Biochemistry of Lipid Metabolism

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Questions and Answers

What is the main reason for performing blood sampling on an empty stomach?

  • To avoid contamination from food particles
  • To minimize the risk of infection
  • To ensure accurate levels of triglycerides are measured (correct)
  • To prevent interference from medications

Which component is crucial for the delivery of absorbed triglycerides to the cells?

  • Chylomicrons (correct)
  • Lecithin
  • VLDL
  • Cholesterol

What process occurs to chylomicrons after they interact with cell receptors?

  • Translocation to the nucleus
  • Hydrolysis within the cytosol
  • Destruction inside the cell (correct)
  • Recycling back to the bloodstream

What condition can result from lipid malabsorption?

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

Which enzyme is responsible for the hydrolysis of triglycerides in chylomicrons?

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

What role do bile salts play in the hydrolysis of cholesteryl esters in the intestine?

<p>They increase the activity of hydrolases. (A)</p> Signup and view all the answers

Which types of fatty acids are absorbed directly into the portal vein from the intestinal lumen?

<p>Short-chain fatty acids and glycerol. (A), Glycerol and medium-chain fatty acids. (D)</p> Signup and view all the answers

What is the main composition of mixed micelles formed in the intestine?

<p>A spherical cluster of amphipathic lipids. (A)</p> Signup and view all the answers

What process occurs in enterocytes after the absorption of micelles?

<p>Resynthesis of triacylglycerols from monoglycerides and fatty acids. (C)</p> Signup and view all the answers

What initiates the conversion of fatty acids to triacylglycerols in the intestinal epithelial cells?

<p>Activation of fatty acids to fatty acyl-CoA. (C)</p> Signup and view all the answers

What role do bile salts play in fat digestion?

<p>They act as effective emulsifying agents. (D)</p> Signup and view all the answers

Which hormone primarily stimulates the secretion of bile?

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

What component of pancreatic juice is primarily responsible for the hydrolysis of triglycerides?

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

Which of the following is NOT a derivative of cholesterol used in bile salts?

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

How much of the triacylglycerol (TAG) is fully hydrolyzed into glycerol and free fatty acids?

<p>Approximately one-fourth (A)</p> Signup and view all the answers

What does secretin specifically promote in the pancreas?

<p>Secretion of bicarbonate-rich fluid (C)</p> Signup and view all the answers

Which component of bile is responsible for facilitating the emulsification of fats?

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

Which fatty acid derivative is predominantly formed during the hydrolysis of triglycerides?

<p>Free fatty acids (B)</p> Signup and view all the answers

Which type of lipid primarily constitutes over 95% of dietary fat composition?

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

What is the primary function of cholesteryl esters in the body?

<p>Serve as a transport form of cholesterol (A)</p> Signup and view all the answers

What role does lingual lipase play in lipid digestion?

<p>Initiates digestion of milk fat in neonates (A)</p> Signup and view all the answers

Which of the following lipids primarily enhances the solubility of lipases during digestion?

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

Which of the following accurately describes the composition of fats visualized during digestion?

<p>Fats must be emulsified to be digested (D)</p> Signup and view all the answers

What is the optimal pH range for gastric lipase activity?

<p>pH 5.4 - 7.0 (D)</p> Signup and view all the answers

Which lipid class serves as a significant energy storage form in the body?

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

Which function does NOT relate to lipids in the body?

<p>Production of glucose (B)</p> Signup and view all the answers

What are chylomicrons primarily composed of?

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

What is the primary function of B-48 in relation to chylomicrons?

<p>It serves as the major apolipoprotein for chylomicrons (C)</p> Signup and view all the answers

When are nascent chylomicrons typically observed in the blood after a meal?

<p>Within 1 to 2 hours (A)</p> Signup and view all the answers

What is alimentary hyperlipemia, and when does it peak?

<p>Increased lipid concentration, peaking after 4-6 hours (B)</p> Signup and view all the answers

What role do HDL particles play in the maturation of chylomicrons?

<p>They transfer proteins to nascent chylomicrons (B)</p> Signup and view all the answers

What does the serum appear like after centrifugation due to chylomicrons following a lipid meal?

<p>Strawberry-cream appearance (B)</p> Signup and view all the answers

Which of the following statements about chylomicrons is false?

<p>They become mature when they lose triacylglycerol. (D)</p> Signup and view all the answers

What occurs to the concentration of chylomicrons in the blood 10 to 12 hours after ingestion of fatty foods?

<p>It returns to normal values (C)</p> Signup and view all the answers

Which type of lipid is primarily absorbed directly into the portal vein from the intestinal lumen?

<p>Short chain and medium chain fatty acids (D)</p> Signup and view all the answers

What is the role of mixed micelles in the intestinal absorption process?

<p>To enhance the solubility of fats in the intestinal lumen (D)</p> Signup and view all the answers

What is the primary consequence of lipid malabsorption in the digestive system?

<p>Lipids lost in feces (D)</p> Signup and view all the answers

What process occurs in enterocytes after the absorption of fatty acids and monoglycerides?

<p>Triacylglycerols are resynthesized (A)</p> Signup and view all the answers

Which condition can lead to the obstruction of bile flow, causing lipid malabsorption?

<p>Bile duct obstruction (A)</p> Signup and view all the answers

How are triacylglycerols synthesized from fatty acids in intestinal epithelial cells?

<p>By enzymatic condensation of fatty acyl-CoA and monoacylglycerols (B)</p> Signup and view all the answers

Where does the hydrolysis of TAG in chylomicrons primarily take place?

<p>Capillary endothelial cells (B)</p> Signup and view all the answers

What characterizes mixed micelles that facilitate lipid absorption in the intestine?

<p>Amphipathic structure with hydrophilic exterior and hydrophobic interior (D)</p> Signup and view all the answers

What is the pathway for monoglycerides and fatty acids after the digestion of TAG?

<p>Diffused into cells (D)</p> Signup and view all the answers

What role do chylomicrons play in lipid metabolism?

<p>Deliver absorbed TAG to the body's cells (D)</p> Signup and view all the answers

What is the primary storage form of dietary lipids?

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

Which enzymes are essential for the digestion of milk fat in neonates?

<p>Lingual and gastric lipases (B)</p> Signup and view all the answers

What is the optimal pH range for lingual lipase activity?

<p>pH 4.0 – 4.5 (A)</p> Signup and view all the answers

Which lipid class primarily acts as a structural component of biological membranes?

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

Which of the following is a function of lipids in the body?

<p>Cushioning of internal organs (D)</p> Signup and view all the answers

What aids in the emulsification of lipids during digestion?

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

Which type of fatty acids are primarily absorbed directly from the stomach wall?

<p>Short-chain fatty acids (B)</p> Signup and view all the answers

What stimulates the secretion of pancreatic juice?

<p>Presence of gastric acid in the duodenum (A)</p> Signup and view all the answers

Which hormone is responsible for the contraction of the gallbladder?

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

What is a major function of bile salts during fat digestion?

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

Which component is NOT found in pancreatic juice?

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

What proportion of triacylglycerol (TAG) remains as 2-monoacylglycerol after hydrolysis?

<p>3/4 (D)</p> Signup and view all the answers

Which substances are bile salts derived from?

<p>Cholesterol and amino acids (A)</p> Signup and view all the answers

Which statement best describes the function of secretin?

<p>It stimulates the secretion of bicarbonate-rich fluid in pancreatic juice. (B)</p> Signup and view all the answers

During the hydrolysis process of triacylglycerols, what is produced at the third stage?

<p>Glycerol and free fatty acids (A)</p> Signup and view all the answers

What is the function of apoproteins in chylomicrons?

<p>To stabilize the chylomicron structure in aqueous solutions (D)</p> Signup and view all the answers

How do nascent chylomicrons enter the blood circulation?

<p>Through exocytosis into the lymphatic system (B)</p> Signup and view all the answers

What change is observed in the blood serum after a meal containing lipids?

<p>The serum appears milky or turbid (B)</p> Signup and view all the answers

What causes chylomicrons to mature after they are secreted into the bloodstream?

<p>Acceptance of proteins from HDL (A)</p> Signup and view all the answers

What is the primary role of the thoracic duct in relation to chylomicrons?

<p>To channel lymph containing chylomicrons into the blood (B)</p> Signup and view all the answers

When do nascent chylomicrons typically begin to appear in the bloodstream after eating?

<p>1 to 2 hours after a meal (A)</p> Signup and view all the answers

What is the expected blood concentration of chylomicrons 10 to 12 hours after consuming a lipid-rich meal?

<p>Returning to normal values (A)</p> Signup and view all the answers

What characterizes alimentary hyperlipemia?

<p>Peak serum levels occurring 4-6 hours post-meal (B)</p> Signup and view all the answers

What happens to chylomicrons after they deliver triglycerides to the body's cells?

<p>They are hydrolyzed within the cells. (C)</p> Signup and view all the answers

Which condition is NOT associated with lipid malabsorption?

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

Which component is primarily responsible for the hydrolysis of triglycerides in chylomicrons?

<p>Lipase enzyme. (C)</p> Signup and view all the answers

What is a common result of lipid malabsorption in the digestive system?

<p>Loss of fat-soluble vitamins A, D, E, and K. (D)</p> Signup and view all the answers

Which of the following best describes the role of chylomicrons in lipid digestion?

<p>They deliver absorbed triglycerides to the body's cells. (C)</p> Signup and view all the answers

What is the main structural characteristic of mixed micelles formed in the intestinal lumen?

<p>Hydrophobic groups are on the inside and hydrophilic groups on the outside. (A)</p> Signup and view all the answers

How does the process of resynthesizing triacylglycerols in the enterocytes begin?

<p>By the condensation of fatty acids and monoacylglycerols. (A)</p> Signup and view all the answers

What molecules form mixed micelles in the intestinal lumen?

<p>Long-chain fatty acids and bile salts. (C)</p> Signup and view all the answers

What is a key factor that increases the activity of hydrolases that degrade cholesteryl esters?

<p>Concentration of bile salts. (C)</p> Signup and view all the answers

Which of the following accurately describes the final process of triacylglycerol synthesis in intestinal epithelial cells?

<p>A fatty acyl-CoA reacts with diacylglycerol to form triacylglycerol. (B)</p> Signup and view all the answers

Which lipid class primarily serves as a significant energy storage form in the body?

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

What is the primary role of phospholipids in biological membranes?

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

How do short chain fatty acids differ in absorption compared to long chain fatty acids?

<p>They are absorbed directly into the bloodstream (D)</p> Signup and view all the answers

What type of lipase works optimally at a low pH range during lipid digestion?

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

What is the purpose of emulsification in lipid digestion?

<p>To increase the surface area for lipase activity (C)</p> Signup and view all the answers

What is the primary role of bile salts in fat digestion?

<p>Emulsification of fats to increase surface area for enzyme action (A)</p> Signup and view all the answers

How do bile salts contribute to the entero-hepatic circulation?

<p>They are reabsorbed in the intestine and returned to the liver (A)</p> Signup and view all the answers

Which two hormones are primarily stimulated by the presence of gastric acid and protein-rich content in the duodenum?

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

What percentage of triacylglycerol (TAG) remains in the form of 2-monoglycerides after complete hydrolysis?

<p>Approximately 75% (B)</p> Signup and view all the answers

What is the primary enzyme responsible for hydrolyzing triglycerides in the intestine?

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

Which of the following is NOT a component of pancreatic juice?

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

What is the main function of Cholecystokinin during the digestive process?

<p>Increasing pancreatic secretion of enzymes (A)</p> Signup and view all the answers

Which chemical structure do bile salts primarily derive from?

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

What distinguishes nascent chylomicrons from mature chylomicrons?

<p>Nascent chylomicrons have not yet accepted proteins from HDL. (A)</p> Signup and view all the answers

What is the primary role of apoprotein B-48 in relation to chylomicrons?

<p>It is essential for the secretion of chylomicrons into the lymphatic system. (B)</p> Signup and view all the answers

How does the appearance of serum change due to the presence of chylomicrons after a lipid-rich meal?

<p>It turns turbid, resembling 'strawberry-cream blood'. (A)</p> Signup and view all the answers

What happens to chylomicron levels in the blood 10 to 12 hours after eating fatty foods?

<p>They return to normal values. (D)</p> Signup and view all the answers

What is the primary route for nascent chylomicrons to enter the bloodstream?

<p>Via exocytosis into the thoracic duct. (C)</p> Signup and view all the answers

What is alimentary hyperlipemia and when does it typically occur?

<p>Rapid chylomicron formation peaking shortly after lipid ingestion. (B)</p> Signup and view all the answers

Which component is essential for the stabilization of the hydrophilic surface of chylomicrons?

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

What can interfere with biochemical studies of blood serum in patients?

<p>Presence of chylomicrons. (A)</p> Signup and view all the answers

Flashcards

Lipid Digestion

The process of breaking down fats into smaller molecules that can be absorbed by the body.

Lingual Lipase

An enzyme secreted by the tongue that begins the digestion of fats, especially in infants.

Gastric Lipase

An enzyme secreted by the stomach that continues the digestion of fats.

Emulsification

The process of breaking down large fat globules into smaller droplets, increasing their surface area for digestion.

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Triacylglycerol (Triglyceride)

The primary storage form of energy in the body, composed of three fatty acids linked to glycerol.

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Phospholipid

The main structural component of cell membranes, composed of a phosphate head and two fatty acid tails.

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Cholesterol

A type of lipid that serves as a precursor for many hormones, and helps regulate cholesterol levels.

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Surfactant (Diphosphatidylcholine)

A type of lipid that acts as a surfactant, helping to reduce surface tension in the lungs, allowing for easier breathing.

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What are bile salts and where are they made?

Bile salts are synthesized in the liver and stored in the gallbladder. They are derivatives of cholesterol, consisting of a sterol ring, a side chain, and either glycine or taurine. They exist as sodium and potassium salts of glycocholic and taurocholic acid.

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How do bile salts aid in fat digestion?

Bile salts play a crucial role in the digestion of fats in the small intestine. They act as emulsifying agents, breaking down large fat globules into smaller droplets, increasing their surface area for lipase action.

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What is enterohepatic circulation?

The enterohepatic circulation is a continuous cycle where bile salts are reabsorbed from the small intestine, transported back to the liver, and then secreted back into the bile. This process conserves bile salts and ensures efficient fat digestion.

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Where does the majority of fat digestion occur?

The small intestine is the primary site for the digestion of fats. Pancreatic lipase, an enzyme secreted by the pancreas, and bile salts work together to efficiently break down fats into smaller molecules.

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What stimulates the release of pancreatic juice?

The secretion of pancreatic juice, containing digestive enzymes and bicarbonate, into the small intestine is triggered by various factors, including the presence of gastric acid and protein-rich content in the duodenum.

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What is the function of secretin?

Secretin is a hormone released by the intestinal mucosa in response to acidic chyme entering the duodenum. It primarily stimulates the secretion of bicarbonate-rich fluid by the pancreas, helping to neutralize the acidic chyme.

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What is the role of cholecystokinin?

Cholecystokinin (CCK) is a hormone released by the small intestine in response to fats and proteins. It stimulates the contraction of the gallbladder, releasing bile into the duodenum, and also promotes the release of pancreatic enzymes, assisting in fat digestion.

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What are the key components of pancreatic juice?

Pancreatic juice contains vital enzymes that break down various components of food, including:

  • Pancreatic lipase: Digests triglycerides (fats).
  • Phospholipases: Breaks down phospholipids.
  • Cholesterol esterase: Breaks down cholesterol esters.
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Digestion of Triglycerides

The process of breaking down dietary fat (triglycerides, TG) into smaller molecules that can be absorbed by the body.

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Micelles

Special fats that help dissolve and transport dietary fat through the watery environment of the intestines.

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Chylomicron

A type of lipoprotein (fat package) that's made in the intestines and carries dietary fat to the rest of the body.

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Hydrolases

Specialized enzymes that help break down dietary fat, especially cholesterol esters.

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Hydrolysis

The process of breaking down fat molecules into smaller pieces, using water.

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Chylomicron Hydrolysis

The process of breaking down triglycerides (fats) in chylomicrons by lipoprotein lipase, an enzyme found in capillary endothelial cells.

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Chylomicron Entry into Cells

The process where chylomicrons, carrying absorbed triglycerides, enter cells after interacting with a cell receptor.

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Lipid Malabsorption (Steatorrhea)

A condition where lipids are not properly absorbed from the digestive tract, resulting in fat loss in the feces.

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Celiac disease

A condition characterized by inflammation of the small intestine, affecting lipid absorption.

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Lipoprotein Lipase

A digestive enzyme found in capillary endothelial cells; crucial in breaking down triglycerides within chylomicrons, allowing fatty acids to enter cells.

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Apolipoproteins

Proteins that associate with lipids in chylomicrons, helping them form a stable structure and interact with other cells.

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Chylomicron Synthesis

The process by which chylomicrons are formed and released into the lymph system by intestinal cells.

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Nascent Chylomicrons

The initial, smaller form of chylomicrons that are released from intestinal cells, before they become "mature".

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Chylomicron Maturation

The process by which chylomicrons acquire additional proteins, particularly from HDL, becoming fully functional for lipid transport.

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Alimentary Hyperlipemia

A type of hyperlipemia caused by the presence of high levels of chylomicrons in the blood shortly after a meal containing fats.

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Peak of Alimentary Hyperlipemia

The highest concentration of lipids (especially triacylglycerols) found in the blood, typically occurring 4-6 hours after a meal containing fats.

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Chylomicron Metabolism

The process by which chylomicrons are broken down, releasing their lipids into various tissues.

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Diphosphatidylcholine (Lecithin)

A type of lipid that acts as a surfactant in the lungs, helping to reduce surface tension and allow for easier breathing.

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Lipases

Enzymes that break down dietary fats, specifically triglycerides, into smaller molecules.

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Lipoprotein Lipase (LPL)

Lipoprotein lipase is an enzyme that breaks down triglycerides in chylomicrons, releasing free fatty acids into surrounding tissues. This process mainly occurs in adipose tissue and muscle.

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Enterohepatic Circulation

The continuous recycling of bile salts between the liver, gallbladder, small intestine, and back to the liver.

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What are bile salts and where are they produced?

Bile salts are synthesized in the liver and stored in the gallbladder. They are derivatives of cholesterol, consisting of a sterol ring, a side chain, and either glycine or taurine. They exist as sodium and potassium salts of glycocholic and taurocholic acid.

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Triglyceride Digestion

The breakdown of triglycerides into glycerol and fatty acids, facilitated by pancreatic lipase.

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Lipid Absorption

The process where long-chain fatty acids, cholesterol, and β-acyl glycerol form mixed micelles with bile salts, allowing their absorption into the intestinal cells.

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What are chylomicrons?

Chylomicrons are tiny fat packages made in the intestines that carry absorbed dietary fat through the lymphatic system and into the bloodstream.

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What is lipoprotein lipase (LPL)?

Lipoprotein lipase (LPL) is an enzyme located in capillary endothelial cells that breaks down triglycerides within chylomicrons, releasing fatty acids into surrounding tissues.

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How do chylomicrons enter cells, and what happens to the fat inside?

When chylomicrons enter cells, their triglycerides are broken down by LPL, releasing fatty acids that can be used for energy or stored in the body.

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What is Lipid malabsorption (Steatorrhea)?

Lipid malabsorption (Steatorrhea) is a condition where lipids are not properly absorbed from the digestive tract, leading to fat loss in the feces. This can be caused by conditions like pancreatic insufficiency, cystic fibrosis, celiac disease, or bowel issues.

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What are Nascent Chylomicrons?

Nascent chylomicrons are newly formed chylomicrons that are secreted by the intestinal cells into the lymphatic system. They are smaller and less mature than mature chylomicrons.

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How do Chylomicrons mature?

Chylomicrons mature as they pick up additional proteins, primarily from HDL (high-density lipoprotein). This process happens in both the lymph and the blood.

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What is Alimentary Hyperlipemia?

Alimentary hyperlipemia is a temporary increase in blood lipid levels, especially triacylglycerols, that happens shortly after a meal containing fat. It is caused by the release of chylomicrons into the blood.

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When does the peak of alimentary hyperlipemia occur?

The peak of alimentary hyperlipemia occurs 4-6 hours after a fatty meal. This is when the blood contains the highest concentration of chylomicrons.

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What is the major apolipoprotein in chylomicrons?

The major apolipoprotein associated with chylomicrons is apoB-48. ApoB-48 helps in the assembly and secretion of chylomicrons from intestinal cells.

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How are chylomicrons broken down?

Chylomicrons are broken down by an enzyme called lipoprotein lipase, which is found on the surface of blood vessels. This process releases fatty acids and glycerol, which can be used for energy or stored in tissues.

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Why can chylomicrons interfere with blood analysis?

The presence of chylomicrons in the blood can interfere with biochemical studies of blood serum. This is because they can cause turbidity (cloudiness) in the serum, making it difficult to analyze.

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Emulsification of Fats

The process of breaking down large fat droplets into smaller ones, increasing their surface area for digestion by enzymes.

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Lipid Micelles

These are tiny clusters of lipids formed in the small intestine. They have a hydrophobic core (fats) and a hydrophilic outer layer (bile salts). They help transport lipids to the intestinal cells.

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Bile Salts and their Role

Bile salts, synthesized in the liver and stored in the gallbladder, are crucial for fat digestion. They act as emulsifiers, breaking down large fat globules into smaller droplets, increasing their surface area.

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What is apoB-48?

The major apolipoprotein associated with chylomicrons, playing a crucial role in their assembly and secretion from intestinal cells. It's a shorter version of apolipoprotein B, synthesized specifically for chylomicrons.

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What is chylomicron metabolism?

The process by which chylomicrons are broken down, releasing their lipids into various tissues. It's crucial for delivering fats to cells for energy or storage.

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How are chylomicrons secreted?

The process of exocytosis by which chylomicrons are secreted from intestinal cells into the chyle (lymph) and then enter the bloodstream through the thoracic duct.

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