High blood cholesterol, also called
hypercholesterolemia, significantly increases the risk of stroke, heart attack, and peripheral artery disease. If untreated, it can also lead to plaque accumulation in blood vessels, which is known as atherosclerosis. For this reason, the sterol biosynthetic pathway has long been a target for the drug development industry.
Statins, which inhibit
HMG-CoA reductase (an enzyme that catalyzes an earlier step in the cholesterol biosynthesis pathway) are commonly prescribed to treat high cholesterol. Research is being done for other compounds which block different steps in the
biosynthesis of cholesterol, including the reaction performed by oxidosqualene cyclase which cyclizes squalene to form lanosterol.
Trypanosoma cruzi is a parasite transmitted to people by insects, mostly in Latin America. The parasite causes a disease called
Chagas disease, in which acute infections around an insect bite can lead to more serious complications, such as decreased heart, esophagus, colon, and even brain function. Another parasite,
Leishmania donovani, is the causative agent for
leishmaniasis, a similar tropical disease that is spread by
sand flies and disproportionately affects rural areas. GSK2920487A, a cyclic and aromatic small molecule, has been shown to significantly inhibit oxidosqualene cyclase and decrease the survival of the
L. donovani. While there is concern that parasites such as
T. cruzi and
L. donovani are able to scavenge the sterol compounds that oxidosqualene cyclase catalyzes the formation of, the potency of chemical inhibition against this vital enzyme demonstrate the potential of OSC as a therapeutic target. == Evolution ==