Week 11 Objectives Flashcards

(9 cards)

1
Q

Identify the four major groups of plasma lipoproteins and the four major lipid classes they carry.

A

Chylomicron - most TAGs / intestines
VLDL - mostly TAGs/ liver
LDL - cholesterol esters / nascent VLDLs going past LPL on wall
HDL - protein / liver

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2
Q

• Indicate the major types of apolipoprotein found in the different lipoprotein classes.

A

CM ApoA, B48, B100, C, E
VLDL ApoB100, C, E
LDL ApoB100
HDL ApoC, E

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3
Q

• Explain that triacylglycerol from the diet is carried to the liver in chylomicrons and from the liver to extrahepatic tissues in very-low-density lipoprotein (VLDL), and that these particles are synthesized in intestinal and liver cells, respectively, by similar processes.

A

Chylomicrons:

  • released into circulation from intestinal cells
  • MTP loads ApoB48 on the CM
  • nascent chylomicron: in bloodstream
  • interacts w HDL: gets ApoCII+E

VLDL:

  • released into circulation from liver hepatocytes
  • MTP loads ApoB100 on the VLDL
  • nascent chylomicron: in bloodstream
  • interacts w HDL: gets ApoCII+E
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4
Q

• Illustrate the processes by which chylomicrons are metabolized by lipases to form chylomicron remnants, which are then removed from the circulation by the liver.

A

ApoCII interacts w/ LPL

  • LPL hydrolyzes TAGs->FFAs
  • FFAs either oxidizes or stored as TAGs
  • Insulin enhances LPL

ApoE on remnants -> liver uptake of SR-B1 receptor
-broken down into C, AA, glycerol

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5
Q

• Explain how VLDL is metabolized by lipases to intermediate-density lipoprotein (IDL) which may be cleared by the liver or converted to low-density lipoprotein (LDL), which functions to deliver cholesterol from the liver to extrahepatic tissues via the LDL (apoB100, E) receptor.

A

ApoCII interacts w/ LPL.

  • VLDL receptor enhances this rxn.
  • hydrolyzes TAGs -> FFAs
  • FFAs oxidized by muscles or stored as TAGs in adipose
  • Insulin enhances LPL

ApoE on IDL (VLDL remnant)

  • facilitates liver uptake of SR-B1 receptor
  • broken down into C, AA, glycerol
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6
Q

• Explain how high-density lipoprotein (HDL) is synthesized, indicate the mechanisms by which it accepts cholesterol from extrahepatic tissues and returns it to the liver in reverse cholesterol transport.

A

-HDLs originate in the liver + intestine, ApoA present
-serve as a source of ApoC+E
-ABC transporters: assist in the transport of cholesterol/lipids from the cells -> HDL
-CETP: cholesterol esterase transport protein
*associated with HDL
*exchanges TAGs from VLDL w/ cholesterol ester from
HDL

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7
Q

• Describe how the liver plays a central role in lipid transport and metabolism and how hepatic VLDL secretion is regulated by the diet and hormones.

A

Liver is where VLDLs and HDLs are formed and the VLDLs would be present in lipid panel after fast, although chylomicron are primary dietary cholesterol carrier.

Insulin inhibits MTP / activates SR-B1 receptor

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8
Q

• Indicate the roles of LDL and HDL in promoting and retarding, respectively, the development of atherosclerosis.

A

LDL -> high cholesterol -> atherosclerosis
HDL -> low cholesterol -> low risk

Abetalipoproteinemia: loss of ApoB capabilities (loss of CM and VLDL)

Famililal hypercholesterolemia -> loss of LDL receptor -> elevated LDL

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9
Q

• Indicate the causes of alcoholic and nonalcoholic fatty liver disease (NAFLD).

A

Alcoholic: excess alcohol

Non-alcoholic: high TAGs or LDL/ low HDL and insulin resistance

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