With the well-established link between serum cholesterol levels
and cardiovascular disease and the availability of effective
cholesterol-lowering drugs, cholesterol screening has rapidly
become a routine part of health care. Yet, much remains to be
learned about how cholesterol levels are regulated at the cellular
level (see the Perspective by
Brown et al.). Now,
Najafi-Shoushtari et al. (p.
1566, published online 13 May) and
Rayner et al. (p.
1570, published online 13 May) have discovered a new molecular
player in cholesterol control—a small noncoding RNA that,
intriguingly, is embedded within the genes coding for sterol
regulatory element-binding proteins (SREBPs), transcription
factors already known to regulate cholesterol levels. This microRNA,
called miR-33, represses expression of the adenosine triphosphate–binding
cassette transporter A1, a protein that regulates synthesis
of high-density lipoprotein (HDL, or "good" cholesterol) and
that helps to remove "bad" cholesterol from the blood. Reducing
the levels of miR-33 in mice boosted serum HDL levels, suggesting
that manipulation of this regulatory circuit might be therapeutically
useful.