steroid that is primarily synthesized from acetyl-CoA in the liver, although other sites include the intestines, adrenal glands and reproductive organs.
Cholesterol is an important component of the membranes of cells, providing stability. It is the major precursor for the synthesis of vitamin D3, of the various steroid hormones, including cortisol[?], cortisone, and aldosterone[?] in the adrenal glands, and of the sex hormones progesterone, estrogen, and testosterone. Cholesterol is excreted from the liver in the form of a secretion known as bile; it sometimes crystallizes in the gall bladder to form gallstones.
Mostly insoluble in water, it travels in the blood stream in the form of lipoproteins. Low-density lipoprotein (LDL) carries cholesterol from the liver and intestines to the body cells, while high-density lipoprotein (HDL) carries it back for excretion.
Cholesterol often forms plaque deposits in the walls of arteries, a condition known as atherosclerosis, which is a major contributor to coronary heart disease when the buildup is such that it inhibits blood flow to the heart. The ratio of HDL to LDL is a commonly performed test, and the higher the ratio of these two, the lower the risk of heart disease.
The American Heart Association provides a set of guidelines for total (fasting) blood cholesterol levels and risk for heart disease:
However, as today's testing methods determine LDL ("bad") and HDL ("good") cholesterol separetely, this simplistic view has become somewhat outdated. The desirable LDL level is considered to be 75-130 mg/dL, and a ratio of total cholesterol to HDL—arguably the most useful measure—of less than 5 is thought to be healthy.
See also: 7-dehydrocholesterol