Cholesterol plays a vital role in cell biology.
Dietary cholesterol or "exogenous"
cholesterol accounts for approximately one-third of the pooled body
cholesterol, and the remaining 70% is synthesized in the body (endogenous
cholesterol). Increased
dietary cholesterol intake may result in increased serum
cholesterol in some individuals, while other subjects may not respond to
dietary cholesterol. However, diet-increased serum
cholesterol levels do not increase the
low-density lipoprotein/
high-density lipoprotein (
LDL/
HDL) cholesterol ratio, nor do they decrease the size of
LDL particles or
HDL cholesterol levels. Elevated levels of
LDL cholesterol, reduced
HDL cholesterol levels, and small, dense
LDL particles are independent risk factors for
coronary artery disease.
Dietary cholesterol is the primary approach for treatment of conditions such as the
Smith-Lemli-Opitz syndrome. Recent studies have highlighted mechanisms for absorption of
dietary cholesterol. These studies have help understand how dietary and/or
pharmaceutical agents inhibit
cholesterol absorption and thereby reduce
LDL cholesterol concentrations. In this article, various aspects of
cholesterol metabolism, including dietary sources, absorption, and abnormalities in
cholesterol metabolism, have been summarized and discussed.