ABCG5 and ABCG8: more than a defense against xenosterols

Shailendra B. Patel, Gregory A. Graf, Ryan E. Temel

Research output: Contribution to journalReview articlepeer-review

64 Scopus citations


The elucidation of the molecular basis of the rare disease, sitosterolemia, has revolutionized our mechanistic understanding of how dietary sterols are excreted and how cholesterol is eliminated from the body. Two proteins, ABCG5 and ABCG8, encoded by the sitosterolemia locus, work as obligate dimers to pump sterols out of hepatocytes and enterocytes. ABCG5/ABCG8 are key in regulating whole-body sterol trafficking, by eliminating sterols via the biliary tree as well as the intestinal tract. Importantly, these transporters keep xenosterols from accumulating in the body. The sitosterolemia locus has been genetically associated with lipid levels and downstream atherosclerotic disease, as well as formation of gallstones and the risk of gallbladder cancer. While polymorphic variants raise or lower the risks of these phenotypes, loss of function of this locus leads to more dramatic phenotypes, such as premature atherosclerosis, platelet dysfunction, and thrombocytopenia, and, perhaps, increased endocrine disruption and liver dysfunction. Whether small amounts of xenosterol exposure over a lifetime cause pathology in normal humans with polymorphic variants at the sitosterolemia locus remains largely unexplored. The purpose of this review will be to summarize the current state of knowledge, but also highlight key conceptual and mechanistic issues that remain to be explored.—Patel, S. B., G. A. Graf, and R. E. Temel. ABCG5 and ABCG8: more than a defense against xenosterols.

Original languageEnglish
Pages (from-to)1103-1113
Number of pages11
JournalJournal of Lipid Research
Issue number7
StatePublished - 2018

Bibliographical note

Publisher Copyright:
Copyright © 2018 Patel et al. Published by The American Society for Biochemistry and Molecular Biology, Inc.


  • ATP binding cassette transporter G5
  • ATP binding cassette transporter G8
  • Atherosclerosis
  • Bile
  • Cholesterol
  • Macrothrombocytopenia
  • Phytosterols
  • Platelets
  • Sitosterolemia

ASJC Scopus subject areas

  • Biochemistry
  • Endocrinology
  • Cell Biology


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