Lipid Synthesis and Transport
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Questions and Answers

In the fed state, which enzyme is activated by insulin and catalyzes the rate-limiting step of fatty acid synthesis?

  • NADPH synthase
  • Oxaloacetate decarboxylase
  • Carnitine transferase
  • Acetyl CoA carboxylase (correct)
  • What is the byproduct of fatty acid synthesis that inhibits the entry of fatty acids into the mitochondrion?

  • Oxaloacetate
  • Acetyl CoA
  • Malonyl CoA (correct)
  • Citrate
  • Where does the first step of fatty acid synthesis occur?

  • Endoplasmic reticulum
  • Cytosol (correct)
  • Mitochondrion
  • Golgi apparatus
  • What is the primary source of energy storage in the fed state?

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

    What is the coenzyme required for fatty acid synthesis?

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

    What is the primary organ involved in fatty acid synthesis?

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

    What is the purpose of malonyl CoA in fatty acid synthesis?

    <p>To stimulate fatty acid synthesis</p> Signup and view all the answers

    What is the result of insulin stimulation in the fed state?

    <p>Increased fatty acid synthesis</p> Signup and view all the answers

    What is the role of NADPH in fatty acid synthesis?

    <p>To provide reducing power for fatty acid synthesis</p> Signup and view all the answers

    Which of the following lipoproteins carries mainly dietary TAG?

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

    What is the rate-limiting step in cholesterol synthesis?

    <p>Conversion of HMG-CoA to mevalonate</p> Signup and view all the answers

    What is the function of apoproteins in lipoproteins?

    <p>To provide structural support to lipoproteins</p> Signup and view all the answers

    Which of the following is a genetic disorder characterized by high blood cholesterol levels?

    <p>Familial hypercholesterolaemia</p> Signup and view all the answers

    What is the function of lipoprotein lipase?

    <p>To degrade triglycerides</p> Signup and view all the answers

    Which of the following is a risk factor for secondary hyperlipoproteinaemias?

    <p>All of the above</p> Signup and view all the answers

    What is the function of LDL receptors?

    <p>To recognize and remove LDL from the circulation</p> Signup and view all the answers

    What is the effect of n-6 PUFA on cholesterol levels?

    <p>Lowers cholesterol</p> Signup and view all the answers

    Lp(a) is associated with an increased risk of which disease?

    <p>Coronary heart disease</p> Signup and view all the answers

    What is the effect of trans fats on Lp(a) levels?

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

    What is the role of plasminogen in relation to Lp(a)?

    <p>It slows down the breakdown of blood clots</p> Signup and view all the answers

    What is the main component of foam cells in atherosclerosis?

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

    What is the effect of modified (oxidised) LDL on foam cells?

    <p>It is taken up by the scavenger receptors and leads to accumulation of cholesterol</p> Signup and view all the answers

    Study Notes

    Lipid Synthesis and Transport in the Blood

    • Energy from excess food is stored as glycogen (limited store) and triacylglycerol (TAG) in adipose tissue (long-term reserve)
    • In the fed state, liver synthesizes TAG from acetyl CoA, stimulated by insulin

    Fatty Acid Synthesis

    • Acetyl CoA is converted to malonyl CoA, catalyzed by acetyl CoA carboxylase (rate-limiting step)
    • Malonyl CoA signifies the fed state and inhibits carnitine transferase, preventing fatty acid oxidation
    • NADPH from the hexose monophosphate shunt is required for fatty acid synthesis

    TAG Synthesis

    • Glycerol phosphate and three fatty acids combine to form TAG
    • TAG synthesis occurs in the liver cell, using glycolysis products

    Lipoprotein Structure

    • Lipids are insoluble in water, so they are transported as a lipid-protein complex (lipoprotein)
    • Apoproteins have a structural role, are recognized by receptors, and activate enzymes in lipid metabolism
    • Lipoproteins have an inner core of triglycerides and cholesterol esters, surrounded by a single layer of phospholipids, cholesterol, and apoproteins

    Classes of Lipoproteins

    • Chylomicrons: largest and lowest density, carry mainly dietary TAG
    • VLDL: carries mainly endogenous TAG
    • LDL: carries mainly cholesterol to the tissues
    • HDL: carries mainly cholesterol from the tissues to the liver

    Cholesterol Synthesis and Regulation

    • Cholesterol synthesis is regulated by negative feedback, controlling its own synthesis and LDL receptors on cell surfaces
    • The rate-limiting step is catalyzed by HMG-CoA reductase, inhibited by statins

    LDL Receptors

    • LDL receptors recognize apoB-100, removing LDL from the circulation through receptor-mediated endocytosis
    • Deficiency of LDL receptors leads to high blood cholesterol levels and premature death from atherosclerosis

    Hyperlipidaemias

    • Hypercholesterolaemia and hypertriglyceridaemia can result from genetic disposition or environmental factors
    • Examples of genetic hyperlipoproteinaemias include defective LDL receptor, lipoprotein lipase deficiency, and apoprotein deficiency

    Lipoprotein (a)

    • Lp(a) is associated with increased risk of CHD, and its levels can be affected by trans fats and oestrogen
    • Lp(a) is related to plasminogen and slows down blood clot breakdown

    Atherosclerosis

    • Atherosclerosis involves inflammation, proliferation of smooth muscle in the artery wall, and accumulation of cholesterol-rich lipid
    • Foam cells (macrophages filled with lipid) are a key component of atherosclerotic plaques

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    Description

    This quiz covers the storage of energy from consumed foods, including the storage of carbohydrates as glycogen and lipids as triacylglycerol (TAG) in the liver and muscle. Understand the process of lipid synthesis and transport in the blood.

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