lipids/cholesterol Flashcards

1
Q

describe Hormone-sensitive Lipase (HSL)

A
  • Found on adipose cell surface
  • Release free fatty acids into blood that bind to albumin
  • HSL is INHIBITED by INSULIN
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2
Q

define lipoproteins

A
  • synthesized in well-fed state for the sole purpose of transporting lipids
  • Archetecture
  • inside is very hydrophobic molecules (cholesteryl esters)
  • surrounding hydrophobic core we have anti polar membrane
  • on the surface you have hydrophilic head groups of cholesterol

–> proteins on the surface provide structure and contain enzymes to allow the transport of lipids into and out of the lipoprotein molecules (entery and exit)

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3
Q

define chylomicrons

A
  • transport of dietary lipids
  • very large, synthesized in enterocytes, made for transport of consumed lipids
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4
Q

Define very-low density lipoproteins

A
  • for transport of endogenous lipids
  • made for the transport of liver generated lipids
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5
Q

High density lipoproteins (HDL)

A
  • reverse lipid transport/excretion
  • made empty, and as they circulate they suck up lipids from the lipid membranes
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6
Q

Apo A

A
  • activators of lecitin: cholesterol acyltransferase (LCAT)

–> makes cholesterol very hdyrophobic and therefore trapping them into the core

–> extract lipids from membranes for reverse transport

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7
Q

Apo B

A
  • Structural proteins, interact with lipoproteins receptors and mediate the uptake of the particle into target cell

–> scaffold to give shape and also helps the molecule interact with receptors

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8
Q

Apo C

A
  • Modulate lipoprotein lipase (LPL/HTGL) activity

–> LPL liberates free fatty acids and glycerol from lipoproteins

–> facilitates the EXIT of lipids from lipoproteins

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9
Q

Apo E

A
  • bind to receptors to allow removal of remnant particles from the circulation
  • Allow the interaction of lipoproteins with receptors
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10
Q

Describe the formation of Chylomicron

A
  • In order to take up lipids (TG) from the diet you need to break them down via PANCREATIC lipase (TG –> MG +FA) and absorbed into enterocytes
  • Once in enterocytes MG + FA form TG and are formed into Chylomicron with Apo B-48
  • As it goes through circulation it collect Apo E and Apo C from HDL particles
  • Apo C activates lipoprotein lipase (LPL) and release Free fatty acids and glycerol
  • As chylomicron shrink with the release of more lipids it forms a remnant and is recycled in the hepatocyte
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11
Q

describe endogenous lipid production

A
  • the hepatocyte combine cholesterol and Apo B100 to form VLDL
  • VLDL leaves hepatocyte and enters circulation (still in immature state, does nto have function proteins)
  • Collects Apo C and Apo E from HDL particles
  • Apo C activates lipoprotein lipase (LPL) and releases FA + glycerol into muscle and storage
  • Becomes heavier as it releases lipids (VLDL –> IDL –> LDL)
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12
Q

describe the role of LDL

A
  • Two options:
  • LDL binds to hepatocytes

–> becomes treated in endolysosome and degraded

–> should NOT be a lot of LDL in circulation

–> functional of how much energy is in liver (leads to accumulation)

  • LDL binds to pretty much every other cell type

–> In Macrophages, LDL become internalized and if they are faced with lots of LDL (oxygenized LDL) they take up a lot of it!!

–> filled with oxygenated LDL they can start forming atherosclerosis and plaques

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13
Q

describe the reverse cholesterol transport

A
  • Liver makes Nasc. HDL with triacylglycerol, Apo E, Apo C and Apo A
  • as it circulates, HDL particles pick up lipids from peripheral cells by interactions between ABCA1 and Apo A
  • Once cholesterol is picked up, LCAT makes sure cholesterol stays on the inside of the cell by conversion to cholesteryl ester
  • HDL transfer cholesteryl esters to VLDL via CETP (mech for making VLDL rich in cholesterol
  • ONCE HDL is full it binds to scavenger receptor BI and the hepatic lipase removes cholesteryl esters from it and is converted to bile sates and excreted.
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14
Q

Elevated cholesterol, normal triglycerides

A
  • Familial hypercholesterolemia (FH)

–> results from defects in the Apo E/B (LDL) receptor

–> autosomal co-dominant trait

  • Familial defective ApoB100 (FDB)

–> similar to FH

–> defective apoB100 prevents binding of LDL to receptor

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15
Q

Elevated triglycerides

A
  • Familial combined hyperlipidemia (FCHL)

–> variable etiology; may result from:

–> overproduction of Apo B100 or..

–> increased production of VLDL, abundance of VLDL, IDL, LDL

  • Familial dysbetalipoproteinemia (FDBL)

–>defective ApoE prevents uptake of remnants by liver

–> increase in all Apo B-containing lipoproteins

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16
Q

describe types of secondary dyslipidemias

A
  • Obesity

–> high insulin (liver produces fatty acids)

–> large amounts of adipose tissue, decreased insulin sensitivity (ltos of fatty acid released)

–> Liver produces large amounts of VLDL (high LDL cholesterol)

  • Diabetes

–> Type 1 (no abnormalities when under good glycemic control

–> type 2 (inactive LPL, active hormone sensitive lipase, active FA synthesis) –> (VLDL and chylomicrons increase, lots of FA released, VLDL increases)

17
Q

describe liver disease effects on dyslipidemias

A
  • Liver failure

–> liver does not produce enough VLDLs and HDLs: abnormally low cholesterol/triglycerides

  • Cholestasis

–> impaired excretion of cholesterol/bile salts

–> cholesterol and phospholipids form Lp-X, an abnormal lipoprotein that can deposit in skin folds

–> serum cholesterol