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Cholesterol biosynthesis is a complex, 37-step process that occurs in all animal cells, primarily in the liver. It is an essential structural component of animal cell membranes.
This begins with the mevalonate or HMG-CoA reductase (HMGCR) (pathway) pathway, which encompasses the first 18 steps. HMG-CoA reductase (HMGCR) (pathway) initially biosynthesizes mevalonate from acetyl-CoA.
This is followed by 19 additional steps to convert the resulting lanosterol into chol…