huddinge, Sweden, the ** Department of Medical Biochemistry and Biophysics, Karolinska Institutet, SE-17177 Stockholm, Sweden, and the || Division of Clinical Nutrition, Sahlgrenska University Hospital, University of Gothenburg, SE-41345 Gothenburg, Sweden

The brain is the almost exclusive site of formation of 24S-hydroxycholesterol in man, and there is a continuous flux of this oxysterol across the blood-brain barrier into the circulation. The hepatic metabolism of 24S-hydroxycholesterol was studied here by three different approaches: incubation of tritium-labeled 24S-hydroxycholesterol with human primary hepatocytes, administration of tritium-labeled 24S-hydroxycholesterol to a human volunteer, and quantitation of free and conjugated 24S-hydroxycholesterol and its neutral metabolites in ileocecal fluid from patients with ileal fistulae. 24S-Hydroxycholesterol as well as 24R-hydroxycholesterol were converted into bile acids by human hepatocytes at a rate of about 40% of that of the normal intermediate in bile acid synthesis, 7alpha -hydroxycholesterol. There was also a conversion of 24S-hydroxycholesterol into conjugate(s) of 5-cholestene-3beta ,24S,27-triol at a rate similar to the that of conversion into bile acids. When administered to a human volunteer, labeled 24S-hydroxycholesterol was converted into bile acids at about half the rate of simultaneously administered labeled 7alpha -hydroxycholesterol. Free, sulfated, and glucuronidated 24S-hydroxycholesterol and 5-cholestene-3beta ,24,27-triol were identified in ileocecal fluid. The excretion of these steroids was about 3.5 mg/24 h, amounting to more than 50% of the total estimated flux of 24S-hydroxycholesterol from the brain. It is concluded that 24S-hydroxycholesterol is a less efficient precursor to bile acids and that about half of it is conjugated and eliminated in bile as such or as a conjugate of a 27-hydroxylated metabolite. The less efficient metabolism of 24S-hydroxycholesterol may explain the surprisingly high levels of this oxysterol in the circulation and is of interest in relation to the suggested role of 24S-hydroxycholesterol as a regulator of cholesterol homeostasis.


* This work was supported by grants from the Swedish Medical Research Council, The Strategic Foundation, and the Swedish Heart-Lung Foundation.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

§ To whom correspondence should be addressed. Tel.: 46-8-58581235; Fax: 46-8-58581260; E-mail: Ingemar.Bjorkhem@chemlab.hs.sll.se.


Copyright © 2001 by The American Society for Biochemistry and Molecular Biology, Inc.
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