Lipoprotein Cholesterol Uptake is the essential physiological process by which steroidogenic cells, such as those in the adrenal cortex and gonads, internalize cholesterol from circulating lipoprotein particles, primarily Low-Density Lipoprotein (LDL) and High-Density Lipoprotein (HDL). This uptake is the main external source of cholesterol used as the raw material for synthesizing all steroid hormones, including cortisol, aldosterone, testosterone, and estrogen. Efficient uptake is a fundamental requirement for a healthy, responsive endocrine system.
Origin
This term combines “lipoprotein,” the transport vehicle for lipids in the blood, “cholesterol,” the key steroid precursor, and “uptake,” the act of taking in. The concept is central to the understanding of steroidogenesis, recognizing that most cholesterol used for hormone production is derived from the circulation rather than de novo synthesis within the gland. The process was defined by the discovery of the specific receptors involved in this cellular internalization.
Mechanism
There are two primary mechanisms: the LDL Receptor Mediated Uptake, which involves the internalization and degradation of the entire LDL particle to release cholesterol, and the Scavenger Receptor Class B Type 1 (SR-BI) Selective Uptake. SR-BI is a non-endocytic process where the receptor binds to HDL and selectively transfers the cholesteryl esters directly into the cell without internalizing the entire lipoprotein particle. Both pathways ensure a steady supply of cholesterol to meet the endocrine demand.
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