Familial Hypercholesterolemia and Atherosclerosis
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Questions and Answers

What condition is characterized by temporary chest pain that occurs during physical activity?

  • Atherosclerosis
  • Heart failure
  • Heart attack
  • Stable angina (correct)
  • Which symptom is not associated with stable angina?

  • Chest discomfort that goes away with rest
  • Dizziness or lightheadedness
  • Shortness of breath during light physical activity
  • High blood pressure (correct)
  • What is a common risk factor for the development of atherosclerosis?

  • Frequent hydration
  • High exercise levels
  • Sedentary lifestyle (correct)
  • Low cholesterol diet
  • What treatment approach is effective for managing symptoms associated with atherosclerosis?

    <p>Physical activity and dietary modifications (A)</p> Signup and view all the answers

    Which enzyme is specifically targeted by Statin drugs?

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

    What effect does insulin have on HMG-CoA reductase activity?

    <p>It activates the enzyme (A)</p> Signup and view all the answers

    How does AMPK affect HMG-CoA reductase when cellular energy levels are low?

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

    What is most likely the initial symptom of coronary artery disease (CAD)?

    <p>Chest pain or discomfort (B)</p> Signup and view all the answers

    What is the most common genetic characteristic in patients with familial hypercholesterolemia?

    <p>Defective LDL receptors due to mutations in the LDLR gene (C)</p> Signup and view all the answers

    What is the estimated prevalence of heterozygous familial hypercholesterolemia?

    <p>1 in 220 (D)</p> Signup and view all the answers

    Which symptom is associated with familial hypercholesterolemia?

    <p>LDL cholesterol levels over 190 mg/dL in adults (B)</p> Signup and view all the answers

    What is the frequency of homozygous familial hypercholesterolemia?

    <p>1 in 300,000 (D)</p> Signup and view all the answers

    Which apolipoprotein is primarily responsible for LDL binding to cellular receptors?

    <p>Apolipoprotein B-100 (A)</p> Signup and view all the answers

    What process occurs when LDL particles are oxidized in the arterial wall?

    <p>They are taken up by tissue macrophages (D)</p> Signup and view all the answers

    What can happen if the fibrous cap of an atherosclerotic plaque thins and fractures?

    <p>A thrombosis may occur, leading to a heart attack (C)</p> Signup and view all the answers

    Which condition is the most common symptom experienced by patients with familial hypercholesterolemia?

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

    What characterizes the N-terminal domain of HMG CoA reductase?

    <p>It anchors the protein to ER membranes. (B)</p> Signup and view all the answers

    In what environment do lysosomal enzymes function optimally?

    <p>Acidic pH of 5.0 (A)</p> Signup and view all the answers

    What is the primary function of lysosomes in a cell?

    <p>Recycling old cell parts. (D)</p> Signup and view all the answers

    Which of the following best describes the role of the YIYF sequence in HMG CoA reductase?

    <p>Facilitates Insig binding. (A)</p> Signup and view all the answers

    What happens when a cell is damaged beyond repair?

    <p>It undergoes programmed cell death or apoptosis. (C)</p> Signup and view all the answers

    What type of enzymes do lysosomes contain to digest macromolecules?

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

    Which category do cathepsin proteases fall into based on their active site amino acid?

    <p>Cysteine, aspartate, and serine (C)</p> Signup and view all the answers

    How do cells sense cholesterol levels effectively?

    <p>Through Insig-dependent ubiquitination. (B)</p> Signup and view all the answers

    What do late endosomes mature from prior to becoming lysosomes?

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

    Which structure directly forms from preautophagosomal structures?

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

    What mediates the acidification of lysosomes and autolysosomes?

    <p>v-ATPase (A)</p> Signup and view all the answers

    In chaperone-mediated autophagy, which motif is recognized by the chaperone protein complex?

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

    What type of autophagy involves the formation of a double-membrane autophagosome?

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

    What happens to lysosomes when they fuse with autophagosomes?

    <p>They introduce proteolytic enzymes (A)</p> Signup and view all the answers

    Which component serves as a receptor for chaperone-mediated autophagy within the lysosomal lumen?

    <p>LAMP2 protein complex (A)</p> Signup and view all the answers

    What is formed when lysosomes fuse with autophagosomes?

    <p>Single-membrane autolysosomes (A)</p> Signup and view all the answers

    What is the optimal pH range for the functioning of most lysosomal hydrolases?

    <p>4.2-5.3 (C)</p> Signup and view all the answers

    Which lysosomal hydrolase operates optimally at the lowest end of the lysosomal pH range?

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

    What is the general size of lysosomes in regular eukaryotic cells?

    <p>50-70 nm in diameter (B)</p> Signup and view all the answers

    Which statement accurately describes the role of pH in lysosomal function?

    <p>pH changes coordinate hydrolase activation for efficient substrate digestion. (C)</p> Signup and view all the answers

    Why is the maintenance of low pH essential for lysosomal function?

    <p>It allows for optimal activity of lysosomal hydrolases. (D)</p> Signup and view all the answers

    Which type of cell is known to lack lysosomes?

    <p>Red blood cells (B)</p> Signup and view all the answers

    What kind of cellular structure do lysosomes exist as?

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

    Which process involves the introduction of substrates that can cause intraluminal pH rises in lysosomes?

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

    Which type of microscope is required to observe lysosomes?

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

    What is the main function of the transcription factor TFEB in relation to lysosomes?

    <p>Promoting the expression of lysosomal enzymes (C)</p> Signup and view all the answers

    What element does TFEB specifically bind to for gene activation?

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

    Which of the following is a transcriptional target of TFEB?

    <p>Autophagosome marker LC3 (A)</p> Signup and view all the answers

    What role does v-ATPase play in lysosomes under normal conditions?

    <p>Activates small Rag GTPase (C)</p> Signup and view all the answers

    What does the Coordinated Lysosomal Expression and Regulation (CLEAR) program regulate?

    <p>Lysosomal function and gene transcription (A)</p> Signup and view all the answers

    What is one of the outcomes of TFEB activation on autophagy-related molecules?

    <p>Enhanced organelle degradation (D)</p> Signup and view all the answers

    Which of the following specifically promotes lysosome formation in vitro?

    <p>LAMP1 expression (D)</p> Signup and view all the answers

    Flashcards

    Familial Hypercholesterolemia (FH)

    A genetic disorder causing high LDL cholesterol levels.

    LDL Receptor Defect

    Many FH cases involve a faulty LDL receptor, impacting cholesterol removal.

    Autosomal Dominant Inheritance

    FH often passes from parent to child with one faulty gene.

    Heterozygous FH

    Having one normal and one mutated gene for FH.

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    Homozygous FH

    Having two mutated genes for FH; more severe.

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    High LDL Cholesterol

    LDL levels above 190 mg/dL (adults), 160 mg/dL (children).

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    Atherosclerosis

    Hardening & narrowing of arteries by plaque buildup.

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    Stable Angina

    Most common FH symptom; chest pain during exertion.

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    Heart Attack Symptoms

    Chest pain or discomfort, shortness of breath, dizziness, palpitations, fatigue, nausea, stomach issues, and weakness.

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    Risk factors for atherosclerosis

    Dyslipidemia, diabetes, smoking, family history, sedentary lifestyle, obesity, and hypertension are key risks.

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    HMG-CoA reductase

    The main enzyme in cholesterol production and the target of statin drugs.

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    Statin Drugs

    Drugs that reduce cholesterol production by inhibiting HMG CoA.

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    Oxysterols

    Cholesterol derivatives that accumulate when cholesterol levels are high, can inhibit LDL receptors.

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    AMPK's Role

    Active when energy levels are low reducing cholesterol production.

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    Lysosomal System

    A network of organelles responsible for breaking down cellular waste, including proteins and other cellular debris.

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    Endocytic Pathway

    A process where cells take in materials from outside, using vesicles to transport them to lysosomes for degradation.

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    Autophagic Pathway

    A process where cells digest their own damaged or unnecessary components, using autophagosomes to transport them to lysosomes.

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    Early Endosome

    A vesicle in the endocytic pathway that receives materials taken in from outside the cell.

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    Late Endosome

    A mature endosome in the endocytic pathway that is acidic and prepares to fuse with lysosomes.

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    Autophagosome

    A vesicle in the autophagic pathway that encapsulates cellular debris for transport to lysosomes.

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    Autolysosome

    A hybrid organelle formed by the fusion of an autophagosome with a lysosome, where degradation of cellular debris occurs.

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    v-ATPase

    A protein pump that acidifies lysosomes, enabling the action of digestive enzymes.

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    Sterol Sensing Domain

    A region on HMG CoA reductase that detects cholesterol levels and regulates its own activity.

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    Lysosomes

    Membrane-bound organelles that act as the recycling center of the cell.

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    Hydrolytic Enzymes

    Enzymes inside lysosomes that break down complex molecules into simpler ones.

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    Acid Hydrolases

    Hydrolytic enzymes that work optimally in acidic environments.

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    Programmed Cell Death (Apoptosis)

    A controlled process of cell self-destruction.

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    Cathepsins

    A family of lysosomal proteases (protein-degrading enzymes) involved in cellular breakdown.

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    What is the role of lysosomes in the cell?

    Lysosomes serve as the recycling center, breaking down old cell parts and invading pathogens. They also initiate programmed cell death when necessary.

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    Lysosomal Hydrolases

    Enzymes within lysosomes that break down various molecules, working best in acidic conditions.

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    pH Fluctuations in Lysosomes

    The pH inside lysosomes can change as they fuse with other compartments or take in substrates, affecting enzyme activity.

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    Lysosomal Location

    Lysosomes are found within the cytoplasm of eukaryotic cells, with the exception of red blood cells.

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    Lysosome Size and Shape

    Lysosomes are typically spherical and range from 50-70 nanometers in diameter.

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    Lysosomes: Size & Observation

    Lysosomes are too small to be seen with a regular light microscope. You need an electron microscope or a fluorescence microscope to observe them.

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    TFEB: Lysosomal Biogenesis

    TFEB, a special protein, plays a key role in creating more lysosomes within cells. It's like a construction supervisor for lysosomes.

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    What does TFEB do?

    TFEB activates genes that produce: lysosomal enzymes (for breaking things down), lysosomal membrane proteins (for connecting lysosomes to other cell parts), and v-ATPase (for making the lysosome acidic).

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    CLEAR Network

    This network contains specific DNA sequences (the 'CLEAR element') that TFEB recognizes and binds to, causing more lysosomes to be made.

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    TFEB: Direct Binding

    TFEB works by directly attaching to the CLEAR motif in target genes, making those genes more active.

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    Autophagy: Cleaning House

    Autophagy is like house cleaning. The cell gets rid of damaged parts, using autophagosomes to clean them up. This process helps recycle useful parts for the cell, kind of like recycling.

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    Lysosomal Pathway Activation

    TFEB can also activate the lysosomal pathway by increasing production of LAMP1, a protein that helps create lysosomes.

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    V-ATPase: Lysosomal pH Control

    The V-ATPase complex helps to keep the lysosome acidic, which is essential for it to break down things.

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    Study Notes

    Familial Hypercholesterolemia (FH)

    • FH is a genetic disorder characterized by high LDL cholesterol levels.
    • Over 75% of FH cases have a defective LDL receptor, caused by mutations in the LDLR gene.
    • FH is inherited in an autosomal dominant manner.
    • Heterozygous FH affects about 1 in 220 people, with one normal and one mutated LDL receptor allele.
    • Homozygous FH is much rarer, affecting about 1 in 300,000. This form is associated with a worse prognosis.
    • High LDL cholesterol levels are a primary sign. Symptoms often include early heart disease and heart attacks.

    LDL Cholesterol and Atherosclerosis

    • LDL (low-density lipoprotein) cholesterol is a major risk factor for atherosclerosis.
    • LDL particles can oxidize in the artery wall.
    • Oxidized LDL is then taken up by macrophages, forming fatty streaks.
    • Fatty streaks develop into atherosclerotic plaques.
    • Plaque rupture can cause thrombus formation, leading to heart attacks.

    Coronary Artery Disease (CAD) Symptoms

    • Stable angina: Chest pain or discomfort, predictable and often triggered by physical activity or stress. Disappears with rest or nitroglycerin.
    • Shortness of breath (dyspnea): Some CAD patients experience shortness of breath during light exertion.
    • Heart attack symptoms: Chest pain/discomfort, pressure, tightness, aching, fullness; heaviness or pain radiating to the arm, neck, jaw or back; shortness of breath, nausea, sweating, dizziness, lightheadedness, palpitations, or indigestion.

    Atherosclerosis

    • Atherosclerosis is characterized by patchy intimal plaques within medium and large arteries.
    • These plaques contain lipids, inflammatory cells and connective tissue.
    • Risk factors for development include: Dyslipidemia, Diabetes, Smoking, Family history, Sedentary lifestyle, Obesity, Hypertension
    • Symptoms manifest when plaque growth or rupture reduces or obstructs blood flow.
    • Diagnosis is clinical; confirmed with angiography, ultrasonography, or other imaging tests.

    HMG-CoA Reductase Regulation

    • HMG-CoA reductase is a key enzyme in cholesterol biosynthesis; regulated by multiple pathways.
    • Insulin activates the enzyme; Glucagon and oxysterols inhibit it.
    • Oxysterols accumulate when cholesterol is abundant. These then inhibit LDL receptor-mediated endocytosis.
    • Low cellular ATP leads to activation of AMPK leading to inhibition of HMG-CoA reductase.

    Lysosomes

    • Lysosomes are membrane-bound organelles specialized for intracellular digestion.
    • Contain various hydrolytic enzymes to break down cellular waste (e.g., proteins, lipids, nucleic acids).
    • Acidic pH (~5.0) activates the hydrolases.
    • Lysosomes also function in removing damaged organelles.
    • Lysosomes may play a role in programmed cell death (apoptosis).

    Lysosomal Biogenesis Regulation

    • TFEB (transcription factor EB): Key player in regulating lysosomal biogenesis and function.
    • TFEB activity is influenced by cellular conditions (e.g., nutrient levels, stress).
    • Increased TFEB activity leads to increased expression of lysosomal enzymes and lysosome function.
    • mTOR (mammalian target of rapamycin) pathway suppresses TFEB, and regulates nutrient sensor activity.

    Coordinated Lysosomal Expression and Regulation (CLEAR)

    • Cellular mechanism for coordinating the expression of genes involved in the lysosomal pathway.
    • Mediated by transcription factor EB (TFEB).
    • CLEAR elements are E-box sequences recognized by TFEB, essential for upregulating the lysosome functional pathway.

    mTOR and Nutrient Signaling

    • mTOR (mammalian target of rapamycin) pathway integrates signals from nutrients or amino acids.
    • mTORC1 integrates the nutrients and the energy status.
    • Nutrients and energy stores are essential for protein synthesis, cell growth, proliferation, and survival.
    • Activation of mTOR supports growth and survival by increasing access to nutrients and metabolic fuels.

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    Description

    This quiz covers the genetic disorder Familial Hypercholesterolemia (FH) and its link to high LDL cholesterol levels. It explores how LDL cholesterol contributes to atherosclerosis and the development of coronary artery disease. Test your knowledge on the symptoms, causes, and genetic factors influencing these cardiovascular issues.

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