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Nonvesicular cholesterol transport in physiology
Alessandra Ferrari, Peter Tontonoz
Alessandra Ferrari, Peter Tontonoz
Published March 17, 2025
Citation Information: J Clin Invest. 2025;135(6):e188127. https://doi.org/10.1172/JCI188127.
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Review

Nonvesicular cholesterol transport in physiology

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Abstract

In mammalian cells cholesterol can be synthesized endogenously or obtained exogenously through lipoprotein uptake. Plasma membrane (PM) is the primary intracellular destination for both sources of cholesterol, and maintaining appropriate membrane cholesterol levels is critical for cellular viability. The endoplasmic reticulum (ER) acts as a cellular cholesterol sensor, regulating synthesis in response to cellular needs and determining the metabolic fates of cholesterol. Upon reaching the ER, cholesterol can be esterified to facilitate its incorporation into lipoproteins and lipid droplets or converted into other molecules such as bile acids and oxysterols. In recent years, it has become clear that the intracellular redistribution of lipids, including cholesterol, is critical for the regulation of various biological processes. This Review highlights physiology and mechanisms of nonvesicular (protein-mediated) intracellular cholesterol trafficking, with a focus on the role of Aster proteins in PM to ER cholesterol transport.

Authors

Alessandra Ferrari, Peter Tontonoz

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Figure 4

Aster-mediated trafficking of cholesterol in enterocytes.

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Aster-mediated trafficking of cholesterol in enterocytes.
NPC1L1 control...
NPC1L1 controls the first step of the process of dietary cholesterol absorption, by gating diet-derived cholesterol uptake by enterocytes. NPC1L1 is present at the apical membrane of the enterocytes when the concentration of cholesterol is low, and it allows the entry of cholesterol and deposition in the lipid bilayer. This expands the pool of accessible cholesterol at the apical membrane and engages Aster-B and Aster-C. NPC1L1 is internalized in clathrin-coated vesicles, recycled in the endocytic recycling compartment (ERC), and redirected to the membrane. The movement of cholesterol from PM to ER allows cholesterol esterification and incorporation onto chylomicrons for systemic absorption. It has been speculated that Asters may also be recruited to cholesterol-enriched ERC, but this requires further study. Aster-mediated trafficking of cholesterol to the ER decreases the level of cholesterol in the PM, thus favoring NPC1L1 recycling.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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