MMT: lipoprotein metabolism Flashcards

(51 cards)

1
Q

What is the exogenous lipoprotein?

A

Chylomicrons

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2
Q

Once chylomicrons donate their TGs, where do they go?

A

Back to the liver

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3
Q

What is the endogenous lipoprotein?

A

VLDL

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4
Q

What happens to VLDL remnants?

A

They return to the liver as LDL or deposit in extrahepatic tissues as LDL

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5
Q

Which lipoprotein is involved in reverse cholesterol transport?

A

HDL

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6
Q

Arrange lipoproteins in terms of size (large to small).

A
  1. Chylomicrons
  2. VLDL
  3. IDL
  4. LDL
  5. HDL
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7
Q

The density of lipoproteins is largely due to…

A

Protein; high density have the most protein and least TGs

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8
Q

What does ApoA-I do?

A

Activates LCAT that helps but cholesterol into HDL

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9
Q

Where is ApoA-I found?

A

HDL

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10
Q

Where is ApoA-II found?

A

HDL

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11
Q

Where is ApoA IV found?

A

Chylomicrons and HDL

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12
Q

Where is ApoB-48 found?

A

Chylomicrons

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13
Q

Where is ApoB-100 found?

A

VLDL and LDL

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14
Q

Where is ApoC-I found?

A

VLDL and HDL

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15
Q

Where is ApoC-II found?

A

Chylomicrons, VLDL, HDL

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16
Q

Where is ApoC-III found?

A

Chylomicrons, VLDL, HDL

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17
Q

What does ApoC-III do?

A

Inhibits LPL

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18
Q

Where is ApoD found?

A

HDL

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19
Q

Where is ApoE found?

A

Chylomicrons, VLDL, HDL

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20
Q

What does ApoE do?

A

Trigger clearance of VLDL and chylomicron remnants

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21
Q

Which apolipoprotein is associated with Abetalipoproteinemia?

22
Q

Where does chylomicron acquire ApoE and ApoC-II?

23
Q

Where is VLDL synthesized?

24
Q

What does VLDL do?

A

Transport TGs and cholesterol from the liver to other tissues

25
How does VLDL acquire ApoC-II and ApoE?
From HDL
26
What is abetalipoproteinemia?
A condition caused by MTP defect that results in ApoB proteins not being released from ER and added to chylomicrons and VLDL
27
What are symptoms of abetalipoproteinemia?
Lipid malabsorption, caloric deficiency, lipid soluble vitamin deficiency
28
What is lost in the conversion of VLDL to IDL?
ApoC-II
29
Hepatic lipase can interact with…? What is lost in this process?
IDL; ApoE
30
Describe the life cycle of LDL.
1. ApoB-100 on LDL interacts with LDLR on hepatocyte or peripheral tissue 2. LDL is endocytosed and put in an endosome, where it separates from the LDLR 3. LDL combines with a lysosome, and it is degraded 4. Cholesterol is deposited in tissue 5. Receptor is recycled
31
In hepatocytes, what regulates degradation of LDLR?
PCSK9
32
How does PCSK9 work?
It binds to the receptor and causes it to stay in the endosome after endocytosis, causing it to be degraded as opposed to recycled
33
What is SREBP?
A transcription factor for lipids
34
What is Lp(a)?
A lipoprotein that can bind to ApoB-100 and increase risk of cardiovascular disease
35
What lipoprotein is involved in reverse cholesterol transport?
HDL
36
Nascent HDL originates from…
Liver and small intestine
37
What proteins are found on HDL?
ApoA-I, ApoC-II, ApoE, LCAT, and ABCA1
38
What does LCAT do?
Convert cholesterol to cholesterol esters to pack them into HDL
39
What activates LCAT?
ApoA-I
40
What receptor allows cholesterol to be transferred into hepatocytes?
SR-B1
41
What is CETP?
Transfers lipids from HDL to VLDL
42
Type I hyperlipidemia: cause, what is in excess?
Cause: LPL or ApoC-II deficiency Excess: chylomicrons
43
Type IIa hyperlipidemia: cause, what is in excess?
Cause: LDL receptor deficiency or ApoB100 defect Excess: LDL
44
Type IIb hyperlipidemia: cause, what is in excess?
Cause: decreased LDL receptor or increased ApoB-100 Excess: LDL and VLDL
45
Type III hyperlipidemia: cause, what is in excess?
Cause: ApoE deficiency Excess: chylomicron remnants and IDL
46
Type IV hyperlipidemia: cause, what is in excess?
Overproduction of VLDL Excess: VLDL
47
Type V hyperlipidemia: cause, what is in excess?
Cause: increased VLDL production and decreased LPL Excess: chylomicrons and VLDL
48
A patient has pancreatitis, cloudy plasma with a creamy top layer, hepatosplenomegaly, and eruptive xanthomas. What familial hyperlipidemia do they have?
Type I
49
How do we diagnose type I hyperlipidemia?
TG count
50
A patient has tendinous xanthomas and atherosclerosis. What hyperlipidemia do they have?
Type IIa
51
A patient has palmar xanthomas and tuberoeruptive xanthoma. What familial hyperlipidemia do they have?
Type III