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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
From Brain to Bile
EVIDENCE THAT CONJUGATION AND -HYDROXYLATION ARE IMPORTANT
FOR ELIMINATION OF 24S-HYDROXYCHOLESTEROL (CEREBROSTEROL) IN
HUMANS*
Ingemar
Björkhem §,
Ulla
Andersson ,
Ewa
Ellis¶,
Gunvor
Alvelius ,
Lars
Ellegård ,
Ulf
Diczfalusy ,
Jan
Sjövall**, and
Curt
Einarsson¶
From the 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, 7 -hydroxycholesterol. There was also a
conversion of 24S-hydroxycholesterol into conjugate(s) of
5-cholestene-3 ,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
7 -hydroxycholesterol. Free, sulfated, and glucuronidated 24S-hydroxycholesterol and 5-cholestene-3 ,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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Copyright © 2001 by the American Society for Biochemistry and Molecular Biology.
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