Medical Biochemistry - Lipid Metabolism

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Questions and Answers

What role does malate dehydrogenase play in the biosynthesis of fatty acids?

  • It converts pyruvate to oxaloacetate.
  • It catalyzes the esterification of fatty acids.
  • It produces NADPH from malate.
  • It converts oxaloacetate to malate. (correct)

How is triacylglycerol formed?

  • From the conversion of glucose to glycerol.
  • By the conversion of pyruvate to fatty acids.
  • By the reaction of NADPH with malate.
  • Through the esterification of fatty acids with glycerol-3 phosphate. (correct)

What is the primary source of NADPH in fatty acid synthesis?

  • Conversion of fatty acids into TAG.
  • Lipolysis of depot fat.
  • Malic enzyme and the pentose phosphate pathway. (correct)
  • Insulin stimulation of glycolysis.

What is the primary effect of insulin on lipogenesis?

<p>Stimulates lipogenesis by promoting glucose uptake. (A)</p> Signup and view all the answers

What happens to the TAG formed in the liver?

<p>It is transformed into VLDL and distributed to tissues. (B)</p> Signup and view all the answers

What is the primary function of chylomicrons?

<p>Transport dietary lipids (C)</p> Signup and view all the answers

Which apolipoprotein is associated with the receptor binding of VLDL?

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

What happens to VLDL as it loses triglycerides in the bloodstream?

<p>It is converted to LDL (D)</p> Signup and view all the answers

Which of the following lipoproteins carries approximately 50% of blood cholesterol?

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

Hyperlipoproteinemia is characterized by what?

<p>Increased plasma lipoproteins (C)</p> Signup and view all the answers

What is a characteristic feature of Hyperlipidemia Type II?

<p>Reduced LDL metabolism (A)</p> Signup and view all the answers

What is the role of apo E in lipoprotein metabolism?

<p>Required for VLDL and chylomicron metabolism (C)</p> Signup and view all the answers

Which type of hyperlipidemia is characterized by both hypercholesterolemia and hypertriacylglycerodemia?

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

What characterizes Type V hyperlipoproteinemia?

<p>Increased levels of chylomicrons and VLDL (D)</p> Signup and view all the answers

Which process is primarily responsible for lipogenesis in mammals?

<p>Fatty acid biosynthesis (C)</p> Signup and view all the answers

What is the main stored form of energy in adipose cells?

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

What role does glycerol-3 phosphate dehydrogenase play in lipid metabolism?

<p>Reduces dihydroxy acetone phosphate to glycerol-3 phosphate (D)</p> Signup and view all the answers

Which of the following is a requirement for the de novo synthesis of fatty acids?

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

In which organ is glycerokinase present, allowing glycerol phosphate formation from glucose?

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

Which cofactor is NOT required for lipogenesis?

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

What effect does uncontrolled diabetes have on lipid metabolism?

<p>Accumulation of triacylglycerols in the liver (D)</p> Signup and view all the answers

What is the primary function of apolipoproteins?

<p>To combine and transport lipids (D)</p> Signup and view all the answers

Which lipoprotein is primarily responsible for transporting dietary lipids from the intestine to tissues?

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

Which of the following lipoproteins carries cholesterol esters as its major lipid component?

<p>High density lipoprotein (HDL) (A), Low density lipoprotein (LDL) (B)</p> Signup and view all the answers

Apo-A1 is a major apolipoprotein for which type of lipoprotein?

<p>High density lipoprotein (HDL) (C)</p> Signup and view all the answers

Which of the following statements about lipoproteins is true?

<p>Triglycerides are found in the core of lipoproteins. (C)</p> Signup and view all the answers

What is the ligand for LDL receptors?

<p>Apo-B 100 (C)</p> Signup and view all the answers

Which lipoprotein is involved in transferring endogenous lipids from the liver to peripheral tissues?

<p>Very low density lipoprotein (VLDL) (C)</p> Signup and view all the answers

Which apolipoprotein activates lipoprotein lipase?

<p>Apo-C II (C)</p> Signup and view all the answers

What is formed from the condensation of acetyl-CoA and oxaloacetate for transport out of mitochondria?

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

Which enzyme is responsible for converting acetyl-CoA to malonyl-CoA in fatty acid synthesis?

<p>Acetyl CoA carboxylase (D)</p> Signup and view all the answers

What is the final product of fatty acid synthesis as mentioned in the process?

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

How many molecules of NADPH are consumed in the overall reaction of fatty acid synthesis?

<p>14 (D)</p> Signup and view all the answers

Which step involves the repetition of four distinct reactions leading to fatty acid elongation?

<p>Condensation of Acetyl-CoA and malonyl CoA (C)</p> Signup and view all the answers

What is the primary role of ATP in the fatty acid synthesis process?

<p>To convert acetyl-CoA to malonyl-CoA (B)</p> Signup and view all the answers

What molecule is NOT produced during the synthesis of palmitate?

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

Which of the following statements about acetyl-CoA is true?

<p>It is the main building block for fatty acid synthesis. (B)</p> Signup and view all the answers

Flashcards

What are lipoproteins?

They are non-covalent assemblies of lipids and proteins, crucial for transporting lipids in the bloodstream.

Describe the structure of a lipoprotein.

The core of a lipoprotein particle contains mainly triglycerides and cholesterol esters, while the surface is composed of phospholipids, proteins (apolipoproteins), and cholesterol.

Name the four major groups of plasma lipoproteins.

Chylomicrons, very low-density lipoproteins (VLDL), low-density lipoproteins (LDL), and high-density lipoproteins (HDL) are the four major groups, each with a distinct structure and function.

What is the function of chylomicrons?

Chylomicrons are responsible for transporting dietary lipids from the intestine to various tissues.

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What is the function of VLDL?

VLDL transports endogenous lipids synthesized in the liver to peripheral tissues.

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What is the function of LDL?

LDL acts as a major carrier of cholesterol, delivering it to cells throughout the body. High levels of LDL are linked to cardiovascular disease.

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What is the function of HDL?

HDL plays a protective role, transporting excess cholesterol from peripheral tissues back to the liver for excretion. Higher levels of HDL are associated with a reduced risk of heart disease.

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What are apolipoproteins and what do they do?

Apolipoproteins are proteins associated with lipoproteins. They play crucial roles in lipoprotein metabolism, including lipid transport, receptor recognition, and activation of specific enzyme.

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Chylomicron

A type of lipoprotein synthesized in the small intestine responsible for transporting dietary lipids (triglycerides) from the gut to the liver.

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Very Low-Density Lipoprotein (VLDL)

A lipoprotein synthesized in the liver that transports endogenous triglycerides (made in the liver) to various tissues.

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Low-Density Lipoprotein (LDL)

A lipoprotein primarily formed from VLDL in the blood, responsible for transporting cholesterol from the liver to peripheral tissues.

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Hyperlipoproteinemia

A group of disorders characterized by elevated levels of plasma lipoproteins.

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Hyperlipidemia Type I

A type of hyperlipoproteinemia characterized by an increase in plasma chylomicrons due to a deficiency in lipoprotein lipase enzyme.

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Hyperlipidemia Type II

A type of hyperlipoproteinemia caused by faulty LDL receptors, leading to an accumulation of LDL in the blood.

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Hyperlipidemia Type III

A type of hyperlipoproteinemia characterized by a deficiency in apo E, affecting the uptake of VLDL and chylomicron remnants.

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Hyperlipidemia Type VI

A type of hyperlipoproteinemia caused by excessive production of triglycerides from carbohydrates.

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Lipogenesis

The process of converting fatty acids into triacylglycerol (TAG). This process is important for storing energy in fat cells.

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GP acyl transferase

An enzyme that plays a key role in lipogenesis by attaching fatty acids to glycerol-3-phosphate, forming triacylglycerol.

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Fatty Acid Synthesis

The process of converting glucose into fatty acids. This process is fueled by insulin and occurs in the liver and adipose tissue.

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Insulin

A hormone that stimulates lipogenesis by increasing the availability of glucose and glycerol-3-phosphate.

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Triacylglycerol (TAG)

The final product of lipogenesis, a storage form of energy composed of three fatty acids bound to glycerol.

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Type V Hyperlipoproteinemia

A metabolic disorder characterized by high levels of very low-density lipoproteins (VLDL), triglycerides, and sometimes cholesterol in the blood. It results in a turbid plasma appearance.

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Where does Lipogenesis occur?

Lipogenesis primarily takes place in the liver and adipose tissues, with a significant role in brain, kidney, and mammary glands during lactation.

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How is glycerol-3-phosphate produced?

Glycerol-3-phosphate is derived from dihydroxyacetone phosphate, a product of glycolysis, by the action of glycerol-3-phosphate dehydrogenase.

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What is the difference in glycerol-3-phosphate production in liver and adipose tissue?

In the liver, glycerol-3-phosphate can be formed from both glucose and glycerol by the enzyme glycerokinase. In adipose tissue, only glucose contributes to glycerol-3-phosphate formation due to the absence of glycerokinase.

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Where does fatty acid synthesis (lipogenesis) take place?

Lipogenesis occurs primarily in the cytosol, utilizing Acetyl-CoA as the immediate substrate.

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What co-factors are required for lipogenesis?

Lipogenesis requires a variety of co-factors, including NADPH, ATP, Mn2+, biotin, and HCO3-

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How are unsaturated fatty acids synthesized?

The synthesis of unsaturated fatty acids involves the introduction of double bonds into the fatty acid chain. This process requires specific enzymes (desaturases) and involves the removal of hydrogen atoms from the fatty acid chain.

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Acetyl-CoA

The main building block for fatty acid synthesis, formed from the breakdown of carbohydrates within the mitochondria.

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Malonyl CoA

An important intermediate in fatty acid synthesis, produced from Acetyl-CoA.

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Acetyl-CoA Carboxylase

A key regulatory enzyme in fatty acid synthesis, converts Acetyl-CoA to Malonyl CoA, crucial for fatty acid synthesis and elongation.

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Fatty Acid Synthase

A large multi-enzyme complex that performs the majority of the reactions in fatty acid synthesis.

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Palmitic Acid

The final product of fatty acid synthesis, a saturated fatty acid with 16 carbon atoms.

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Condensation Reaction

The process of combining Acetyl-CoA and Malonyl CoA, using fatty acid synthase, to create longer fatty acid chains.

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Energy Input

A process required for fatty acid synthesis, using ATP and NADPH as energy sources.

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Fatty Acid Activation

A process where fatty acids are activated, allowing them to bind with glycerol-3-phosphate, a crucial step in converting fatty acids to triglycerides.

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Study Notes

Medical Biochemistry - Lipid Metabolism

  • This course covers lipid transport, biosynthesis, and associated disorders, specifically for first-year MBBS and Dentistry students at Umm Al-qura University.

Lipid Transport

  • Lipids in blood plasma, including fats, phospholipids, cholesterol, cholesterol esters, and fatty acids, are transported as lipoproteins.
  • Lipoproteins are non-covalent assemblies of lipids and proteins.
  • Key lipoprotein types include chylomicrons, VLDL, LDL, and HDL, each with unique structural components (core and surface) and functions in transporting triglycerides and cholesterol throughout the body.

Lipoprotein Composition

  • Key proteins (apoproteins): Apo B-48, Apo B-100, and Apo A-I.
  • Key lipids (lipoproteins) include TG, TG, CE, CE.
  • Different lipoproteins have varying percentages of protein and lipid content.

Lipoprotein Disorders

  • Hyperlipoproteinemia (hyperlipidemia): A group of disorders characterized by elevated plasma lipoprotein levels.
  • Hyperlipidemia is classified into five types (Type I to Type V), each with a specific cause and manifestation.
  • Type I: Deficiency in lipoprotein lipase enzyme resulting in increased plasma chylomicrons and turbid plasma.
  • Type II: Reduced LDL metabolism due to LDL receptor defects, leading to high plasma cholesterol levels (familial hypercholesterolemia).
  • Type III: Defective Apo E, affecting uptake and metabolism of VLDL and chylomicron remnants, resulting in both high cholesterol and high triglycerides.
  • Type IV: Increased formation of triglycerides from carbohydrates, leading to high VLDL and triglycerides levels, and turbid plasma.
  • Type V: Associated with obesity and glucose intolerance, featuring high chylomicrons, high VLDL, and high triglycerides, and turbid plasma.

Fatty Liver

  • Fatty liver is a metabolic disorder where triglycerides accumulate in the liver.
  • This can occur during fasting, high-fat diets, or uncontrolled diabetes.

Lipid Biosynthesis

  • This section focuses on the synthesis of lipids, specifically fatty acids.
  • It details the biosynthesis process, highlighting the key regulatory enzymes and steps.

Fatty Acid Synthesis (Lipogenesis)

  • Lipogenesis primarily occurs in the liver and adipose tissues, but also in other organs like brain and kidneys.
  • It utilizes acetyl-CoA as the key substrate and requires cofactors such as NADPH, ATP, Mn2+, biotin, and HCO3-.
  • Fatty acid synthesis is a separate metabolic pathway distinct from fatty acid breakdown.
  • A crucial step involves the formation of citrate from acetyl-CoA within the mitochondria, followed by citrate translocation to the cytoplasm. The citric acid cycle plays a part of acetyl-CoA conversion into fatty acids.

Synthesis of Glycerol-3P

  • Glucose is oxidized via glycolysis to dihydroxyacetone phosphate.
  • This is reduced to glycerol-3 phosphate by the enzyme glycerol-3 phosphate dehydrogenase, making glycerol-3-P the precursor for membrane lipids and triglycerides.

Regulation of Lipogenesis

  • Insulin promotes lipogenesis, while glucagon and epinephrine inhibit it.
  • Insulin affects short-term regulation of acetyl CoA carboxylase (a regulatory enzyme in fatty acid synthesis).
  • Long-term regulation may also be affected by diet, such as high/low carbohydrate intake.

Fates of Formed TAG

  • Formed TAG (triacylglycerol) is transported differently after its formation.
  • In the liver, TAG is initially converted into VLDL for transport to tissues.
  • In adipose tissue, TAG is stored as fat.

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