lipids, cholesterol biochemistry Flashcards

(50 cards)

1
Q

function of chylomicrons

A

delivery dietary lipids

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2
Q

function of VLDL

A

deliver endogenous lipids

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3
Q

function of IDL

A

return endogenous lipids to the liver and are a LDL precursor

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4
Q

function of LDL

A

delivery cholesterol to cells

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5
Q

function of HDL

A

reverse cholesterol transport

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6
Q

what are the least dense lipoprotein molecules

A

chylomicrons

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7
Q

what are the most density

A

HDL

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8
Q

what are the three apolipoproteins on chyloicrons

A

apoC II
apoB-48
ApoE
apoA-1

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9
Q

where are chylomicrons made

A

in the intestine

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10
Q

mature chylomicrons have what two apoplipoproteins taht they acquired in the blood

A

apoE and ApoCII

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11
Q

what is the function of apoCII

A

helps activate lipoprotein lipase

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12
Q

what is the function of ApoE

A

when exposed it acts as a ligand for receptor that allows lipoprotein clearance

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13
Q

who helps give the liporpoteins to chylomicrons in the blood

A

HDL (donates ApoCII and ApoE)

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14
Q

what are the receptors for chylomicron remnants going into the liver

A

LRP for ApoE

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15
Q

VLDL transports ________lipids and the apoprotein for VLDL is __________ and has rich TG content

A

endogenous, apoprotein B 100

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16
Q

______activates LPL

A

apoCII

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17
Q

beta remnants of VLDL are called

A

IDL

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18
Q

IDL remnants can acquire additional cholesterol from HDL particles in the circulation and become

A

LDL particles

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19
Q

what is the apoprotein on LDL cells

A

apob 100

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20
Q

______returns cholesterol to the liver

A

HDL

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21
Q

what are the two important apoproteins on HDL

A

apoA-1 and ApoE

22
Q

_____is activated by ApoA-1

23
Q

what does LCAT do

A

esterifies cholesterol

24
Q

function of ApoA1

A

actiaves LCAT, structural HDL component

25
function of apoB48
assembl/secretion of chylomicrons from the small intestine
26
apob100 function
VLDL assembly/secretion (liver), VLDL, IDL, LDL structural protein LDL receptor ligand
27
function of apo(a)
linked via a disulfide bond to apoB100
28
how do you calculate LDL from a cholesterol screen
LDL equal to total cholesteroal--HDL-1/5 triglycerides (if less than 400)
29
what is the rate limiting step of cholesterol synthesis
HMG CoA reductase
30
_______- and __________-activate HMG-COA reductase
insulin and thyroxine
31
Glucagon and sterols _____to HMG Coa Redutase
deactivate it
32
what is the most reliable marker for unstable atherosclerotic plaque
CRP
33
homocysteine competes with __________binding on methylases leading to decreased methylation
SAM
34
deficiency in what vitamines has a correlation with atherosclerosis
B vitamins
35
type I hyperlipidemias primary cause
apocII or LPL deficiency
36
type I lipoproteinf ractions
increased chylomicrons, increased TG
37
type IIa liporptein fractions
LDL increased
38
primary defect for type IIa
defect in the LDL receptor
39
type IIB lipoprotein fractions
LDL, VLDL, TG
40
primary defect for type IIb
defect in LDL receptor for endocytosis
41
type III primary defect
defect in apoE
42
type IV primary defect
multiple factors
43
type V defect
LPL deficiency + increased VLDL production
44
what are the lipoprotein fractions for type III
increased IDL
45
what are the increased lipoprotein for type IV
VLDL and TG
46
what are the increaed lipoprotein for type V
VLDL, TG and chyloimicrons
47
pts with type I also present with
xanthoma, recurrent abdominal pain and hepatosplenomegaly
48
defects in the LDL-R may be
absent or truncated protein protein not on the surface protein doesn't bind LDL protein doesn't cluster or interalize
49
total cholesterol should be aimed for
less than 200 greater than 20, less that 170 in less than 20
50
_______reduces absorption of dietary cholesterol
ezetimibe