Abnormal sterol metabolism in holoprosencephaly

Holoprosencephaly (HPE) is the most common structural malformation of the developing forebrain in humans. The HPE phenotype is extremely variable and the etiology is heterogeneous. Among a variety of embryological toxins that can induce HPE, inhibitors, and other pertubations of cholesterol biosynth...

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Hauptverfasser: Haas, Dorothea (VerfasserIn) , Muenke, Maximilian (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 26. Januar 2010
In: American journal of medical genetics. Part C, Seminars in medical genetics
Year: 2010, Jahrgang: 154C, Heft: 1, Pages: 102-108
ISSN:1552-4876
DOI:10.1002/ajmg.c.30243
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1002/ajmg.c.30243
Verlag, lizenzpflichtig, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1002/ajmg.c.30243
Volltext
Verfasserangaben:Dorothea Haas and Maximilian Muenke

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520 |a Holoprosencephaly (HPE) is the most common structural malformation of the developing forebrain in humans. The HPE phenotype is extremely variable and the etiology is heterogeneous. Among a variety of embryological toxins that can induce HPE, inhibitors, and other pertubations of cholesterol biosynthesis have been shown to be important factors, most likely because cholesterol is required in the Sonic hedgehog signaling cascade. Decreased levels of maternal cholesterol during pregnancy increase the risk for preterm delivery, but they are not associated with congenital malformations. However, if the fetus is affected by an inborn error of endogenous cholesterol synthesis, a reduction of maternal cholesterol concentration and cholesterol transport over the placenta aggravates the phenotypic expression. Exposure to lipophilic statins in early pregnancy may be associated with a substantial risk for structural CNS defects. © 2010 Wiley-Liss, Inc. 
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