Biochemistry of Lipid Metabolism

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Questions and Answers

What role do high-density lipoproteins (HDL) play in the body?

  • They transport triglycerides from the liver to peripheral tissues.
  • They synthesize fatty acids from glucose.
  • They primarily store cholesterol in adipose tissue.
  • They facilitate the reverse cholesterol transport from peripheral tissues to the liver. (correct)

During which metabolic state does lipogenesis primarily occur?

  • Fasting state
  • Starvation state
  • Fed state (correct)
  • Exercise state

Which component is formed first in the lipogenesis process?

  • Malonyl-CoA
  • Fatty acyl-CoA
  • Glycerol-3-phosphate
  • Acetyl-CoA (correct)

What is the primary function of triglycerides (TGs) in the body?

<p>Store energy. (A)</p> Signup and view all the answers

Which factor primarily activates lipogenesis?

<p>Insulin (B)</p> Signup and view all the answers

What is formed when glycerol-3-phosphate reacts with fatty acyl-CoA during triglyceride assembly?

<p>Triglycerides (C)</p> Signup and view all the answers

Where in the body does the majority of lipogenesis occur?

<p>Liver and adipose tissue (D)</p> Signup and view all the answers

Which of the following describes the function of HDL in cholesterol homeostasis?

<p>It helps in cholesterol excretion by forming bile acids. (B)</p> Signup and view all the answers

What activates Hormone-Sensitive Lipase (HSL) during fasting?

<p>Binding of glucagon and epinephrine (A)</p> Signup and view all the answers

Which of the following substances inhibits Acetyl-CoA Carboxylase (ACC)?

<p>Glucagon (B)</p> Signup and view all the answers

What is the role of albumin in the process of lipolysis?

<p>Transporting free fatty acids in the bloodstream (D)</p> Signup and view all the answers

Which step in lipogenesis occurs after the hydrolysis of triglycerides?

<p>Release and transport of FFAs (C)</p> Signup and view all the answers

Which of these does NOT activate lipolysis?

<p>Insulin (A)</p> Signup and view all the answers

What is the result of beta-oxidation of free fatty acids in mitochondria?

<p>Formation of Acetyl-CoA, NADH, and FADH2 (A)</p> Signup and view all the answers

Which of the following is a precursor role of cholesterol?

<p>Synthesis of bile acids (B)</p> Signup and view all the answers

What is the primary site of lipolysis in the body?

<p>Adipose tissue (D)</p> Signup and view all the answers

What process allows the uptake of chylomicron remnants by the liver?

<p>Specific receptors like LDL receptor-related protein (LRP) (C)</p> Signup and view all the answers

What is the primary function of LDL in the body?

<p>Deliver cholesterol to peripheral tissues (B)</p> Signup and view all the answers

Which enzyme is responsible for hydrolyzing triglycerides in chylomicrons and VLDL?

<p>Lipoprotein lipase (LPL) (B)</p> Signup and view all the answers

What transformation occurs as VLDL particles lose triglycerides?

<p>They convert into low-density lipoproteins (LDL) (A)</p> Signup and view all the answers

Which substances are primarily contained in chylomicron remnants after triglyceride depletion?

<p>Cholesterol and phospholipids (D)</p> Signup and view all the answers

Where do lipoprotein lipases (LPL) primarily locate within the body?

<p>On the surface of endothelial cells in muscle and adipose tissue (D)</p> Signup and view all the answers

What primarily fuels the energy needs of muscle tissue from lipids?

<p>Fatty acids released from triglycerides (C)</p> Signup and view all the answers

What occurs to LDL receptors once they have facilitated the uptake of LDL particles into cells?

<p>They are recycled back to the cell surface (A)</p> Signup and view all the answers

What is the primary function of bile salts in the digestion of dietary lipids?

<p>To emulsify dietary fats into smaller droplets (A)</p> Signup and view all the answers

Which lipase is produced by the pancreas to aid in the digestion of triglycerides?

<p>Pancreatic lipase (A)</p> Signup and view all the answers

Which components are included in the formation of micelles during lipid digestion?

<p>Fatty acids, monoglycerides, and bile salts (A)</p> Signup and view all the answers

What happens to fatty acids and monoglycerides inside the enterocyte?

<p>They are re-esterified to form triglycerides (B)</p> Signup and view all the answers

What is the composition of chylomicrons?

<p>Triglycerides, cholesterol, phospholipids, and apolipoproteins (C)</p> Signup and view all the answers

Why are chylomicrons unable to directly enter blood capillaries?

<p>They are too large to enter blood capillaries directly (C)</p> Signup and view all the answers

What is the role of cholesterol ester hydrolase in the small intestine?

<p>To convert cholesteryl esters to free cholesterol (C)</p> Signup and view all the answers

Which of the following is a component that is not delivered by micelles to the intestinal epithelial cells?

<p>Lactate (A)</p> Signup and view all the answers

What is the rate-limiting enzyme in the cholesterol synthesis pathway?

<p>HMG-CoA reductase (D)</p> Signup and view all the answers

Which step directly requires NADPH in cholesterol synthesis?

<p>Formation of Mevalonate (A)</p> Signup and view all the answers

What is the sequence of the first three steps in cholesterol synthesis?

<p>Formation of Mevalonate, Conversion of Mevalonate to IPP, Formation of Squalene (D)</p> Signup and view all the answers

Which compound is produced by the condensation of two FPP molecules in the cholesterol synthesis pathway?

<p>Squalene (B)</p> Signup and view all the answers

Which mechanism is NOT involved in the regulation of cholesterol synthesis?

<p>Phosphorylation of Acetyl-CoA (A)</p> Signup and view all the answers

What is the final compound produced from lanosterol in the cholesterol synthesis pathway?

<p>Cholesterol (B)</p> Signup and view all the answers

What is the term for the step-wise conversion of mevalonate into an intermediary compound before forming cholesterol?

<p>Phosphorylation (D)</p> Signup and view all the answers

What type of reaction is not included in the conversion of lanosterol to cholesterol?

<p>Oxidation (C)</p> Signup and view all the answers

What was the primary pathological finding in the Korat cats diagnosed with severe atherosclerosis?

<p>Severe atherosclerotic lesions in arteries (C)</p> Signup and view all the answers

Which of the following factors was ruled out as a contributor to the atherosclerosis in the Korat cats?

<p>Medical treatments (A), Underlying diseases (C)</p> Signup and view all the answers

Why might Korat cats be considered a valuable model for studying human atherosclerosis?

<p>They exhibit similar pathological findings to human atherosclerosis. (D)</p> Signup and view all the answers

How does the lipid metabolism of cats differ from that of humans?

<p>Cats tend to maintain lower plasma cholesterol levels. (D)</p> Signup and view all the answers

What dietary characteristics of cats help prevent atherosclerosis?

<p>Obligate carnivore status with rich protein and low carbohydrates (A)</p> Signup and view all the answers

Which physiological factor contributes to the resistance of cats to plaque formation?

<p>Structural or functional adaptations in arterial walls (B)</p> Signup and view all the answers

What potential genetic factor may protect cats from developing atherosclerosis?

<p>Inherited mechanisms for lipid handling (A)</p> Signup and view all the answers

Which statement correctly describes cats' susceptibility to atherosclerosis compared to humans?

<p>Cats experience less pro-inflammatory states that could worsen endothelial dysfunction. (B)</p> Signup and view all the answers

Flashcards

Dietary Lipid Digestion

The process of breaking down large fat molecules into smaller ones that can be absorbed by the body. This occurs in the small intestine with the help of bile and lipases.

Micelles

Tiny, water-soluble spheres formed from bile salts, fatty acids, monoglycerides, cholesterol, and fat-soluble vitamins. They help transport digested lipids across the intestinal wall.

Lipid Absorption

The process of taking digested fats from the small intestine into the cells lining the intestine.

Triglyceride Reformation

The process of re-building triglycerides from absorbed fatty acids and monoglycerides inside the intestinal cells.

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Chylomicron

A large lipoprotein responsible for transporting absorbed dietary fats from the intestines to other tissues of the body.

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Lymphatic System

A specialized system involved in the transport of chylomicrons due to their large size. It carries chylomicrons to the circulatory system.

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Apolipoproteins

Specific proteins that help in the formation and packaging of chylomicrons by attaching to them.

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ApoB-48

The primary apolipoprotein found in chylomicrons, involved in their assembly and transport.

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HDL (High-Density Lipoprotein)

A lipoprotein involved in reverse cholesterol transport, picking up excess cholesterol from peripheral tissues and returning it to the liver.

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Lipogenesis

The process of synthesizing triglycerides and fatty acids, primarily occurring in the liver and adipose tissue during the fed state.

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Formation of Malonyl-CoA

A key step in lipogenesis involving the production of malonyl-CoA, a precursor for fatty acid synthesis.

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Lipolysis

The process of breaking down triglycerides into glycerol and free fatty acids.

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Glycerol

A three-carbon alcohol that is a component of triglycerides.

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Insulin

Hormone that promotes lipogenesis by activating ACC activity, increasing glucose uptake, and ensuring glycerol-3-phosphate availability.

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ACC (Acetyl-CoA Carboxylase)

An enzyme activated by insulin that plays a crucial role in lipogenesis.

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Glycerol-3-phosphate

A precursor for triglyceride assembly, derived from glucose metabolism.

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How are triglycerides in chylomicrons broken down?

Fatty acids and glycerol are released from triglycerides in chylomicrons by an enzyme called lipoprotein lipase (LPL). LPL is located on the surface of endothelial cells in tissues like muscle and adipose tissue. In the context of lipid metabolism, this process allows tissues to access fatty acids for energy and storage.

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What happens to the remaining components of chylomicrons after triglyceride breakdown?

The remnants of chylomicrons, now depleted of triglycerides, primarily contain cholesterol and phospholipids. These remnants are taken up by the liver by specific receptors, primarily LDL receptor-related protein (LRP).

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What is the role of VLDL in lipid metabolism?

Very low-density lipoproteins (VLDL) are synthesized in the liver and contain high amounts of triglycerides and cholesterol. VLDL is secreted into the bloodstream, where it functions to deliver triglycerides to peripheral tissues like muscle and adipose tissue.

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How is VLDL transformed into LDL?

When VLDL interacts with lipoprotein lipase (LPL), triglycerides are broken down. This process gradually transforms VLDL into intermediate-density lipoproteins (IDL) and ultimately into low-density lipoproteins (LDL), which are primarily composed of cholesterol and phospholipids.

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What is the primary role of LDL in lipid metabolism?

LDL serves as the main transporter of cholesterol to peripheral tissues, including muscle, adrenal glands, and gonads. LDL receptors on the surface of these target cells mediate endocytosis of LDL particles, allowing them to take up cholesterol for important functions like membrane synthesis, steroid hormone production, and bile acid formation.

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Explain the process of LDL receptor-mediated endocytosis.

LDL receptors on the surface of cells bind to LDL particles, triggering endocytosis. This process brings LDL particles inside the cell, where cholesterol is either stored or utilized based on the cell's needs. Once the receptor releases LDL, it's recycled back to the cell surface for further LDL uptake.

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Hormone-Sensitive Lipase (HSL)

An enzyme activated by glucagon and epinephrine, which helps break down triglycerides into diacylglycerol and then monoacylglycerol.

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Fatty Acid Oxidation

The process of converting FFAs into Acetyl-CoA, NADH, and FADH2, which are then used to generate ATP.

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Acetyl-CoA Carboxylase (ACC)

A key regulator of lipogenesis, activated by insulin, and responsible for converting Acetyl-CoA into Malonyl-CoA, a precursor for fatty acid synthesis.

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What is atherosclerosis?

Atherosclerosis is a disease where plaque builds up inside the arteries. This plaque can restrict blood flow, leading to heart attacks and strokes.

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Why are cats less susceptible to atherosclerosis?

Cats have a lower risk of atherosclerosis compared to humans due to their unique lipid metabolism, which is different from ours.

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What is the difference in lipid metabolism between cats and humans?

Cats have a distinct lipid metabolism compared to humans, with lower plasma cholesterol levels and a different lipoprotein profile.

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How does the cat's diet contribute to their lower risk of atherosclerosis?

Cats' natural diet, being high in protein and low in carbohydrates, doesn't favor the development of lipid abnormalities associated with human atherosclerosis.

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How do cats' physiological factors contribute to their resistance to atherosclerosis?

Cats experience fewer pro-inflammatory states, which are essential for atherosclerosis development, contributing to their resistance to the disease.

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What is the role of genetics in cats' resistance to atherosclerosis?

Cats may have genetic factors that protect against atherosclerosis. Their lipid-handling mechanisms might reduce cholesterol accumulation in the arteries.

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Why are Korat cats a good model for studying human atherosclerosis?

The similarities in atherosclerosis manifestation between cats and humans makes them a valuable model for studying the disease.

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What does the study in Korat cats suggest about atherosclerosis?

The findings in Korat cats suggest a potential genetic predisposition to atherosclerosis within the breed.

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What is cholesterol synthesis?

A multi-step enzymatic pathway starting from Acetyl-CoA that produces cholesterol. It requires significant energy (ATP) and reducing power (NADPH).

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What happens in the formation of mevalonate?

The first step in cholesterol synthesis, where two Acetyl-CoA molecules are combined to form mevalonate. This step requires the enzymes thiolase, HMG-CoA synthase, and HMG-CoA reductase.

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Explain the conversion of mevalonate to isopentenyl pyrophosphate (IPP).

A series of reactions converting mevalonate into isopentenyl pyrophosphate (IPP), a 5-carbon unit that serves as a building block for larger molecules. This step requires enzymes like mevalonate kinase and phosphomevalonate kinase.

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Describe the formation of squalene.

The process of combining multiple IPP units into a 30-carbon molecule called squalene. This involves enzymes like squalene synthase.

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What happens in the conversion of squalene to lanosterol?

The conversion of squalene into a 30-carbon cyclic molecule called lanosterol. This involves the enzymes squalene monooxygenase and oxidosqualene cyclase.

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How is lanosterol converted into cholesterol?

The final step in cholesterol synthesis where lanosterol undergoes 19 additional reactions, including demethylation, reduction, and isomerization, to form cholesterol.

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What is the key regulatory mechanism of cholesterol synthesis?

The main regulatory mechanism for cholesterol synthesis, controlling the rate of the reaction. It is regulated by feedback inhibition, hormonal regulation, and sterol regulatory element-binding proteins (SREBPs).

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What is feedback inhibition in cholesterol synthesis?

A type of feedback loop that regulates cholesterol synthesis, where high levels of cholesterol in the body inhibit HMG-CoA reductase activity, reducing the rate of cholesterol synthesis.

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Study Notes

Lipid Metabolism Part 2

  • Dietary fats, phospholipids, and cholesterol/cholesteryl esters are consumed.
  • Bile salts emulsify dietary fats, breaking them into smaller droplets (micelles), making them more accessible for enzymatic digestion.
  • Oral cavity: lingual lipase from sublingual and parotid salivary glands.
  • Stomach: gastric lipase from chief cells.
  • Pancreas: pancreatic lipase.
  • Majority of triglyceride digestion occurs in the small intestine.
  • Cholesteryl esters are converted to free cholesterol by cholesterol ester hydrolase in the small intestine.

Formation of Micelles

  • Micelles are small, water-soluble lipid droplets.
  • Composed of fatty acids, monoglycerides, cholesterol, fat-soluble vitamins (A, D, E, K), and bile salts.
  • Bile salts aid in lipid solubilization.
  • Micelles deliver lipid components to intestinal epithelial cells (enterocytes) for absorption.

Absorption in Enterocytes

  • Micelles deliver fatty acids, monoglycerides, and cholesterol to the brush border of enterocytes.
  • Lipids are absorbed through simple diffusion, except for FC (NPC1L1).
  • Inside the enterocyte, fatty acids and monoglycerides are re-esterified to form triglycerides.
  • Free cholesterol is re-esterified to form cholesteryl esters (CE).

Formation of Chylomicrons

  • Triglycerides, cholesterol, phospholipids, and apolipoproteins (mainly apoB-48) are packaged into chylomicrons.
  • Chylomicrons are large lipoproteins.
  • Transport dietary lipids from intestines to other tissues.

Transport in Lymphatic System

  • Chylomicrons are too large to enter blood capillaries directly.
  • Enter lymphatic vessels (lacteals).
  • Travel through the lymphatic system and eventually enter the bloodstream at the left subclavian vein.

Lipids to Peripheral Tissues (Chylomicron Remnants)

  • Lipoprotein lipase (LPL) is located on the surface of endothelial cells (muscle and adipose tissue)
  • Hydrolyzes triglycerides in chylomicrons, releasing free fatty acids and glycerol.
  • Free fatty acids are taken up by tissues for energy or storage.
  • Chylomicron remnants are left behind with mainly cholesterol and phospholipids.
  • Liver takes up remnants via specific receptors (e.g., LDL receptor-related protein (LRP) ).
  • Uses cholesterol for bile acid synthesis or lipoprotein formation.

Liver Processing and Formation of VLDL

  • Liver synthesizes very low-density lipoproteins (VLDLs), rich in triglycerides and cholesterol.
  • VLDL delivers triglycerides to peripheral tissues.
  • VLDL particles circulate and interact with lipoprotein lipase (LPL), which hydrolyzes triglycerides in VLDL.
  • As triglycerides are removed, VLDL particles become intermediate-density lipoproteins (IDL).
  • IDL is further processed in the liver to form low-density lipoproteins (LDL).
  • LDL are primarily composed of cholesterol and phospholipids.

LDL - Cholesterol Transport to Peripheral Tissues

  • LDL serves as the primary carrier of cholesterol to peripheral tissues (e.g., muscle, adrenal glands, and gonads).
  • LDL receptors on cell surfaces mediate endocytosis of LDL particles.
  • Uptake of cholesterol for membrane synthesis, steroid hormone production, or bile acid formation.
  • Cholesterol is stored or used based on cell needs.
  • LDL receptor is recycled to the cell surface to bind more LDL.

HDL - Reverse Cholesterol Transport

  • Liver and intestines secrete high-density lipoproteins (HDL), rich in apolipoprotein A-I (apoA-I) and containing some phospholipids and cholesterol.
  • HDL is involved in reverse cholesterol transport.
  • Picks up excess cholesterol from peripheral tissues (e.g., macrophages in arterial walls).
  • Returns cholesterol to the liver.
  • In the liver, HDL can further transfer cholesterol to VLDL or be directly processed into bile acids for excretion.
  • Helps maintain cholesterol homeostasis and protects against atherosclerosis.

Types of Lipoproteins

  • Detailed description of different lipoprotein types, including their densities, major lipids, major apoproteins, and properties

Triglyceride Overview

  • Triglycerides (TGs) are the primary form of energy storage in animals.
  • Composed of three fatty acid molecules esterified to a glycerol backbone.
  • Metabolism involves lipogenesis (synthesis) and lipolysis (breakdown).

Lipogenesis (Synthesis of Triglycerides)

  • Process of synthesizing triglycerides and fatty acids.
  • Predominantly occurs in liver and adipose tissue during the fed state.
  • Involves a series of steps, including glucose metabolism, acetyl-CoA production, malonyl-CoA formation, fatty acid synthesis, and triglyceride assembly.

Triglyceride Assembly

  • Fatty acids are activated by CoA.
  • Glycerol-3-phosphate (from glucose metabolism) is esterified with fatty acyl-CoA to form triglycerides.
  • Triglycerides are stored in lipid droplets within adipocytes or exported as VLDLs from the liver.

Regulation of Lipogenesis

  • Factors that activate or inhibit lipogenesis (e.g., insulin, high-carbohydrate diets, citrate, and glucagon/epinephrine).

Lipolysis (Breakdown of Triglycerides)

  • Process of hydrolyzing triglycerides into glycerol and free fatty acids (FFAs).
  • Occurs mainly in adipose tissue.
  • Involves activation of hormone-sensitive lipase (HSL), triglyceride hydrolysis, FFAs release and transport, glycerol utilization, and fatty acid oxidation.

Regulation of Lipolysis

  • Factors that activate or inhibit lipolysis (e.g., glucagon, epinephrine, cortisol, insulin).

Cholesterol Overview

  • Cholesterol is a vital lipid molecule essential for membrane structure, roles as a precursor for bile acids, steroid hormones, and vitamin D, and lipoprotein transport.
  • Occurs in most tissues with liver and intestines being the primary sites.
  • Involves multi-step enzymatic pathway starting from acetyl-CoA.
  • Requires significant energy input from ATP and reducing power from NADPH.

Steps in Cholesterol Synthesis

  • Detailed steps, including enzymatic pathways.

Regulation of Cholesterol Synthesis

  • Key regulatory mechanism: HMG-CoA reductase.
  • Feedback inhibition, hormonal regulation, Sterol Regulatory Element-Binding Proteins (SREBPs), and phosphorylation/dephosphorylation.

Case Studies

  • Provides examples of severe spontaneous atherosclerosis in Korat cats, offering insight into similarities with human disease.
  • Implications of the studies for human disease research.

Atherosclerosis

  • Describes the chronic condition of arterial narrowing and stiffening.
  • Briefly discusses the components of plaques, complications, and underlying mechanisms.

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