Cholestwerol Flashcards

1
Q

NADPH in biosynthesis of cholesterol

A

NADPH helps catalyse the final reaction of several

the C=C bond is reduced by transfer of a hydride ion

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2
Q

synthesis of cholesterol from acetyl CoA

A

Acetyl CoA + Acetyl CoA CONDENSATION
Acetoacetyl CoA + acetyl CoA CONDENSATION [HMG-CoA synthase]
HMG-CoA + 2NADP+ + CoA [HMG-CoA reductase under -ve feedback from cholesterol, mevalonate and bile salts]
mevalonate phosphorylated 3 times [melavonate kinase, phopho mevalonate kinase, kinase] DECARBOXYLATION [phospho mevalonate decarboxylase]
3-isopentenyl pyrophosphate + dimethylallyl pyrophosphate [geranyl transferase]
geranyl pyrophosphate + 3-isopentenyl pyrophosphate [geranyl transferase]
farnesyl pyrophosphate
squalene 30C + oxygen + NADPH + H+ – squalene epoxide + water + NADP+ [squalene monooxygenase]
squalene epoxide + H+
protosterol cation - H+
lanosterol REDUCTION -3 methyl units
cholesterol

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3
Q

Cholesterol and steroid hormones

A

all main steroid hormones from cholesterol

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4
Q

Synthesis of vitamin D from cholesterol

A

7-dehydrocholesterol + UV
prvit D3
Vit D3
Calcitriol HYDROXYLATION

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5
Q

Bile salts

A

cholesterol unfold forming polar and non-polar face
generated in liver
stored in gall bladder
major product of break down of cholesterol
cholesterol converted to glycocholate and taurocholate

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6
Q

Describe lipoproteins

A

composed of phospholipid monolayer containing cholsesterol and apoproteins
in core of lipoprotein are cholesterol esters and triacylglycerols

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7
Q

Cholesterol esters

A

synthesised in plasma
from cholesterol and acyl chain of phosphatidylcholine (lecithin)
catalysed by lecithin cholesterol acyltransferase (LCAT)
make more hydrophobic
acyl CoA acyltransferase (ACAT) - generate esters from long chain fatty acyl CoA species - intracellular enz - cholesterol taken in by endocytosis

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8
Q

Categories of lipoproteins

A

chylomicrons (CM) - cholesterol from diet
Very low density lipoproteins VLDL
intermediate desity lipoproteins IDL
Low density lipoproteins LDL - bad cholesterol
High density lipoproteins HDL - good cholesterol

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9
Q

Fat digestion

A

lipid digestion by lingual, gastric and pancreatic lipases - monoacylglycerol (MAG) and diacylglycerol (DAG) and free fatty acids that are released by lipid hydrolysis - join with BS and CL and lysophosphatidic acid (LPA) and fat soluble vitamins to form mixed micelles

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10
Q

fat absorption

A

absorbed by enterocytes that line brush border of SI
TAGs resynthesized
absorbed into chylomicrons
transported via lymphatics and to blood stream

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11
Q

High levels of LDL

A

atherosclerosis - artery hardening

transported to peripheral tissues

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12
Q

LDL and familial hypercholesterolaemia

A

monogenic dominant
2-3x more cholesterol
homozygous 5x
deposition of LDL into macrophages of skin
LDL receptor - ligand binding domain, EGF precursor homology domain, o-linked carb domain, transmembrane domain, cytoplasmic domain

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13
Q

recall four examples of blood-borne hormones which act as metabolic regulators

A

Insulin, glucagon, adrenaline, glucocorticoids

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14
Q

insulin

A

increase glucose take up
formation of glycogen
formation of fatty acids in adipocytes
increase number of glucose transporters on surface of liver cells
islets of Langerhans
increased use of metabolic substrates - synthesis

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15
Q

Glucagon

A
triglyceride break down 
gluconeogenesis in liver 
glycogenolysis 
break down proteins
use of fatty acids
islets Langerhans
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16
Q

Adrenaline

A

increased response if glucagon
enough glucose for fight/flight
adrenal gland

17
Q

Glucocorticoids

A

adrenal gland

increase synthesis of metabolic enzymes concerned with glucose availability

18
Q

Diabetes

A

Type 1 don’t produce insulin
type 2 resistant to diabetes
high glucagon - high hepatic output glucose - hyperglycaemic - tissue damage
No insulin - no glucose stored - hyperglycaemic - faint/coma
cardiovascular implications