Lipid-Lowering Drugs and Lipoprotein Metabolism
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Questions and Answers

Which process involves the accumulation of phospholipids and cholesterol from cells lining the blood vessels?

  • Esterification of cholesterol to cholesteryl esters via LCAT
  • Budding of apoproteins from chylomicrons
  • Maturation of nascent HDL (correct)
  • Synthesis of nascent HDL

What is the role of LCAT in HDL metabolism?

  • Transfer of cholesteryl esters to VLDL
  • Uptake of cholesterol from cholesterol-laden cells into HDL shell
  • Trapping of cholesterol into HDL core
  • Conversion of cholesterol to cholesteryl esters (correct)

How is fatty acid transferred in the LCAT reaction?

  • From cholesterol to VLDL
  • From cholesterol to phospholipid shell
  • From HDL core to HDL shell
  • From lecithin to cholesterol (correct)

What is the primary function of ABCA1 in HDL metabolism?

<p>Efflux of cholesterol from cholesterol-laden cells (C)</p> Signup and view all the answers

What is the final step in reverse cholesterol transport (HDL metabolism)?

<p>Binding of cholesteryl ester–rich HDL to the liver and steroidogenic cells (C)</p> Signup and view all the answers

What is the main function of CETP in HDL metabolism?

<p>Transfer of cholesteryl esters to VLDL (C)</p> Signup and view all the answers

What is the hydrophobic core of lipoproteins composed of?

<p>TAGs and cholesterol esters (A)</p> Signup and view all the answers

Which apolipoprotein activates LPL (lipoprotein lipase)?

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

What is the primary function of chylomicrons?

<p>Transport dietary fatty acids to tissues (B)</p> Signup and view all the answers

Which lipoprotein is the largest and least dense?

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

What is the major function of apolipoproteins in lipoproteins?

<p>Activate enzymes for lipoprotein metabolism (C)</p> Signup and view all the answers

Where is resynthesis of triglycerides in chylomicrons primarily carried out?

<p>Intestinal epithelial cells (A)</p> Signup and view all the answers

What is the main adverse effect of niacin (nicotinic acid) therapy?

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

To prevent flushing with niacin intake, what is recommended before its administration?

<p>Administering aspirin prior to intake (C)</p> Signup and view all the answers

Which of the following gastrointestinal symptoms can be minimized by starting niacin therapy at lower doses?

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

What is a side effect of niacin (nicotinic acid) therapy that can be prevented by taking it after a meal?

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

In pregnancy, what is the FDA category for niacin (nicotinic acid)?

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

What condition is niacin (nicotinic acid) contraindicated in?

<p>Chronic liver disease (B)</p> Signup and view all the answers

What is the primary target of HMG-CoA reductase inhibitors (statins)?

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

Which tissue is the primary site for cholesterol synthesis?

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

What is the final product of the 4 stages of cholesterol synthesis?

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

Which organelle plays a role in cholesterol synthesis?

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

What is the effect of HMG-CoA reductase inhibitors on LDL?

<p>Increase in high-affinity LDL receptors (A)</p> Signup and view all the answers

Which of the following is NOT a step in cholesterol synthesis?

<p>Conversion of squalene to cholesterol (C)</p> Signup and view all the answers

What is the role of cholesteryl esters uptake in cells via scavenger receptor (SR-B1)?

<p>Form steroid hormones (A)</p> Signup and view all the answers

Which lipoprotein is nearly identical in structure to LDL and is associated with an increased risk of coronary heart disease?

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

What distinguishes Lp(a) from other lipoproteins in terms of its structure?

<p>Additional apolipoprotein apo(a) linked to apo B-100 (A)</p> Signup and view all the answers

Which condition is characterized by high total cholesterol, low-density lipoprotein (LDL) cholesterol, or triglycerides, and low high-density lipoprotein (HDL) cholesterol?

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

What are the goals of treating dyslipidemia?

<p>Lower LDL cholesterol for heart disease prevention (C)</p> Signup and view all the answers

What is a major cause of atherosclerotic cardiovascular diseases like CHD, ischemic cerebrovascular disease, and peripheral vascular disease?

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

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