Cholesterol Metabolism Flashcards

(18 cards)

1
Q

Explain the source of cholesterol

A
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2
Q

What is the site and time of the de novo synthesis of cholesterol

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3
Q

What is the most important step in de novo synthesis of cholesterol

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4
Q

Explain the most important step of de novo synthesis of cholesterol

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5
Q

What is the difference between 2 steps of cholesterol synthesis and ketogenesis

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6
Q

What is the regulation step of cholesterol synthesis

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7
Q

Explain the mechanism of regulation

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8
Q

Explain allosteric feedback inhibition regulation

A
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9
Q

Explain covalent modification regulation

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10
Q

Explain the substrate availability regulation

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11
Q

Explain the long term regulation

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12
Q

Define hypercholesterolemia

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13
Q

What are the complications of hypercholesterolemia

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14
Q

What are the risk factors of hypercholesterolemia associated with lifestyle

A

Excess carbohydrates and fat diet -> increase VLDL and then LDL cholesterol in blood
Coffee drinking and cigarette smoking increase mobilization of lipolysis from adipose tissue and increase plasma proteins
Sedentary lifestyle: energy input more than output so energy used for synthesis of new FA, TAGs and cholesterol

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15
Q

What are the risk factors of hypercholesterolemia associated with diseases

A

Hypothyroidism -> decrease receptors for HDL in liver
Diabetes mellitis -> no insulin so increase lipolysis so increase acetylCoA directed to cholesterol synthesis and ketogenesis.
Obstructive jaundice -> due to decreased excretion of cholesterol and bile acids
Nephrotic syndrome -> due to increased hepatic lipogenesis
Obesity
Familial hypercholesterolemia due to defect in LDL receptors
Chronic stress which increases stress hormones to stimulate lipolysis

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16
Q

Hot to treat hypercholesterolemia through diet

17
Q

What other lifestyle changes could be done for hypercholesterolemia

A

Avoid smoking and decrease coffee drinking
Exercise to avoid obesity

18
Q

What are pharmacological treatment of hypercholesterolemia