“…Astrocytes synthesize the majority of brain cholesterol from glucose, glutamine or acetate-derived acetyl-CoA and supply cholesterol to neighboring cells, including neurons, in the form of ApoE-containing HDL-like lipoprotein particles (Hayashi et al, 2004; Karten et al, 2006; Wahrle et al, 2004). Neurons and astrocytes both produce oxysterols as products of cholesterol metabolism, which act as endogenous ligands for the liver X receptors (LXRs) to decrease excess cellular cholesterol levels by promoting efflux through sterol transporters such as ABCA1 and suppressing uptake through IDOL-dependent degradation of LDLR (Chen et al, 2013; Repa et al, 2000; Venkateswaran et al, 2000; Zelcer et al, 2009). This negative feedback system complements suppression of HMG-CoA reductase (HMGCR), the rate-limiting enzyme for sterol synthesis, when cholesterol levels rise (Björkhem, 2006; Brown and Goldstein, 1980) to maintain cholesterol homeostasis within distinct cell types in the brain.…”