This paper provides an overview of cholesterol, a naturally occurring waxy lipid found in all vertebrate tissues. It examines how the liver manufactures cholesterol, the role of genetics in its metabolism, and the feedback mechanisms that regulate its synthesis. The paper then outlines cholesterol's five primary functions: hormone production, bile formation, cell membrane stabilization, neurological insulation, and immune defense. Finally, it explains how cholesterol travels through the bloodstream via lipoproteins — specifically VLDL, LDL, and HDL — and why the balance between "good" and "bad" cholesterol matters for cardiovascular health.
Cholesterol is a white, waxy, fat-like substance that occurs naturally in all parts of the body (MedlinePlus, n.d.). In fact, cholesterol and other sterols occur in the tissues of all vertebrates throughout the animal kingdom. The liver manufactures approximately 80% of the cholesterol found in the body; the remainder is derived from foods containing saturated fat. Typically, a feedback mechanism controls the rate of cholesterol synthesis in the liver, meaning the liver produces less cholesterol when dietary intake is greater, and produces more when dietary intake of saturated fats is low. Genetics play a strong role in how effectively this feedback mechanism works and how the body metabolizes fatty acids (American Heart Association, 2010). Cholesterol is a member of the sterol family — "lipid alcohols" that are vital for the normal function of the body.
Miezam (n.d.) outlines five of cholesterol's main functions in the human body. First, cholesterol is necessary for the body to manufacture steroids, including the sex hormones. Cholesterol is stored in glands such as the adrenals, testes, and ovaries — chiefly as the fatty acid ester — and then converted into steroid hormones. The body therefore needs cholesterol to manufacture testosterone, estrogen, and cortisone, which are crucial for a wide range of bodily functions.
Second, cholesterol helps the liver produce bile — the "24 steroid carboxylic acids" that are essential for the digestion of fats and for ridding the body of waste. Foods high in lipids require bile to be properly digested. Moreover, cholesterol works with amino acids including glycine and taurine to form bile salts.
Third, cholesterol stabilizes cell membranes, effectively helping to keep the body's cells structurally intact. It does this by bonding lipid molecules together. The ratio of cholesterol to polar lipids affects the stability, permeability, and protein mobility of a membrane. Cholesterol therefore helps cells develop and maintain their protective barriers.
The fourth main function of cholesterol is neurological. Cholesterol is an important component of the myelin sheath — a layer of fat-containing cells that insulates the neuron's axon from electrical activity. Fifth and finally, cholesterol aids the body's natural immune defenses.
"Lipoprotein transport from intestine to liver"
"Good vs. bad cholesterol and arterial risk"
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