Disorders of Lipid Metabolism Quiz
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Questions and Answers

Which type of lipoprotein is responsible for transporting exogenous lipid from the intestine to all cells?

  • IDLs
  • LDLs
  • VLDLs
  • Chylomicrons (correct)
  • What is the main reason that lipids are transported in the body as lipoproteins?

  • To prevent turbidity in plasma
  • To decrease their size for easier transport
  • To increase their solubility in aqueous media
  • To enhance their stability in body fluids (correct)
  • Which lipoprotein class is involved in the transport of cholesterol from cells back to the liver?

  • Chylomicrons
  • LDLs
  • VLDLs
  • HDLs (correct)
  • What is the main characteristic of Type-I hyperlipoproteinemia according to Frederickson's classification?

    <p>Plasma chylomicron and VLDL levels are increased</p> Signup and view all the answers

    In Type-IIa hyperlipoproteinemia, what is the metabolic defect that results in increased plasma LDL cholesterol levels?

    <p>LDL receptor deficiency</p> Signup and view all the answers

    What is the main defect associated with Familial hypolipoproteinemia?

    <p>Synthesis of apo B lipoproteins</p> Signup and view all the answers

    What is the role of lipids in biological life?

    <p>Serve as structural components in cells</p> Signup and view all the answers

    How are triglycerides transported from the intestine to various tissues?

    <p>As lipoproteins</p> Signup and view all the answers

    Which type of fatty acids contain more than one double bond?

    <p>Polyunsaturated fatty acids</p> Signup and view all the answers

    Where is cholesterol found exclusively?

    <p>In animals only</p> Signup and view all the answers

    What is the precursor of bile acids and steroid hormones?

    <p>Cholesterol</p> Signup and view all the answers

    What differentiates phospholipids from triglycerides in terms of structure?

    <p>Presence of phosphate and a nitrogenous base</p> Signup and view all the answers

    Study Notes

    Lipid Metabolism Disorders

    • Lipids are organic compounds that are poorly soluble in water but miscible in organic solvents.
    • Lipids play a critical role in biological life, being structural components in cells and involved in metabolic and hormonal pathways.

    Fatty Acids

    • Fatty acids are straight-chain carbon compounds of varying lengths.
    • Fatty acids can be saturated (no double bonds), monounsaturated (one double bond), or polyunsaturated (more than one double bond).
    • Fatty acids can esterify with glycerol to form triglycerides or be non-esterified (NEFAs) or free.

    Triglycerides

    • Triglycerides are transported from the intestine to various tissues, including the liver and adipose tissue, as lipoproteins.
    • Following hydrolysis, fatty acids are taken up, re-esterified and stored as triglycerides.
    • Plasma triglyceride concentrations rise after a meal, unlike that of plasma cholesterol.

    Phospholipids

    • Phospholipids are complex lipids, similar in structure to triglycerides but containing phosphate and a nitrogenous base in place of one of the fatty acids.

    Cholesterol

    • Cholesterol is a steroid alcohol found exclusively in animals and present in virtually all cells and body fluids.
    • Cholesterol is a precursor of numerous physiologically important steroids, including bile acids and steroid hormones.

    Lipoproteins

    • Lipoproteins are soluble protein complexes that transport lipids in body fluids.
    • Lipoproteins can be classified into five main groups: chylomicrons, VLDLs, IDLs, LDLs, and HDLs.

    Lipoprotein Classification

    • Chylomicrons: largest and least dense lipoproteins, transporting exogenous lipid from the intestine to cells.
    • VLDLs: transporting endogenous lipid from the liver to cells.
    • IDLs: transient and formed during the conversion of VLDL to LDL.
    • LDLs: formed from VLDLs and carrying cholesterol to cells.
    • HDLs: densest lipoproteins, involved in the transport of cholesterol from cells back to the liver (reverse cholesterol transport).

    Dyslipoproteinemias

    • Disorders of plasma lipoprotein are called dyslipoproteinemias.
    • Dyslipoproteinemias include hyperlipoproteinemia and hypolipoproteinemia.

    Hyperlipoproteinemia

    • Hyperlipoproteinemia: elevation of one or more lipoprotein fractions in the plasma.
    • According to Frederickson's classification, there are 5 types of hyperlipoproteinemia:
      • Type-1: lipoprotein lipase enzyme deficiency, increased plasma chylomicron and VLDL levels.
      • Type-2a: LDL receptor deficiency, increased plasma LDL cholesterol.
      • Type-2b: overproduction of apo B, increased plasma LDL and VLDL.
      • Type-3: increased IDL.
      • Type-4: increased VLDL.
      • Type-5: increased VLDL and chylomicron.

    Hypolipoproteinemia

    • Hypolipoproteinemia: condition of decreased lipoprotein fraction.
    • Types of hypolipoproteinemia:
      • Familial hypolipoproteinemia: failure in the synthesis of apo B lipoproteins, decreased LDL level.
      • Abetalipoproteinemia: absence of Apo B100, LDL fraction is completely absent.
      • Familial α-lipoprotein deficiency.

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