At least four inborn errors affecting enzymes that modify the sterol rings have been identified. Three of them are associated with progressive liver disease.
defect in cholesterol 7α-hydroxylase
defect in oxysterol 7α-hydroxylase
defect in 3β-hydroxy-C27-steroid dehydrogenase/isomerase
References
Bile acids: chemistry, physiology, and pathophysiology. Monte MJ, Marin JJ, Antelo A, Vazquez-Tato J. World J Gastroenterol. 2009 Feb 21;15(7):804-16. PMID: 19230041