The second promoter of cholesterol synthesis is the hormone insulin. Insulin promotes dephosphorylation (activation of HMG-CoA reductase) which promotes cholesterol synthesis in which insulin binds to its receptor protein in the liver cell membrane and stimulate irs-1 formation.irs-1 activates HMG-CoA reductase enzyme increasing rate of cholesterol synthesis.(4)
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When intracellular cholesterol level increases, the proteolytic of SREBP (sterol regulatory element-binding proteins) is blocked and the SREBP in the nucleus is rapidly degraded which suppresses the expression of the HMG-CoA reductase gene along with 20 other genes involved in its biosynthesis and uptake including the gene encoding the LDL receptors. This is called feedback mechanism. (3)
Lastly, is the hormonal regulation of cholesterol synthesis.In hormonal regulation of cholesterol synthesis glucagon binds to receptors in liver cell membrane and stimulate cAMP formation.cAmp activates protein kinase which inactivates the rate limiting HMG-CoA reductase enzyme thus decreasing cholesterol