Lipids Part 2 Flashcards

1
Q

_______Lipids

Are bonded to other types of molecules

A

Complex

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2
Q

• Consist of a core of hydrophobic lipids surrounded by amphipathic proteins, phospholipids, and cholesterol

A

Lipoproteins

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3
Q

Composed of both lipids and proteins, called

A

apolipoproteins

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4
Q

T or F

• Larger LPP particles have larger core regions (contain relatively more TAG and cholesteryl ester)

A

True

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5
Q

T or F

The larger the LPP, the more lipid relative to CHON, therefore, lighter in density

A

True

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6
Q

Lipoproteins

Cassification
(based on ultracentrifugation)

A
  • Chylomicrons [chylos]
  • Very-low-density LPP [VLDL]
  • Low-density LPP [LDL}
  • High-density LPP [HDL]
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7
Q

80% - 90% triglycerides, 2% protein

A

Chylomicrons

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8
Q

55% - 65% triglycerides,
10% cholesterol,
5% - 10% protein

A

VLDL

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9
Q

10% triglycerides,
50% cholesterol,
25% protein

A

LDL

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10
Q

5% triglycerides,
20% cholesterol,
50% protein

A

HDL

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11
Q

• Location: surface of LPP particles

• Functions:
– Help maintain the structural integrity of LPP
– Serve as ligands for cell receptors
– Act as activators and inhibitors of the various enzymes that modify LPP particles
• Contain “Amphipathic helix”

A

Apolipoproteins

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12
Q

– Major protein on HDL

– Measure of anti-atherogenic HDL present in plasma

A

Apo A-I

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13
Q

– Is a large protein with MW 500 kD

– Principal protein on LDL, VLDL, and Chylomicrons

A

Apo B

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14
Q

Apo B 100 saaa?

A

LDL
VLDL

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15
Q

Apo B 48

A

Chylomicrons

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16
Q

Apo B-100

– Is found on…

– Ligand for the LDL receptor

A

LDL and VLDL

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17
Q

– Exclusively found in chylomicrons

A

Apo B-48

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18
Q

Apo E

– Found in (3)

– Serves as a ligand for the LDL receptor and the chylomicron remnant receptor

– Apo E2, Apo E3, Apo E4

A

LDL, VLDL, and HDL

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19
Q

Major lipoproteins

A

Chylomicrons
VLDL
LDL
HDL

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20
Q

Minor or abnormal lipoproteins

A

IDL
Lp (a)
Lp (x)
Beta VLDL

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21
Q

Chylomicrons

Account for the_____ of postprandial plasma

Readily float to the top of stored plasma and form a_____ layer – chylous, turbid, milky, cloudy, lipemic plasma/serum

Produced by the____

Deliver dietary (exogenous) lipids to…

A

turbidity

creamy

intestine

hepatic and peripheral cells

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22
Q

VERY LOW DENSITY LIPOPROTEIN

Contain

A

apo B-100, apo E, and apo C

23
Q

VLDL

Produced by the____

Rich in___ like chylomicrons

Account for most of the____ observed in fasting hyperlipidemic plasma specimens but do not form a top, creamy layer

Major carriers of endogenous (hepatic derived) triglycerides

Transfer TAG from the liver to___

A

liver

TAG

turbidity

peripheral tissue

24
Q

LOW DENSITY LIPOPROTEIN

• Contains apo

A

B-100 and apo E

25
Q

• Primarily formed as a consequence of the lipolysis of VLDL

• Readily taken up by cells via the LDL receptor

– Accounts for the reason that elevated LDL levels promote atherosclerosis

• Significantly smaller than VLDL and chylomicrons

A

LDL

26
Q

Smallest and the most dense

Synthesized by both the _____

Can exist either as disk-shaped or as spherical-shaped particles

A

HIGH DENSITY LIPOPROTEIN

liver and intestine

27
Q

– Most active form in removing excess cholesterol from peripheral cells

A

DISCOIDAL HDL

28
Q

– HDL2
• Larger in size and richer in lipid than HDL3
• May be more efficient in delivering lipids to the liver

– HDL3

A

SPHERICAL HDL

29
Q

• Intermediate Density Lipoprotein
• Lipoprotein (a)

• LpX Lipoprotein
• ẞ-VLDL Lipoprotein or Floating ẞ Lipoprotein

A

Minor:

Abnormal:

30
Q

• Formed through the metabolism of VLDL in circulation; lipid content, size, and density of IDL is intermediate between VLDL and LDL

A

Intermediate Density Lipoprotein

31
Q

• is similar to LDL in terms of density and overall composition, and can be thought of as an LDL particle to which apo(a) has been added, linked to apoB-100 via a disulfide bond

A

Lipoprotein (a)

32
Q

• is an abnormal lipoprotein found in patients with biliary cirrhosis or cholestasis, and in patients with familial lecithin/cholesterol acyltransferase (LCAT) deficiency

A

LpX Lipoprotein

33
Q

• is an abnormal lipoprotein that accumulates in type 3 hyperlipoproteinemia

A

ẞ-VLDL Lipoprotein / Floating ẞ Lipoprotein

34
Q

T or F

Serum lipoprotein concentrations differ between adult men and women

A

True

35
Q

T or F

Men and women both show a tendency toward increased total cholesterol, LDL cholesterol, and triglyceride concentrations with age

A

True

36
Q

T or F

Circulating levels of total cholesterol, LDL cholesterol, and triglycerides in young children are generally much lower than those seen in adults

A

True

37
Q

Diseases associated with abnormal lipid concentrations

A

DYSLIPIDEMIA

38
Q

2 CATEGORIES: Dyslipidemia

A

– Hyperlipoproteinemias

– Hypolipoproteinemias

39
Q

HYPERLIPOPROTEINEMIA

3 SUBDIVISIONS:

A

hypercholesterolemia
hypertriglyceridemia
combined hyperlipidemia

40
Q

• Most closely linked to heart disease

• Increased in LDL cholesterol

• Genetic abnormalities

A

Hypercholesterolemia

41
Q

Individuals synthesize intracellular cholesterol normally, but lack, or are deficient in, active LDL receptors

A

FAMILIAL HYPERCHOLESTEROLEMIA

42
Q

• Result of an imbalance between synthesis and clearance of VLDL in the circulation

• Life-threatening abnormality because it can cause acute and recurrent pancreatitis

A

Hypertriglyceridemia

43
Q

• Presence of elevated levels of serum total cholesterol and triglycerides

• Considered at increased risk of CHD

A

Combined Hyperlipoproteinemia

44
Q

– TYPE III HYPERLIPOPROTEINEMIA (Fredrickson Classification

A

FAMILIAL DYSBETALIPOPROTEINEMIA

45
Q

– Currently thought to confer increased risk of CHD and CVD

– Can block plasminogen, forming clots along the arterial wall that will not be dissolved

A

Lp(a) Elevation

46
Q

• Are abnormalities marked by decreased lipoprotein concentrations

A

HYPOLIPOPROTEINEMIA

47
Q

Hypolipoproteinemia (2)

A

– Hypoalphalipoproteinemia

– Hypobetalipoproteinemia

48
Q

– Indicates an isolated decrease in circulating HDL

–______ Disease

A

Hypoalphalipoproteinemia

Tangier

49
Q

Hpoalphaproteinemia

• HDL concentrations as low as

• Total chole as low as

A

1-2 mg/dL (0.03 – 0.05 mmol/L)

50 – 80 mg/dL (1.3 – 2.1 mmol/L)

50
Q

mutations in the ABCA1 gene or the ABCA1 transporter, which mediates the first step of the reverse choesterol transport pathway

A

Hypoalphalipoproteinemia

51
Q

• is a disorder consisting of low levels of LDL cholesterol or apolipoprotein B

A

Hypobetalipoproteinemia

52
Q

LCAT deficiency (2)

A

Complete (homozygous
Mild (heterozygous)

53
Q

• Corneal clouding
• Nephropathy
• Hemolytic anemia
• HDL deficiency

• Fish-eye

A

– Complete (homozygous)

– Mild (heterozygous)