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Chemistry
lipoproteins
apolipoproteins
chylomicrons
VLDL
LDL
HDL
TAGs
cholestrol
liver
non hepatic tissues
bloodstream
receptor
ligand
foam cells
fatty acids
endocytosis
cholesteryl esters
density
size
surface-to-volume ratio
phospholipids
proteins
exogenous pathway
endogenous pathway
reverse pathway
ApoC-II
ApoE
Apob-100
remnants
receptor-mediated endocytosis
cholesterol accumulation
familial hypercholesterolemia
mutations
Niemann-Pick type C
lysosome
ER
ApoA-I
LCAT
lecithin-cholesterol acyl transferase
ABCA1
ABCG1
plaques
macrophages
medical biomarker
total cholesterol:HDL ratio
negative feedback regulation
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lipoproteins
Proteins associating with lipids to carry out the function of transporting complex lipids into the bloodstream.
intestine
Chylomicrons transport complex lipids from the ___ to other tissues and are degraded by protein lipases before being reabsorbed by the liver.
spherical
Lipids are carried through the plasma on ___ particles made of proteins, phospholipids, cholesterol, TAGs, and cholesteryl esters.
surface
Cholesterol, phospholipids, and proteins are found on the ___ of lipoproteins carrying lipids through the plasma because they have a head group, are a minimum polar, hydrophilic, or amphipathic.
inside
Triacylglycerols (TAGs) and cholesteryl esters are on the ___ of lipoproteins carrying lipids through the blood because they are completely saturated/hydrophobic.
density
Lipoprotein particles were named based on the position of sedimentation in the centrifuge, aka based on their density.
chylomicrons
Largest, least dense lipoproteins
least dense = less protein content
large = lots of TAGs
very low-density lipoproteins
aka VLDL
smaller but denser than chylomicrons
not a lot of protein content still, but more than chylomicrons because denser
still a lot of TAGs content, but less than chylomicrons because smaller
decreases
The TAGs content of lipoproteins ___ with smaller size and higher density
increases
protein and phospholipids content ___ with smaller size and higher density
make sense because density is due to protein content
low density lipoproteins
aka LDL
smaller but denser than VLDL and chylomicrons
lower TAGs content because smaller than chylomicron and VLDL
higher cholesteryl esters content because function is to deliver lipids/fatty acids to non-hepatic tissues
higher protein content than VLDL and chylomicrons because denser
high density lipoproteins
aka HDL
smallest and densest lipoprotein
function is to carry out reverse cholesterol pathway
highest protein content
lowest TAGs content (as it has to pick them up)
low cholesteryl esters content (as it has to pick them up)
apoliproteins
proteins that are part of a lipoprotein particle
provide sites for the particle to bind to cell surface receptors, activate enzymes, etc.
Exogenous pathway
Chylomicrons carry dietary fat to tissues and remnant chylomicrons bring the extra to the liver.
Dietary fats get broken down and the TAGs are packed up in chylomicrons (least dense lipoprotein)
Chylomicrons go to the blood stream
ApoC-II activates lipoprotein lipases to break down TAGs and release free fatty acids to tissues, also release cholesterol
Depleted chylomicrons remnants go back to the liver
ligand ApoE on their cell membrane allows detection by liver receptor triggering endocytosis and recycling
Release extra TAGs and cholesteryl esters into liver for breakdown
Endogenous pathway
VLDL transports body lipids to adipose tissue and muscles, them VLDL remnants become LDL, which is transported back to liver.
Liver converts excess body fat/carbohydrates (read not used as fuel) into TAGs and cholesteryl esters
TAGs and cholesteryl esters packages into VLDL inside the liver
VLDL released into the bloodstream
ApoC-II activates lipoprotein lipases to release free fatty acids to tissues
adipose tissues re-esterify them to store them as lipid droplets, muscle tissues use them for energy
Depleted VLDL becomes LDL which is richer in cholesterol and cholesteryl esters
ApoB-100 is the LDL ligand binding to cells LDL receptor allowing receptor-mediated endocytosis
LDL endosome merge with lysosome
lytic enzyme release cholesterol, fatty acids, and amino acids
cholesterol goes to the ER, inhibiting synthesis
LDL not picked up by cells go back to liver
familial hypercholesterolemia
aka FH
disease due to mutation(s) on the LDL RECEPTOR, preventing normal LDL uptake by the liver and other tissues, thus making it accumulates in the bloodstream
leads to atherosclerosis
cholesterol accumulates in blood
increased risk of heart attack
Niemann-Pick type C
aka NPC
disease due to a mutation causing cholesterol to be restrained to the lysosome, not going to the ER and thus not inhibiting cholesterol synthesis.
defect in lipid storage
mutation NOT ON THE RECPTOR & need mutation on BOTH alleles this time (homozygous genotype required)
accumulation of cholesterol in liver, brain, and other tissues
leads to premature death
Reverse transport pathway
HDL carries cholesterol from chylomicron and VLDL remnants (aka LDL) back to the liver
HDL pushed into bloodstream as a small, very dense lipoprotein aka with high protein content
HDL picks up VLDL remnants, LDL, and chylomicrons cholesterol (ApoA-1 receive cholesterol from inside of foam cells from carrier ABCA1, and HDL receive cholesterol from foam cell membrane)
LCAT enzyme (lecithin-cholesterol acyl transferase) convert then to cholesteryl esters
HDL is now bigger and less dense, aka mature HDL, it returns to the liver to drop off its fat content
lecithin-cholesterol acyl transferase
the ___ enzyme (LCAT) is partially made of lecithin (aka phosphatidylcholine = PC) whose group in 2nd position is used to esterify cholesterol
creates cholesteryl ester
creates lysolecithin aka lecithin but the second position is linked to hydroxy (-OH) group just like in glycerol
ATP-Binding Cassette
___ (ABC) transporters are found in foam cells and transport cholesterol from inside or the surface of foam cell to HDL
ABCA1
Transport cholesterol from the INSIDE of the foam cell, associate/deliver it to protein ApoA-1 on HDL
ABCG1
transport cholesterol from the surface of foam cell to HDL
foam cell
cell formed when mature macrophage absorbs too much oxidized lipids from lumen of blood vessels
LDL with partly oxidized lipids attract immune cells
macrophages do not regulate cholesteryl esters and sterol intake
become ____
attach to blood vessels and form plaque
causes more immune cells to be recruited
can clog artery
ratio
the medicinal biomarker for cholesterol is the ___ of total cholesterol and HDL
acetate (acety-CoA)
all carbon from cholesterol are derived from this one metabolite of carbohydrates
NADPH, cleavage of high energy phosphate and thioester bonds
Catabolic pathways either directly produce ATP or produce reducing equivalents that are used to generate ATP via the electron transport chain. In contrast, synthetic pathways such as cholesterol biosynthesis consume energy and use reducing equivalents of which form?
catalyzes reduction of HMG-CoA
HMG-CoA reductase is the name of the enzyme that ___
insulin de-phosphorylate (aka deactivates) HMG-CoA reductase
Short term regulation of cholesterol biosynthesis by hormones occurs by covalent modification of HMG-CoA reductase, how?
HDL, LDL, VLDL, Chylomicron
Unlike proteins and carbohydrates, transport of lipids including cholesterol requires lipoproteins. The triglyceride content determines their density. If arranged from lowest to highest triglyceride content, which order is correct?
defective hydrolysis of triglycerides in capillary walls due to lack of lipoprotein lipase activation
In addition to the major structural proteins, all lipoproteins also contain additional proteins that impart specific functions. What will be the consequence of ApoCII deficiency and why?
A
Which of these statements about the regulation of cholesterol synthesis is not true?
A) Cholesterol acquired in the diet has essentially no effect on the synthesis of cholesterol in the
liver.
B) Failure to regulate cholesterol synthesis predisposes humans to atherosclerosis.
C) Cholesteryl ester is synthesized from remnant chylomicrons by LCAT present in HDL
D) Insulin stimulates HMG-CoA reductase.
D
HDL is considered the “good cholesterol” because it brings cholesterol back to the liver from the peripheral tissues including plaque associated foam cells. But mere increase in plasma HDL cholesterol (HDL-C) levels is not a true predictor of protection from cardiovascular disease risk: Why?
A. It is the final removal of cholesterol from the liver that is more important than increase in plasma HDL-C alone
B. Increase in plasma HDL-C can also mean reduced delivery through SR-BI
C. Increase in plasma HDL-C does not necessarily mean that cholesterol is removed from macrophages at a higher rate
D. All of the above
C
Which of the following has highest cholesterol content?
A.Chylomicron
B.VLDL
C.LDL
D.HDL
D
Which of the following is the common substrate of both fatty acid and cholesterol biosynthesis
A.Fatty acyl-CoA
B.Malonyl- CoA
C.Propionyl-CoA
D.Acetyl-CoA