Lipid synthesis and transport in the blood Flashcards

1
Q

What enzyme catalyses the first reaction in fatty acid synthesis

A

Acetyl CoA carboxylase converts acetyl CoA to malonyl CoA using ATP

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2
Q

What effect does malonyl CoA have on carnitine transferase and why

A

Inhibits it to stop entry of FA into mitochondria for B-oxidation - no point in making it if it is immediately used up.

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3
Q

How does proportion of fat/protein affect density of lipoprotein

A

proteins increase density

lipids decrease density

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4
Q

What is the structure of a lipoprotein

A

Inner core of triglycerides and cholesterol

outercore of phospholipids, cholesterol and apoproteins

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5
Q

What is the function of apoproteins

A

Activates enzymes in lipid metabolsim + recognised by receptors

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6
Q

Describe the transport of exogenous fats in the body

A

Chylomicrons affected by lipoprotein lipase (takes fatty acids of TAG, then glycerol goes back to liver. In adipocyte new glycerol is synthesised from glucose to make TAG to be stored)
Lipoprotein lipase activated by apo-C-II or insulin. Apo-C-II removed when it activates the enzyme, when it is removed from the chylomicron the chylomicron is now called a chylomicron element, which goes back to the liver.

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7
Q

What apoprotein is important in the transport of endogenous fats?

A

B-100

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8
Q

How does cholesterol control it’s own synthesis

A

Cholesterol free in the cell enters the nucleus and inhibits production of enzymes involved in its synthesis

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9
Q

Describe the pathway for cholesterol synthesis

A

Acetyl CoA + acetoacyl CoA

HMG-CoA
(rate limiting, HMG-reductase)
mevalonate I

Cholesterol

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10
Q

What inhibits HMG CoA reductase

A

statins

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11
Q

What do LDL receptors do

A

Recognise B-100 therefore removing LDLs from circulation via receptor mediated endocytosis

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12
Q

What causes familial hypercholesterolaemia

A

deficiency of LDL receptors as LDL levels will continue to rise

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13
Q

What do high levels of lipoprotein A lead to

A

LPA is thrombogenic

high conc assoc with increased risk of CHD

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