3-oxochol-4-en-22-oyl-CoA + acetyl-CoA <=> 3,22-dioxochol-4-en-24-oyl-CoA + CoA
3-oxochol-4-en-22-oyl-coa + acetyl-coa <=> 3,22-dioxochol-4-en-24-oyl-coa + coa
3-oxochol-4-en-22-oyl-CoA + acetyl-CoA <=> 3,22-dioxochol-4-en-24-oyl-CoA + CoA
3-oxochol-4-en-22-oyl-coa + acetyl-coa <=> 3,22-dioxochol-4-en-24-oyl-coa + coa