Harper's Biochemistry Chapter 26 - Cholesterol Synthesis, Transport, & Excretion

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Questions and Answers

What role does insulin play in the regulation of HMG-CoA reductase activity?

  • Enhancement of glucagon activity
  • Dominant role in stimulation (correct)
  • Inhibition of cholesterol synthesis
  • No effect on lipid metabolism

Which factor is known to phosphorylate and inactivate HMG-CoA reductase?

  • Glucagon
  • Thyroid hormone
  • Cholesterol itself
  • AMPK (correct)

How does glucagon influence HMG-CoA reductase activity?

  • It decreases HMG-CoA reductase activity (correct)
  • It activates HMG-CoA reductase directly
  • It indirectly increases cholesterol synthesis
  • It has no relationship with HMG-CoA reductase

What regulates the transcription of HMG-CoA reductase mRNA?

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

Which factor inhibits the activity of HMG-CoA reductase?

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

What is the main function of the LDL receptor in cholesterol transport?

<p>Mediating endocytosis of LDL into cells (D)</p> Signup and view all the answers

Which hormone is known to increase HMG-CoA reductase activity?

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

What is the role of SREBPs in cholesterol metabolism?

<p>Regulating gene transcription for cholesterol uptake (A)</p> Signup and view all the answers

Which statement best describes Insig's function in cholesterol synthesis regulation?

<p>It inhibits SREBP activation (B)</p> Signup and view all the answers

What mechanism is involved in the regulation of HMG-CoA reductase through phosphorylation?

<p>Phosphorylation by AMPK and AMPKK (C)</p> Signup and view all the answers

What type of modification can regulate the activity of HMG-CoA reductase aside from transcriptional control?

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

Which statement regarding cholesterol balance in tissues is accurate?

<p>The balance is modulated by HMG-CoA reductase activity (A)</p> Signup and view all the answers

How does AMP serve as an allosteric modifier in cholesterol metabolism?

<p>It enhances AMPK activity towards HMG-CoA reductase (B)</p> Signup and view all the answers

What effect does dietary cholesterol have on HMG-CoA reductase activity?

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

Which of the following statements is true regarding the fate of acetyl-CoA in cholesterol biosynthesis?

<p>It is a precursor for the synthesis of squalene (A)</p> Signup and view all the answers

What impact do bile acids have within the liver regarding cholesterol?

<p>They help regulate cholesterol synthesis (D)</p> Signup and view all the answers

What role might cholesterol and its metabolites have on cellular processes?

<p>Inhibiting transcription factors related to lipid uptake (D)</p> Signup and view all the answers

Which compound is directly synthesized from farnesyl diphosphate through sequential addition of isopentenyl diphosphate residues?

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

Which enzyme is primarily responsible for converting HMG-CoA to mevalonate in cholesterol biosynthesis?

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

What role does the SREBP protein play in cholesterol metabolism?

<p>It regulates the expression of genes involved in lipid metabolism. (A)</p> Signup and view all the answers

Which lipid is formed from the cyclization of squalene through the action of squalene epoxidase?

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

Which of the following mechanisms primarily facilitates the transport of cholesterol within the bloodstream?

<p>Low-density lipoproteins (LDL) (C)</p> Signup and view all the answers

What effect does an increase in intracellular cholesterol have on the transcription of genes involved in cholesterol synthesis?

<p>It inhibits the transcription of these genes. (B)</p> Signup and view all the answers

Which of the following mechanisms contributes to the decrease in intracellular cholesterol concentration?

<p>Efflux of cholesterol to HDL via specific transporters. (D)</p> Signup and view all the answers

How does the protein PCSK9 affect LDL receptor activity?

<p>It targets the receptor for degradation, reducing its recycling. (A)</p> Signup and view all the answers

What is the primary function of the SREBP pathway in cholesterol metabolism?

<p>To inhibit cholesterol synthesis enzymes based on cholesterol levels. (C)</p> Signup and view all the answers

Which factor directly promotes the hydrolysis of cholesteryl esters?

<p>Cholesteryl ester hydrolase. (B)</p> Signup and view all the answers

How do scavenger receptors such as CD36 contribute to cholesterol balance?

<p>They facilitate the uptake of cholesterol-containing lipoproteins. (A)</p> Signup and view all the answers

In what way does esterification of cholesterol contribute to cholesterol homeostasis?

<p>It reduces the amount of free cholesterol in the cell. (B)</p> Signup and view all the answers

What role does increased extracellular cholesterol-rich lipoproteins play in cellular cholesterol dynamics?

<p>They facilitate the uptake of cholesterol into the cell through receptors. (D)</p> Signup and view all the answers

What effect does cholesterol synthesis have on intracellular cholesterol levels, and how is it related to SREBP?

<p>SREBP inhibition reduces cholesterol synthesis when levels are low. (B)</p> Signup and view all the answers

Which transporters are involved in the efflux of cholesterol to HDL?

<p>ABCA1, ABCG1, and SR-B1. (C)</p> Signup and view all the answers

What effect does increased dietary cholesterol intake have on de novo cholesterol synthesis in the liver?

<p>It causes a decrease in synthesis rates. (A)</p> Signup and view all the answers

Which molecule is primarily responsible for activating HMG-CoA reductase?

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

How does AMPK affect HMG-CoA reductase activity?

<p>By phosphorylating and inactivating it. (B)</p> Signup and view all the answers

What is the role of SREBP in cholesterol metabolism?

<p>It stimulates the synthesis of cholesterol and its transport proteins. (C)</p> Signup and view all the answers

What is the role of protein phosphatases in the regulation of HMG-CoA reductase activity?

<p>They phosphorylate HMG-CoA reductase to deactivate it. (B)</p> Signup and view all the answers

What is the primary function of LDL cholesterol in the body?

<p>To transport cholesterol from the liver to peripheral tissues. (A)</p> Signup and view all the answers

What happens to HMG-CoA reductase activity when energy levels in the cell are low?

<p>Its activity decreases due to increased AMPK activity. (A)</p> Signup and view all the answers

Which of the following regulators is most likely to enhance cholesterol biosynthesis?

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

How does glucagon influence cholesterol synthesis?

<p>By inhibiting the synthesis pathway. (D)</p> Signup and view all the answers

What mechanism allows for short-term changes in enzyme activity concerning cholesterol metabolism?

<p>Posttranslational modification of enzymes. (B)</p> Signup and view all the answers

What is the first step in the process of cholesterol synthesis?

<p>Synthesis of mevalonate from acetyl-CoA (D)</p> Signup and view all the answers

Which of the following correctly details a transformation in the cholesterol biosynthetic pathway?

<p>Mevalonate loses CO2 to yield squalene (B)</p> Signup and view all the answers

Which enzyme is specifically targeted by statins in the cholesterol biosynthesis pathway?

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

What compound serves as the source of all carbon atoms in cholesterol?

<p>Acetyl-CoA (B)</p> Signup and view all the answers

In which step of cholesterol synthesis is lanosterol formed?

<p>During the cyclization of squalene (A)</p> Signup and view all the answers

Which statement best describes the role of HMG-CoA in cholesterol synthesis?

<p>It is an intermediate in the synthesis of mevalonate (D)</p> Signup and view all the answers

What byproduct is generated during the conversion of mevalonate to isoprenoid units?

<p>CO2 (B)</p> Signup and view all the answers

What is the primary regulatory step in cholesterol synthesis?

<p>Reduction of HMG-CoA to mevalonate (D)</p> Signup and view all the answers

Which molecule acts as a key intermediate in the synthesis of both cholesterol and other isoprenoid compounds?

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

What process directly follows the addition of an acetyl-CoA molecule to acetoacetyl-CoA?

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

Which enzyme is responsible for the conversion of squalene to squalene 2,3-epoxide?

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

In what cellular location does the final step of cholesterol synthesis occur?

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

What is the result of the phosphorylation of mevalonate?

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

What compound is synthesized from the combination of two molecules of isopentenyl diphosphate?

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

Which step in cholesterol biosynthesis involves the removal of double bonds and methyl groups?

<p>Formation of 14-desmethyl lanosterol (C)</p> Signup and view all the answers

What initiates the synthesis of cholesterol from acetate?

<p>Condensation of acetyl-CoA molecules (B)</p> Signup and view all the answers

What effect does mevalonate have on HMG-CoA reductase enzyme activity?

<p>It inhibits the enzyme activity (B)</p> Signup and view all the answers

Which protein is involved in the degradation of HMG-CoA reductase?

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

How is the transcription of genes related to cholesterol metabolism affected by SREBPs?

<p>SREBPs regulate the transcription of lipid metabolism genes (B)</p> Signup and view all the answers

Which of the following accurately describes a complex interaction in the regulation of HMG-CoA reductase activity in response to cellular energy levels?

<p>High ATP levels lead to activation of AMPK, decreasing HMG-CoA reductase activity. (B)</p> Signup and view all the answers

During which process is cholesterol primarily synthesized in the body?

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

What role does insulin have in relation to HMG-CoA reductase?

<p>It induces the expression of Insig (A)</p> Signup and view all the answers

Which mechanism describes how LDL is internalized by cells after binding to its receptor?

<p>Clathrin-coated pits facilitate the endocytosis of LDL after receptor binding. (A)</p> Signup and view all the answers

What regulatory mechanism is involved in posttranslational modifications of HMG-CoA reductase?

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

What role do oxysterols play in the regulation of cholesterol synthesis?

<p>They act as signaling molecules that inhibit cholesterol synthesis. (B)</p> Signup and view all the answers

How do glucagon and glucocorticoids impact HMG-CoA reductase activity?

<p>They promote the phosphorylation and inactivation of HMG-CoA reductase. (A)</p> Signup and view all the answers

What is the impact of increased intracellular cholesterol levels on HMG-CoA reductase activity?

<p>Inhibits its activity (D)</p> Signup and view all the answers

In the context of cholesterol metabolism, what is the significance of AMPK activation?

<p>It phosphorylates HMG-CoA reductase, thus leading to its inactivation. (A)</p> Signup and view all the answers

What is the consequence of the inhibition of the SREBP transcription factor?

<p>Decreased cholesterol uptake (A)</p> Signup and view all the answers

Which metabolic pathway result is influenced by the products of HMG-CoA reductase?

<p>Steroid hormone synthesis (D)</p> Signup and view all the answers

What role do cholesterol metabolites play in the transcription of HMG-CoA reductase mRNA?

<p>They repress mRNA synthesis (A)</p> Signup and view all the answers

What happens to de novo cholesterol synthesis following an increase in dietary cholesterol intake?

<p>It decreases notably, particularly in the liver. (C)</p> Signup and view all the answers

Which of the following best describes the role of AMPK in cholesterol metabolism?

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

What immediate effect does insulin have on cholesterol metabolism?

<p>It promotes the conversion of HMG-CoA to mevalonate. (D)</p> Signup and view all the answers

Which factor is primarily responsible for the phosphorylation of HMG-CoA reductase, leading to its inactivation?

<p>Glucagon signaling through AMPK. (A)</p> Signup and view all the answers

What describes the relationship between intracellular cholesterol levels and the transcription of HMG-CoA reductase?

<p>Low levels of cholesterol lead to increased transcription of HMG-CoA reductase. (C)</p> Signup and view all the answers

Which statement accurately reflects the process of cholesterol regulation through short-term changes?

<p>Posttranslational modifications can quickly modify enzyme activities. (D)</p> Signup and view all the answers

What is the primary consequence of activating protein phosphatases in cholesterol synthesis?

<p>They inhibit enzyme activity via dephosphorylation. (A)</p> Signup and view all the answers

Which of the following accurately describes the influence of glucagon on cholesterol metabolism?

<p>It aids in the phosphorylation and subsequent inactivation of HMG-CoA reductase. (C)</p> Signup and view all the answers

Which hormone is primarily responsible for the feedback regulation of cholesterol synthetic pathways?

<p>Glucagon, mainly through signaling effects. (B)</p> Signup and view all the answers

What is the role of AMP in the context of energy levels and cholesterol metabolism?

<p>Increased AMP levels indicate low energy, inhibiting cholesterol synthesis. (C)</p> Signup and view all the answers

Match the following lipoproteins with their primary function in cholesterol transport:

<p>Chylomicrons = Transport dietary lipids from the intestines VLDL = Transport endogenous triglycerides and cholesterol LDL = Deliver cholesterol to cells HDL = Carry cholesterol away from tissues</p> Signup and view all the answers

Match the stages of cholesterol biosynthesis with their functions:

<p>Acetyl-CoA = Starting material for synthesis HMG-CoA = Intermediate formed in the pathway Mevalonate = Key intermediate leading to isoprenoid synthesis Squalene = Precursor to cholesterol</p> Signup and view all the answers

Match the bile acids with their description:

<p>Primary bile acids = Synthesized from cholesterol in the liver Secondary bile acids = Produced by intestinal bacteria from primary bile acids Cholic acid = A common primary bile acid Chenodeoxycholic acid = Another primary bile acid found in mammals</p> Signup and view all the answers

Match the following factors with their effect on cholesterol levels:

<p>Dietary cholesterol = Increases cholesterol levels in the blood Exercise = May lower LDL levels Fiber intake = Helps lower cholesterol absorption Saturated fats = Can raise LDL levels</p> Signup and view all the answers

Match the following terms with their definitions:

<p>Enterohepatic circulation = Recycling of bile acids between the intestine and liver Atherosclerosis = Cholesterol build-up in arterial walls Gallstone disease = Formation of stones due to excess cholesterol Cholesterol homeostasis = Regulation of cholesterol levels in the body</p> Signup and view all the answers

Match the following terms with their descriptions in cholesterol biosynthesis:

<p>Acetyl-CoA = Starting material for cholesterol synthesis HMG-CoA synthase = Converts Acetyl-CoA to HMG-CoA Endoplasmic reticulum = Site of cholesterol synthesis within a cell Mevalonate = Intermediate compound in cholesterol biosynthetic pathway</p> Signup and view all the answers

Match the following cholesterol synthesis components with their functions:

<p>Squalene = Precursor to lanosterol Lanosterol = Immediate precursor to cholesterol Farnesyl diphosphate = Source of isoprenoid units Cholesterol = Final product of the biosynthesis pathway</p> Signup and view all the answers

Match the following cells/tissues with their role in cholesterol synthesis:

<p>Liver = Major site for cholesterol synthesis Intestine = Contributes to cholesterol from dietary sources Nucleated cells = Capable of synthesizing cholesterol Adipose tissue = Minimal role in cholesterol production</p> Signup and view all the answers

Match the following statements about cholesterol synthesis with their corresponding facts:

<p>Acetyl-CoA synthesis = Requires thiolase enzyme Endoplasmic reticulum location = Where cholesterol is synthesized Cholesterol intake = Can decrease endogenous cholesterol synthesis Dietary cholesterol's impact = 1970s studies connected with HMG-CoA reductase</p> Signup and view all the answers

Match the following cholesterol biosynthesis intermediates with their output:

<p>Mevalonate = Converted to isoprenoid units HMG-CoA = Converted to mevalonate Lanosterol = Precursor for cholesterol Farnesyl diphosphate = Utilized in the formation of squalene</p> Signup and view all the answers

Flashcards

Cholesterol Synthesis

The process of creating cholesterol in cells, tightly regulated at the HMG-CoA reductase step.

HMG-CoA Reductase

An enzyme that plays a critical role in cholesterol synthesis. Its activity is controlled to maintain proper levels.

Regulation of HMG-CoA Reductase

The process of controlling the activity of HMG-CoA reductase to maintain cholesterol levels.

Mevalonate

The immediate product of the reaction catalyzed by HMG-CoA reductase. It inhibits cholesterol synthesis.

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Cholesterol as an Inhibitor

Cholesterol, the main product of the cholesterol synthesis pathway, regulates HMG-CoA Reductase activity by inhibiting it.

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SREBPs

A family of proteins that regulate transcription of genes related to cholesterol and lipid metabolism.

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SREBP Activation

The process of stimulating SREBPs; inhibited by insulin-induced protein (Insig).

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Insig (Insulin-Induced Gene)

A protein that inhibits SREBP activation and promotes HMG-CoA Reductase degradation, expression induced by insulin.

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Cholesterol Uptake

The process by which cells take in cholesterol from lipoproteins (like LDL) or through other means.

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LDL Receptor

A receptor on cells that binds to low-density lipoproteins (LDL) to take up cholesterol.

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Cholesterol Efflux

The process of cholesterol leaving a cell, often to HDL (high-density lipoprotein).

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Cholesterol Esterification

The process of converting cholesterol to cholesteryl esters, making it storable.

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Cholesteryl Ester Hydrolase

An enzyme that breaks down cholesteryl esters, releasing cholesterol.

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HMG-CoA Reductase

An enzyme crucial for cholesterol synthesis; its activity is regulated by cholesterol levels.

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SREBP Pathway

A cellular pathway that regulates the expression of genes involved in cholesterol synthesis and uptake, in response to cholesterol levels.

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PCSK9

A protein that regulates receptor recycling by targeting it for degradation, thus affecting LDL receptor activity.

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Insulin's role in cholesterol synthesis

Insulin plays a key role in regulating cholesterol synthesis, influencing the activity of HMG-CoA reductase more prominently than glucagon.

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HMG-CoA reductase regulation

HMG-CoA reductase activity is controlled through phosphorylation/dephosphorylation, potentially involving cAMP-dependent mechanisms, responding to factors like glucagon.

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AMPK's effect on HMG-CoA reductase

AMP-activated protein kinase (AMPK) phosphorylates and inactivates HMG-CoA reductase, influenced by AMPKK and AMP levels.

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Glucagon's impact on cholesterol synthesis

Glucagon, in contrast to insulin, generally decreases HMG-CoA reductase activity.

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LDL receptor function

The LDL receptor (apo B-100, E) on cell surfaces takes up LDL via endocytosis after binding.

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LDL receptor location

LDL receptors are located on the cell surface in pits coated with clathrin.

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LDL receptor structure

LDL receptors are glycoproteins spanning the cell membrane, with the B-100 binding region exposed.

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Cholesterol synthesis

The creation of cholesterol within the body.

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HMG-CoA reductase

Key enzyme in cholesterol synthesis.

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De novo synthesis

Creating cholesterol from scratch within the body.

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Dietary cholesterol

Cholesterol consumed from food.

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Posttranslational modification

Changes to an enzyme after it's made.

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Insulin

Hormone that regulates many metabolic processes.

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AMPK

Enzyme involved in energy balance

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Short-term enzyme activity changes

Quick modifications to enzyme functions

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Glucagon

Hormone that regulates blood sugar levels.

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LDL-cholesterol

Low-density lipoprotein cholesterol, a type of cholesterol.

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HMG-CoA

A key intermediate in cholesterol biosynthesis. A crucial molecule in the pathway.

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Squalene

A precursor molecule in cholesterol synthesis, made from isopentenyl diphosphate.

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Cholesterol synthesis

The process of creating cholesterol from acetyl-CoA.

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Mevalonate

A crucial molecule in cholesterol synthesis created using HMG-CoA.

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Farnesyl diphosphate

A key component in various biological processes, a precursor to dolichols, and ubiquinones.

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Dolichol

A type of isoprenoid essential for protein glycosylation and lipid transport.

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Ubiquinone

A crucial molecule in the electron transport chain (ETC), important for energy transfer.

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Squalene synthetase

An enzyme that catalyzes the synthesis of squalene from farnesyl diphosphate.

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HMG-CoA

3-Hydroxy-3-methylglutaryl-CoA, a key intermediate in cholesterol synthesis.

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Cholesterol

A 27-carbon compound with four rings and a side chain, crucial for cell membranes and hormones.

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Acetyl-CoA

Source of carbon atoms for cholesterol synthesis.

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Mevalonate

Product of HMG-CoA reductase, a crucial step in cholesterol synthesis.

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HMG-CoA Reductase

Enzyme that catalyzes the conversion of HMG-CoA to mevalonate.

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Isoprenoid units

Building blocks derived from mevalonate, crucial for making larger molecules like squalene.

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Squalene

A long chain molecule made from six isoprenoid units, a precursor to cholesterol.

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Cholesterol Synthesis

Creation of cholesterol from acetyl-CoA through multiple steps.

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HMG-CoA Reductase

A key enzyme in cholesterol synthesis, its activity is tightly regulated.

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Cholesterol Synthesis Regulation

The process of controlling cholesterol production in cells by managing HMG-CoA Reductase activity.

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HMG-CoA Reductase Inhibitor

Mevalonate, the immediate product of the reaction, and cholesterol.

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SREBPs

Proteins that regulate gene expression for cholesterol and lipid metabolism.

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SREBP Activation Inhibition

Blocked by Insulin-induced gene (Insig) which increases with insulin and is found in the endoplasmic reticulum.

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Insig (Insulin-Induced Gene)

A protein that inhibits SREBP activation and promotes HMG-CoA reductase degradation.

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Cholesterol Repression

Cholesterol inhibits transcription of HMG-CoA reductase mRNA, affecting SREBP activity.

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Acetoacetyl-CoA Formation

Two acetyl-CoA molecules combine to form acetoacetyl-CoA, catalyzed by cytosolic thiolase.

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Cholesterol Synthesis Regulation

The process of controlling the rate of cholesterol production in the body, primarily through adjustments to the HMG-CoA reductase enzyme.

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HMG-CoA Formation

Acetoacetyl-CoA combines with another acetyl-CoA, creating HMG-CoA, catalyzed by HMG-CoA synthase.

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HMG-CoA Reductase

A key enzyme that catalyzes the conversion of HMG-CoA to mevalonate, a crucial step in cholesterol synthesis.

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Mevalonate Formation

HMG-CoA is reduced to mevalonate by NADPH, catalyzed by HMG-CoA reductase.

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Insulin's Effect on Synthesis

Insulin predominantly inhibits de novo cholesterol synthesis by affecting HMG-CoA reductase activity, compared to glucagon.

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HMG-CoA Reductase

Enzyme catalyzing the conversion of HMG-CoA to mevalonate; a key regulatory step in cholesterol synthesis, targeted by statins.

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AMPK and Cholesterol

AMP-activated protein kinase (AMPK) inhibits HMG-CoA reductase by phosphorylation as part of cellular energy regulation.

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Isoprenoid Unit Formation

Mevalonate is phosphorylated, then decarboxylated to form isopentenyl diphosphate, an essential isoprenoid unit.

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Dietary Cholesterol's Impact

Increased dietary cholesterol intake reduces the body's de novo synthesis of cholesterol, primarily in the liver.

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Posttranslational Modification

Changes to an enzyme after it's created, impacting its activity. Examples include phosphorylation.

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Squalene Formation

Multiple isopentenyl diphosphate molecules combine to form squalene, a crucial precursor to cholesterol.

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Squalene Epoxidase

Enzyme that converts squalene to squalene 2,3-epoxide; crucial for the next stage of cholesterol synthesis.

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Lanosterol Formation

Squalene folds to create the steroid nucleus; then squalene epoxide forms Lanosterol through the enzyme oxidosqualene-lanosterol cyclase.

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Cholesterol Formation

Lanosterol undergoes further modification (methyl group removal, and double bond rearrangements) to form cholesterol in the endoplasmic reticulum.

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Insulin's role in cholesterol synthesis

Insulin has a dominant role compared to glucagon in regulating cholesterol synthesis, primarily affecting HMG-CoA reductase activity.

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HMG-CoA Reductase regulation

HMG-CoA Reductase activity is controlled by phosphorylation/dephosphorylation, potentially cAMP-dependent, that responds to glucagon and other factors.

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AMPK's effect on HMG-CoA Reductase

AMP-activated protein kinase (AMPK) phosphorylates and inactivates HMG-CoA reductase, modulated by AMPK kinase and AMP levels.

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Glucagon's impact on cholesterol synthesis

Glucagon generally decreases HMG-CoA reductase activity as opposed to insulin's effects.

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LDL Receptor's function

The LDL receptor (apo-B100, E) on cell surfaces takes up LDL via endocytosis after binding.

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LDL receptor location

LDL receptors are located on cell surfaces in pits lined with clathrin.

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LDL receptor structure

LDL receptors are glycoproteins crossing the cell membrane, with the B-100-binding site on the exposed amino end.

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Thiolase role

Enzyme that combines two acetyl-CoA molecules to form acetoacetyl-CoA.

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Cholesterol synthesis source

About 70% of cholesterol is produced in the body from acetyl-CoA.

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Cholesterol synthesis location

Cholesterol is synthesized in the endoplasmic reticulum and cytosol of cells.

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Liver/Intestine contribution

Liver and intestine account for about 10% each of total cholesterol synthesis in humans.

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Cholesterol's role in cells

Cholesterol is a vital structural component of cell membranes and a precursor for steroid hormones.

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Cholesterol biosynthesis stages

Cholesterol is created in five stages from acetyl-CoA.

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HMG-CoA Reductase's function

A crucial enzyme that controls the rate of cholesterol synthesis.

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Cholesterol & atherosclerosis

High cholesterol levels are a major risk factor for atherosclerosis, a disease leading to artery hardening.

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Lipoproteins & cholesterol transport

Plasma lipoproteins (like VLDL, LDL, HDL) carry cholesterol between body tissues.

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Primary bile acids' source

Primary bile acids are synthesized from cholesterol in the liver.

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Bile acid excretion

Bile acid synthesis is important for fat digestion and cholesterol excretion.

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Enterohepatic circulation

Bile acids circulate between the intestine and liver, improving efficiency.

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Factors affecting cholesterol risk

Diet, lifestyle, and lipoprotein types impact plasma cholesterol levels and heart disease risk.

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Study Notes

Cholesterol Synthesis, Transport, & Excretion

  • Cholesterol is a crucial structural component of cell membranes and a precursor for other steroids.
  • It plays a role in cholesterol gallstones and atherosclerosis.
  • Cholesterol biosynthesis occurs in five stages from acetyl-CoA.
  • 3-hydroxy-3-methylglutaryl-CoA reductase (HMG-CoA reductase) regulates cholesterol synthesis.
  • Cellular cholesterol balance is strictly regulated.
  • Plasma lipoproteins (chylomicrons, VLDL, LDL, HDL) transport cholesterol between tissues.
  • Primary bile acids are synthesized from cholesterol in the liver for fat digestion and cholesterol excretion.
  • Secondary bile acids are produced by intestinal bacteria.
  • The enterohepatic circulation is vital for bile acid recycling.
  • Factors like diet and lifestyle influence plasma cholesterol levels and coronary heart risk.
  • Inherited and non-inherited conditions affect lipoprotein metabolism.

Biomedical Importance

  • Cholesterol is in tissues and plasma as free cholesterol or combined with fatty acids as cholesteryl esters.
  • It is a crucial structural component in cell membranes.
  • Cholesterol is a precursor of other steroids (corticosteroids, sex hormones, bile acids, vitamin D).
  • It is found in foods of animal origin.

Cholesterol Biosynthesis

  • About 70% of body cholesterol comes from synthesis, the remainder from diet.
  • The liver and intestine are major sites of synthesis.
  • Cholesterol comprises 27 carbon atoms with 4 rings and a side chain, derived from acetyl-CoA.
  • Mevalonate is formed in 5 steps.
  • Isoprenoid units are formed from mevalonate.
  • Squalene is formed from 6 isoprenoid units.
  • Squalene cyclizes to form lanosterol.
  • Lanosterol is then converted to cholesterol.

Control of Cholesterol Synthesis

  • HMG-CoA reductase governs cholesterol synthesis.
  • Regulation involves modulation of enzyme protein synthesis as well as post-translational modification.
  • Cholesterol and metabolites inhibit HMG-CoA reductase mRNA transcription.
  • Sterol regulatory element-binding protein (SREBP) activation is involved.
  • Insulin-induced gene (Insig) is a protein promoting HMG-CoA reductase degradation.

Cholesterol in Tissues

  • Tight balance maintains intracellular cholesterol levels.
  • Factors increasing cholesterol: Uptake of lipoprotein with receptors (LDL), uptake of free cholesterol, cholesterol synthesis, and cholesteryl ester hydrolysis.
  • Factors decreasing cholesterol: Cholesterol efflux to HDL (ABCA1, ABCG1, SR-B1), cholesteryl ester formation (ACAT), and utilization in steroid synthesis/bile acids.

Cholesterol Transport

  • Cholesterol is transported in lipoproteins (LDL, VLDL, etc.)
  • Dietary cholesterol is absorbed and esterified.
  • Cholesterol is delivered to tissues through lipoproteins.
  • In humans, the majority of plasma cholesteryl ester is caused by lecithin:cholesterol acyltransferase (LCAT).
  • Cholesterol esters are transferred between lipoproteins by the action of cholesteryl ester transfer protein.

Cholesterol Excretion

  • Cholesterol is excreted through bile as cholesterol or bile acids.
  • Primary bile acids (cholic acid and chenodeoxycholic acid) are synthesized in the liver from cholesterol.
  • Secondary bile acids (deoxycholic acid and lithocholic acid) are formed in the intestine.
  • The enterohepatic circulation is significant in bile acid recycling.

Clinical Aspects

  • Serum cholesterol is related to atherosclerosis and coronary heart disease.
  • Elevated cholesterol levels are a primary factor contributing to atherosclerosis.
  • Diets high in saturated fat raise serum cholesterol.
  • Diets rich in polyunsaturated and monounsaturated fats lower serum cholesterol levels.
  • Lifestyle factors like high blood pressure, smoking, obesity, and lack of exercise are important coronary risk factors.

Disorders of Lipoprotein Metabolism (Dyslipoproteinemias)

  • Inherited and acquired defects in lipoprotein metabolism can lead to primary or secondary conditions.
  • Examples of disorders include familial hypercholesterolemia.

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