Antihyperlipidemic Flashcards
What are the major lipids found in the bloodstream
High lipid levels can do what
Speed up a process called atherosclerosis, or hardening of the blood vessels
What is hyperlipoproteinemia
hyperlipoproteinemia has been strongly associated with what
What is the cause of hyperlipoproteinemia
What is dyslipidemia
What are the sources of cholesterol
What is the rate limiting step of cholesterol biosynthesis
What is the importance of HMG CoA Reductase
It is the target for drugs and if inhibited it will stop the whole synthesis of cholesterol
Explain cholesterol
Is cholesterol bad
Explain cholesterol ester
Triglycerides are formed from what
Where does the pancreatic lipase acts
Can lipids be absorbed ?
In triglyceride form, lipids can’t be absorbed by the duodenum, it should be hydrolyzed in the GIT to be absorbed
Monoglycerides and diglycerides are absorbed by the duodenum
Explain lipoproteins and their function
How are triglycerides and cholesterol esters are carried
What are the different types of lipoproteins
How does bile acid help in lipoprotein metabolism
Bile acid facilitates the absorption to the bloodstream
Explain the normal metabolism of lipoproteins
LDL is being reuptaken by LDL receptor in the liver
What will happen if LDL receptor is not working
Why do healthy people have high amounts of HDL
It will make the cholesterol be taken back to liver, to be used in synthesis
Preventing atherosclerosis - acts as protective mechanism
What are the drug targets to treat hyperlipidemia
Explain low density lipoproteins
Explain high density lipoproteins
How is diagnosis of lipoproteins made
List the antihyperlipidemic agents
Why is nicotinic acid not preferred
What does nicotinic acid do
What is the first drug choice for patients with elevated LDL
HMG-CoA reductase inhibitors
What is the mechanism of HMG-CoA reductase inhibitors
The inhibition of HMG-CoA reductase results in what
What are the 2 main classes of HMG-CoA reductase inhibitors
What is statins mechanism of action
What type of inhibitor is statin
Competitive as it has similar structure to the substrate
Explain the SAR of statins
Explain the physiochemical properties of statins
Explain the side effects of all statins
Explain fibrates
Explain the main effect of fibrates
Fibrates facilitate lipid metabolism resulting in what
Explain ezetimibe
How does ezetimibe work
How are ezetimibe used
Explain bile acid sequestrants
Explain the mechanism of bile acid sequestrants