“…One hypothesis is that 7-DHC and/or its oxidative derivatives, i.e., oxysterols, are biologically active, which may play some role in the pathology of SLOS ( 19,(21)(22)(23)(24). In one recent study, for example, it was reported that high levels of 7-DHC cause exaggerated photosensitivity to ultraviolet (UV) A for SLOS patients ( 24 ). Longwavelength UV irradiation has been shown to activate NADPH -dependent oxidase activity, leading to oxidative stress in human keratinocytes ( 24 ).…”