Cholesterol Synthesis, Transport, and Circulation
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Questions and Answers

During cholesterol synthesis, which of the following conversions is directly targeted by statin medications to lower cholesterol levels?

  • Acetyl-CoA to HMG-CoA
  • Squalene to Cholesterol
  • Mevalonate to Squalene
  • HMG-CoA to Mevalonate (correct)

If the enterohepatic circulation of bile salts is disrupted, what direct effect would this have on cholesterol levels in the body?

  • Decreased cholesterol absorption and increased excretion (correct)
  • Increased cholesterol synthesis in the liver
  • Reduced delivery of cholesterol to peripheral tissues by HDL
  • Enhanced transport of cholesterol via LDL

The liver synthesizes a significant amount of cholesterol daily. How does the body primarily regulate this synthesis to maintain cholesterol homeostasis?

  • Increased bile acid reabsorption in the jejunum
  • Negative feedback of cholesterol on HMG-CoA reductase (correct)
  • Positive feedback of LDL on HMG-CoA reductase
  • Hormonal activation of squalene synthase

Which lipoprotein is responsible for transporting cholesterol from peripheral tissues back to the liver, aiding in cholesterol excretion?

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

According to the information, the 'diet-heart hypothesis' posits a relationship between dietary saturated fat and cardiovascular disease. What is a limitation of this hypothesis as presented?

<p>The correlation between saturated fat intake and CVD was based on selective data. (A)</p> Signup and view all the answers

Flashcards

Acetyl-CoA

The main precursor molecule in cholesterol synthesis, derived from glucose, fatty acids, and amino acids.

HMG-CoA Reductase

An enzyme that catalyzes a key step in cholesterol synthesis, converting HMG-CoA to mevalonate.

Enterohepatic Circulation

The recycling process of bile salts from the intestine back to the liver.

LDL (Low-Density Lipoprotein)

Lipoproteins that transport cholesterol from the liver to cells.

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Cholesterolemia

A condition where there is a high level of cholesterol in the blood, potentially leading to cardiovascular disease.

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Study Notes

  • Precursors: Glucose, Fatty Acids (FA), Amino Acids (AA)
  • Cholesterol synthesis pathway involves multiple steps:
    • Step 1: Acetyl-CoA to HMG-CoA
    • Step 2: HMG-CoA to Mevalonate to Squalene
    • Step 3: Squalene to Cholesterol
  • HMG-CoA reductase is a rate-limiting step in cholesterol synthesis.
  • Cholesterol exerts negative feedback on HMG-CoA reductase.
  • Statins: blocks HMG-CoA reductase.
  • Liver produces 800 to 1500 mg of cholesterol every day.
  • Liver needs bile, cholesterol makes bile.
  • Gonads make cholesterol for hormones.

Enterohepatic Circulation

  • Enterohepatic circulation is the process by which bile salts are reabsorbed in the gut.
  • Bile is formed from the liver.
  • 50% Cholesterol reabsorption.
  • Free cholesterol and bile salts are in bile.
  • Excretion is 50%.
  • 97% bile acid reabsorption in the jejunum/ileum.
  • Free cholesterol and bile salts are reabsorbed or excreted.

Cholesterol Transport

  • LDL, HDL, VLDL transports cholesterol and drops it off at the liver.

Diet-Heart Hypothesis

  • Saturated fats links to cholesterolemia and cardiovascular disease.
  • Saturated fat found in poultry and dairy can lead to cholesterol clogging arteries.
  • Correlated saturated fat to cardiovascular disease.
  • Cherry-picked argument.

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Description

An overview of cholesterol synthesis, its transport, and the enterohepatic circulation. Key topics include the cholesterol synthesis pathway, the role of HMG-CoA reductase and statins, and the process of bile salt reabsorption in the gut. Also covers cholesterol transport via LDL, HDL, and VLDL.

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