Exam II Flashcards
(138 cards)
1
Q
What is the name of Complex I? What reactions happen there? What is the net equation?
A
Complex I is NADH-Q oxidoreductase/NADH dehydrogenase There are three reactions: Rx 1: oxidation NADH Rx 2. Reduction of coenzyme Q Rx 3: proton pumping
Net reaction:
NADH + Q + 5H+ (matrix)»_space; NAD+ + QH2 + 4H+ (cytosol)
2
Q
What is the name of complex II? What is the net reaction?
A
Complex II is Succinate dehydrogenase or succinate-Q reductase complex
Net reaction:
succinate + Q»_space;> fumarate + QH2 (without proton pumping)
3
Q
What is the name of Complex III? What are its prosthetic groups? What are its P site and N site?
A
Complex III is CoQ-cytochrome c oxidoreductase or cytochrome b-c1 reductase
Heme c1, bL, bH, Reiske Iron-sulfur center
Positive site is where electron goes to reduce cytochrome c. Negative site is where electron forms radical.
4
Q
What is the net reaction of the Q cycle of Complex III?
A
QH2 + 2 Cyt (ox) + 2H+ (matrix)»_space; Q + 2 Cyt c (red) + 4H+ (cytosol) (four protons are pumped out)
5
Q
What is the name of complex IV? what does it do
A
Complex IV is cytochrome c oxidase or cytochrome oxidase. It transfers electrons to oxygen molecule from cytochrome C, which carries only one electron.
6
Q
What is the net reaction of complex IV? Per NADH?
A
Net reaction:
4 cyt c (reduced) + O2 + 8H+»_space; 4 cyt c (oxidized) + H2O + 4 H+ (cytosol)
per NADH, however, since cyt is a one electron carrier and we needed four, and each NADH only carries two electrons, we pump 2 H+ into cytosol.
7
Q
Summary of ETC reaction for NADH
A
NADH + 11 H+ (m) + 1/2 O2»_space; NAD+ + H2O + 10H+ (c)
8
Q
Summary of ETC reaction for FADH2
A
FADH2 + 6 H+(m) + 1/2 O2»_space; FAD + H2O + 6H+ (c)
9
Q
What are inhibitors of Complex I (3)?
A
Amytal, barbiturate
Rotenone, insecticide, pesticide and piscicide
MPP+, neurotoxic drug metabolite from MPPP
(ARM)
10
Q
What is an inhibitor of Complex II?
A
Malonate, a competitive inhibitor of Complex II, from alfalfa leaves (melon)
11
Q
What is an inhibitor of Complex III?
A
Antimycin A, produced by strep bacteria, binds to N site of Complex III (ANT)
12
Q
What are inhibitors of Complex IV? (3)
A
cyanide, azide, carbon monoxide (Coconut)
13
Q
disease caused by mutation to complex I?
A
LHON (blindness), Leigh Syndrome (impaired motor skills), MELAS
14
Q
disease caused by mutation to complex II?
A
Leigh Syndrome
15
Q
disease caused by mutation to complex III?
A
LHON, Encephalomyopathy
16
Q
disease caused by mutation to complex IV?
A
encephalomyopathy, myopathy (muscle dysfunction)
17
Q
delta G of oxidation of NADH?
A
-52.6 kcal/mol
18
Q
What is the relationship between Gibbs Free Energy Change and the proton motive force?
A
proton motive force (deltaP) = deltaG/nF
The more deltaG, the more deltaP
19
Q
What are four inhibitors of ATP synthase? How do they work?
A
oligomycin - binds to Fo, blocking protons from coming in
Aurovertin B - binds to Beta subunit, inhibits conformational change
DCCD - modifies carboxyl groups in protein
IF-1 - (upon onset of myocardial ischemic process) (stroke), what happens is the proton gradient has been flipped, so ATPase will now want hydrolyze ATP. IF-1 binds to the alpha, beta and gamma proteins of F1, preventing their conformation change. This is all under low oxygen conditions.
20
Q
What are the four carriers of inner membrane of mitochondria? What do they transport?
A
ATP-ADP translocase (ANT) - ADP into m, ATP into c
Dicarboxylate carrier - Phosphate/Malate
Tricarboxylate carrier - Malate/Citrate + H+
Phosphate carrier - Phosphate/ OH-
21
Q
What blocks the ATP/ADP exchange, inhibiting ATP/ADP exchange?
A
atractyloside and bonkrekic acid
22
Q
How many cytosolic ATPs are produced per oxidation of 1 matrix NADH?
A
~2.5 cytoplasmic ATPs
23
Q
How many cytosolic ATPs are produced per oxidation of 1 matrix NADH?
A
~1.5 ATPs
24
Q
How does NADH from cytosol get into mitochondrial matrix of heart and liver cells? How many ATPs does it yield?
A
malate-aspartate shuttle
P/O ratio is ~ 2.5 ATPs
25
How does NADH from cytosol get into mito matrix of cells other than heart and liver? What is important about this carrier yield wise?
glycerol-3-phosphate shuttle
P/O = 1.5 ATPs
immediately reduces Q and goes into Complex III and IV
26
What is total ATP yield from complete oxidation of glucose?
Total 30 (or 32) ATPs
27
what is a chemical uncoupler? Name two examples.
A chemical uncoupler dissipates proton gradient across the inner membrane. Examples: aspirin overdose or DNP (2,4-dinitrophenol)
28
generation of hydroxyl radical
O2 + e- >> O2*-
O2*- + e- >> H2O2
Fe2+ + H2O2 >> Fe3+ + OH* + OH-
OH* is hydroxyl radical, which can damage the cell, including DNA, and cause mutations
29
What are two defense mechanisms against ROS?
1. superoxide dismutase (SOD)
adds hydrogen ion to radical and makes peroxide
2. catalase
turns H2O2 into oxygen and water
SOD and catalase work together
3. glutathione peroxidase
4. antioxidant vitamins E and C
5. Exercise >> ROS up >> defense mechanism up
**intake of antioxidant vitamins blunt exercise benefit
30
What are two types of Lou Gehrig's disease? What does the disease do? what does amyotrophic mean?
mitochondrial version: manganese containing SOD (Mn-SOD)
cytoplasmic version: copper and zinc dependent SOD (Cu/Zn SOD)
Mutation in gene coding for cytosolic SOD (SOD1) causes familial ALS
this is a fatal neurological disease that attacks the nerve cells
amyotrophic - no muscle nourishment
(amyotrophic lateral sclerosis)
31
what does an apoptosis imbalance cause disease wise?
more new cells than cell death: neurodegeneration, immunodeficiency, infertility
more cell death than new cells: cancer, autoimmunity
32
what kind of enzyme is an oxygenase? what are the two types of oxygenases? what are their basic reactions?
```
oxidoreductase
b. monooxygenase and dioxygenase
c. monooxygenase
RH + O2 + ZH2 >> ROH + H2O + Z
dioxygenase
R + O2 >> RO2
```
33
what are the co-substrates of a monooxygenase? a dioxygenase?
monooxygenase: NADH, NADPH, FMNH2, FADH2
dioxygenate: ascorbic acid
34
```
cytochrome P450:
What kind of enzyme is it?
What reactions does it catalyze?
Where is it found?
What synthesis does it catalyze?
What kind of interactions does it cause
```
a. monooxygenase
b. hydroxylation, epoxidation and modification of hydrophobic compounds for their detox and excretion
c. in mitochondria and ER of cells in liver and most other tissue
d. it catalyzes the synthesis of steroid hormones and bile acids
e. causes drug interactions
35
how does cytochrome P450 metabolize ibuprofen?
basically, it adds a hydroxyl group to it.
| ibuprofen >>P450 in liver >>add hydroxyl group to it
36
how does cytochrome P450 metabolize acetaminophen?
P450 oxidizes acetaminophen by turning its hydroxyl group into a ketone. This becomes N-Acetyl-p-bensoquinine imine. N-acetyl-p-bensoquinine imine needs glutathione to not remain thiolated (after reacting with another chemical) and become toxic to the liver. Via glutathione S-transferase, the thiol is turned in to S ether with glutathione. If there is too much of this, we run out of glutathione.
37
How does cyp 450 turn benzopyrene into a carcinogen?
We start with benzo(a)pyrene. CYP turns in into an epoxide, Benzo(a)pyrene 7,8 epoxide.
Epoxide hydrolase removes the epoxide and turns the molecule into a diol, Benzo(a)pyrene 7,8 diol.
CYP then takes that molecule and adds an epoxide to it, so it becomes Benzo(a)pyrene 7,8 diol,-9,10 epoxide.
38
Describe tyrosine synthesis. What enzyme is responsible and what kind of enzyme is it?
Phenylalanine hydroxylase, a monooxygenate, turns Phenylalanine into tyrosine
It adds O2 and results in H2O and tyrosine.
39
Describe phenylketonuria? What mutation causes it?
| How is phenylalanine digested instead?
a. caused by mutation to phenylalanine hydroxylase
| b. phenylalanine is digested via an alpha-ketoacid, making a phenylpyruvate, which becomes a phenylketone (in urine)
40
Describe serotonin synthesis. What enzyme is responsible and what kind of enzyme is it? what is the result of lowered serotonin levels in body?
Tryptophan hydroxylase, a monooxygenate, turns tryptophan into serotonin
low serotonin has been linked with depression
41
what two monooxygenases work in synthesis of catecholamines and how?
Tyrosine hydroxylase turns tyrosine into DOPA.
| DOPA then becomes dopamine through a decarboxylase. Dopamine Beta hydroxylate turns dopamine into norepinephrine.
42
what monooxygenase plays a role in cholesterol synthesis and how?
In a long process that starts with FAs, squalene monooxygenase turns squalene to squalene epoxide.
43
what monooxygenases work in vitamin D synthesis? What disease is caused by Vitamin D deficiency?
a. in the liver, 25-hydroxylase adds a hydroxyl group to previtamin D3, making Vitamin D3 b. in the kidney, 1alpha hydroxylase adds a hydroxyl group at first carbon of vitamin D3, making calcitriol.
Rickets is caused by vitamin D deficiency.
44
what monooxygenase participates in nitric oxide synthesis and how?
nitric oxide synthase (NOS) turns arginine into N-omega-Hydroxyarginine by adding a hydroxyl group to it. This eventually becomes citrulline and nitric oxide.
45
what are the three types of nitric oxide synthases?
neuronal NOS: nNOS -signaling
endothelial NOS: eNOS - vasodilation
inducible NOS : INOS - immune reaction
46
what are the co-substrates of dioxygenases?
reducing agents such as ascorbic acid
47
what dioxygenase is involved in the inflammatory response?
Prostaglandin H2 Synthase = COX
by cyclo-oxygenase activity it turns Arachidonate into Prostaglandin G2.
by peroxidase activity, it turns Prostaglandin G2 into Prostaglanding H2
48
How do NSAIDS block inflammation?
NSAIDS inhibit prostaglandin H2 synthase, which is responsible for COX-2 activity. This activity is upregulated at the site of inflammation, causing pain and fever. NSAIDS block the COX-2 activity.
49
How do aspirin and ibuprofen inhibit COX? How does acetaminophen work?
aspirin esterifies the enzyme via covalent modification.
Ibuprofen binds to the active site of COX without covalent modification.
The target of acetaminophen is unclear.
50
What are three specific COX-2 inhibitors?
Celebrex
Vioxx -= off market for increased risk of cardiovascular events
Bextra - off market, cardiovascular events
51
what dioxygenase plays a role in collagen modification? what does it do? what happens if there is a deficiency in the enzyme's co-substrate?
Prolyl 4 hydroxylase
with the cosubstrate ascorbate, it turns alpha-ketoglutarate to 4-hydroxyprolyl residue
cosubstate vitamin deficiency causes scurvy.
52
what kind of enzyme turns beta-carotene into vitamin A and Rhodopsin? What are diseases associated with vitamin deficiency?
dioxygenase
night blindness, xerophthalmia (pathologic dryness of the conjunctive and cornea)
53
What is MEOS? How is cytochrome 450 involved?
microsomal ethanol oxicizing system in liver;
| cyp 450 2E1 metabolizes alcohol and generates reactive species like superoxide anion radical, peroxide, etc.
54
what are two types of mtDNA mutations?
DNA insertion or deletion mutations
- frameshift mutations/chain termination
- total or partial loss of genes
DNA base substitution mutations
1. in proteincoding genes
- amino acid substitution
- polypeptide chain termination
2. in tRNAs or rRNAs
- protein synthesis compromised globally
55
what is LHON? what causes it?
maternally inherited form of an acute adult onset blindness due to the death of optic nerve
primary: complex I
other: Complex III, IV, V
56
what is T8993G(leu to arg)? what does it cause?
this is a mutation in Complex V (ATPase6);
at low percentages: NARP
at high percentages: Leigh syndrome
57
NARP
mito disease characterized by decreased muscle strength, regional brain degenheration and retinal deterioration
58
Leigh Syndrome
degenerative neurological condition, commonly occuring during childhood. charac. by CNS degeneration, dev delay, seizures, etc.
59
What is MELAS? What causes it?
causes periodic stroke-like episodes with mitochondrial myopathy
80% is caused by mutation in tRNA,Leu
60
What is MERFF? what causes it?
maternally inherited epilepsy caused by a mutation in tRNA'Lys
61
diseases with % OxPhos capacity, highest to lowest
optic track, basal ganglia/cortex, heart/muscle, kidney
62
Steps of Lipogenesis
a. acetyl CoA carried out of Mito to cytosol by Citrate via Citrate/Malate transporter
b. Need NADPH from pentose phosphate pathway and malic enzyme
c. carboxylate acetyl Coa to malonyl CoA via acetyl CoA carboxylase
d. add ACP to acetyl and malonyl
e. go through fatty acid synthase process
condense acetyl acp and malonyl acp to acetoacetyl acp
reduce acetoacetyl acp via nadhp to D-3-Hydroxybutyryl ACP
dehydrate above to crotonyl ACP
reduce above via nadph to butyryl acp
repeat cycle seven times, adding malonyl ACP each time, and end up with palmitoyl acp, which is hyrolized to ACP and palmitate
63
what is the comitted step in fatty acid biosynthesis?
formation of malonyl CoA
64
what prosthetic group does carboxylation need?
biotin
65
how is acetyl coa carboxylase regulated?
allosteric and hormonal regulation
allosteric: citrate activates/ lonc chain fatty acyl coa deactivates
hormonal: insulin: phosphorylates and activates
corticosteroids and glucagon: camp dep. pka dephosphorylate and inactivate
66
how does ACP activate acetyl coa and malonyl coa
provides SH group
67
odd numbered FA are synthesized starting with
propionyl CoA
68
fatty acid synthase complex does
seven different enzyme activities and domain covalently binds 4-phosphopantheine
69
FA ox vs. synt. / intracellular location
mito/cytosol
70
FA ox vs. synth; carrier
CoA / ACP
71
FA ox vs synth coenzymes for electron transfer
FAD,NAD/ NADPH
72
FA ox vs. synt, bicarb dependence
no/yes
73
FA ox vs. synt energy state favoring the process
high ADP/high ATP
74
FA ox vs. synt. citrate activation
no, but malonyl CoA/ yes
75
FA ox vs. synt. Acyl CoA inhibition (long chain)
no/yes
76
FA ox vs synt. higheste activity
fasting, starvation/carbohydrate fed
77
FA ox vs. synt hormonal state
| insulin/glucagon ratio
low/high
78
FA ox vs. synt carrier of acyl/acetyl group
carnitine cyto mito/ citrate mito to cyto
79
FA ox vs synt product
acetyl Coa/Palmitate
80
three types of complex lipids
acylglycerols, phosphoglyceridews and sphingolipids
81
how are FA esteirified? what do they form?
carboxyl groups/ neutral fat
82
How are FAs activated prior to TG biosynthesis?
attached to CoA
83
what precursors are required for TG biosynthesis?
fatty acyl CoAs and L-glycerol-3-phosphate
84
where does L-glycerol-3-phosphate come from?
liver or adipose tissue
in both liver and adipose tissue, dihydroxyacetone phosphate is reduced to glycerol phosphate by glycerol P dehydrogenase and NADH
in only liver, glycerol goes through glycerol kinase with ATP to make glycerol phosphate
85
when do adipocytes take up glucose?
in presence of insulin, so limit ability to synthesize glycerol 3 phosphate
86
steps of TG biosynthesis
a. start with glycerol phosphate
b. acylation of free OH groups of glycerol by 2 molecules of fatty acyl CoA
MAKES lysophosphatidic acid and then phosphatidic acid
via glycerol phosphate acyltransferase
c. phosphatidic acid undergoes hydrolysis by phsphatidate phsphatase for form diacyl glycerol
d. dyacylglycerol reacts with 3rd FA CoA molecule via diacylglycerol acyltransferase to yield TG
87
what is key molecule in phospholipid biosynthesis?
diacylglycerol
88
clinical correlation: what is primary phospholipid in surfactant and is used in respiratory distress syndrome in newborns?
phosphatidylcholine (lecithin)
89
steps of biosynthesis of glycerophospholipids
a. get to phosphatidic acid (seen before in TG synthesis)
or start with diacylglycerol and phosphorylate it
(basically add alcohol to phosphatidic acid in smooth ER)
there are two strategies:
1. start with diacylglycerol
1. activate with CDP
3. add alcohol (glycerol or inositol)
4. add glycerol - P if added glycerol
5. yield phophatidylinositol or physphatidyl glycerol
strategy 2
1. start with diacylglycerol
2. activate alcohol with DCP (CDP-choline or CDP-ethanolamine)
3. yield phosphatidyl choline or phosphatidylethanolamine
90
what are the most abundant phospholipids?
PC and PE
91
source of choline and ethanolamine?
from diet or from turnover of the body's phospholipids
92
what is phosphatidyl glycerol a precursor of? how is it made?
cardiolipin/ take PG and add to CDP diacylglycerol
93
how is phosphatidyl inositol formed? what is PI a reservoir of?
from free myo-inositol and CDP-diacylglycerol
| arachidonic acid in membranes
94
how is phosphatidylserine synthesized?
base exchange reaction with phosphatidylethanolamine
95
where can de novo synthesis of PC take place?
in cell membrane
96
why are sphingolipids important?
they confer:
a. blood group specificity
b. organ and tissue specificity
c. tissue immunity
d. cell-cell recognition
97
where are sphingolipids abundant?
in brain, nerve tissue
98
what is ceramide? what is special about it?
built from sphingosine plus saturated or unsaturated long chain fatty acyl group and amide linkage on the amino group
ti has 2 nonpolar tails and is similar in structure to diacylglycerol
99
what are the most abundant sphingolipids in higher animals?
sphingomyelins, cererosides (glycosphingolipids), gangliosides
100
what is Guillain-Barre syndrome
autoimmune neuritis. antibodies "attack" myelin sheath of peripheral nerves
101
what is multiple sclerosis?
autoimmune demyelinating disease in CNS. nerves lose conduction and degenerate
102
what are sphingomyelins?
sphingosine plus PE or PC
103
what are glycosphingolipids?
no phosphate, jsut sugar attached by a beta-glycosidic linkage a 1-OH group of sphingosine in a ceramide.
104
what are cerebrosides?
subgroup of glycosphingolipids. contain either a galactose or glucose attached to ceramide.
105
where are galactocerebrosides found? glucocerbrosides?
neural tissue/ non neuronal cell plasma membrane
106
what are gangliosides?
sphingolipid with oligosaccharide head group and one or more residues of sialic acid at termini. sialic acid imparts a negative charge to gangliosides.
107
ganglioside nomenclature. what is Gm and Gd
Gm has one sialic acid. Gd has 2 (di) etc.
108
how do we make sphingolipids?
a. use sphingosine backbone
b. add long chain acyl CoA and convert to ceramide
c. substitute terminal hydroxyl group
- sphingomyelin: ceramide plus phosphorycholine
- cerebroside: glucose or galactose
- ganglioside: oligosaccharide
109
an abnormal accumulation of certain complex lipids in specific tissues is termed lipid storage disease or ? what does it involve?
lipidoses
lysozomal storage disease
lysozomal enzyme deficiency
sphingolipidose
involves absence or deficiency of specific glucosidases
110
what enzyme therapy is used to treat Gaucher's glucocerebrosidase)
imiglucerase (cerezyme)
111
what enzyme therapy is used to treat Fabry's (alpha galactosidase)?
agalsidase
112
Name six sphingolipidoses? what is the theory behind them? what is the result?
Niemann-Pick disease, Fabry's Disease, Krabbe disease, Gaucher's disease, Tay-Sachs disease, Metachromatic leukodystrophy.
due to enzyme deficiency. may be addressed with enzyme therapy. result in death for infant affected.
113
what are eicosanoids? name three kinds? what are they derived from?
paracrine hormones involved in functions essential to health/diseases
three types are prostaglandins, leukotrienes, thromboxanes
derived from C20 polyunsaturated acids, like arachidonic acid
114
carbon number of eicosanoids
prostaglandin is 5 carbons
thromboxane is six carbons
leukotriene is three carbons
115
what do glucocorticoids inhibit?
steroidal drugs inhibit phospholipase A2, which harvests arachidonic acid from plasma membrane so it can go through cyclocoxygenase process of COX. That means they inhibit leukotrienes, thromboxanes and prostaglandins.
116
what do NSAIDS inhibit?
they inhibit the cyclooxygenase process, so inhibit prostaglanding and thromboxane but NOT leukotriene
117
how does asaspirinpirn inhibit cyclooxygenease activity of COX?
aspirin inhibits by acetylating essential Ser. It is an irreversible inhibitor.
118
How does ibuprofen inhibit COX cyclooxygenase process?
it may inhibit COX by mimicking the structure of the substrate
119
How are leukotrienes synthesized?
arachidonic acid is converted by lipoxygenases to hydroperoxy acids and then to a series of leukotrienes.
120
what do leukotrienes do? what drug antagonizes them?
cause broncho-constriction; implicated in asthmal/airway reactivity. LT receptor antagonists used. MONTELUKAT (singulair)
121
how does baby aspirin therapy work?
1/4 the dose of regular aspirin, baby aspirin inhibits thromboxane A2 and platelet aggregation, which can lead to stroke. this is a cardio protective effect.
122
what are simple lipids? two categories?
those that do not contain fatty acids
| terpenes and steroids
123
what are terpenes? major classes?
multiple 5 carbon isoprenes. major classes: fat soluble vitamins, A,E, K 2. ubiquinone or coenzyme Q
124
features of cholesterol
OH group at C3 of ring A
branched aliphatic chain of 8 or more carbons at C-17
27 carbons
125
two kinds of bile acids?
cholic acid and deoxycholic acid
126
what five hormones is cholesterol the precursor for?
testosterone, estradiol estrone, cortisol, and aldosterone
127
what are aromatase inhibitors?
attenuate estrogen production in postmenopausal women. converts androgen into estrogens. less estrogen- less stimulated growth of hormone-receptor-positive breast cancer cells. only effective in postmenopausal.
128
how is cholesterol biosynthesized?
acetyl CoA via thiolase becomes Acetoacetyl Coa
Acetoacetyl Coa via HMG CoA synthase becomes beta-hydroxy-beta-methylglutaryl-CoA, which becomes mevalonate,
mevalonate becomes isopentenyl pyrophosphate, which eventually becomes squalene and then cholesterol
129
what is the rate limiting step of cholesterol biosynthesis?
the reduction of HMG CoA to mevalonate
130
at what point can product become cholesterol synthesis can lead either to ketone bodies mevalonate?
Beta-hydroxy-beta-methylglutaryl-CoA
at that point, it can face HMG CoA Lyase in mitochondria and become ketone bodies OR face HMG CoA reductase in cytosol and become mevalonate
131
How is HMG CoA reductase regulated?
feedback inhibition by cholesterol
hormonal regulation:
-starvation: glucagon causes phosphorylation and activation of the enzyme
-well fed: insulin causes dephosphorylation and activation of the enzyme
-sterol mediation regulation of transcription
132
sources of liver cholesterol and routes by which cholesterol leaves the liver
sources: dietary cholesterol >> chylomicron remnants, denovo synthesis in liver, cholesterol synthesized in extrahepatic tissue >> HDL
exit: VLDL, free cholesterol secreted in bile, conversion in bile acids/salts
133
primary source of cholesterol not from liver or instetine?
LDL
134
how does LDL get cholesterol to nonhepatic tissue?
Apo B-100 on LDL surfaces bind to receptors. the LDL receptor and everything in it is endocytosed. LDL receptors are recycled to the PM.
135
What does PCSK9 enzyme do? How do its levels reflect recycle progress of LDL receptors.
regulates LDL-R cycling
Low PCSK9 good, means LDL R recycled, more cholesterol removed from blood
High is bad, LDL-R not recycled
136
How do PCSK9 inhibitors work? Adverse effects?
increeases expressionof LDL receptor so more cholesterol can be taken up and excreted by liver.
adverse effects include injection site reactions and maybe neurocognitive effects.
137
What is ACAT
acyl CoA cholesterol acyl transferase? esterifies cholesterol for storage inside cell
138
what does mipomerser treat? how?
treats homozygous familial hypercholesteremia? inhibits Apo B100 synthesis
