Desmosterolosis

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Desmosterolosis
Other namesDeficiency of 3beta-hydroxysterol delta24-reductase [1]
Desmosterol.png
Desmosterol

Desmosterolosis in medicine and biology is a defect in cholesterol biosynthesis. [2] It results in an accumulation of desmosterol and a variety of associated symptoms. [3] Only two cases have been reported as of 2007. [4] The condition is due to inactivating mutations in 24-dehydrocholesterol reductase. [5] Certain anticholesterolemic and antiestrogenic drugs such as triparanol, ethamoxytriphetol, and clomifene have been found to inhibit conversion of desmosterol into cholesterol and to induce desmosterolosis, for instance cataracts. [6]

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Lecithin–cholesterol acyltransferase

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Triparanol

Triparanol was the first synthetic cholesterol-lowering drug. It was patented in 1959 and introduced in the United States in 1960. The developmental code name of triparanol, MER/29, became so well known that it became the registered trade name of the drug. It was withdrawn in 1962 due to severe adverse effects such as nausea and vomiting, vision loss due to irreversible cataracts, alopecia, skin disorders, and accelerated atherosclerosis. It is now considered to be obsolete.

References

  1. Reference, Genetics Home. "Desmosterolosis". Genetics Home Reference. Retrieved 14 April 2019.
  2. Herman GE (April 2003). "Disorders of cholesterol biosynthesis: prototypic metabolic malformation syndromes". Hum. Mol. Genet. 12 Spec No 1 (90001): R75–88. doi: 10.1093/hmg/ddg072 . PMID   12668600.
  3. FitzPatrick DR, Keeling JW, Evans MJ, et al. (January 1998). "Clinical phenotype of desmosterolosis". Am. J. Med. Genet. 75 (2): 145–52. doi:10.1002/(SICI)1096-8628(19980113)75:2<145::AID-AJMG5>3.0.CO;2-S. PMID   9450875.
  4. American Society for Clinical Investigation (31 October 2007). Science In Medicine: The JCI Textbook Of Molecular Medicine. Jones & Bartlett Learning. pp. 584–. ISBN   978-0-7637-5083-1.
  5. Waterham HR, Koster J, Romeijn GJ, et al. (October 2001). "Mutations in the 3beta-hydroxysterol Delta24-reductase gene cause desmosterolosis, an autosomal recessive disorder of cholesterol biosynthesis". Am. J. Hum. Genet. 69 (4): 685–94. doi:10.1086/323473. PMC   1226055 . PMID   11519011.
  6. Philipp Y. Maximov; Russell E. McDaniel; V. Craig Jordan (23 July 2013). Tamoxifen: Pioneering Medicine in Breast Cancer. Springer Science & Business Media. pp. 34–. ISBN   978-3-0348-0664-0.
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