Podcast
Questions and Answers
What role does insulin play in the regulation of HMG-CoA reductase activity?
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?
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?
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?
What regulates the transcription of HMG-CoA reductase mRNA?
Which factor inhibits the activity of HMG-CoA reductase?
Which factor inhibits the activity of HMG-CoA reductase?
What is the main function of the LDL receptor in cholesterol transport?
What is the main function of the LDL receptor in cholesterol transport?
Which hormone is known to increase HMG-CoA reductase activity?
Which hormone is known to increase HMG-CoA reductase activity?
What is the role of SREBPs in cholesterol metabolism?
What is the role of SREBPs in cholesterol metabolism?
Which statement best describes Insig's function in cholesterol synthesis regulation?
Which statement best describes Insig's function in cholesterol synthesis regulation?
What mechanism is involved in the regulation of HMG-CoA reductase through phosphorylation?
What mechanism is involved in the regulation of HMG-CoA reductase through phosphorylation?
What type of modification can regulate the activity of HMG-CoA reductase aside from transcriptional control?
What type of modification can regulate the activity of HMG-CoA reductase aside from transcriptional control?
Which statement regarding cholesterol balance in tissues is accurate?
Which statement regarding cholesterol balance in tissues is accurate?
How does AMP serve as an allosteric modifier in cholesterol metabolism?
How does AMP serve as an allosteric modifier in cholesterol metabolism?
What effect does dietary cholesterol have on HMG-CoA reductase activity?
What effect does dietary cholesterol have on HMG-CoA reductase activity?
Which of the following statements is true regarding the fate of acetyl-CoA in cholesterol biosynthesis?
Which of the following statements is true regarding the fate of acetyl-CoA in cholesterol biosynthesis?
What impact do bile acids have within the liver regarding cholesterol?
What impact do bile acids have within the liver regarding cholesterol?
What role might cholesterol and its metabolites have on cellular processes?
What role might cholesterol and its metabolites have on cellular processes?
Which compound is directly synthesized from farnesyl diphosphate through sequential addition of isopentenyl diphosphate residues?
Which compound is directly synthesized from farnesyl diphosphate through sequential addition of isopentenyl diphosphate residues?
Which enzyme is primarily responsible for converting HMG-CoA to mevalonate in cholesterol biosynthesis?
Which enzyme is primarily responsible for converting HMG-CoA to mevalonate in cholesterol biosynthesis?
What role does the SREBP protein play in cholesterol metabolism?
What role does the SREBP protein play in cholesterol metabolism?
Which lipid is formed from the cyclization of squalene through the action of squalene epoxidase?
Which lipid is formed from the cyclization of squalene through the action of squalene epoxidase?
Which of the following mechanisms primarily facilitates the transport of cholesterol within the bloodstream?
Which of the following mechanisms primarily facilitates the transport of cholesterol within the bloodstream?
What effect does an increase in intracellular cholesterol have on the transcription of genes involved in cholesterol synthesis?
What effect does an increase in intracellular cholesterol have on the transcription of genes involved in cholesterol synthesis?
Which of the following mechanisms contributes to the decrease in intracellular cholesterol concentration?
Which of the following mechanisms contributes to the decrease in intracellular cholesterol concentration?
How does the protein PCSK9 affect LDL receptor activity?
How does the protein PCSK9 affect LDL receptor activity?
What is the primary function of the SREBP pathway in cholesterol metabolism?
What is the primary function of the SREBP pathway in cholesterol metabolism?
Which factor directly promotes the hydrolysis of cholesteryl esters?
Which factor directly promotes the hydrolysis of cholesteryl esters?
How do scavenger receptors such as CD36 contribute to cholesterol balance?
How do scavenger receptors such as CD36 contribute to cholesterol balance?
In what way does esterification of cholesterol contribute to cholesterol homeostasis?
In what way does esterification of cholesterol contribute to cholesterol homeostasis?
What role does increased extracellular cholesterol-rich lipoproteins play in cellular cholesterol dynamics?
What role does increased extracellular cholesterol-rich lipoproteins play in cellular cholesterol dynamics?
What effect does cholesterol synthesis have on intracellular cholesterol levels, and how is it related to SREBP?
What effect does cholesterol synthesis have on intracellular cholesterol levels, and how is it related to SREBP?
Which transporters are involved in the efflux of cholesterol to HDL?
Which transporters are involved in the efflux of cholesterol to HDL?
What effect does increased dietary cholesterol intake have on de novo cholesterol synthesis in the liver?
What effect does increased dietary cholesterol intake have on de novo cholesterol synthesis in the liver?
Which molecule is primarily responsible for activating HMG-CoA reductase?
Which molecule is primarily responsible for activating HMG-CoA reductase?
How does AMPK affect HMG-CoA reductase activity?
How does AMPK affect HMG-CoA reductase activity?
What is the role of SREBP in cholesterol metabolism?
What is the role of SREBP in cholesterol metabolism?
What is the role of protein phosphatases in the regulation of HMG-CoA reductase activity?
What is the role of protein phosphatases in the regulation of HMG-CoA reductase activity?
What is the primary function of LDL cholesterol in the body?
What is the primary function of LDL cholesterol in the body?
What happens to HMG-CoA reductase activity when energy levels in the cell are low?
What happens to HMG-CoA reductase activity when energy levels in the cell are low?
Which of the following regulators is most likely to enhance cholesterol biosynthesis?
Which of the following regulators is most likely to enhance cholesterol biosynthesis?
How does glucagon influence cholesterol synthesis?
How does glucagon influence cholesterol synthesis?
What mechanism allows for short-term changes in enzyme activity concerning cholesterol metabolism?
What mechanism allows for short-term changes in enzyme activity concerning cholesterol metabolism?
What is the first step in the process of cholesterol synthesis?
What is the first step in the process of cholesterol synthesis?
Which of the following correctly details a transformation in the cholesterol biosynthetic pathway?
Which of the following correctly details a transformation in the cholesterol biosynthetic pathway?
Which enzyme is specifically targeted by statins in the cholesterol biosynthesis pathway?
Which enzyme is specifically targeted by statins in the cholesterol biosynthesis pathway?
What compound serves as the source of all carbon atoms in cholesterol?
What compound serves as the source of all carbon atoms in cholesterol?
In which step of cholesterol synthesis is lanosterol formed?
In which step of cholesterol synthesis is lanosterol formed?
Which statement best describes the role of HMG-CoA in cholesterol synthesis?
Which statement best describes the role of HMG-CoA in cholesterol synthesis?
What byproduct is generated during the conversion of mevalonate to isoprenoid units?
What byproduct is generated during the conversion of mevalonate to isoprenoid units?
What is the primary regulatory step in cholesterol synthesis?
What is the primary regulatory step in cholesterol synthesis?
Which molecule acts as a key intermediate in the synthesis of both cholesterol and other isoprenoid compounds?
Which molecule acts as a key intermediate in the synthesis of both cholesterol and other isoprenoid compounds?
What process directly follows the addition of an acetyl-CoA molecule to acetoacetyl-CoA?
What process directly follows the addition of an acetyl-CoA molecule to acetoacetyl-CoA?
Which enzyme is responsible for the conversion of squalene to squalene 2,3-epoxide?
Which enzyme is responsible for the conversion of squalene to squalene 2,3-epoxide?
In what cellular location does the final step of cholesterol synthesis occur?
In what cellular location does the final step of cholesterol synthesis occur?
What is the result of the phosphorylation of mevalonate?
What is the result of the phosphorylation of mevalonate?
What compound is synthesized from the combination of two molecules of isopentenyl diphosphate?
What compound is synthesized from the combination of two molecules of isopentenyl diphosphate?
Which step in cholesterol biosynthesis involves the removal of double bonds and methyl groups?
Which step in cholesterol biosynthesis involves the removal of double bonds and methyl groups?
What initiates the synthesis of cholesterol from acetate?
What initiates the synthesis of cholesterol from acetate?
What effect does mevalonate have on HMG-CoA reductase enzyme activity?
What effect does mevalonate have on HMG-CoA reductase enzyme activity?
Which protein is involved in the degradation of HMG-CoA reductase?
Which protein is involved in the degradation of HMG-CoA reductase?
How is the transcription of genes related to cholesterol metabolism affected by SREBPs?
How is the transcription of genes related to cholesterol metabolism affected by SREBPs?
Which of the following accurately describes a complex interaction in the regulation of HMG-CoA reductase activity in response to cellular energy levels?
Which of the following accurately describes a complex interaction in the regulation of HMG-CoA reductase activity in response to cellular energy levels?
During which process is cholesterol primarily synthesized in the body?
During which process is cholesterol primarily synthesized in the body?
What role does insulin have in relation to HMG-CoA reductase?
What role does insulin have in relation to HMG-CoA reductase?
Which mechanism describes how LDL is internalized by cells after binding to its receptor?
Which mechanism describes how LDL is internalized by cells after binding to its receptor?
What regulatory mechanism is involved in posttranslational modifications of HMG-CoA reductase?
What regulatory mechanism is involved in posttranslational modifications of HMG-CoA reductase?
What role do oxysterols play in the regulation of cholesterol synthesis?
What role do oxysterols play in the regulation of cholesterol synthesis?
How do glucagon and glucocorticoids impact HMG-CoA reductase activity?
How do glucagon and glucocorticoids impact HMG-CoA reductase activity?
What is the impact of increased intracellular cholesterol levels on HMG-CoA reductase activity?
What is the impact of increased intracellular cholesterol levels on HMG-CoA reductase activity?
In the context of cholesterol metabolism, what is the significance of AMPK activation?
In the context of cholesterol metabolism, what is the significance of AMPK activation?
What is the consequence of the inhibition of the SREBP transcription factor?
What is the consequence of the inhibition of the SREBP transcription factor?
Which metabolic pathway result is influenced by the products of HMG-CoA reductase?
Which metabolic pathway result is influenced by the products of HMG-CoA reductase?
What role do cholesterol metabolites play in the transcription of HMG-CoA reductase mRNA?
What role do cholesterol metabolites play in the transcription of HMG-CoA reductase mRNA?
What happens to de novo cholesterol synthesis following an increase in dietary cholesterol intake?
What happens to de novo cholesterol synthesis following an increase in dietary cholesterol intake?
Which of the following best describes the role of AMPK in cholesterol metabolism?
Which of the following best describes the role of AMPK in cholesterol metabolism?
What immediate effect does insulin have on cholesterol metabolism?
What immediate effect does insulin have on cholesterol metabolism?
Which factor is primarily responsible for the phosphorylation of HMG-CoA reductase, leading to its inactivation?
Which factor is primarily responsible for the phosphorylation of HMG-CoA reductase, leading to its inactivation?
What describes the relationship between intracellular cholesterol levels and the transcription of HMG-CoA reductase?
What describes the relationship between intracellular cholesterol levels and the transcription of HMG-CoA reductase?
Which statement accurately reflects the process of cholesterol regulation through short-term changes?
Which statement accurately reflects the process of cholesterol regulation through short-term changes?
What is the primary consequence of activating protein phosphatases in cholesterol synthesis?
What is the primary consequence of activating protein phosphatases in cholesterol synthesis?
Which of the following accurately describes the influence of glucagon on cholesterol metabolism?
Which of the following accurately describes the influence of glucagon on cholesterol metabolism?
Which hormone is primarily responsible for the feedback regulation of cholesterol synthetic pathways?
Which hormone is primarily responsible for the feedback regulation of cholesterol synthetic pathways?
What is the role of AMP in the context of energy levels and cholesterol metabolism?
What is the role of AMP in the context of energy levels and cholesterol metabolism?
Match the following lipoproteins with their primary function in cholesterol transport:
Match the following lipoproteins with their primary function in cholesterol transport:
Match the stages of cholesterol biosynthesis with their functions:
Match the stages of cholesterol biosynthesis with their functions:
Match the bile acids with their description:
Match the bile acids with their description:
Match the following factors with their effect on cholesterol levels:
Match the following factors with their effect on cholesterol levels:
Match the following terms with their definitions:
Match the following terms with their definitions:
Match the following terms with their descriptions in cholesterol biosynthesis:
Match the following terms with their descriptions in cholesterol biosynthesis:
Match the following cholesterol synthesis components with their functions:
Match the following cholesterol synthesis components with their functions:
Match the following cells/tissues with their role in cholesterol synthesis:
Match the following cells/tissues with their role in cholesterol synthesis:
Match the following statements about cholesterol synthesis with their corresponding facts:
Match the following statements about cholesterol synthesis with their corresponding facts:
Match the following cholesterol biosynthesis intermediates with their output:
Match the following cholesterol biosynthesis intermediates with their output:
Flashcards
Cholesterol Synthesis
Cholesterol Synthesis
The process of creating cholesterol in cells, tightly regulated at the HMG-CoA reductase step.
HMG-CoA Reductase
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
Regulation of HMG-CoA Reductase
The process of controlling the activity of HMG-CoA reductase to maintain cholesterol levels.
Mevalonate
Mevalonate
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Cholesterol as an Inhibitor
Cholesterol as an Inhibitor
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SREBPs
SREBPs
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SREBP Activation
SREBP Activation
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Insig (Insulin-Induced Gene)
Insig (Insulin-Induced Gene)
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Cholesterol Uptake
Cholesterol Uptake
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LDL Receptor
LDL Receptor
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Cholesterol Efflux
Cholesterol Efflux
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Cholesterol Esterification
Cholesterol Esterification
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Cholesteryl Ester Hydrolase
Cholesteryl Ester Hydrolase
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HMG-CoA Reductase
HMG-CoA Reductase
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SREBP Pathway
SREBP Pathway
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PCSK9
PCSK9
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Insulin's role in cholesterol synthesis
Insulin's role in cholesterol synthesis
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HMG-CoA reductase regulation
HMG-CoA reductase regulation
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AMPK's effect on HMG-CoA reductase
AMPK's effect on HMG-CoA reductase
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Glucagon's impact on cholesterol synthesis
Glucagon's impact on cholesterol synthesis
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LDL receptor function
LDL receptor function
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LDL receptor location
LDL receptor location
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LDL receptor structure
LDL receptor structure
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Cholesterol synthesis
Cholesterol synthesis
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HMG-CoA reductase
HMG-CoA reductase
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De novo synthesis
De novo synthesis
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Dietary cholesterol
Dietary cholesterol
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Posttranslational modification
Posttranslational modification
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Insulin
Insulin
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AMPK
AMPK
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Short-term enzyme activity changes
Short-term enzyme activity changes
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Glucagon
Glucagon
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LDL-cholesterol
LDL-cholesterol
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HMG-CoA
HMG-CoA
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Squalene
Squalene
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Cholesterol synthesis
Cholesterol synthesis
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Mevalonate
Mevalonate
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Farnesyl diphosphate
Farnesyl diphosphate
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Dolichol
Dolichol
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Ubiquinone
Ubiquinone
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Squalene synthetase
Squalene synthetase
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HMG-CoA
HMG-CoA
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Cholesterol
Cholesterol
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Acetyl-CoA
Acetyl-CoA
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Mevalonate
Mevalonate
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HMG-CoA Reductase
HMG-CoA Reductase
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Isoprenoid units
Isoprenoid units
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Squalene
Squalene
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Cholesterol Synthesis
Cholesterol Synthesis
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HMG-CoA Reductase
HMG-CoA Reductase
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Cholesterol Synthesis Regulation
Cholesterol Synthesis Regulation
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HMG-CoA Reductase Inhibitor
HMG-CoA Reductase Inhibitor
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SREBPs
SREBPs
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SREBP Activation Inhibition
SREBP Activation Inhibition
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Insig (Insulin-Induced Gene)
Insig (Insulin-Induced Gene)
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Cholesterol Repression
Cholesterol Repression
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Acetoacetyl-CoA Formation
Acetoacetyl-CoA Formation
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Cholesterol Synthesis Regulation
Cholesterol Synthesis Regulation
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HMG-CoA Formation
HMG-CoA Formation
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HMG-CoA Reductase
HMG-CoA Reductase
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Mevalonate Formation
Mevalonate Formation
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Insulin's Effect on Synthesis
Insulin's Effect on Synthesis
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HMG-CoA Reductase
HMG-CoA Reductase
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AMPK and Cholesterol
AMPK and Cholesterol
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Isoprenoid Unit Formation
Isoprenoid Unit Formation
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Dietary Cholesterol's Impact
Dietary Cholesterol's Impact
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Posttranslational Modification
Posttranslational Modification
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Squalene Formation
Squalene Formation
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Squalene Epoxidase
Squalene Epoxidase
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Lanosterol Formation
Lanosterol Formation
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Cholesterol Formation
Cholesterol Formation
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Insulin's role in cholesterol synthesis
Insulin's role in cholesterol synthesis
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HMG-CoA Reductase regulation
HMG-CoA Reductase regulation
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AMPK's effect on HMG-CoA Reductase
AMPK's effect on HMG-CoA Reductase
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Glucagon's impact on cholesterol synthesis
Glucagon's impact on cholesterol synthesis
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LDL Receptor's function
LDL Receptor's function
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LDL receptor location
LDL receptor location
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LDL receptor structure
LDL receptor structure
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Thiolase role
Thiolase role
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Cholesterol synthesis source
Cholesterol synthesis source
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Cholesterol synthesis location
Cholesterol synthesis location
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Liver/Intestine contribution
Liver/Intestine contribution
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Cholesterol's role in cells
Cholesterol's role in cells
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Cholesterol biosynthesis stages
Cholesterol biosynthesis stages
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HMG-CoA Reductase's function
HMG-CoA Reductase's function
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Cholesterol & atherosclerosis
Cholesterol & atherosclerosis
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Lipoproteins & cholesterol transport
Lipoproteins & cholesterol transport
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Primary bile acids' source
Primary bile acids' source
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Bile acid excretion
Bile acid excretion
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Enterohepatic circulation
Enterohepatic circulation
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Factors affecting cholesterol risk
Factors affecting cholesterol 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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