Chapter 21

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### 1. Overview

- Main topics covered:

- Fatty Acid Biosynthesis

- Desaturases, Oxidases, Eicosanoids

- Triacylglycerol (TAG) Synthesis

- Phospholipids Synthesis

- Cholesterol Biosynthesis

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### 2. Fatty Acid Biosynthesis

- Basics of Fatty Acid Synthesis:

- Fatty acids are synthesized by adding two-carbon units from malonyl-CoA.

- Malonyl-CoA is formed from acetyl-CoA and bicarbonate by the enzyme Acetyl-CoA Carboxylase (ACC).

- Key Reaction Steps:

- Four main steps in fatty acid synthesis:

1. Condensation: The growing chain is combined with an activated acetate.

2. Reduction: A carbonyl group is reduced to a hydroxyl group.

3. Dehydration: The hydroxyl group is removed, forming a trans-alkene.

4. Reduction: The alkene is reduced to an alkane.

- Fatty Acid Synthase (FAS):

- A multi-enzyme complex that catalyzes these reactions.

- FAS I: Found in vertebrates and fungi, produces mainly palmitate (16:0).

- FAS II: Found in plants and bacteria, produces diverse fatty acids (saturated, unsaturated, and branched).

- Uses NADPH as an electron donor.

- Growing chain is carried by Acyl Carrier Protein (ACP).

- Energy and Location:

- Fatty acid biosynthesis occurs in the cytosol of adipocytes, hepatocytes, and mammary glands.

- Citrate transports acetyl-CoA from mitochondria to the cytosol.

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### 3. Regulation of Fatty Acid Synthesis

- Key Regulatory Enzyme: Acetyl-CoA Carboxylase (ACC)

- Inhibited by palmitoyl-CoA (product of fatty acid synthesis).

- Activated by citrate and ATP (signaling excess energy).

- Hormonal regulation:

- Insulin activates ACC (through dephosphorylation).

- Glucagon and epinephrine inhibit ACC (by phosphorylation).

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### 4. Desaturation and Elongation of Fatty Acids

- Elongation:

- Occurs in the endoplasmic reticulum (ER) and mitochondria, adding two carbon units to existing fatty acids.

- Desaturation:

- Mammals can introduce double bonds up to the Δ9 position (e.g., palmitate to palmitoleate, stearate to oleate).

- Plants can desaturate beyond Δ9, producing essential fatty acids like linoleate (18:2) and α-linolenate (18:3).

- Desaturation catalyzed by fatty acyl-CoA desaturase, a mixed-function oxidase.

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### 5. Oxidases vs. Oxygenases

- Oxidases:

- Don’t incorporate oxygen into the product (e.g., fatty acyl-CoA desaturase).

- Oxygenases:

- Incorporate oxygen into the product, classified as monooxygenases or dioxygenases.

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### 6. Eicosanoids and Prostaglandins

- Eicosanoids:

- Potent hormones derived from arachidonic acid (20:4).

- Produced by cyclooxygenase (COX) enzymes in response to stimuli (e.g., inflammation).

- COX-1 and COX-2:

- COX enzymes convert arachidonate to prostaglandins, thromboxanes, and leukotrienes.

- NSAIDs (aspirin, ibuprofen) inhibit COX, reducing inflammation and pain.

- COX-2 inhibitors like Vioxx were developed to avoid gastrointestinal side effects but had cardiovascular risks.

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### 7. Triacylglycerol (TAG) and Phospholipids Synthesis

- Triacylglycerol (TAG) Synthesis:

- Stored as fat in adipocytes and liver, providing energy reserves.

- Glycerol-3-phosphate (from glycolysis) acts as a precursor.

- Acyl transferases add fatty acids to glycerol-3-phosphate, forming phosphatidic acid, which can lead to TAG or phospholipid synthesis.

- Even during starvation, TAG synthesis occurs via glyceroneogenesis.

- Regulation:

- Insulin stimulates TAG synthesis.

- Glucagon and epinephrine stimulate TAG breakdown.

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### 8. Cholesterol Biosynthesis

- Pathway Overview:

- Cholesterol is synthesized from acetyl-CoA in the liver through a multi-step process:

1. Formation of Mevalonate (from acetyl-CoA via HMG-CoA reductase).

2. Conversion to activated isoprenes.

3. Formation of Squalene from six isoprenes.

4. Cyclization of Squalene to form cholesterol.

- Regulation:

- HMG-CoA reductase is the rate-limiting enzyme, regulated by feedback inhibition, phosphorylation, and proteolytic degradation.

- Statins inhibit HMG-CoA reductase to lower cholesterol levels.

- Fates of Cholesterol:

- Cholesterol is used in membranes, bile acids, and steroid hormones, and is transported via lipoproteins.

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### 9. Lipoproteins and Cholesterol Transport

- Classes of Lipoproteins:

- Chylomicrons: Transport dietary fats from the intestines to tissues.

- VLDL (Very Low-Density Lipoproteins): Deliver triacylglycerols to tissues, become LDL after losing TAGs.

- LDL (Low-Density Lipoproteins): Deliver cholesterol to tissues (high levels linked to atherosclerosis).

- HDL (High-Density Lipoproteins): Return excess cholesterol to the liver for disposal (protective role).

- Cholesterol and Cardiovascular Disease:

- High LDL levels are associated with atherosclerosis and heart disease.

- HDL helps remove cholesterol, preventing plaque buildup.

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