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Hydrocarbons have what water property?
Hydrophobic
Four fused rings form what?
Steroid nucleus
What is the cholesterol structure?
8 carbon branched hydrocarbon chain at C17 of D ring
Ring A- hydroxyl group at C3
Ring B- double bond between C5, C6
What is ring A?
Hydroxyl group at C3
What is ring B?
Double bond between C5, C6
What is the role of cholesterol?
Component of cell membranes
Modulates fluidity
What is cholesterol a precursor for?
Bile acids
Steroid horomones
Vitamin D
What are the two forms of cholesterol?
Free cholesterol
Cholesterol ester
What are the charactistics of free cholesterol?
30% exist in this form
Poorly soluble in water
Plasma membrane
What are the characteristics of cholesterol ester?
70% exists in this form
Less soluble in water than other form
Serum cholesterol
What are the different ways of esterfication of cholesterol?
Acyl-Coa: Cholesterol acyltransferase (ACAT)
Lecithin: Cholesterol acyltransferase (LCAT)
Phosphatidylcholine: Cholesterol acyltransferase (PCAT)
What ways do you increase cholesterol?
Dietary intake
De novo synthesis
What was do you decrease cholesterol?
Conversion to bile salts in liver
Excertion in bile
How much cholesterol in consumed in the western diet?
Around 0.5g cholesterol/day
What are sources of cholesterol in diet?
Meat, eggs, dairy
How much cholesterol is absorbed in the gut?
30-60%
How much cholesterol is made through De novo synthesis?
1g cholesterol/day
Where is cholesterol absorbed and secreted?
Intestines by specific transporters
What are the specific transporters for cholesterol?
Nieman-Pick C1-like protein (NPC1L1)
Chylomicrons
What is the role of chylomicrons?
Absorb dietary lipids at the enterocyte into the lymph vessels to be circulated through the body
What are chylomicrons?
Big ball of dietary lipids
Cholesterol, phospholipids, TAGs
What is the rate limiting enzyme/ step in cholesterol synthesis?
HMG-CoA Reductase
What decreases De Novo?
Statins
Red yeast rice
What do the statin drugs inhibit?
HMG-CoA Reductase
How does statin drugs inhibit HMG-CoA Reductase?
Lower cholesterol by binding to site of HMG-CoA on enzyme
What is the result of statin drugs inhibiting HMG-CoA Reductase?
Decreased intracellular cholesterol concentrations
Decrease in free cholesterol stimulates expression of LDL receptors
LDL clearance increases and plasma LDL-cholesterol decreases
Which part of the cholesterol is not broken down in humans?
Cholesterol ring
Which part of the cholesterol is eliminated from the body?
Sterioid nucleus
How is the steroid nucleus eliminated from the body?
Conversion of cholesterol to bile acid and bile salts
Secretion of free cholesterol into bile
What percentage of bile salts are excreted in feces?
Less than 5%
Where are bile salts reabsorbed?
Majority at ileum and return to liver via portal vein (enterohepatic circulation)
What are the primary bile acids synthesized by the liver?
7a-hydroxylase
Conjugated bile acids
Conjugation
What is 7a-hydroxylase?
Rate limiting step
What inhibits 7a-hydroxylase?
Bile acids (negative feedback)
What are the unconjugated bile acids?
Chenodeoxycholic acid
Cholic acid
During conjugation, what are bile acids conjugated with?
Taurine and glycine
Which bile acid is more is more ionized in GI lumen?
Conjugation over unconjugated (More effective detergents so they can bust up lipids)
What are the secondary bile salts?
Deoxycholic acid
Lithocholic acid
Where are bile salts produced?
Liver
Where are bile salts secreted?
Into bile
Where are bile salts stored?
Gallbladder
Where are bile salts released into during meal?
Intestines
What is the role of bile salts as a detergent?
Emulsify dietary lipids
What deconjugates and dehydroxylate the bile salts?
Intestinal bacteria
How does intestinal bacteria deconjugate and dehydroxylate the bile salts?
Remove glycine and taurine residues
Remove hydroxyl group at position 5
Which bile salts are less soluble and less readily absorbed?
Deconjugated and dehydroxylated bile salts
What bile-acid binding resin used to lower plasma cholesterol?
Cholestyramine (drug)
What is the function of cholestyramine?
Interrupts enterohepatic circulation of the bile acids
What is the physiology of taking cholestyramine?
Increase in 7a-hydroxylase activity —> increased bile acids synthesis —> Increased cholesterol excretion
What is cholesterol a precursor to?
All steroid hormones
What are the 3 groups of steroid hormones?
Corticosteroids
Androgens
Estrogens
Where are corticosteroids produced?
Adrenal cortex
Where are androgens produced?
Testes
Where are estrogens produced?
Ovaries
What is the rate limiting enzyme in steroidogenesis?
Desmolase
How are TAGs and cholesterol molecules transported in blood?
Lipoproteins
What makes up the core of lipoproteins?
TG and cholesterol esters
What makes up the surface of lipoproteins?
Phospholipids and free cholesterol
What are the Apoproteins of lipoproteins?
A, B, C, E
What is the big hylomicron?
B48
What cells assemble chylomicrons from dietary lipids?
Intestinal mucosal
What does intestinal mucosal cells contain for assembly of chylomicrons?
TG rich with some free cholesterol, cholesterol esters
Have apoB-48
What is obtained coming back from circulation to hepatocytes during assembly of chylomicrons?
apoC-II
apoE from HDL
During chylomicron degradation in peripheral tissue, what does apoC-II activate?
Lipoprotein lipase
What does LPL degreade?
Chylomicron triglycerides —> FA (released in peripheral tissue)
What happens to the chylomicron during degredation?
Becomes more dense (chylomicron remnant)
What are the contents of the chylomicron remnant?
Cholesterol ester rich, with some from cholesterol, and little TG
What are the chylomicron remnant taken up by?
Hepatocytes (liver) via apoE (key to liver)
What is VLDL most comprised of?
Triglycerides, with some cholesterol
Where is VLDL synthesized?
Liver, contain apo-B100
What does VLDL release obtain from HDL?
apoc-II and apoE
What occurs during VLDL degredation?
apoc-II activates lipoprotein lipase (LPL) in peripheral tissue
What is the physiology of VLDL degredation?
LPL degrades VLDL triglycerides —> FA (released in peripheral tissue)
What happens to VLDL during degredation?
Becomes more dense (IDL)
What happens to the IDL?
Can return to liver via apoE and metabolized by hepatic lipase
What is the IDL pathway?
IDL gains CE from HDL via cholesterol ester transfer protein (CETP) —> LDL
What does LDL contain?
High concentrations of cholesterol and CE
What is the function of the LDL pathway?
Deliever cholesterol to peripheral tissue via apoB-100
Where hepatic lipase found?
Found in liver
No LPL in liver
Where is HDL synthesized?
Liver and intestines
How is HDL released?
Protein rich particle
What does the HDL synthesis contain?
apoA-1 used to recover cholesterol from fatty streaks in vessels
What does HDL synthesis carry?
apoE and apoC-II to donate to chylomicrons
What is the pathway for HDL action on LCAT?
apoA-1 activates LCAT, PCAT —> produces cholesterol esters
What occurs during HDL action on LCAT?
HDl transports CE from peripheral vessels to liver
(Mopping up cholesterol)
What is the function of HDL cholesterol esters.
Donate CE to IDL via CETP
Or
Deliver CE to hepatocytes and steriogenic tissues via SR-B1
What different pathways can the liver acquire cholesterol?
De novo synthesis
Endocytosis of chylomicron remnants with residual dietary cholesterol
Transfer from HDL via SR-B1 receptor
Endocytosis of LDL
What is the function of hepatocytes endocytes LDL?
Hepatocytes contain LDL recpetors receptors (apoB-100) at cell membrane containing clathrin
LDL binds to receptor and is endocytosed (receptor mediated endocytosis)
What does the increased cholesterol levels intracellulary inhibit?
HMG-CoA Reductase
LDL- receptor gene expression
SR-B1 receptor gene expression
What does increased cholesterol levels intracellulary stimulate?
Acyl cholesterol acyl transferase
What is the function cholesterol esters produced?
CE stored in cells or converted to bile acids