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Is Cholesterol Excreted in Feces?

Published in Cholesterol Metabolism 2 mins read

Yes, cholesterol is excreted in feces. This process is a crucial way the body eliminates excess cholesterol, helping to maintain overall cholesterol balance.

Cholesterol, an essential component for various bodily functions, is not only produced by the body but also obtained from the diet. The body has sophisticated mechanisms to regulate its levels, including pathways for its removal.

The Journey of Cholesterol to Fecal Excretion

The primary route for cholesterol excretion involves its transport from the liver into the digestive system. Here's how it works:

  • Biliary Secretion: The liver plays a central role in this process. Cholesterol is actively transported from liver cells into the bile, a digestive fluid. This transport is significantly facilitated by a specific protein complex found on the canalicular membrane of liver cells. This complex is a heterodimer formed by two proteins, ABCG5 and ABCG8, which work together to move cholesterol into the bile ducts.
  • Entry into Intestines: Once secreted into the bile, cholesterol enters the intestinal lumen, the inner space of the digestive tract. Here, it mixes with food and other digestive contents.
  • Selective Absorption and Excretion: As cholesterol moves through the intestines, a considerable amount is re-absorbed back into the bloodstream by the enterocytes, the cells lining the intestinal wall. This re-absorption allows the body to recycle some of the cholesterol. However, not all of the cholesterol that enters the intestines is re-absorbed. The portion that remains unabsorbed continues its journey through the digestive tract.
  • Fecal Elimination: This unabsorbed cholesterol, along with other waste products, is then expelled from the body through fecal excretion. This makes fecal matter a significant pathway for the body to rid itself of cholesterol that is not needed or has been targeted for elimination.

Fate of Biliary Cholesterol in the Intestines

Pathway Description Outcome
Re-absorption A large portion of cholesterol is re-absorbed by intestinal cells. Returns to the bloodstream for reuse.
Fecal Excretion The remaining unabsorbed cholesterol continues through the digestive tract. Permanently removed from the body via feces.

This dual process of re-absorption and excretion highlights the body's intricate system for managing cholesterol levels, ensuring that excess amounts can be effectively removed.