Summary of cholesterol synthesis in brain cell subtypes

Cell typeSubtypesFunction of cellFunction of cholesterolCholesterol synthesisK-R or Bloch pathway?
NeuronsSubtypes many*Processing and transmission of cellular signalsRegulates membrane fluidity, required for cell membranes and myelin sheaths [29].
Present in lipid rafts and facilitates ion channel function, neuron receptor localization, neurotransmitter transport, and cellular growth and development [2, 26, 29].
High during embryonic development [28, 30].
Low during adulthood, when cholesterol is mainly sourced from astrocytes [26, 31].
Both [24, 28]
Glial cellsAstrocytesMaintenance of CNS homeostasis, provision of biochemical and nutritional support to neurons and blood-brain barrier, synaptic transmission, immune functionRequired for cell membrane fluidity regulation, lipid raft formation, and carbohydrate metabolism [32].
Cholesterol is exported to other brain cells [32, 33].
Low during embryonic development [28].
High after birth [26, 34].
Bloch [24]
OligodendrocytesSynthesis and maintenance of myelin sheaths to insulate neuronal axons for faster signal transmissionRequired for synthesis of myelin sheaths [3537].High after birth and in early childhood [9, 35].
Dynamic during adulthood. Cholesterol is sourced locally and from astrocytes [38, 39].
Possibly K-R [24] but requires further study
MicrogliaBrain macrophage; immune function and injury repairLipid composition modulates microglial function in phagocytosis, immune surveying, synapse pruning [33, 40, 41].
Desmosterol (cholesterol precursor) activates LXR signaling to resolve inflammation and promote oligodendrocyte maturation [42].
Synthesis rate low, sourced from astrocytes [43].Possibly K-R [24] but requires further study

Note that many neuronal subtypes are present in the brain, but for the purpose of this review the main role of neurons and their cholesterol synthesis is discussed