Summary

These lecture notes cover the topic of lipid chemistry with a focus on the digestive pathway of lipids, and hormonal regulation. The role of cystic fibrosis is also covered within the context of lipid digestion. Information on lipid emulsification and degradation processes is presented, including the role of enzymes like pancreatic lipase in the digestive process.

Full Transcript

Lippincott’s illustrated reviews Chapter 15 – Page 173 Lecture 25 Lipid Chemistry 1 Specific Objectives By the end of this lecture students can be able to: Explain the digestive pathway of lipids. Discuss the hormonal regulation of lipid digestion....

Lippincott’s illustrated reviews Chapter 15 – Page 173 Lecture 25 Lipid Chemistry 1 Specific Objectives By the end of this lecture students can be able to: Explain the digestive pathway of lipids. Discuss the hormonal regulation of lipid digestion. Understand the reason for cystic fibrosis. 2 OVERVIEW Lipids are a heterogeneous group of water-insoluble (hydrophobic) organic molecules that can be extracted from tissues by nonpolar solvents. 3 They found as membrane-associated lipids or droplets of triacylglycerol in white adipocytes, or transported in plasma in association with protein, as in lipoprotein particles, or on albumin. 4 Function: Lipids are a major source of energy for the body. Provides the hydrophobic barrier that permits partitioning of the aqueous contents of cells and subcellular structures. Some fat-soluble vitamins have regulatory or coenzyme functions. Prostaglandins and steroid hormones play major roles in the control of the body’s homeostasis. Imbalances of lipid metabolism can lead to atherosclerosis and obesity. 5 Digestion of Lipids Dietary lipid consists of more than 90% triacylglycerol (TAG, formerly called triglyceride). The remainder of the dietary lipids consists primarily of cholesterol, cholesteryl esters, phospholipids, and unesterified (“free”) fatty acids. 6 A. Processing of dietary lipids in the stomach The digestion of lipids begins in the stomach, catalyzed by: lingual lipase that originates from glands at the back of the tongue. Gastric lipase, secreted by the gastric mucosa. Both enzymes are relatively acid- stable, with pH optimums of pH 4 to pH 6. They hydrolyze TAG molecules containing fatty acids of short- or medium-chain length (fewer than 12 carbons, such as are found in milk fat). 7 8 These “acid lipases” play a particularly important role in lipid digestion in neonates, for whom milk fat is the primary source of calories. They also become important digestive enzymes in individuals with pancreatic insufficiency, such as those with cystic fibrosis. 9 Cystic fibrosis (CF): Autosomal recessive disorder that caused by mutations to the gene for the CF transmembrane conductance regulator (CFTR) protein that functions as a chloride channel on epithelium. Defective CFTR results in decreased secretion of chloride and increased reabsorption of sodium and water. 10 11 In the pancreas, the decreased hydration results in thickened secretions such that pancreatic enzymes are not able to reach the intestine, leading to pancreatic insufficiency. 12 Treatment includes replacement of these enzymes, supplementation with fat-soluble vitamins as vitamin D and water-soluble vitamins, which include vitamin C and the B-complex vitamins, folic acid, biotin, and pantothenic acid. Note: CF also causes chronic lung infections with progressive pulmonary disease. In cystic fibrosis and other chronic lung disease vitamin D improves airway remodeling in response to injury, decreases airway inflammation, and decreased airway bacterial colonization. 13 B. Emulsification of dietary lipid in the duodenum Emulsification increases the surface area of the hydrophobic lipid droplets. Bile salts act as emulsifying agents, made in the liver and stored 14 in the gallbladder, are derivatives of cholesterol. 15 C. Degradation of dietary lipids by pancreatic enzymes 1. TAG degradation: Pancreatic lipase, preferentially removes the fatty acids at carbons 1 and 3. The primary products of hydrolysis are thus a mixture of 2-monoacylglycerol and free fatty acids. 16 Colipase, also secreted by the pancreas, binds the lipase at a ratio of 1:1, and anchors it at the lipid- aqueous interface. Colipase restores activity to lipase in the presence of inhibitory substances like bile acids that bind the micelles. Orlistat, an antiobesity drug, inhibits gastric and pancreatic lipases, thereby decreasing fat absorption, resulting in loss of weight. 17 2. Cholesteryl ester degradation: Most dietary cholesterol is present in the free (nonesterified) form, with 10–15% present in the esterified form. Cholesteryl esters are hydrolyzed by pancreatic cholesteryl ester hydrolase (cholesterol esterase), which produces cholesterol plus free fatty acids. Cholesteryl ester hydrolase activity is greatly increased in the presence of bile salts. 18 19 3. Phospholipid degradation: Pancreatic juice is rich in the proenzyme of phospholipase A2 that, is activated by trypsin and, requires bile salts for optimum activity. Phospholipase A2 removes one fatty acid from carbon 2 of a phospholipid. 20 21 4. Control of lipid digestion: Cells in the mucosa of the lower duodenum and jejunum produce a small peptide hormone, cholecystokinin (CCK), in response to the presence of lipids. cholecystokinin acts on the gallbladder (causing it to contract and release bile), and on the exocrine cells of the pancreas (causing them to release digestive enzymes). 22 23 Other intestinal cells produce another small peptide hormone, secretin. Secretin causes the pancreas and the liver to release a solution rich in bicarbonate that helps neutralize the pH of the intestinal contents. 24 D. Absorption of lipids by intestinal mucosal cells (enterocytes) Free fatty acids, free cholesterol, and 2- monoacylglycerol are the primary products of lipid digestion in the jejunum. These, plus bile salts and fat-soluble vitamins (A, D, E, and K), form mixed micelles 25 Mixed micelles are—disk shaped clusters of amphipathic lipids with their hydrophobic groups on the inside and their hydrophilic groups on the outside. These soluble in the aqueous environment of the intestinal lumen. These particles absorbed by the brush border membrane of the enterocytes (mucosal cell). 26 27 F. Lipid malabsorption Lipid malabsorption, resulting in increased lipid including the fat soluble vitamins and essential fatty acids, in the feces which called steatorrhea. Steatorrhea can be caused by disturbances in lipid digestion and/or absorption. Such disturbances can result from several conditions, including CF (causing poor digestion) and shortened bowel (causing decreased absorption). 28 Reference Book: Champe, P. C., Harvey, R. A. and Ferrier, D. R., 2005. Biochemistry “Lippincott’s Illustrated Reviews”, 5th or 6th Edition 29

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