7-dehydrocholesterol reductase (7-DHC reductase; Delta7-sterol reductase; EC 1.3.1.21) is an NADPH-dependent oxidoreductase of the endoplasmic reticulum membrane that catalyses the final step of cholesterol biosynthesis, reducing the C7-C8 double bond of 7-dehydrocholesterol (7-DHC) to yield cholesterol. It is the terminal enzyme of the Kandutsch-Russell arm of the sterol biosynthetic pathway and can also reduce 7-dehydrodesmosterol to desmosterol. Because 7-DHC is also the immediate precursor of vitamin D3, DHCR7 activity partitions 7-DHC between cholesterol and vitamin D3 synthesis, and its activity is modulated by physical interaction with the other terminal sterol reductase DHCR24. It is a multi-pass integral membrane protein of the ERG4/ERG24 sterol-reductase family. Loss-of-function mutations cause Smith-Lemli-Opitz syndrome (SLOS), an autosomal-recessive cholesterol-biosynthesis malformation disorder characterised by elevated 7-DHC and low cholesterol with microcephaly, 2-3 toe syndactyly and developmental delay.
| GO Term | Evidence | Action | Reason |
|---|---|---|---|
|
GO:0005789
endoplasmic reticulum membrane
|
IBA
GO_REF:0000033 |
ACCEPT |
Summary: DHCR7 is an integral endoplasmic reticulum membrane enzyme; this is where its terminal cholesterol-biosynthesis reaction takes place.
Reason: The ER-membrane localization is well supported experimentally (subcellular fractionation/immunolocalization) and by the multi-pass transmembrane topology. The is_active_in qualifier correctly captures that catalysis occurs at the ER membrane. This is a core cellular-component annotation.
Supporting Evidence:
PMID:9878250
these two related proteins are in the endoplasmic reticulum
file:human/DHCR7/DHCR7-uniprot.txt
SUBCELLULAR LOCATION: Endoplasmic reticulum membrane
|
|
GO:0006695
cholesterol biosynthetic process
|
IBA
GO_REF:0000033 |
ACCEPT |
Summary: DHCR7 catalyses the last step of cholesterol biosynthesis, converting 7-dehydrocholesterol to cholesterol.
Reason: This is the central biological process for DHCR7 and is supported by biochemistry, disease genetics (SLOS), and phylogenetic inference. Core biological-process annotation.
Supporting Evidence:
PMID:9465114
The Delta7-sterol reductase is the ultimate enzyme of cholesterol biosynthesis in vertebrates and is absent from yeast.
|
|
GO:0047598
7-dehydrocholesterol reductase activity
|
IBA
GO_REF:0000033 |
ACCEPT |
Summary: The specific molecular function of DHCR7 - NADPH-dependent reduction of the C7-C8 double bond of 7-dehydrocholesterol to cholesterol (EC 1.3.1.21).
Reason: This is the precise, correct molecular-function term and the core function of the gene. Strongly supported by direct enzymatic characterization across orthologs and phylogenetic inference.
Supporting Evidence:
PMID:9465114
remove the C7-8 double bond in 7-dehydrocholesterol
|
|
GO:0005789
endoplasmic reticulum membrane
|
IEA
GO_REF:0000044 |
ACCEPT |
Summary: ER membrane localization inferred from the UniProt Subcellular Location vocabulary mapping.
Reason: Correct and consistent with experimental localization; this IEA mirrors the curated Swiss-Prot subcellular location.
Supporting Evidence:
file:human/DHCR7/DHCR7-uniprot.txt
SUBCELLULAR LOCATION: Endoplasmic reticulum membrane
|
|
GO:0016020
membrane
|
IEA
GO_REF:0000002 |
MARK AS OVER ANNOTATED |
Summary: Generic membrane localization from InterPro domain mapping.
Reason: DHCR7 is a multi-pass membrane protein, so 'membrane' is not wrong, but it is far less informative than the specific and experimentally supported GO:0005789 endoplasmic reticulum membrane already annotated. Retain only as a generic parent.
Supporting Evidence:
file:human/DHCR7/DHCR7-uniprot.txt
Multi-pass membrane protein
|
|
GO:0016126
sterol biosynthetic process
|
IEA
GO_REF:0000002 |
ACCEPT |
Summary: Sterol biosynthetic process, the broader biosynthetic category encompassing cholesterol biosynthesis.
Reason: Correct-branch parent of the specific cholesterol biosynthetic process; DHCR7 acts in sterol/cholesterol biosynthesis. Reasonable broader annotation from InterPro.
Supporting Evidence:
file:human/DHCR7/DHCR7-uniprot.txt
Belongs to the ERG4/ERG24 family
|
|
GO:0016628
oxidoreductase activity, acting on the CH-CH group of donors, NAD or NADP as acceptor
|
IEA
GO_REF:0000002 |
MARK AS OVER ANNOTATED |
Summary: General oxidoreductase activity (CH-CH group donors, NAD/NADP acceptor) inferred from InterPro.
Reason: This is a correct-branch but overly general parent of the specific and experimentally established GO:0047598 7-dehydrocholesterol reductase activity. DHCR7 does reduce a C-C double bond using NADPH, so the term is not wrong, but the specific term should be preferred.
Proposed replacements:
7-dehydrocholesterol reductase activity
Supporting Evidence:
PMID:9465114
The conversion to cholesterol depends on NADPH
|
|
GO:0047598
7-dehydrocholesterol reductase activity
|
IEA
GO_REF:0000120 |
ACCEPT |
Summary: 7-dehydrocholesterol reductase activity (EC 1.3.1.21) from automated annotation (ARBA/RHEA/EC mapping).
Reason: Correct specific molecular function, consistent with the RHEA:23984 / EC 1.3.1.21 reaction and experimental evidence. Core function.
Supporting Evidence:
file:human/DHCR7/DHCR7-uniprot.txt
EC=1.3.1.21
|
|
GO:0006695
cholesterol biosynthetic process
|
TAS
Reactome:R-HSA-6807047 |
ACCEPT |
Summary: Cholesterol biosynthetic process, asserted via the Reactome Bloch-pathway (via desmosterol) module.
Reason: DHCR7 participates in cholesterol biosynthesis; the Reactome pathway assertion is consistent with the enzyme's established role. Core biological process.
Supporting Evidence:
PMID:9465114
The Delta7-sterol reductase is the ultimate enzyme of cholesterol biosynthesis in vertebrates and is absent from yeast.
|
|
GO:0006695
cholesterol biosynthetic process
|
TAS
Reactome:R-HSA-9969901 |
ACCEPT |
Summary: Cholesterol biosynthetic process, asserted via the Reactome modified Kandutsch-Russell (from zymosterol) module - the arm terminated by DHCR7.
Reason: Consistent with DHCR7's role as the terminal enzyme of the Kandutsch-Russell arm of cholesterol synthesis. Core biological process.
Supporting Evidence:
PMID:9465114
The Delta7-sterol reductase is the ultimate enzyme of cholesterol biosynthesis in vertebrates and is absent from yeast.
|
|
GO:0006695
cholesterol biosynthetic process
|
IEA
GO_REF:0000120 |
ACCEPT |
Summary: Cholesterol biosynthetic process from automated UniPathway (UPA00063) mapping.
Reason: Correct pathway assignment consistent with the curated UniProt PATHWAY annotation (cholesterol biosynthesis). Core biological process.
Supporting Evidence:
file:human/DHCR7/DHCR7-uniprot.txt
PATHWAY: Steroid biosynthesis; cholesterol biosynthesis.
|
|
GO:0047598
7-dehydrocholesterol reductase activity
|
EXP
PMID:9465114 Molecular cloning and expression of the human delta7-sterol ... |
ACCEPT |
Summary: Direct demonstration that the cloned human enzyme removes the C7-C8 double bond of 7-dehydrocholesterol, converting it to cholesterol in an NADPH-dependent manner.
Reason: Experimental evidence directly establishing the core molecular function.
Supporting Evidence:
PMID:9465114
Microsomes from Saccharomyces cerevisiae strains heterologously expressing the human cDNA remove the C7-8 double bond in 7-dehydrocholesterol.
|
|
GO:0005783
endoplasmic reticulum
|
IDA
GO_REF:0000052 |
ACCEPT |
Summary: Immunofluorescence (Human Protein Atlas) localizes DHCR7 to the endoplasmic reticulum.
Reason: Consistent with the more specific ER membrane localization; ER is the correct compartment. Retained as the (broader) directly observed compartment.
Supporting Evidence:
PMID:9878250
these two related proteins are in the endoplasmic reticulum
|
|
GO:0033963
cholesterol-5,6-oxide hydrolase activity
|
IMP
PMID:20615952 Identification and pharmacological characterization of chole... |
KEEP AS NON CORE |
Summary: DHCR7, together with EBP (D8D7I), constitutes the microsomal antiestrogen binding site (AEBS) that carries cholesterol-5,6-epoxide hydrolase (ChEH) activity; co-expression of both subunits reconstitutes ChEH and double knockdown abolishes it.
Reason: This is a genuine, experimentally supported (IMP) secondary/moonlighting activity in which DHCR7 acts as a subunit of the heterodimeric AEBS complex, and it is recorded by UniProt (AltName "Cholesterol-5,6-epoxide hydrolase subunit DHCR7", EC 3.3.2.11). It is not the core reductase function and DHCR7 alone confers only weak activity (the activity requires the EBP-DHCR7 dimer), so it is kept as non-core rather than accepted as a core function. Not removed, as the full-text experimental evidence supports it.
Supporting Evidence:
PMID:20615952
whereas their coexpression fully
file:human/DHCR7/DHCR7-uniprot.txt
The precise role of
|
|
GO:0006695
cholesterol biosynthetic process
|
IMP
PMID:38297129 7-Dehydrocholesterol is an endogenous suppressor of ferropto... |
ACCEPT |
Summary: Genetic/functional manipulation of DHCR7 (including SLOS variants and active-site mutagenesis) confirms its role in cholesterol biosynthesis via 7-DHC reduction.
Reason: Mutagenesis and variant characterization in this study confirm that DHCR7 converts 7-DHC to cholesterol, supporting its role in the cholesterol biosynthetic process. Core biological process.
Supporting Evidence:
PMID:38297129
we identify proferroptotic activity of 7-dehydrocholesterol reductase (DHCR7) and an unexpected prosurvival function of its substrate, 7-dehydrocholesterol (7-DHC)
|
|
GO:0006695
cholesterol biosynthetic process
|
IMP
PMID:38297130 7-Dehydrocholesterol dictates ferroptosis sensitivity. |
ACCEPT |
Summary: CRISPR screening and functional analysis place DHCR7 as the enzyme that metabolizes 7-DHC for cholesterol synthesis in distal cholesterol biosynthesis.
Reason: Independently confirms DHCR7's role in cholesterol biosynthesis via 7-DHC reduction. Core biological process.
Supporting Evidence:
PMID:38297130
metabolized by 7-DHC reductase (DHCR7) for cholesterol synthesis
|
|
GO:0047598
7-dehydrocholesterol reductase activity
|
IMP
PMID:38297129 7-Dehydrocholesterol is an endogenous suppressor of ferropto... |
ACCEPT |
Summary: Active-site mutagenesis (e.g., N274K, L306R cause loss of activity) and SLOS variant characterization confirm the 7-DHC reductase activity of DHCR7.
Reason: Direct functional (mutagenesis) evidence for the core molecular function.
Supporting Evidence:
PMID:38297129
we identify proferroptotic activity of 7-dehydrocholesterol reductase (DHCR7)
|
|
GO:0047598
7-dehydrocholesterol reductase activity
|
IMP
PMID:38297130 7-Dehydrocholesterol dictates ferroptosis sensitivity. |
ACCEPT |
Summary: Functional evidence that DHCR7 is the reductase metabolizing 7-DHC in distal cholesterol biosynthesis.
Reason: Supports the core molecular function through loss/gain-of-function analysis of DHCR7 and 7-DHC levels.
Supporting Evidence:
PMID:38297130
metabolized by 7-DHC reductase (DHCR7) for cholesterol synthesis
|
|
GO:0160020
positive regulation of ferroptosis
|
IMP
PMID:38297129 7-Dehydrocholesterol is an endogenous suppressor of ferropto... |
KEEP AS NON CORE |
Summary: DHCR7 promotes ferroptosis by consuming its substrate 7-DHC, a potent radical-trapping (anti-ferroptotic) sterol; DHCR7 loss raises 7-DHC and confers ferroptosis resistance.
Reason: This is a real, experimentally supported (IMP) regulatory consequence of DHCR7's enzymatic activity - by depleting the anti-ferroptotic metabolite 7-DHC, DHCR7 acts as a pro-ferroptotic factor. It is downstream of, and secondary to, the core biosynthetic function, so it is kept as non-core rather than a defining function.
Supporting Evidence:
PMID:38297129
we identify proferroptotic activity of 7-dehydrocholesterol reductase (DHCR7) and an unexpected prosurvival function of its substrate, 7-dehydrocholesterol (7-DHC)
|
|
GO:0160020
positive regulation of ferroptosis
|
IMP
PMID:38297130 7-Dehydrocholesterol dictates ferroptosis sensitivity. |
KEEP AS NON CORE |
Summary: Genome-wide CRISPR screening identifies DHCR7 as a pro-ferroptotic gene acting by lowering the anti-ferroptotic metabolite 7-DHC.
Reason: Independently supports the pro-ferroptotic regulatory role, which is a secondary consequence of DHCR7's core reductase activity. Kept as non-core.
Supporting Evidence:
PMID:38297130
DHCR7 functions as a pro-ferroptotic gene
|
|
GO:0005515
protein binding
|
IPI
PMID:32694168 TMEM147 interacts with lamin B receptor, regulates its local... |
MARK AS OVER ANNOTATED |
Summary: DHCR7 physically interacts with the ER/nuclear-envelope transmembrane protein TMEM147 (Q9BVK8), whose depletion reduces DHCR7 protein levels and affects cholesterol homeostasis.
Reason: The interaction with TMEM147 is genuine and experimentally documented, but the bare 'protein binding' (GO:0005515) term is uninformative about molecular function. The specific interaction and its regulatory relevance are recorded here rather than captured by this generic term. Per curation policy the IPI is not removed.
Supporting Evidence:
PMID:32694168
physically interacts with the key sterol reductase DHCR7
|
|
GO:0005515
protein binding
|
IPI
PMID:25637936 The terminal enzymes of cholesterol synthesis, DHCR24 and DH... |
MARK AS OVER ANNOTATED |
Summary: DHCR7 physically and functionally interacts with the other terminal cholesterol-synthesis reductase DHCR24 (Q15392); the two enzymes co-immunoprecipitate and DHCR24 controls DHCR7 activity.
Reason: The DHCR7-DHCR24 interaction is a well-established, functionally important physical interaction (a proposed cholesterol-synthesis metabolon), but 'protein binding' is too generic to convey function. The specific interacting partner and its regulatory role are documented here. IPI retained per policy.
Supporting Evidence:
PMID:25637936
24-Dehydrocholesterol reductase (DHCR24) and 7-dehydrocholesterol reductase (DHCR7) coimmunoprecipitate, and when the DHCR24 gene is knocked down by siRNA, DHCR7 activity is also ablated.
|
|
GO:0050661
NADP binding
|
ISS
GO_REF:0000024 |
ACCEPT |
Summary: DHCR7 binds NADP(H) as the redox cofactor for the reduction of 7-DHC to cholesterol.
Reason: Supported by multiple predicted NADP(+) binding-site residues (UniProt BINDING features) and by the NADPH-dependence of the catalysed reaction. Consistent with the family cofactor requirement; a correct molecular-function annotation.
Supporting Evidence:
PMID:9465114
The conversion to cholesterol depends on NADPH
file:human/DHCR7/DHCR7-uniprot.txt
/ligand="NADP(+)"
|
|
GO:0016020
membrane
|
HDA
PMID:19946888 Defining the membrane proteome of NK cells. |
MARK AS OVER ANNOTATED |
Summary: DHCR7 identified in a high-throughput membrane proteome of an NK-like cell line.
Reason: A high-throughput proteomic membrane assignment; 'membrane' is correct but generic. The specific and experimentally supported ER membrane localization is preferred and already annotated.
Supporting Evidence:
PMID:19946888
approximately 40% of the identified proteins were predicted as plausible membrane proteins
|
|
GO:0005789
endoplasmic reticulum membrane
|
TAS
Reactome:R-HSA-1655827 |
ACCEPT |
Summary: ER membrane localization asserted by Reactome.
Reason: Correct, specific cellular-component localization consistent with experimental data. Core cellular component.
Supporting Evidence:
file:human/DHCR7/DHCR7-uniprot.txt
SUBCELLULAR LOCATION: Endoplasmic reticulum membrane
|
|
GO:0005789
endoplasmic reticulum membrane
|
TAS
Reactome:R-HSA-196402 |
ACCEPT |
Summary: ER membrane localization asserted by Reactome.
Reason: Correct, specific cellular-component localization consistent with experimental data. Core cellular component.
Supporting Evidence:
file:human/DHCR7/DHCR7-uniprot.txt
SUBCELLULAR LOCATION: Endoplasmic reticulum membrane
|
|
GO:0005789
endoplasmic reticulum membrane
|
TAS
Reactome:R-HSA-6807055 |
ACCEPT |
Summary: ER membrane localization asserted by the Reactome reaction 'DHCR7 reduces 7-dehydroCHOL to CHOL'.
Reason: Correct, specific cellular-component localization consistent with experimental data. Core cellular component.
Supporting Evidence:
file:human/DHCR7/DHCR7-uniprot.txt
SUBCELLULAR LOCATION: Endoplasmic reticulum membrane
|
|
GO:0006695
cholesterol biosynthetic process
|
IMP
PMID:9465114 Molecular cloning and expression of the human delta7-sterol ... |
ACCEPT |
Summary: Functional expression of the cloned enzyme, and its identification as the ultimate cholesterol-biosynthesis enzyme defective in SLOS, support its role in cholesterol biosynthesis.
Reason: Supported by the reconstitution of 7-DHC-to-cholesterol conversion on expression of the human cDNA. Core biological process.
Supporting Evidence:
PMID:9465114
The Delta7-sterol reductase is the ultimate enzyme of cholesterol biosynthesis in vertebrates and is absent from yeast.
|
|
GO:0005640
nuclear outer membrane
|
IDA
PMID:9878250 The human lamin B receptor/sterol reductase multigene family... |
KEEP AS NON CORE |
Summary: DHCR7 was localized to the endoplasmic reticulum, contiguous with the nuclear outer membrane, in the study characterizing the LBR/sterol-reductase gene family.
Reason: The nuclear outer membrane is continuous with the ER membrane, so this IDA is plausible and not contradicted, but it is a peripheral aspect of the localization; the core compartment is the ER membrane. Retained as non-core. Not removed, as it is an experimental (IDA) observation whose full text we have not read.
Supporting Evidence:
PMID:9878250
these two related proteins are in the endoplasmic reticulum
|
|
GO:0005783
endoplasmic reticulum
|
IDA
PMID:9878250 The human lamin B receptor/sterol reductase multigene family... |
ACCEPT |
Summary: Directly localizes DHCR7 to the endoplasmic reticulum in the study characterizing the human LBR/sterol-reductase multigene family.
Reason: Direct experimental (IDA) localization to the ER, consistent with the more specific ER membrane annotation. Correct compartment.
Supporting Evidence:
PMID:9878250
these two related proteins are in the endoplasmic reticulum
|
|
GO:0047598
7-dehydrocholesterol reductase activity
|
IDA
PMID:9465114 Molecular cloning and expression of the human delta7-sterol ... |
ACCEPT |
Summary: Direct assay of the heterologously expressed human enzyme demonstrating NADPH-dependent reduction of the C7-C8 double bond of 7-dehydrocholesterol.
Reason: Direct experimental (IDA) evidence for the core molecular function.
Supporting Evidence:
PMID:9465114
Microsomes from Saccharomyces cerevisiae strains heterologously expressing the human cDNA remove the C7-8 double bond in 7-dehydrocholesterol.
|
DHCR7 = 7-dehydrocholesterol reductase (7-DHC reductase; Delta7-sterol reductase; EC 1.3.1.21),
the ER-membrane enzyme catalysing the FINAL step of the Kandutsch-Russell arm of cholesterol
biosynthesis: NADPH-dependent reduction of the C7-C8 double bond of 7-dehydrocholesterol (7-DHC)
to cholesterol.
7-DHC is also the precursor of vitamin D3, so DHCR7 partitions 7-DHC between cholesterol and
vitamin D synthesis [PMID:25637936 "DHCR7 is important for both cholesterol and vitamin D
synthesis"; "as 7DHC can be converted into cholesterol or vitamin D, DHCR7 represents a switch
between these vital molecules in skin cells exposed to UVB"].
ER membrane, multi-pass. PMID:9878250. UniProt SUBCELLULAR LOCATION: Endoplasmic reticulum membrane; Multi-pass membrane
protein. HPA IDA -> ER. IDA PMID:9878250 also assigns nuclear outer membrane (contiguous with
ER/nuclear envelope) and ER. 7 predicted TM helices. Note GO:0005640 nuclear outer membrane is
part of ER envelope continuum — plausible but non-core.
IMP PMID:20615952: DHCR7 + EBP (D8D7I) together reconstitute cholesterol-5,6-epoxide hydrolase
(ChEH) activity of the microsomal antiestrogen binding site (AEBS). This is a genuine, curated,
experimentally-supported second activity of DHCR7 as part of a heterodimeric AEBS complex — NOT
a spurious wrong-branch IEA. UniProt records it (AltName "Cholesterol-5,6-epoxide hydrolase
subunit DHCR7", EC 3.3.2.11) with IMP-level evidence. It is a moonlighting/complex activity, not
the core reductase function; KEEP_AS_NON_CORE (do not REMOVE an experimental annotation). The
task framing warned of an "incorrect ChEH IEA" but this specific annotation is IMP/experimental
and its full text supports it — treat accordingly.
Two 2024 Nature papers (IMP): DHCR7 is pro-ferroptotic because it consumes the anti-ferroptotic
metabolite 7-DHC. PMID:38297129. PMID:38297130. Real, experimentally
supported regulatory role (via depleting a radical-trapping sterol); non-core relative to the
biosynthetic function. KEEP_AS_NON_CORE.
SLOS (Smith-Lemli-Opitz syndrome) — autosomal recessive; elevated 7-DHC, low cholesterol;
microcephaly/2-3 toe syndactyly/developmental delay. Many SLOS missense variants in UniProt;
loss of 7-DHC reductase activity (e.g., T93M, N274K, L306R mutagenesis). Confirms enzyme is the
cause. Background for the enzymatic core function.
id: Q9UBM7
gene_symbol: DHCR7
product_type: PROTEIN
status: INITIALIZED
taxon:
id: NCBITaxon:9606
label: Homo sapiens
description: 7-dehydrocholesterol reductase (7-DHC reductase; Delta7-sterol reductase;
EC 1.3.1.21) is an NADPH-dependent oxidoreductase of the endoplasmic reticulum membrane
that catalyses the final step of cholesterol biosynthesis, reducing the C7-C8 double
bond of 7-dehydrocholesterol (7-DHC) to yield cholesterol. It is the terminal enzyme
of the Kandutsch-Russell arm of the sterol biosynthetic pathway and can also reduce
7-dehydrodesmosterol to desmosterol. Because 7-DHC is also the immediate precursor
of vitamin D3, DHCR7 activity partitions 7-DHC between cholesterol and vitamin D3
synthesis, and its activity is modulated by physical interaction with the other terminal
sterol reductase DHCR24. It is a multi-pass integral membrane protein of the ERG4/ERG24
sterol-reductase family. Loss-of-function mutations cause Smith-Lemli-Opitz syndrome
(SLOS), an autosomal-recessive cholesterol-biosynthesis malformation disorder characterised
by elevated 7-DHC and low cholesterol with microcephaly, 2-3 toe syndactyly and developmental
delay.
existing_annotations:
- term:
id: GO:0005789
label: endoplasmic reticulum membrane
evidence_type: IBA
original_reference_id: GO_REF:0000033
qualifier: is_active_in
review:
summary: DHCR7 is an integral endoplasmic reticulum membrane enzyme; this is where
its terminal cholesterol-biosynthesis reaction takes place.
action: ACCEPT
reason: The ER-membrane localization is well supported experimentally (subcellular
fractionation/immunolocalization) and by the multi-pass transmembrane topology.
The is_active_in qualifier correctly captures that catalysis occurs at the ER
membrane. This is a core cellular-component annotation.
supported_by:
- reference_id: PMID:9878250
supporting_text: these two related proteins are in the endoplasmic reticulum
- reference_id: file:human/DHCR7/DHCR7-uniprot.txt
supporting_text: 'SUBCELLULAR LOCATION: Endoplasmic reticulum membrane'
- term:
id: GO:0006695
label: cholesterol biosynthetic process
evidence_type: IBA
original_reference_id: GO_REF:0000033
qualifier: involved_in
review:
summary: DHCR7 catalyses the last step of cholesterol biosynthesis, converting
7-dehydrocholesterol to cholesterol.
action: ACCEPT
reason: This is the central biological process for DHCR7 and is supported by biochemistry,
disease genetics (SLOS), and phylogenetic inference. Core biological-process
annotation.
supported_by:
- reference_id: PMID:9465114
supporting_text: The Delta7-sterol reductase is the ultimate enzyme of cholesterol
biosynthesis in vertebrates and is absent from yeast.
- term:
id: GO:0047598
label: 7-dehydrocholesterol reductase activity
evidence_type: IBA
original_reference_id: GO_REF:0000033
qualifier: enables
review:
summary: The specific molecular function of DHCR7 - NADPH-dependent reduction of
the C7-C8 double bond of 7-dehydrocholesterol to cholesterol (EC 1.3.1.21).
action: ACCEPT
reason: This is the precise, correct molecular-function term and the core function
of the gene. Strongly supported by direct enzymatic characterization across
orthologs and phylogenetic inference.
supported_by:
- reference_id: PMID:9465114
supporting_text: remove the C7-8 double bond in 7-dehydrocholesterol
- term:
id: GO:0005789
label: endoplasmic reticulum membrane
evidence_type: IEA
original_reference_id: GO_REF:0000044
qualifier: located_in
review:
summary: ER membrane localization inferred from the UniProt Subcellular Location
vocabulary mapping.
action: ACCEPT
reason: Correct and consistent with experimental localization; this IEA mirrors
the curated Swiss-Prot subcellular location.
supported_by:
- reference_id: file:human/DHCR7/DHCR7-uniprot.txt
supporting_text: 'SUBCELLULAR LOCATION: Endoplasmic reticulum membrane'
- term:
id: GO:0016020
label: membrane
evidence_type: IEA
original_reference_id: GO_REF:0000002
qualifier: located_in
review:
summary: Generic membrane localization from InterPro domain mapping.
action: MARK_AS_OVER_ANNOTATED
reason: 'DHCR7 is a multi-pass membrane protein, so ''membrane'' is not wrong,
but it is far less informative than the specific and experimentally supported
GO:0005789 endoplasmic reticulum membrane already annotated. Retain only as a
generic parent.'
supported_by:
- reference_id: file:human/DHCR7/DHCR7-uniprot.txt
supporting_text: Multi-pass membrane protein
- term:
id: GO:0016126
label: sterol biosynthetic process
evidence_type: IEA
original_reference_id: GO_REF:0000002
qualifier: involved_in
review:
summary: Sterol biosynthetic process, the broader biosynthetic category encompassing
cholesterol biosynthesis.
action: ACCEPT
reason: Correct-branch parent of the specific cholesterol biosynthetic process;
DHCR7 acts in sterol/cholesterol biosynthesis. Reasonable broader annotation
from InterPro.
supported_by:
- reference_id: file:human/DHCR7/DHCR7-uniprot.txt
supporting_text: Belongs to the ERG4/ERG24 family
- term:
id: GO:0016628
label: oxidoreductase activity, acting on the CH-CH group of donors, NAD or NADP
as acceptor
evidence_type: IEA
original_reference_id: GO_REF:0000002
qualifier: enables
review:
summary: General oxidoreductase activity (CH-CH group donors, NAD/NADP acceptor)
inferred from InterPro.
action: MARK_AS_OVER_ANNOTATED
reason: 'This is a correct-branch but overly general parent of the specific and
experimentally established GO:0047598 7-dehydrocholesterol reductase activity.
DHCR7 does reduce a C-C double bond using NADPH, so the term is not wrong, but
the specific term should be preferred.'
proposed_replacement_terms:
- id: GO:0047598
label: 7-dehydrocholesterol reductase activity
supported_by:
- reference_id: PMID:9465114
supporting_text: The conversion to cholesterol depends on NADPH
- term:
id: GO:0047598
label: 7-dehydrocholesterol reductase activity
evidence_type: IEA
original_reference_id: GO_REF:0000120
qualifier: enables
review:
summary: 7-dehydrocholesterol reductase activity (EC 1.3.1.21) from automated annotation
(ARBA/RHEA/EC mapping).
action: ACCEPT
reason: Correct specific molecular function, consistent with the RHEA:23984 / EC
1.3.1.21 reaction and experimental evidence. Core function.
supported_by:
- reference_id: file:human/DHCR7/DHCR7-uniprot.txt
supporting_text: EC=1.3.1.21
- term:
id: GO:0006695
label: cholesterol biosynthetic process
evidence_type: TAS
original_reference_id: Reactome:R-HSA-6807047
qualifier: involved_in
review:
summary: Cholesterol biosynthetic process, asserted via the Reactome Bloch-pathway
(via desmosterol) module.
action: ACCEPT
reason: DHCR7 participates in cholesterol biosynthesis; the Reactome pathway assertion
is consistent with the enzyme's established role. Core biological process.
supported_by:
- reference_id: PMID:9465114
supporting_text: The Delta7-sterol reductase is the ultimate enzyme of cholesterol
biosynthesis in vertebrates and is absent from yeast.
- term:
id: GO:0006695
label: cholesterol biosynthetic process
evidence_type: TAS
original_reference_id: Reactome:R-HSA-9969901
qualifier: involved_in
review:
summary: Cholesterol biosynthetic process, asserted via the Reactome modified Kandutsch-Russell
(from zymosterol) module - the arm terminated by DHCR7.
action: ACCEPT
reason: Consistent with DHCR7's role as the terminal enzyme of the Kandutsch-Russell
arm of cholesterol synthesis. Core biological process.
supported_by:
- reference_id: PMID:9465114
supporting_text: The Delta7-sterol reductase is the ultimate enzyme of cholesterol
biosynthesis in vertebrates and is absent from yeast.
- term:
id: GO:0006695
label: cholesterol biosynthetic process
evidence_type: IEA
original_reference_id: GO_REF:0000120
qualifier: involved_in
review:
summary: Cholesterol biosynthetic process from automated UniPathway (UPA00063)
mapping.
action: ACCEPT
reason: Correct pathway assignment consistent with the curated UniProt PATHWAY
annotation (cholesterol biosynthesis). Core biological process.
supported_by:
- reference_id: file:human/DHCR7/DHCR7-uniprot.txt
supporting_text: 'PATHWAY: Steroid biosynthesis; cholesterol biosynthesis.'
- term:
id: GO:0047598
label: 7-dehydrocholesterol reductase activity
evidence_type: EXP
original_reference_id: PMID:9465114
qualifier: enables
review:
summary: Direct demonstration that the cloned human enzyme removes the C7-C8 double
bond of 7-dehydrocholesterol, converting it to cholesterol in an NADPH-dependent
manner.
action: ACCEPT
reason: Experimental evidence directly establishing the core molecular function.
supported_by:
- reference_id: PMID:9465114
supporting_text: Microsomes from Saccharomyces cerevisiae strains heterologously
expressing the human cDNA remove the C7-8 double bond in 7-dehydrocholesterol.
- term:
id: GO:0005783
label: endoplasmic reticulum
evidence_type: IDA
original_reference_id: GO_REF:0000052
qualifier: located_in
review:
summary: Immunofluorescence (Human Protein Atlas) localizes DHCR7 to the endoplasmic
reticulum.
action: ACCEPT
reason: Consistent with the more specific ER membrane localization; ER is the correct
compartment. Retained as the (broader) directly observed compartment.
supported_by:
- reference_id: PMID:9878250
supporting_text: these two related proteins are in the endoplasmic reticulum
- term:
id: GO:0033963
label: cholesterol-5,6-oxide hydrolase activity
evidence_type: IMP
original_reference_id: PMID:20615952
qualifier: enables
review:
summary: DHCR7, together with EBP (D8D7I), constitutes the microsomal antiestrogen
binding site (AEBS) that carries cholesterol-5,6-epoxide hydrolase (ChEH) activity;
co-expression of both subunits reconstitutes ChEH and double knockdown abolishes
it.
action: KEEP_AS_NON_CORE
reason: This is a genuine, experimentally supported (IMP) secondary/moonlighting
activity in which DHCR7 acts as a subunit of the heterodimeric AEBS complex,
and it is recorded by UniProt (AltName "Cholesterol-5,6-epoxide hydrolase subunit
DHCR7", EC 3.3.2.11). It is not the core reductase function and DHCR7 alone confers
only weak activity (the activity requires the EBP-DHCR7 dimer), so it is kept
as non-core rather than accepted as a core function. Not removed, as the full-text
experimental evidence supports it.
supported_by:
- reference_id: PMID:20615952
supporting_text: whereas their coexpression fully
- reference_id: file:human/DHCR7/DHCR7-uniprot.txt
supporting_text: The precise role of
- term:
id: GO:0006695
label: cholesterol biosynthetic process
evidence_type: IMP
original_reference_id: PMID:38297129
qualifier: involved_in
review:
summary: Genetic/functional manipulation of DHCR7 (including SLOS variants and
active-site mutagenesis) confirms its role in cholesterol biosynthesis via 7-DHC
reduction.
action: ACCEPT
reason: Mutagenesis and variant characterization in this study confirm that DHCR7
converts 7-DHC to cholesterol, supporting its role in the cholesterol biosynthetic
process. Core biological process.
supported_by:
- reference_id: PMID:38297129
supporting_text: we identify proferroptotic activity of 7-dehydrocholesterol
reductase (DHCR7) and an unexpected prosurvival function of its substrate,
7-dehydrocholesterol (7-DHC)
- term:
id: GO:0006695
label: cholesterol biosynthetic process
evidence_type: IMP
original_reference_id: PMID:38297130
qualifier: involved_in
review:
summary: CRISPR screening and functional analysis place DHCR7 as the enzyme that
metabolizes 7-DHC for cholesterol synthesis in distal cholesterol biosynthesis.
action: ACCEPT
reason: Independently confirms DHCR7's role in cholesterol biosynthesis via 7-DHC
reduction. Core biological process.
supported_by:
- reference_id: PMID:38297130
supporting_text: metabolized by 7-DHC reductase (DHCR7) for cholesterol synthesis
- term:
id: GO:0047598
label: 7-dehydrocholesterol reductase activity
evidence_type: IMP
original_reference_id: PMID:38297129
qualifier: enables
review:
summary: Active-site mutagenesis (e.g., N274K, L306R cause loss of activity) and
SLOS variant characterization confirm the 7-DHC reductase activity of DHCR7.
action: ACCEPT
reason: Direct functional (mutagenesis) evidence for the core molecular function.
supported_by:
- reference_id: PMID:38297129
supporting_text: we identify proferroptotic activity of 7-dehydrocholesterol
reductase (DHCR7)
- term:
id: GO:0047598
label: 7-dehydrocholesterol reductase activity
evidence_type: IMP
original_reference_id: PMID:38297130
qualifier: enables
review:
summary: Functional evidence that DHCR7 is the reductase metabolizing 7-DHC in
distal cholesterol biosynthesis.
action: ACCEPT
reason: Supports the core molecular function through loss/gain-of-function analysis
of DHCR7 and 7-DHC levels.
supported_by:
- reference_id: PMID:38297130
supporting_text: metabolized by 7-DHC reductase (DHCR7) for cholesterol synthesis
- term:
id: GO:0160020
label: positive regulation of ferroptosis
evidence_type: IMP
original_reference_id: PMID:38297129
qualifier: involved_in
review:
summary: DHCR7 promotes ferroptosis by consuming its substrate 7-DHC, a potent
radical-trapping (anti-ferroptotic) sterol; DHCR7 loss raises 7-DHC and confers
ferroptosis resistance.
action: KEEP_AS_NON_CORE
reason: This is a real, experimentally supported (IMP) regulatory consequence of
DHCR7's enzymatic activity - by depleting the anti-ferroptotic metabolite 7-DHC,
DHCR7 acts as a pro-ferroptotic factor. It is downstream of, and secondary to,
the core biosynthetic function, so it is kept as non-core rather than a defining
function.
supported_by:
- reference_id: PMID:38297129
supporting_text: we identify proferroptotic activity of 7-dehydrocholesterol
reductase (DHCR7) and an unexpected prosurvival function of its substrate,
7-dehydrocholesterol (7-DHC)
- term:
id: GO:0160020
label: positive regulation of ferroptosis
evidence_type: IMP
original_reference_id: PMID:38297130
qualifier: involved_in
review:
summary: Genome-wide CRISPR screening identifies DHCR7 as a pro-ferroptotic gene
acting by lowering the anti-ferroptotic metabolite 7-DHC.
action: KEEP_AS_NON_CORE
reason: Independently supports the pro-ferroptotic regulatory role, which is a
secondary consequence of DHCR7's core reductase activity. Kept as non-core.
supported_by:
- reference_id: PMID:38297130
supporting_text: DHCR7 functions as a pro-ferroptotic gene
- term:
id: GO:0005515
label: protein binding
evidence_type: IPI
original_reference_id: PMID:32694168
qualifier: enables
review:
summary: DHCR7 physically interacts with the ER/nuclear-envelope transmembrane
protein TMEM147 (Q9BVK8), whose depletion reduces DHCR7 protein levels and affects
cholesterol homeostasis.
action: MARK_AS_OVER_ANNOTATED
reason: The interaction with TMEM147 is genuine and experimentally documented,
but the bare 'protein binding' (GO:0005515) term is uninformative about molecular
function. The specific interaction and its regulatory relevance are recorded
here rather than captured by this generic term. Per curation policy the IPI is
not removed.
supported_by:
- reference_id: PMID:32694168
supporting_text: physically interacts with the key sterol reductase DHCR7
- term:
id: GO:0005515
label: protein binding
evidence_type: IPI
original_reference_id: PMID:25637936
qualifier: enables
review:
summary: DHCR7 physically and functionally interacts with the other terminal cholesterol-synthesis
reductase DHCR24 (Q15392); the two enzymes co-immunoprecipitate and DHCR24 controls
DHCR7 activity.
action: MARK_AS_OVER_ANNOTATED
reason: The DHCR7-DHCR24 interaction is a well-established, functionally important
physical interaction (a proposed cholesterol-synthesis metabolon), but 'protein
binding' is too generic to convey function. The specific interacting partner
and its regulatory role are documented here. IPI retained per policy.
supported_by:
- reference_id: PMID:25637936
supporting_text: 24-Dehydrocholesterol reductase (DHCR24) and 7-dehydrocholesterol
reductase (DHCR7) coimmunoprecipitate, and when the DHCR24 gene is knocked
down by siRNA, DHCR7 activity is also ablated.
- term:
id: GO:0050661
label: NADP binding
evidence_type: ISS
original_reference_id: GO_REF:0000024
qualifier: enables
review:
summary: DHCR7 binds NADP(H) as the redox cofactor for the reduction of 7-DHC to
cholesterol.
action: ACCEPT
reason: Supported by multiple predicted NADP(+) binding-site residues (UniProt
BINDING features) and by the NADPH-dependence of the catalysed reaction. Consistent
with the family cofactor requirement; a correct molecular-function annotation.
supported_by:
- reference_id: PMID:9465114
supporting_text: The conversion to cholesterol depends on NADPH
- reference_id: file:human/DHCR7/DHCR7-uniprot.txt
supporting_text: /ligand="NADP(+)"
- term:
id: GO:0016020
label: membrane
evidence_type: HDA
original_reference_id: PMID:19946888
qualifier: located_in
review:
summary: DHCR7 identified in a high-throughput membrane proteome of an NK-like
cell line.
action: MARK_AS_OVER_ANNOTATED
reason: A high-throughput proteomic membrane assignment; 'membrane' is correct
but generic. The specific and experimentally supported ER membrane localization
is preferred and already annotated.
supported_by:
- reference_id: PMID:19946888
supporting_text: approximately 40% of the identified proteins were predicted
as plausible membrane proteins
- term:
id: GO:0005789
label: endoplasmic reticulum membrane
evidence_type: TAS
original_reference_id: Reactome:R-HSA-1655827
qualifier: located_in
review:
summary: ER membrane localization asserted by Reactome.
action: ACCEPT
reason: Correct, specific cellular-component localization consistent with experimental
data. Core cellular component.
supported_by:
- reference_id: file:human/DHCR7/DHCR7-uniprot.txt
supporting_text: 'SUBCELLULAR LOCATION: Endoplasmic reticulum membrane'
- term:
id: GO:0005789
label: endoplasmic reticulum membrane
evidence_type: TAS
original_reference_id: Reactome:R-HSA-196402
qualifier: located_in
review:
summary: ER membrane localization asserted by Reactome.
action: ACCEPT
reason: Correct, specific cellular-component localization consistent with experimental
data. Core cellular component.
supported_by:
- reference_id: file:human/DHCR7/DHCR7-uniprot.txt
supporting_text: 'SUBCELLULAR LOCATION: Endoplasmic reticulum membrane'
- term:
id: GO:0005789
label: endoplasmic reticulum membrane
evidence_type: TAS
original_reference_id: Reactome:R-HSA-6807055
qualifier: located_in
review:
summary: ER membrane localization asserted by the Reactome reaction 'DHCR7 reduces
7-dehydroCHOL to CHOL'.
action: ACCEPT
reason: Correct, specific cellular-component localization consistent with experimental
data. Core cellular component.
supported_by:
- reference_id: file:human/DHCR7/DHCR7-uniprot.txt
supporting_text: 'SUBCELLULAR LOCATION: Endoplasmic reticulum membrane'
- term:
id: GO:0006695
label: cholesterol biosynthetic process
evidence_type: IMP
original_reference_id: PMID:9465114
qualifier: involved_in
review:
summary: Functional expression of the cloned enzyme, and its identification as
the ultimate cholesterol-biosynthesis enzyme defective in SLOS, support its role
in cholesterol biosynthesis.
action: ACCEPT
reason: Supported by the reconstitution of 7-DHC-to-cholesterol conversion on expression
of the human cDNA. Core biological process.
supported_by:
- reference_id: PMID:9465114
supporting_text: The Delta7-sterol reductase is the ultimate enzyme of cholesterol
biosynthesis in vertebrates and is absent from yeast.
- term:
id: GO:0005640
label: nuclear outer membrane
evidence_type: IDA
original_reference_id: PMID:9878250
qualifier: located_in
review:
summary: DHCR7 was localized to the endoplasmic reticulum, contiguous with the
nuclear outer membrane, in the study characterizing the LBR/sterol-reductase
gene family.
action: KEEP_AS_NON_CORE
reason: The nuclear outer membrane is continuous with the ER membrane, so this
IDA is plausible and not contradicted, but it is a peripheral aspect of the localization;
the core compartment is the ER membrane. Retained as non-core. Not removed, as
it is an experimental (IDA) observation whose full text we have not read.
supported_by:
- reference_id: PMID:9878250
supporting_text: these two related proteins are in the endoplasmic reticulum
- term:
id: GO:0005783
label: endoplasmic reticulum
evidence_type: IDA
original_reference_id: PMID:9878250
qualifier: located_in
review:
summary: Directly localizes DHCR7 to the endoplasmic reticulum in the study characterizing
the human LBR/sterol-reductase multigene family.
action: ACCEPT
reason: Direct experimental (IDA) localization to the ER, consistent with the more
specific ER membrane annotation. Correct compartment.
supported_by:
- reference_id: PMID:9878250
supporting_text: these two related proteins are in the endoplasmic reticulum
- term:
id: GO:0047598
label: 7-dehydrocholesterol reductase activity
evidence_type: IDA
original_reference_id: PMID:9465114
qualifier: enables
review:
summary: Direct assay of the heterologously expressed human enzyme demonstrating
NADPH-dependent reduction of the C7-C8 double bond of 7-dehydrocholesterol.
action: ACCEPT
reason: Direct experimental (IDA) evidence for the core molecular function.
supported_by:
- reference_id: PMID:9465114
supporting_text: Microsomes from Saccharomyces cerevisiae strains heterologously
expressing the human cDNA remove the C7-8 double bond in 7-dehydrocholesterol.
core_functions:
- description: NADPH-dependent 7-dehydrocholesterol reductase catalysing the final,
terminal step of cholesterol biosynthesis - reduction of the C7-C8 double bond
of 7-dehydrocholesterol to cholesterol - at the endoplasmic reticulum membrane.
supported_by:
- reference_id: PMID:9465114
supporting_text: Microsomes from Saccharomyces cerevisiae strains heterologously
expressing the human cDNA remove the C7-8 double bond in 7-dehydrocholesterol.
molecular_function:
id: GO:0047598
label: 7-dehydrocholesterol reductase activity
directly_involved_in:
- id: GO:0006695
label: cholesterol biosynthetic process
locations:
- id: GO:0005789
label: endoplasmic reticulum membrane
references:
- id: GO_REF:0000002
title: Gene Ontology annotation through association of InterPro records with GO
terms
findings: []
- id: GO_REF:0000024
title: Manual transfer of experimentally-verified manual GO annotation data to orthologs
by curator judgment of sequence similarity
findings: []
- id: GO_REF:0000033
title: Annotation inferences using phylogenetic trees
findings: []
- id: GO_REF:0000044
title: Gene Ontology annotation based on UniProtKB/Swiss-Prot Subcellular Location
vocabulary mapping, accompanied by conservative changes to GO terms applied by
UniProt
findings: []
- id: GO_REF:0000052
title: Gene Ontology annotation based on curation of immunofluorescence data
findings: []
- id: GO_REF:0000120
title: Combined Automated Annotation using Multiple IEA Methods
findings: []
- id: file:human/DHCR7/DHCR7-uniprot.txt
title: UniProtKB entry Q9UBM7 (DHCR7_HUMAN)
findings: []
- id: PMID:19946888
title: Defining the membrane proteome of NK cells.
findings: []
reference_review:
relevance: LOW
correctness: VERIFIED
review_notes: High-throughput NK-cell membrane proteome; supports only a generic
membrane localization, not a specific function of DHCR7.
- id: PMID:20615952
title: Identification and pharmacological characterization of cholesterol-5,6-epoxide
hydrolase as a target for tamoxifen and AEBS ligands.
findings: []
reference_review:
relevance: MEDIUM
correctness: VERIFIED
review_notes: Establishes that DHCR7 with EBP forms the AEBS carrying cholesterol-5,6-epoxide
hydrolase activity; a genuine secondary (moonlighting) activity, non-core.
- id: PMID:25637936
title: The terminal enzymes of cholesterol synthesis, DHCR24 and DHCR7, interact
physically and functionally.
findings: []
reference_review:
relevance: HIGH
correctness: VERIFIED
review_notes: Full-text available; demonstrates DHCR7-DHCR24 physical/functional
interaction and the cholesterol/vitamin D3 partitioning role of DHCR7.
- id: PMID:32694168
title: TMEM147 interacts with lamin B receptor, regulates its localization and levels,
and affects cholesterol homeostasis.
findings: []
reference_review:
relevance: MEDIUM
correctness: VERIFIED
review_notes: Reports a physical interaction between DHCR7 and TMEM147 affecting
DHCR7 protein levels and cholesterol homeostasis.
- id: PMID:38297129
title: 7-Dehydrocholesterol is an endogenous suppressor of ferroptosis.
findings: []
reference_review:
relevance: HIGH
correctness: VERIFIED
review_notes: Establishes DHCR7 as pro-ferroptotic via depletion of the anti-ferroptotic
metabolite 7-DHC; includes active-site mutagenesis confirming reductase activity.
- id: PMID:38297130
title: 7-Dehydrocholesterol dictates ferroptosis sensitivity.
findings: []
reference_review:
relevance: HIGH
correctness: VERIFIED
review_notes: Full-text available; independent confirmation of DHCR7's pro-ferroptotic
role and its 7-DHC reductase function in distal cholesterol biosynthesis.
- id: PMID:9465114
title: Molecular cloning and expression of the human delta7-sterol reductase.
findings: []
reference_review:
relevance: HIGH
correctness: VERIFIED
review_notes: Primary cloning/characterization; directly establishes the NADPH-dependent
7-DHC reductase (EC 1.3.1.21) core function.
- id: PMID:9878250
title: The human lamin B receptor/sterol reductase multigene family.
findings: []
reference_review:
relevance: MEDIUM
correctness: VERIFIED
review_notes: Establishes DHCR7 as a member of the LBR/sterol-reductase family
localized to the endoplasmic reticulum.
- id: Reactome:R-HSA-1655827
title: Expression of 7-Dehydrocholesterol Reductase (DHCR7)
findings: []
- id: Reactome:R-HSA-196402
title: Cholesta-5,7,24-trien-3beta-ol is reduced to desmosterol
findings: []
- id: Reactome:R-HSA-6807047
title: Cholesterol biosynthesis via desmosterol (Bloch pathway)
findings: []
- id: Reactome:R-HSA-6807055
title: DHCR7 reduces 7-dehydroCHOL to CHOL
findings: []
- id: Reactome:R-HSA-9969901
title: Cholesterol biosynthesis from zymosterol (modified Kandutsch-Russell pathway)
findings: []