The cause was subsequently shown to be related to blockade of the ultimate reaction in the biosynthesis of cholesterol ( 2 ). Recessive mutations were described of the gene coding for 7-dehydrocholesterol reductase, the enzyme responsible for catalyzing the fi nal reduction of 7-dehydrocholesterol to cholesterol. A variety of deleterious mutations for 7-dehydrocholesterol reductase with distinct geographic distribution have been shown ( 3 ) and traced with a noticeably high frequency around 1% in healthy heterozygote carriers ( 4 ).The accumulation in fetal tissue of the metabolite 7-dehydrocholesterol (7-DHC) and derivative isomer 8-dehydrocholesterol is a specifi c biomarker for antenatal diagnosis of this severe condition ( 5 ) involving the central nervous system ( 6 ), masculinization, and facial and limb defects ( 7,8 ). Indeed the accumulation of precursors is constantly associated with a severe defi cit of the end-product cholesterol, which is also judged deleterious for embryo development. The teratology was originally studied by this laboratory in animal models treated with potent inhibitors of cholesterol biosynthesis ( 9 ). The results of in vivo studies are considered inconclusive with respect to whether the cholesterol defi cit or the accretion of aberrant sterol competing with membrane cholesterol is the underlying mechanism for teratology. The administration of a diet highly enriched in cholesterol to inhibitor-treated pregnant dams was proven to suppress malformations in the offspring ( 10 ). Nevertheless, it cannot be concluded that the defi cit in cholesterol alone is causal because negative Abstract The phase behavior of egg sphingomyelin (ESM) mixtures with cholesterol or 7-dehydrocholesterol (7-DHC) has been investigated by independent methods: fl uorescence microscopy, X-ray diffraction, and electron spin resonance spectroscopy. In giant vesicles, cholesterol-enriched domains appeared as large and clearly delineated domains assigned to a liquid-ordered (L o ) phase. The domains containing 7-DHC were smaller and had more diffuse boundaries. Separation of a gel phase assigned by X-ray examination to pure sphingomyelin domains coexisting with sterol-enriched domains was observed at temperatures less than 38°C in binary mixtures containing 10-mol% sterol. At higher sterol concentrations, the coexistence of liquid-ordered and liquid-disordered phases was evidenced in the temperature range 20°-50°C. Calculated electron density profi les indicated the location of 7-DHC was more loosely defi ned than cholesterol, which is localized precisely at a particular depth along the bilayer normal. ESR spectra of spin-labeled fatty acid partitioned in the liquid-ordered component showed a similar, high degree of order for both sterols in the center of the bilayer, but it was higher in the coexisting disordered phase for 7-DHC. The differences detected in the models of the lipid membrane matrix are said to initiate the deleterious consequences of the Smith-Lemli-Opitz syndrome. -Staneva, G., C. Chachaty, C. ...