Inborn defects in BA synthesis: sterol nucleus modifications

GeneProteinClinical featuresTreatmentRef.Animal models
CYP7A1CYP7A1No signs of liver damage, hypercholesterolemia, hypertriglyceridemia, gallstone diseaseN.D.[24][2528]
HSD3B7HSD3B7Neonatal cholestasis, cirrhosis, malabsorption of fats and fat-soluble vitaminsCA, CDCA[32, 33, 36][35]
AKR1D1 (SR5B1)AKR1D1Neonatal hepatitis, cirrhosis, liver failureCA, CDCA[37, 40][38]
CYP7B1CYP7B1Severe neonatal liver disease, cholestasis, fibrosis, cirrhosisCDCA, Liver transplantation[43, 46, 47][44]

AKR1D1: Δ4-3-oxosteroid-5β-reductase; BA: bile acid; CYP7A1: cholesterol 7α-hydroxylase; CYP7B1: oxysterol 7α-hydroxylase; HSD3B7: 3β-hydroxy-Δ5-C27-steroid-oxidoreductase; N.D.: not defined