9 - Lipids 3 Flashcards

1
Q

Why is cholesterol synthesis important? Where is synthesized and how much?

A
  • In humans, approximately 1g is daily synthesized
  • After intestinal absorption
    -Chylomicrons (Liver and peripheral tissues)
  • After Biosynthesis
    -VLDL (Peripheral tissues)
    -LDL (Peripheral tissues)
  • HDL (Removal from circulation)
  • Cholesterol sterol structure is not metabolized by
    humans.
    -incorporated into bile salts
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2
Q

What is the clinical relevance of cholesterol synthesis and reuptake?

A
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3
Q

How is cholesterol synthesized?

A

All tissues have the capacity of synthesizing cholesterol. Liver is the main site of synthesis
What is needed for synthesizing cholesterol:
* Acetyl-CoA (β-oxidation, dehydrogenation of pyruvate)
* NADPH (reducing agent)
* ATP
For every 1 mole of cholesterol:
* 18 moles of acetyl-CoA
* 16 moles of NADPH
* 36 moles of ATP
Stage 1: Synthesis of Mevalonate (six carbons) from Acetyl CoA
Stage 2: Conversion of Mevalonate to Farnesyl pyrophosphate (15 carbons) Stage 3: Condensation of 2 moles of Farnesyl pyrophosphate to Squalene (30 carbons)
Stage 4: Conversion of Squalene to cholesterol (27 carbons)

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4
Q
A
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5
Q
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6
Q

How is cholesterol synthesis regulated?

A
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7
Q

How is cholesterol incorporated into bile? How is that process regulated?

A
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8
Q

What is the clinical relevance of cholesterol and bile?

A
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9
Q

How can cholesterol levels be lowered?

A
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10
Q

Why is cholesterol important in the endocrine system?

A
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11
Q

What is the clinical relevance of cholesterol’s role in steroid hormones?

A
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12
Q

What do lipoproteins do?

A
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13
Q

What are apolipoproteins? How many are there and what does each class do?

A
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14
Q

What enzymes are associated with lipoprotein function?

A
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15
Q

What is the function of HDL? Explain its mechanism of action and possible fates.

A
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16
Q

What receptors are most important in lipid metabolism?

A
17
Q

What is Atherosclerosis and how does it come about?

A
18
Q

What are the dyslipidemias and what dysfunction is associated with each?

A
19
Q

How are dyslipidemias treated?

A