Lipids Flashcards

1
Q

Where does fatty acid synthesis take place? WHich special shuttle is required?

A
cytoplasm of hepatocytes
citrate shuttle (sytrate, synthesis)
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2
Q

Where does fatty acid degradation take place? Which special shuttle is required?

A

in the mitochondrial matrix

transferred via carnitine shuttle (carnage of fatty acids)

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3
Q

What does fatty acid synthesis begin with? Rate limiting enzyme?

A

begins with acetyl coa

uses acetyl coa carboxylase

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4
Q

What are the basic important things about fatty acid degradation?

A

**happens in mitochondrial matrix
**beta oxidation–>acyl CoA–>TCA or ketone bodies
Rate limiting enzyme: carnitine acyltransferase 1 or carnitine palmitoyltransferase 1

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5
Q

What does cholesterol synthesis begin with ?

A

Acetyl CoA

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6
Q

In what way do statins inhibit HMG coa reductase?

A

competitively reversibly

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7
Q

What does Apo E do? Which things is it found on?

A

mediates remnant uptake

everything except LDL

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8
Q

What does ApoA-1 do Which things is it found on?

A

activates LCAT
HDL
Chylomicron

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9
Q

What does Apo CII do? What is it found on?

A

lipoprotein lipase cofactor

Chylomicron, VLDL, HDL

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10
Q

What does ApoB48 do? What is it found on?

A

ticket out of the intestine for the chylomicrons

found on chylomicron and chlymicron remnant

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11
Q

What does ApoB100 do? What is it found on?

A

binds LDL receptors, ticket out of liver

VLDL, IDL, LDL

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12
Q

What’s the deal with chylomicrons?

A

mainly TG
secreted by intestinal epithelial cells (ApoB48)
take TGs to peripheral tissues
remnant takes cholesterol to liver

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13
Q

What’s the deal with VLDL?

A

secreted by the liver (ApoB100)

delivers TG to peripheral tissue

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14
Q

What’s the deal with IDL?

A

formed after degradation of VLDL

takes TGs and cholesterol to liver

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15
Q

What’s the deal with LDL?

A

takes hepatic cholesterol to peripheral tissues

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16
Q

What’s the deal with HDL?

A

has APOA1, lots of protein at first (nascent)

takes cholesterol from periphery to liver

17
Q

What is Type I hyperchylomicronemia?

A

autosomal recessive
lipoprotein lipase deficiency or altered ApoCII

increased TG, chylomicrons, cholesterol.
Get pancreatitis, hepatosplenomegaly, xanthomas

No increased risk for atherosclerosis

18
Q

What is Type IIa familial hypercholesterolemia?

A

autosomal dominant
absent or defective LDL receptors. Usu only see heterozygotes.
increased LDL and cholesterol
accelerated atherosclerosis, MI before age 20
achilles xanthomas
corneal arcus

**accelerated atherosclerosis

19
Q

What is Type IV hypertriglyceridemia?

A

autosomal dominant
hepatic overproduction of VLDL
super high triglycerides–>acute pancreatitis

high VLDL, TG

20
Q

What is arcus senilis?

A

corneal arcus due to old age, lipid deposits in cornea

21
Q

What do you call lipid deposition on eyelids?

A

xanthelasma

22
Q

Where is the lipid aggregating w/ xanthomas?

A

in the histiocytes of skin (dendritic cells)

23
Q

What is abetalipoproteinemia?

A

autosomal recessive defect where you can’t make Apo Bs,
decreased ApoB48 and ApoB100
therefore, decreased chylomicron and VLDL synthesis

24
Q

Which gene is mutated in abetalipoproteinemia?

A

MTP gene (microsomal transfer protein)

25
Q

How does abetalipoproteinemia present?

A

steatorrhea in first few months of life
impaired absorption of ADEK
impaired absorption of A–>night blindness, ataxia

26
Q

What do you see on intestinal biopsy of patients with abetalipoproteinemia?

A

see enterocytes swollen w/ TG

27
Q

What do you see on peripheral smear of patients with abetalipoproteinemia?

A

acanthocytosis of peripheral RBCs

b/c of lack of lipids, get spiky membranes.

28
Q

What is the treatment for abetalipoproteinemia?

A

Vit E

29
Q

Why is LDL so dangerous?

A

Oxidized LDL–>atheromas