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Mitochondria Cholesterol Transport

Meaning

The highly regulated process of moving free cholesterol from the outer mitochondrial membrane to the inner mitochondrial membrane, representing the rate-limiting step in the synthesis of all steroid hormones. This transport is clinically significant as it dictates the substrate availability for the entire steroidogenic cascade, profoundly influencing the production of cortisol, DHEA, and sex hormones. It is the initial, controlled step in the conversion of cholesterol to pregnenolone.