Biochem 7 Flashcards

1
Q

classes of lipids

A
  • free fatty acid (nonsterified fatty acid)- carboxylic acid group and acyl chain
  • can have one or more double bond but they are always cis
  • triglyceride- 3 fatty acid attached to glycerol (3 carbons) via ester bonds
  • cholesterol- hydrophobic and free hydroxyl group that gives it polarity
  • if you conjugate the hydroxyl with a fatty acid -> forms a cholesteryl ester
  • cholesteryl ester- highly hydrophobic (loses polarity)
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2
Q

fatty acid nomenclature

A
  • carboxylic acid chain is the first carbon
  • alpha carbon- second carbon
  • beta carbon- third carbon
  • gamma carbon- fourth carbon
  • omega carbon- last carbon
  • if there is a double bond three carbons away from the omega end -> omega 3 fatty acid
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3
Q

adipose tissue

A
  • major storage site for lipids:- triglycerides
  • adipocytes- major cell type of adipose tissue (lipid storage)
  • *endocrine organ- regulate metabolism, inflammation, energy balance
  • releases hormones- leptin
  • white bc they are filled with fats- lipid droplet
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4
Q

fasting state

A
  • high glucagon
  • high glycogenolysis
  • high gluconeogenesis
  • high fatty acid oxidation
  • low glycolysis in liver
  • low glycogenesis
  • low fatty acid biosynthesis
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5
Q

fed state

A
  • high insulin
  • high glycolysis
  • high glycogenesis
  • high fatty acid biosynthesis
  • low glycogenolysis
  • low gluconeogenesis
  • low fatty acid oxidation
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6
Q

control of food intake (satiety/hunger)

A
  • why are we hungry?
  • low blood sugar
  • empty stomach
  • hormonal control:
  • ghrelin
  • leptin
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7
Q

ghrelin

A
  • peptide hormone released by stomach
  • travel in the blood to the hypothalamus of the brain to stimulate food intake
  • before a meal ghrelin levels rise
  • after a meal ghrelin levels fall and then increase
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8
Q

leptin

A
  • hormone released predominantly by adipose tissue
  • acts in the hypothalamus of the brain to reduce feeding
  • tell us we are full
  • chronically elevated in people who are obese
  • theory of leptin resistance- obese become desensitized to effects of leptin due to chronically elevated leptin levels
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9
Q

leptin deficiency

A
  • obesity

- after being treated with leptin -> body weight returns to normal

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10
Q

lipid digestion: small intestine

A
  • primarily small intestine
  • dietary triglycerides are metabolized to monoglycerides and free fatty acids
  • free fatty acids, monoglycerides, and cholesterol is absorbed by intestinal cells
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11
Q

triglycerides

A
  • highly hydrophobic
  • pack into large lipids globules
  • acyl chains face out -> hydrophobic
  • no polar or charged surfaces
  • makes it hard to digest -> bile salts
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12
Q

bile salts emulsify lipids

A
  • synthesized by liver
  • stored in gall bladder
  • released into the small intestine
  • aids in lipid digestion
  • makes triglyceride globules smaller and increases SA -> enzymes act on this
  • bile salts are derivatives of cholesterol and have highly charged groups
  • amphipathic
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13
Q

triglyceride hydrolysis by pancreatic lipase

A
  • pancreatic lipase enzyme is secreted by the pancreas
  • hydrolyzes triglycerides into 2 fatty acids and 2 monoacylglycerol (MAG) in the small intestine
  • cleaves triglyceride at the 1 and 3 position
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14
Q

summary of triglyceride metabolism and absorption

A
  • consume fats -> globules
  • mix will bile salts to form smaller globules -> increase SA
  • pancreatic lipase can hydrolyze easier -> releases monoacylglycerols and fatty acids
  • absorbed by the intestinal cells
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15
Q

what happens if you inhibits pancreatic lipase

A
  • you cant absorb triglycerides if you cant cleave them

- drugs have targeted this to induce weight loss -> but if we cant absorbs fats -> oily stools

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16
Q

intestinal cells

A
  • fatty acids and monoglycerides are resynthesized back into triglycerides after absorption
  • triglycerides and cholesterol is packaged into chylomicrons and shipped into blood
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17
Q

triglycerides and cholesterol ester synthesis in intestinal cells

A
  • monoacylglycerol is converted back to triglyceride by adding fatty acids back to the 1 and 3 position
  • cholesterol that was absorbed is converted to cholesteryl esters (hydrophobic!)
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18
Q

chylomicron synthesis

A
  • chylomicrons allow large quantities of hydrophobics like cholesteryl esters and triglycerides in intestinal cells to be transported through blood
  • triglycerides are packaged alongside cholesterol and cholesteryl esters into chylomicrons
  • densely packed core of triglycerides and cholesteryl esters (highly hydrophobic) -> these are then surrounded by a phospholipid monolayer
  • phospholipid monolayer- one layer of phospholipid with the head groups (charged, soluble) are on the outside and the tail (hydrophobic) are in the inside
  • shields from the aqueous environment -> solubilized
  • allows hydrophobics to be soluble in water
  • free cholesterol is embedded in the phospholipid monolayer -> free cholesterol has a free charged hydroxyl group that allows this
  • proteins coating the surface of the chylomicrons
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19
Q

two fates of chylomicrons

A
  • chylomicrons have two fates in the blood: use energy immediately or store it
  • within the blood stream chylomicrons will be acted upon by a lipoprotein lipase protein
  • lipoprotein lipase is embedded in capillaries that are surrounded adipose, fat or muscle tissue
  • lipoprotein lipase will cleave triglycerides within the chylomicron back into monoglycerides and fatty acids -> taken up my muscle tissue for energy use or lipocytes for energy storage
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20
Q

lipoprotein lipase (LPL)

A
  • enzyme that lines the endothelium (lumen) of capillaries surrounding adipose and muscle tissue
  • enzyme is never free floating -> its is localized and tethered to walls
  • cleaves the triglycerides within the chylomicrons in the blood
  • cleaves triglycerides within chylomicrons at the 1 and 3 positions to generate free fatty acids (FFA) and 2-monoacylglycerols
  • free fatty acids and monoglycerides are taken up my muscle tissue for energy or by adipose tissue for storage
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21
Q

GPIHBP1 anchors lipoprotein lipase

A
  • GPIHBP1 is a binding partner for lipoprotein lipase
  • it is tethered to the capillary wall
  • has an acidic domain that interacts with lipoprotein lipase and the chylomicron
  • the chylomicron and the LPL dock next to each other -> starts to cleave the triglycerides of the chylomicron
  • GPIHBP1 anchors lipoprotein lipase to the endothelium of capillaries surrounding adipose and muscle tissue
  • enzyme is never free floating -> it is localized
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22
Q

chylomicron remnants are taken up by the liver

A
  • chylomicrons are filled with triglycerides and cholesteryl esters -> LPL cleaves triglycerides -> monoglycerides and fatty acids
  • adipose tissue take up for storage
  • muscle tissue takes up for energy use
  • LPL doesnt cleave cholesteryl esters -> make up the chylomicron remnants (some triglycerides too)
  • liver takes up chylomicron remnants (cholesteryl esters)
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23
Q

what would you expect to occur in individuals deficient in lipoprotein lipase

A
  • chylomicrons build up
  • lipoprotein lipase deficiency
  • rare- 1-2 cases/million
  • elevated chylomicrons -> elevated triglycerides and cholesterol
  • causes abdominal pain (colic in infancy), loss of appetite, nausea, vomiting
  • glyberia treatment
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24
Q

fatty acids and cholesterol are stored in intracellular lipid droplets

A
  • triglycerides are rebuilt again and stored in lipid droplets in adipose tissue
  • lipid droplets are in every cell but are prominent in adipose tissue
  • *lipid droplets are similar structurally to chylomicrons -> inner core of cholesteryl esters and triglycerides, surrounded by phospholipid monolayer with acyl chains facing inward and charged heads outward, free cholesterol and proteins are embedded in the monolayer
  • they are different in that the lipid droplets are inside cells (intracellular) and are a storage site for excess fat
  • storage depots for cellular lipids (triglycerides and cholesteryl esters)
  • during times of energy need triglycerides are hydrolyzed back into free fatty acids for tissue
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25
Q

lipid droplets are dynamic

A
  • they grow and shrink depending upon the rate of lipid turnover
  • as you consume/store more fat lipid droplet grow and diffuse with each other -> form large lipid globules
  • this happens are you gain weight
  • as you use the lipid they will shrink
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26
Q

fasting state: dipping into the fat/energy storage in adipose tissue: lipolysis

A
  • highly regulated
  • we dont want to be using stored fats right after a meal
  • process of hydrolyzing lipid droplets stored in adipose tissue into free fatty acids -> released into blood -> used by muscles
  • glucagon (fasting) and epinephrine/adrenaline (fight or flight) stimulate this
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27
Q

enzymatic conversion of triglycerides into fatty acids

A
  • triglyceride in lipid droplets is cleaved by adipocyte triglyceride lipase (ATGL, specific to triglyceride)
  • ATGL cleaves at the 1 position and generates a diglyceride
  • then hormone sensitive lipase (HSL) cleaves the diglyceride into a monoacylglyceride
  • monoacylglycerol lipase then cleaves
  • 3 fatty acid and glycerol product
  • occurs during times of energy need (from storage)
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28
Q

regulation of lipolysis

A
  • protein kinase A (PKA) phosphorylates proteins involved in lipolysis
  • glucagon (or epinephrine) is released from pancreas when you are hungry -> activates a receptor that is present on the adipocyte
  • when glucagon activates -> it activates protein kinase A (PKA)
  • PKA is a major regulator of lipolysis
  • PKA phosphorylates to 2 proteins: perilipin-1 and ABHD5 (and hormone sensitive lipase)
  • perilipin-1 and ABHD5 are tethered to each other are in a complex on a lipid droplet surface
  • when they are phosphorylated by PKA they dissociate -> ABHD5 can then fully dock onto the lipid droplet surface
  • ABHD5 recruits adipocyte triglyceride lipase (ATGL) to the lipid droplet (when phosphorylated) -> ATGL initiates lipolysis
  • phosphorylation of hormone sensitive lipase allows it to be recruited to lipid droplet surface -> increase activity
  • ATGL and HSL are highly regulated while MAGL isnt
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29
Q

chanarin-dorfman syndrome

A
  • rare autosomal recessive neutral lipid storage disease
  • mutation resulting in nonfunctional ABHD5
  • ABHD5 deficiency
  • means you cannot recruit ATGL to lipid droplets -> store too many fats
  • cannot cleave triglycerides in lipid droplets
  • patients have hepatomegaly
  • hepatocyte triglyceride lipase, hormone sensitive lipase, monoacylglyceride lipase are also in the liver with similar function -> liver can store some lipids
  • patients accumulate fats
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30
Q

glycerol is converted into glycolytic intermediates

A
  • glycerol is released from adipose tissue
  • glycerol is taken up by liver and used for gluconeogenesis
  • free fatty acids (released by adipose tissue) are in blood and taken up by other tissue to be used for beta-oxidation
  • beta-oxidation- fatty acids are converted to acetyl CoA and NADH, FADH
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31
Q

beta-oxidation

A
  • mechanism through which cells utilize energy stored in fatty acids (carbons of fatty acyl chains)
  • series of enzymatic rxns within the mitochondrial matrix:
  • fatty acids -> acetyl CoA
  • palmitate (fatty acid)- 16 carbon fatty acid -> 8 acetyl CoA
  • acyl-CoA -> acetyl-CoA
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32
Q

acyl-CoA synthetase enzyme (ACS)

A
  • convert fatty acids into acyl-CoAs
  • molecule of Coenzyme A is attached to fatty acid molecule
  • these enzymes are in the cytoplasm (membrane enzymes that are cytoplasmically oriented)
  • activate fatty acids
  • forms a acyladenylate intermediate
  • 2 ATP equivalents used (breakage of 2 high energy bonds)
  • requires ATP for activation of the fatty acid
  • rate limiting
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33
Q

activation of fatty acids mechanism

A
  • fatty acid -> acyl CoA
  • fatty acid comes in the active site of acyl-CoA synthetase and attacks the alpha phosphate of ATP
  • breaks the phosphodiester bond
  • produces pyrophosphate and fatty acid is attached to alpha phosphate of the adenosine monophosphate (AMP)
  • molecule of CoA comes in -> the sulfur of CoA attacks the fatty acid carbon of the acyladenylate mixed anhydride intermediate
  • breaks the bond -> fatty acid becomes transferred to Coenzyme A
  • yields Acyl-CoA and AMP
  • what drives this rxn forward is the cleavage of the high energy bond between the beta and gamma phosphate during hydrolysis of the pyrophosphate
  • this rxn breaks 2 high energy bonds: between alpha and beta phosphate and beta and gamma phosphate -> uses 2 ATP equivalents
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34
Q

transport of long chain fatty acids into mitochondria

A
  • inner mitochondria membrane is not permeable to long chain acyl-CoA
  • carnitine palmitoytransferase (CPT) AKA carnitine acyltransferase
  • carnitine is a rate limiting carrier
  • there are 2 CPT’s: CPT1
  • CPT1- enzyme on the outer mitochondrial membrane facing the cytosol
  • CPT1 takes the activated acyl-CoA and transfers the fatty acid group to a molecule of carnitine in the cytoplasm -> converts carnitine into acyl carnitine (permeable)
  • transporter can transport acyl carnitine in to the matrix of mitochondria (translocase)
  • coenzyme A is liberated and returned to cytosol
  • CPT2- enzyme on the inner mitochondrial membrane facing the matrix
  • CPT2 catalyzes the reverse rxn -> transfer the fatty acid from the acyl carnitine back to the CoA -> regenerates acyl CoA in the matrix
  • carnitine is transported back to cytosol
  • rate limiting
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35
Q

beta oxidation: acyl CoA is converted into acetyl CoA, NADH, FADH2

A
  • energy in the carbon bonds are used for energy

- 1 NADH, 1 FADH2, 1 acetyl-CoA with each cycle (2 carbons at a time and repeat)

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36
Q

step 1: beta oxidation

A
  • aceyl-CoA dehydrogenase (AD)
  • formation of trans-alpha-beta double bond through dehydrogenase by acyl-CoA dehydrogenase
  • glutamate extracts proton from alpha carbon
  • hydride ion (H+) from beta carbon is transferred to FAD -> FADH2
  • mitochondria possess 4 acyl-CoA dehydrogenases with different chain link specificities:
  • VLCAD- very long chain acyl-CoA DH (12-20C)
  • LCAD- long chain acyl-CoA DH (8-20C)
  • MCAD- medium chain acyl-CoA DH (6-10C)
  • SCAD- short chain acyl-CoA DH (4C)
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37
Q

step 2: beta oxidation

A
  • enoyl-CoA hydratase
  • hydrates the alpha-beta-trans double bond by adding water to the beta carbon
  • water is coordinated by 2 glu
  • double bond is reduced
  • multiple forms for different chain lengths
  • beta carbon takes OH and alpha carbon takes 1 H
  • no energy generated
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38
Q

step 3: beta oxidation

A
  • NAD+-dependent dehydrogenation
  • 3-L-hydroxyacyl-CoA dehydrogenase (HAD)
  • oxidizes a 2ndary alcohol using NAD+
  • creates a ketone on the beta carbon
  • transfer electrons onto NAD -> NADH
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39
Q

step 4: beta oxidation

A
  • alpha carbon - beta carbon cleavage in a thiolysis rxn
  • thiolase (KT)
  • generates acetyl-CoA and a acyl-CoA the is 2C shorter
  • cleaves the bond between alpha and beta carbon
  • molecule of coenzyme A comes in and sulfur attacks -> attacked to beta carbon
  • yields acetyl-CoA and fatty acyl-CoA (2C shorter)
  • new fatty acyl-CoA can go back into the cycle
  • 8 carbons -> 3 rounds
  • 4 carbons -> 1 round
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40
Q

products of beta-oxidation are shuttled to the citric acid cycle and oxidative phosphorylation

A
  • acetyl-CoA, NADH, FADH2

- generates ATP

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41
Q

palmitate (16:0) requires 7 rounds of beta-oxidation

A
  • 16C fatty acid
  • 7 rounds of beta oxidation
  • generates 8 acetyl CoA, 7 FADH2, 7 NADH
  • 1 FADH2 generates about 1.5 ATP -> 10.5 ATP
  • 1 NADH generates about 2.5 ATP -> 17.5 ATP
  • 8 acetyl-CoA generates 10 ATP -> 80 ATP
  • 108 ATP molecules per palmitate
  • however 2 ATP are used to activate the fatty acid (convert to acyl-CoA)
  • net of 106 ATP per palmitate
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42
Q

genetic disorders of beta oxidation

A
  • new borns
  • acyl-CoA dehydrognase:
  • VLCAD- cardiomyopathy and muscle weakness
  • LCAD- pulmonary surfactant dysfunction
  • MCAD- most common beta-oxidation defect (1:15000) -> hypoketotic hypoglycemia with lethargy that develop into coma
  • SCAD- relatively mild -> leads to elevated levels of butyrate
  • HAD:
  • lethal cardiomyopathy -> infant form (lethargy) or peripheral neuropathy
  • 10% of sudden infant death
  • infants feed on milk from mother which has fatty acids -> if they dont have HAD then the heart will die
  • there are screening tests for these disorders
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43
Q

beta oxidation of unsaturated fatty acids

A
  • oleic acid (oils)
  • linoleic acid
  • presence of double bonds can be problematic for the second enzyme (enoyl-CoA hydratase (EH))
  • if there is double bond at the beta and gamma position -> not a substrate for the EH enzyme
  • enoyl-CoA isomerase shifts the double bond from the beta gamma position to the alpha beta trans position -> EH proceeds
  • there is another problem bc EH cannot react if there is double bond at 4,5 position as well
  • 2,4-dienoyl CoA reductase reduces the 2 double bonds into a single double bond in the trans position BUT it puts it in the beta gamma position (problem again!)
  • enoyl-CoA isomerase reacts again and takes the beta gamma double bond and puts it between alpha beta position
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44
Q

beta-oxidation of odd chain fatty acids

A
  • 15C fatty acid (for example)
  • goes through 6 rounds of beta-oxidation
  • at the end we generate a 3 carbon fatty acyl-CoA -> propionyl-CoA
  • propionyl-CoA is not a substrate for AD
  • cells convert propionyl-CoA into succinyl-CoA
  • succinyl-CoA can enter the citric acid cycle as an intermediate
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45
Q

fatty acids and the brain

A
  • fatty acids do not readily diffuse into the brain
  • during fasting, the brain cannot use fatty acids released by adipose tissue as source of energy
  • alternate source is needed to transfer energy stored in fatty acids (i.e. in adipose tissue or liver) to the brain
  • during starvation glucagon levels rise -> fatty acids are released from adipose tissue -> muscle tissue -> converted to acetyl-CoA
  • blood brain barrier- cells lining the blood vessels forming tight junctions which causes many molecules to be unable to enter (fatty acids)
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46
Q

ketone bodies

A
  • 4C molecules -> result from condensation of 2 acetyl-CoAs
  • ketone on beta carbon
  • 2 ketone bodies:
  • D-beta-hydroxybutyrate and acetoacetate
  • acetone is breakdown product of these ketone bodies (no energy)
  • generated from acetyl-CoA in the liver
  • only in liver mitochondria
  • released into blood stream by liver
  • used for energy during fasting/low blood glucose
  • can diffuse into brain
  • during starvation the liver will take up a significant portion of fatty acids as well and converts them into acetyl-CoA
  • build up of acetyl-CoA is funneled into synthesis of ketone bodies by the liver -> released into circulation and taken up by the brain -> converted back to acetyl-CoA
  • ketone bodies are produced from acetyl-CoA
  • produced at low levels under normal conditions
  • ketone bodies increase when blood fatty acid concentration is high -> high fat diet, starvation conditions, intreated diabetes
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47
Q

why do untreated diabetics have high ketone levels

A
  • insulin response -> insufficient
  • glucose isnt taken up by cells
  • cells are starving
  • blood sugar is elevated but the cells cant take it up
  • mobilizing fatty acids bc it thinks it starving -> converted to ketones
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48
Q

energy use by the brain

A
  • brain comprises 2% of body weight but uses 20% of glucose
  • brain (neurons) is heavily reliant on glucose metabolism (supplemented by ketone bodies during starvation)
  • during prolonged fasting/starvation, it is imperative that the brain continues to receive glucose as an energy source -> liver and muscle shift to fatty acid metabolism to preserve glucose
  • glucose is preserved for brain
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49
Q

products of beta oxidation inhibit glycolysis in liver and muscle

A
  • liver and muscle shift to fatty acid metabolism to preserve
  • fats are taken up from the circulation from adipose tissue -> liver converts to acetyl-CoA
  • build up of acetyl-CoA and NADH -> inhibit pyruvate dehydrogenase
  • as you develop higher energy state from the liver it can feedback and inhibit the breakdown of glucose (glycolysis) in the liver
  • acetyl-CoA is stimulating pyruvate carboxylase at the same time -> increase gluconeogenesis in the liver
  • as you metabolize fatty acids in the liver -> inhibit glycolysis, activate gluconeogenesis, and excess sugar is released to the brain for energy
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50
Q

ketogenesis

A
  • in the liver mitochondrial matrix
  • reverse beta-oxidation
  • input of 3 acetyl-CoA and 1 is regenerated
  • 2 acetyl-CoAs are conjugated to each other
  • reversal of beta oxidation
  • 2 acetyl CoAs
  • thiolase (acetyl-CoA acetyltransferase) conjugates 2 carbons from an acetyl-CoA to another acetyl-CoA to generates -> 4 carbon acetoacetyl-CoA
  • another acetyl-CoA comes in and attacks -> generates beta-hydroxy-beta-methylglutaryl-CoA (HMG-CoA) (6 carbons fused to CoA)
  • hydroxymethylgutaryl-CoA lyase (HMG-CoA lyase)- liver enzyme* and also expressed in the liver mitochondrial matrix*
  • only in the matrix of the mitochondria will HMG-CoA lyase enzyme cleave and regenerate an acetyl-CoA and acetoacetate (ketone)
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51
Q

ketones

A
  • released into the blood stream
  • taken up by other tissues (brain, heart, sometimes muscle)
  • converted back to acetyl-CoA to use for energy
  • ketone bodies provide energy to other tissues -> provide a way to transport acetyl-CoA between tissues
  • lower demand for glucose by brain during starvation
  • reduce amount of protein (i.e. amino acids) that must be broken down for gluconeogenesis
  • liver is shifting towards fatty acid metabolism and away from glucose
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52
Q

excess of ketone bodies: diabetic ketoacidosis

A
  • tissues unable to take up and utilize glucose
  • excess ketone body production
  • acetone can be smelled in breath
  • ketones are acids -> low blood pH
  • this will kill you if prolonged
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53
Q

excess of ketone bodies: alcoholic ketoacidosis

A
  • found in alcoholics
  • high (NADH), depletion of oxaloacetate required for gluconeogenesis
  • elevated ketone body production
  • low blood pH
  • this will kill you if prolonged
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54
Q

Glut1 deficiency and the ketogenic diet

A
  • consume low levels of sugar and high levels of fat
  • shift glucose metabolism to fat metabolism
  • Glut1 is a glucose transporter at the blood brain barrier
  • mutation in Glut1 reduce glucose uptake by the brain
  • children with Glut1 deficiency (heterozygous) frequently develop seizures that are poorly controlled by anti-epileptic medications
  • seizures bc low glucose to the brain -> and brain is highly reliant on glucose
  • ketogenic diet reduces seizures in these patients
  • amount of ketones produced are sufficient to use as excess energy to brain if glucose transporter is at 50% compacity -> Reduce seizures
  • fatty acid oxidation- important for generation energy
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55
Q

lipids

A
  • excess energy is stored in the form of lipids (fatty acids) -> converted to triglycerides
  • vast majority for the carbon source of fatty acids -> glucose
  • under high energy states the carbon from acetyl-CoA comes out of the matrix to convert to citrate -> citrate is converted back to acetyl-CoA -> used for fatty acid biosynthesis
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56
Q

fatty acid synthesis and beta oxidation

A
  • beta oxidation is the mitochondrial matrix and help generate energy
  • fatty acid biosynthesis requires energy -> cytosol
  • these rxns will therefore be spatially separated
  • regulated separately
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57
Q

fatty acid biosynthesis shares chemical similarities to beta-oxidation

A
  • however fatty acid biosynthesis is in the cytoplasm
  • input of energy for fatty acid biosynthesis and NADPH
  • biosynthesis occurs in a high energy state
  • oxidation under a lower energy state
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58
Q

Fed state

A
  • store energy for energy use
  • high energy state
  • increased insulin
  • increase glycolysis
  • increased glycogenesis
  • increase fatty acid biosynthesis
  • decrease glycogenolysis
  • decrease gluconeogenesis
  • decrease fatty acid oxidation
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59
Q

tricarboxylate transport system

A
  • acetyl-CoA is transported out of the matrix into the cytosol
  • in the high energy state -> high abundance of acetyl-CoA
  • acetyl-CoA cannot diffuse out -> it is converted into citrate -> citrate transporter -> cytosol
  • acetyl-CoA is the precursor for fatty acid biosynthesis
  • acetyl-CoA generated in the mitochondrial matrix in the liver
  • acetyl-CoA is conjugated to oxaloacetate via citrate synthase-> forms citrate
  • tricarboxylate transport system- transport citrate across the inner mitochondrial membrane
  • citrate is now the substrate for ATP-citrate lyase in the cytosol
  • transfer these carbons from the citrate onto a CoA -> generates a cytosolic pool of acetyl-CoA -> precursor of fatty acid biosynthesis
  • in the cytoplasm oxaloacetate is converted to malate -> pyruvate -> generates a pool of NADH
  • this NADPH is used for fatty acid biosynthesis
60
Q

citrate

A
  • high concentration of citrate in the cytosol of the liver is a marker of high energy state
  • increases the rate of fatty acid biosythesis
61
Q

overview of fatty acid biosythesis

A
  • occurs primarily in the liver but also in other tissues (adipose tissue)
  • major precursor of acetyl-CoA in the liver is sugar (glucose)
  • reverse of beta oxidation
  • conjugation of 2 carbon units (acetyl-CoA/malonyl-CoA) to produce palmitate (16 carbon fatty acid)
  • each cycle is adding two carbons to the carbon fatty acid chain until we generate palmitate
62
Q

key enzymes in fatty acid biosynthesis

A
  • both in the cytoplasm
  • acetyl-CoA carboxylase (ACC)- converts acetyl-CoA to malonyl-CoA
  • malonyl-CoA- 3 carbon compound
  • this conversion is committed step to fatty acid biosynthesis
  • fatty acid synthase (FAS/FASN)- converts malonyl-CoA to palmitate
  • an acetyl-CoA + 7 malonyl-CoAs to generate palmitate via FAS
63
Q

biosynthesis of malonyl-CoA

A
  • cytoplasmic
  • committed step to fatty acid biosynthesis
  • heavily regulated
  • entry point of acetyl-CoA
  • acetyl-CoA carboxylase (ACC) converts acetyl-CoA to malonyl-CoA
  • biotin cofactor
  • bicarbonate (CO2) is attached to biotin factor
  • takes acetyl-CoA and attach bicarbonate to the methyl group of acetyl-CoA -> generate a 3 carbon malonyl-CoA
  • ATP is used
  • Acetyl-CoA + HCO3- + ATP -> malonyl-CoA + ADP + Pi
64
Q

acetyl-CoA carboxylase

A
  • very large
  • many domains
  • domains are far apart
  • substrate have to be shuttled from one domain to the next
  • biotin carboxylase side- biotin group comes in and becomes attached CO2
  • once this occurs biotin has to swing between 40-80A to the CT (transcarboxylase) site -> acetyl-CoA comes in and CO2 is transferred
  • large movements
  • same for FAS
65
Q

acetyl-CoA carboxylase activation

A
  • high cytosolic citrate concentration -> high energy state
  • abundance of energy and acetyl-CoA
  • cytosolic citrate activates ACC (committed step)
  • citrate induces polymerization of ACC
  • forms long polymers -> large increase in activity -> commits
66
Q

how do cells ensure that fatty acid biosynthesis and beta-oxidation do not occur simultaneously (vicious cycle)

A
  • regulate this with malonyl-CoA
  • in a high energy state acetyl-CoA is converted to malonyl-CoA (committed)
  • in the cytosol malonyl-CoA inhibits beta-oxidation of fatty acids by inhibiting the CPT1 enzyme (faces cytosol)
  • CPT1 converts acyl-CoA into acyl carnitines -> allows fatty acids to be transported into the matrix for beta oxidation
67
Q

fatty acid synthase (FAS)

A
  • upregulated in cancer and obesity
  • acetyl-CoA and malonyl-CoA are used to generate palmitate
  • multifunctional enzyme that catalyzes fatty acid biosynthesis
  • acetyl-CoA (malonyl-CoA) -> palmitate (C16:0)
  • adds 2 carbons to growing fatty acid chain per cycle
  • has many domains: catalytic
  • has acyl carrier protein (ACP)
  • 6 enzymatic activities, 7 cycles of C2 elongation
    1. MAT- malonyl/acetyl CoA ACP transferase
    2. KS- keto synthase
    3. ER- enoyl reductase
    4. KR- keto reductase
    5. DH- hydroxylacyl dehydrogenase
    6. TE- palmitol thioesterase
68
Q

fatty acid synthase mechanism

A
  • acetyl-CoA comes in
  • 2 acetyl groups are transferred to the enzyme
  • all the next cycles the malonyl-CoA comes in (3C)
  • with each cycle the chain grows by 2 carbons and CO2 (from malonyl-CoA) leave
  • grows in the opposite direction of beta oxidation
69
Q

fatty acid synthase structure

A
  • dimeric- symmetry
  • large
  • many domains: SD, KR, ER, ER, KR, SD, DH, DH, MAT, KS, KS, MAT
  • dynamic
70
Q

acyl carrier protein (ACP)

A
  • tethered to the growing fatty acid chain
  • apart of FAS enzyme
  • transports the fatty acid chain to each domain of fatty acid synthase as it is growing
  • ensures that the fatty acid chain is never released from the enzyme
  • structurally similar to CoA
  • has a sulfhydryl on the end (SH)
  • ACP is covalently tethered to the enzyme (FAS) -> this is different from CoA (free floating)
71
Q

fatty acid biosynthesis preview

A
  • in the first cycle acetyl-CoA will come into the MIT site of FAS
  • acyl carrier protein will be docked at the MAT site
  • acetyl group is transferred onto the ACP to generate acetyl-ACP (CoA floats away)
  • ACP with the acetyl group will migrate over to the KS site and transfer the acetyl group to a cystine on the enzyme
  • ACP group is liberated and goes back to MAT site to start bringing in malonyl groups
  • same process happens with malonyl -> malonyl goes to KS site and conjugates with the acetyl group that was attached there previously (from acetyl-CoA) -> forms acetoacetyl group attached to ACP (4C with a beta ketone)
  • then beta oxidation in reverse (many steps here) -> butyryl-ACP (4C molecule)
  • this group goes back to the KS site and repeat (keeping adding malonyl-ACP)
72
Q

fatty acid biosynthesis pt. 2: reverse beta oxidation

A
  • ACP on the acetoacetyl-ACP swing it into the KR site
  • beta ketone becomes a hydroxyl (reverse beta oxidation) via beta-ketoacyl-ACP reductase (KR) -> forms D-beta-hydroxybutyryl-ACP
  • KR uses NADPH
  • ACP swing this into the DH site
  • beta-hydroxyacyl-ACP dehydrase (DH) removes the hydroxyl and proton -> water leaves -> generates a alpha-beta trans double bond (reverse beta oxidation)
  • ACP swings this into ER site
  • enoyl-ACP reductase (ER) reduces the double bond between the alpha and beta carbon -> generates a fully saturated 4C fatty acid -> butyryl-ACP
  • ER uses NADPH
  • butyryl will go back to KS site and transfer the 4C fatty acid to the cysteine of KS and the ACP will go back to MAT to bring another malonyl-CoA
  • repeat until we get 16C unit -> palmitate
73
Q

last steps of the cycle: palmitoyl-ACP

A
  • after 7 cycles butyryl-ACP forms palmitoyl-ACP (16C)
  • ACP docks to TE -> water comes in and attacks -> ACP is released -> goes back to MAT to get acetyl group
  • palmitoyl thioesterase (TE) converts palmitoyl-ACP to palmitate
  • only goes to TE once we have a 16C fatty acid chain
74
Q

balanced rxn for synthesis of palmitate

A

8 acetyl-CoA (1 acetyl-CoA + 7 malonyl-CoA) + 14 NADPH + 7 ATP -> palmitate + 14 NADP+ + 8 CoA + 7 ADP + 7 Pi + 6 H2O

  • NADPH is used by ER and and KR
  • ATP is used by acetyl-CoA carboxylase -> when we synthesized acetyl-CoA from malonyl-CoA
75
Q

bigger fatty acids: fatty acid desaturation and elongation

A
  • cytoplasm
  • once you have a 16C fatty acid it can be extended to 18C, 20C, so forth
  • desaturases enzymes -> create double bonds
  • humans lack desaturase that can extend beyond the 9th carbon
  • bc of this there are fatty acids that essential to us bc we cant make them (diet)
  • ex. linoleic acid
76
Q

lipid biosynthesis in the liver

A
  • cytosol
  • glucose provides the major source for the precursors for fatty acid biosynthesis (after we eat)
  • high glucose is not good for you because it pools a large portion of fatty acid biosynthesis -> obesity
  • (recall) chylomicron remnants that are taken up by the liver have dietary triglycerides -> broken back down into fatty acids
  • dietary fatty acids + fatty acids from acetyl-CoA -> used to resynthesize triglycerides
  • these remade triglycerides + cholesterol and cholesterol esters -> are stored in lipid droplets in liver BUT more importantly they are shipped out into the circulation in the lipoproteins called very low density lipoprotein (VLDL) -> other tissues
  • tissues are getting dietary fatty acids from chylomicrons and VLDL
77
Q

very low density lipoprotein (VLDL)

A
  • in the liver triglycerides (from acetyl-CoA and from chylomicron remnants) and cholesterol/cholesteryl esters are incorporated into VLDL
  • lipoproteins that are released into the bloodstream
  • triglycerides and cholesteryl esters are packed in the hydrophobic lipoprotein interior while cholesterol is confined to the phospholipid monolayer
  • VLDL is analogous to chylomicrons
78
Q

triglyceride release from the liver in VLDL

A
  • shipped into the bloodstream
  • just like chylomicrons -> triglycerides will be substrates for lipoprotein lipase
  • lipoprotein lipase cleaves triglycerides in VLDL to generate fatty acids that can be taken up by adipose or muscle tissue
  • deliver for storage (adipose tissue)
  • if return back to a low energy state -> glucagon levels rise -> triglycerides will be cleaved in the adipose tissue -> delivered back to liver to make ketones or muscle tissue for energy
  • VLDL -> LDL
79
Q

regulation of fatty acid biosynthesis

A
  • malonyl-CoA will inhibit CPT1 (commits to biosynthesis)
  • regulated by insulin (promotes) and glucagon and epinephrine (inhibits)
  • majority of regulation is at acetyl-CoA carboxylase step (committed step)
  • high energy state- insulin rising
  • low energy state- glucagon levels are rising
80
Q

AMP-activated protein kinase (AMPK)

A
  • activated by AMP (an low ATP) -> therefore when its in a low energy state
  • AMPK phosphorylates and inactivates acetyl-CoA carboxylase (ACC) (committed step)
  • no malonyl-CoA is synthesized -> relieves inhibition of CPT1 -> fatty acid oxidation is activated
  • fatty acid biosynthesis occurs under high energy states, necessitating the inactivation of AMPK
  • Low energy state -> high AMP -> inhibit ACC -> decrease malonyl concentration -> relieve inhibition of CPT1 -> increase beta oxidation
  • many hormones regulate AMPK activity
  • high energy state- insulin rising -> AMPK inactivated -> fatty acid biosynthesis
  • low energy state- glucagon levels are rising -> AMPK activated -> beta oxidation
81
Q

phosphorylation of ACC reduced polymerization

A
  • formation of filaments increases ACC activity >20-fold
  • in the presence of citrate ACC forms filaments -> activates ACC -> more malonyl-CoA
  • citrate induces abnormal filament formation when ACC is phosphorylated by AMPK -> even in the presence of citrate ACC is still inhibited by AMPK
82
Q

fatty acid biosynthesis in human diseases

A
  • acetyl-CoA carboxylase and cancer
  • ACC and FAS are important drivers of cancer/tumor growth
  • cells use fatty acids for energy, to build membranes, and division
  • ACC expression is elevated in cancer cells
  • fatty acid promote cancer cell proliferation
  • cancer cells lacking acetyl-CoA carboxylase (ACC1KO) -> tumors grow smaller
  • FAS overexpression also promotes prostate cancer metastasis -> tumors are larger
  • FAS is upregulated in many cancers including prostate cancer
83
Q

functions of cholesterol

A
  • essential component of membranes: modulates fluidity and permeability (40%)
  • precursor for bile salts (liver): natural detergents in gut
  • digest triglycerides
  • precursor for steroid hormones (estrogen & testosterone)
  • regulates the activity of proteins
  • signaling functions
  • free hydroxyl on one end and hydrophobic on the other end -> hydrophobic molecule but has a polar group
  • has 27C
84
Q

sources of cholesterol

A
  • endogenous sources:
  • liver (majority)- synthesizes 1g of cholesterol daily
  • accounts 70% of all cholesterol needed by the body
  • dietary sources:
  • account for the other 30% of cholesterol
  • 1 large egg= 190mg of cholesterol
  • big mac= 80 mg of cholesterol
  • clinically used drugs reduce cholesterol levels by targeting both of these processes (dietary and endogenous)
  • endogenous drugs are more effective bc the liver makes majority of cholesterol
85
Q

cholesterol is a precursor to bile salts

A
  • accounts for the only route of cholesterol out of our bodies
  • through the GI (intestines)
86
Q

overview of cholesterol biosynthesis

A
  • occurs predominantly in the liver
  • increased by insulin and reduced glucagon
  • high energy state
  • cholesterol biosynthetic enzymes are found in the cytoplasm -> *bc it allows you to spatially segregate energy producing functions in the matrix and biosynthetic rxns in the cytoplasm
  • utilizes acetyl-CoA as the major carbon donor (same source of fatty acid biosynthesis)
  • precursor is acetyl-CoA
  • very similar to fatty acid biosynthesis!
87
Q

major regulatory step in cholesterol biosynthesis

A

-HMG-CoA reductase

88
Q

cholesterol biosynthesis: four stages

A
  1. acetyl-CoA to HMG-CoA to mevalonate (C5)
  2. conversion of mevalonate to 2 activated isoprenes
  3. condensation of 6 activated isoprenes to make squalene (30C)
  4. cyclization of squalene to make lanosterol and conversion of lanosterol into cholesterol
89
Q

source of acetyl-CoA for cholesterol biosynthesis

A
  • acetyl-CoA + oxaloacetate is converted to citrate via citrate synthase
  • citrate is transported from matrix to the cytoplasm via tricarboxylate transport system
  • citrate is converted back to oxaloacetate in the cytoplasm -> generates acetyl-CoA
  • all of this is the same from fatty acid biosynthesis
90
Q

acetyl-CoA is convert to isoprene

A
  • acetyl-CoA is converted to isopentenyl-pyrophosphate (isoprene)
  • 4C chain with a methyl group on 2 -> 5C
91
Q

cholesterol biosynthesis: stage 1: pt.1

A
  • HMG-CoA is made from 3 molecules of acetyl-CoA
  • all the cytosolic isozymes for making ketone bodies (matrix) are in the cytosol (use the same enzymes)
  • thiolase (acetyl-CoA acetyltransferase) combines 2 acetyl-CoAs and forms acetoacetyl-CoA (4C)
  • HMG-CoA synthase brings in another acetyl-CoA (2C) -> forms HMG-CoA (6C)
  • this product is diverted towards cholesterol biosynthesis (instead of ketone)
  • HMG-CoA becomes the substrate for HMG-CoA reductase
92
Q

why cant we make ketones in the cytoplasm?

A
  • HMG-CoA lyase is not found in the cytoplasm
  • we are left with the product HMG-CoA -> diverted to cholesterol biosynthesis
  • this also makes sense bc when we are in a high energy state we are synthesizing cholesterol -> we dont want to make ketones (made during low energy)
93
Q

cholesterol biosynthesis: stage 1: pt.2

A
  • rate limiting enzyme in cholesterol biosynthesis
  • major regulatory site
  • major drug target to reduce cholesterol levels
  • HMG-CoA is converted to mevalonate via HMG-CoA reductase
  • uses 2 NADPH
  • reduces C=O and releases CoA
94
Q

cholesterol biosynthesis: stage 2

A
  • mevalonates is converted to 2 isoprenes
  • mevalonate is a substrate for mevalonate-5-phosphotransferase -> produces phosphomevalonate
  • we use ATP -> ADP
  • transfers the phosphate from ATP to mevalonate
  • phosphomevalonate kinase then converts phosphomevalonate to 5-pyrophosphomevalonate
  • adds another phosphate via ATP
  • there are now 2 phosphate groups attached
  • pyrophosphomevalonate decarboxylase converts 5-pyrophosphomealonate to isopentenyl pyrophosphate
  • decarboxylates and dehydrates to produce the isoprene unit
  • uses ATP
  • releases CO2
  • forms a double bond
  • 5C unit with 2 phosphates attached
95
Q

isopentenyl pyrophosphate isomerase rxn * dont need to know

A
  • isopentenyl pyrophosphate is converted to dimethylallyl pyrophosphate via isopentenyl pyrophosphate isomerase
  • double bond is shifted
  • resonance stabilization
  • 5C units with 2 phosphates attached
96
Q

cholesterol biosynthesis: stage 3 * dont need to know

A
  • condensation of 6 activated isoprenes to make squalene (30C)
  • dimethylallyl pyrophosphate and isopentenyl pyrophosphate -> conjugated to each other -> forms 10C unit -> geranyl pyrophosphate
  • pyrophosphate leaves
  • geranyl pyrophosphate (10C) is coupled to another 5C -> forms farnesyl pyrophosphate (15C)
  • conjugate 2 farnesyl pyrophosphates and form -> 30C squalene
97
Q

cholesterol biosynthesis: stage 4 * dont need to know

A
  • cyclization of squalene to make lanosterol and conversion of lanosterol into cholesterol
  • ring formations
98
Q

lanosterol

A
  • lanosterol (30C) is the ultimate precursor to cholesterol
  • step before (in reality its about 19 steps)
  • we lose 3 carbons in the process (removal of 3 methyl groups)
  • one reduction
  • 27C cholesterol
99
Q

major site of regulation of cholesterol synthesis pathway

A
  • two regulation pathways
  • both are regulated at HMG-CoA reductase
  • rapid and long-term
  • drug target of statins
100
Q

rapid regulation of cholesterol

A
  • phosphorylation by AMP-activated protein kinase (AMPK) inactivates HMG-CoA reductase
  • AMPK is activated in low energy states -> inhibits HMG-CoA -> cholesterol is not produced
  • this is controlled by energy state: high AMP -> high AMPK -> general biosynthetic pathways decrease
  • regulates rate limiting step
101
Q

long term regulation of cholesterol

A
  • regulation of HMG-CoA reductase transcription (mRNA)
  • regulates rate limiting step
  • this is the major pathway for regulation
  • decreased cholesterol induces transcription of mRNA for HMG-CoA reductase
  • when there is excess cholesterol the liver knows not to make more
  • 3 proteins (complex) in the liver: SREBP, SCAP, INSIG
  • these proteins are in the ER
  • when cholesterol is high the complex remains
  • when cholesterol drops -> SREBP and SCAP complex dissociates from INSIG
  • SREBP and SCAP move from the ER to the Golgi apparatus
  • site 1 protease (S1P) and site 2 protease (S2P) in the Golgi
  • S1P recognizes SREBP and clips it into 2 -> these pieces become substrate for S2P
  • S2P clips it ag and the head floats away into the cytosol
  • the head group is a transcription factor -> translocates into the nucleus -> binds to promoter for HMG-CoA reductase -> increase mRNA levels of HMG-CoA reductase
  • more HMG-CoA reductase protein to make cholesterol
  • same process controls to the expression of the LDL receptor
102
Q

SREBP

A

-sterol regulatory element binding protein

103
Q

SCAP

A
  • SREBP cleavage-activating protein

- contains sterol-sensing domain

104
Q

fate of choelsterols

A
  • liver packs dietary and endogenously synthesized cholesterol/cholesterol ester and triglycerides from chylomicron remnants into lipoproteins: VLDL
  • shipped out from liver into circulation
  • triglycerides that stayed in the liver are deposited into adipose tissue for storage
  • triglycerides in the VLDL are substrates for lipoprotein lipase -> stored in adipose tissue
  • this VLDL becomes triglycerides poor (they are cleaved and taken up) and cholesterol rich -> LDL
  • lipoprotein lipase cleaves triglycerides in VLDL (very low density lipoprotein) to generate LDL (low density lipoprotein)
  • LDL is taken up by other tissues and uses the cholesterol
105
Q

VLDL

A
  • rich in triglycerides, cholesterols, cholesteryl esters

- very low density lipoprotein

106
Q

LDL

A
  • triglyceride poor
  • rich in cholesterols and cholesteryl esters
  • low density lipoprotein
  • has a protein B100 on its surface
  • B100 allows your cells to take up LDL from the blood and internalize it
  • not permeable to blood brain barrier like fatty acids -> cholesterol produced in the liver doesnt enter the brain
  • brain has its own machinery to make its own cholesterol (very low rate)
  • turnover of brain cholesterol is very slow
  • bad cholesterol
107
Q

LDL is taken up by peripheral tissues

A
  • endocytosis
  • cells have LDL receptor on the plasma membrane
  • LDL receptor will recognize B100 protein on the surface of the LDL
  • LDL receptors recognize and bind to apolipoprotein B100 on LDL
  • all the proteins become hydrolyzed within the cell by lysosomes
108
Q

excess cholesterol in tissues

A
  • cholesterol is sent back to the liver via HDL (high density lipoprotein)
  • reduce high levels of cholesterol in the tissue by increasing reverse transport to liver -> excreted through bile salts
109
Q

HDL (high density lipoprotein)

A
  • transports cholesterol from peripheral tissues to the liver for excretion
  • uses protein ABCA1 to transport the excess cholesterol out of the peripheral cell
  • cholesterol is assembled together into HDL
  • more HDL you have the more ability you have to transport cholesterol back to liver to excrete as bile salts -> lowers cholesterol
  • good cholesterol
110
Q

atherosclerosis and coronary heart disease

A
  • caused by deposition of lipid (cholesterol) within arteries
  • results in hardening and thickening of arteries and restricted blood flow
  • leading cause of death in the US
  • greater risk with increasing blood cholesterol (LDL) levels
  • deposition of cholesterol -> narrower lumen of arteries
111
Q

atherosclerosis is a progressive disease

A
  • high LDL levels
  • initiated by deposition of LDL in walls of large blood vessels (typically arteries)
  • LDL is oxidized -> induces infiltration of macrophages (immune cells), which take up oxidized LDL and become lipid rich foam cells (fat immune cells)
  • foam cells release proteases and factors that damage artery walls
  • damage to endothelial lining and cell death results in the formation of necrotic core, calcification (hardening) and thickening of arteries, and reduced blood flow
  • plaque rupture exposes necrotic core to blood, resulting in the formation of a thrombus (platelet clot) that significantly restricts blood flow as it grows
  • reduced blood flow causes ischemia (death) of tissue (myocardium) and heart attack
  • thrombus can detach and lodge in smaller vessels and obstruct blood flow, also leading to heart attack
112
Q

reducing blood cholesterol levels

A
  • diet -> reduce intake of sugar and cholesterol
  • drugs -> this is better bc most cholesterol is made endogenously
  • HMG-CoA reductase inhibitors: statins are used
113
Q

HMG-CoA reductase inhibitors: statins

A
  • statins inhibit HMG-CoA reductase (rate limiting)
  • structurally similar to the substrate HMG-CoA
  • as cholesterols level drop from statins -> SREBP system upregulates the expression AND the expression of the LDL receptor* -> more LDL is taken up by cells and taken out of blood stream
  • this reduces the chance of cholesterol embedding into the arteries
114
Q

ezetimibe (zetia)

A
  • inhibits intestinal cholesterol absorption
  • cholesterol passes through you
  • less effective than statins bc its targeting dietary cholesterol (less percentage)
115
Q

PCSK9 inhibitors lower LDL levels (Reptha)

A
  • PCSK9 is secreted by the liver
  • binds to the LDL receptor and enhances its degradation by lysosome within cells
  • PCSK9 inhibitors (reptha) block PCKS9 function -> reduce LDL receptor degradation -> allows it to be recycled to the plasma membrane to take up additional LDL
116
Q

bioactive lipids

A
  • lipids are derivative of lipids that have biological activity
  • you want these to be low when your healthy
  • in addition to providing energy for cellular metabolic needs, some fatty acids are also converted into potent signaling molecules
  • there are many classes:
  • prostaglandins
  • prostacyclin
  • endocannabinoids
  • leukotrienes
  • resolvins
  • sphingolipids
  • etc.
117
Q

inflammation

A
  • acute inflammation is a protective response to tissue injury and infection
  • pain
  • fever -> infection
  • swelling
  • many features of inflammation are regulated by signaling lipids
118
Q

arachidonic acid (AA)

A
  • precursors to numerous signaling lipids
  • this one fatty acid (inert) can be converted to dozens of specialized signaling lipids
  • normally inert -> can be converted to many classes of signaling lipids
  • 20C fatty acid
  • 4 double bonds
119
Q

AA is converted into prostaglandins

A
  • AA (arachidonic acid) -> PGE2 (prostaglandin E2)
  • intermediate PGH2 (prostaglandin H2)
  • COX-1 and COX-2 (cyclooxygenase-1 and 2) convert AA to PGH2
  • PGES1 (prostaglandin E synthase 1) converts PGH2 to PGE2
  • PGE2 is a major mediator of pain, inflammation, fever -> you dont want this to be elevated if youre not sick
  • these enzymes (COX-2 and PGES1) will increase during sickness
120
Q

cyclooxygenase (COX) enzymes

A
  • COX-1 is expressed in most tissues (constant)
  • COX-2 expression increases during inflammation
  • COX-2 upregulation during inflammation*
  • convert arachidonic acid into prostaglandin H2 (PGH2)
  • PGH2 has no biological activity as an intermediate (but its converted to many different prostaglandins)
  • PGH2 is subsequently converted into multiple prostaglandins
121
Q

COX-2

A
  • membrane protein
  • has no transmembrane domains
  • has 2 regions (alpha helices) that anchor it to the phospholipid bilayer
  • embedded in the bilayer
  • arachidonic acid enters the enzymes active site from the lipid bilayer
  • dimeric
  • converts AA to prostaglandin H2 (PGH2)
  • upregulated during inflammation
122
Q

COX-2 upregulation is self limiting

A
  • nature has evolved COX-2
  • COX-1 is normally expressed at constant level
  • has a 20 amino acid cassette (COX-1 doesnt) -> ensures COX-2 has a very short half life
  • stable for only short amount of time -> makes the prostaglandin needed -> degraded
  • limits upregulated so were not always inflamed
123
Q

prostaglandin E2 (PGE2)

A
  • synthesized by the enzyme prostaglandin E synthase (PGES1) from PGH2
  • multiple functions during inflammation/sickness:
  • increase pain
  • increase swelling/edema (increase vascular permeability)
  • fever (major and one of the only ones)
  • appetite suppression
124
Q

PGES1 expressions increases during inflammation

A
  • just like COX-2

- upregulation

125
Q

How does PGE2 regulate pain, fever, appetite…etc.

A
  • PGE2 activates 4 receptors: EP1, EP2, EP4, EP3
  • EP1-4 are highly specific for PGE2
  • EP2 and EP4 activate protein kinase A -> activates the cell
  • when PGE2 activate EP3 receptor is reduces PKA -> inhibit the target cell
  • PGE2 binds to EP3 within the protein itself (not on top or bottom) -> conformational change
126
Q

flu

A
  • flu has fever and chills, aches and pains, weakness and fatigue, low appetite
  • PGE2 regulates this
127
Q

inflammation enhances pain

A
  • specialized nerves that project to skin and muscles (normally not active) -> nociceptors
  • nociceptors are specialized nerves that transmit painful stimuli from site of inflammation to spinal cord
  • inflammation sensitizes nociceptors and enhances pain -> activate nociceptors
  • inflammation will sensitize nociceptors and activate them -> send message to spinal cord -> brain -> pain
  • high levels of PGE2 activate EP2/EP4 -> activates target cell (increase activity of pain sensing neurons) -> sensitizes nociceptors
128
Q

PGE2 produces fever

A
  • central* mediator of fever (the only one)
  • cytokines (IL-1, IL-6, TNFalpha) increase the expression of COX-2 and PGES1 in endothelium lining the brain (hypothalamus)
  • PGE2 increase thermostat in the hypothalamus of the brain by activating the EP3 receptor
129
Q

activation of EP3 by PGE2 produces fever

A
  • specialized neurons in the spinal cord promote shivering and vasoconstriction (constantly want to produce fever) but are inhibited by specialized neurons from the hypothalamus that express the EP3 receptor
  • EP3 is expressed in adipocytes
  • EP3 receptor is the inhibitory receptor -> inhibits the inhibitory cells in the hypothalamus
  • activation of EP3 by PGE2 inhibits the neurons in the hypothalamus -> reduces their inhibition of spinal cord neurons -> fever
130
Q

PGE2 suppresses appetite

A
  • PGE2 reduces ghrelin (stimulates feeding) secretion in the stomach
  • PGE2 activate EP4 receptor in the hypothalamus
  • EP4 is excitatory -> stimulates POMC neurons that suppress feeding
  • PGE2 activates POMC neurons to reduce the hunger drive
131
Q

therapeutics targeting the COX-prostaglandin axis

A
  • COX inhibitors
  • COX-2 inhibitors
  • reduce pains, inflammation, appetite, fever
132
Q

COX inhibitors

A
  • prostaglandins are synthesized by COX-1 and COX-2* during inflammation/sickness
  • prostaglandins contribute to: pain, fever
  • inhibition of COX enzymes reduces pain, inflammation, and fever
  • aspirin (acetylsalicylic acid)
  • ibuprofen- nonsteroidal anti-inflammatory drug (advil)
133
Q

side effects of COX inhibitors

A
  • chronic use of COX inhibitor drugs -> develop gastrointestinal ulcers
  • COX-1 (constant) -> produces prostaglandins that protect the gastric mucosa (stomach and intestine) from gastric acid
  • when you inhibit COX-1 and 2 -> you inhibit fever, inflammation, pain but you also inhibit protection of gastric mucosa by COX-1
  • we can avoid this by designing inhibitors that only target COX-2 and not COX-1
  • volume of COX-2 active site is larger and its smaller in COX-1 -> to make drug specific to COX-2 -> make larger drugs
134
Q

COX-2 inhibitors

A
  • rofecoxib (vioxx)
  • celecoxib (celebrex)
  • vioxx taken off market in 2004 due to unexpected side effects (heart attacks)
  • super drug but heart attack side effect
  • celebrex is used sparingly still
  • COX-2 produces prostacyclin (PGI2) in lining endothelial cells of vasculature (blood vessels) -> potent vasodilator and inhibitor of platelet aggregation
  • COX-1 produces thromboxane A2 (TXA2) in platelets -> vasoconstrictor and stimulates platelet aggregation
  • inhibition of COX-2 causes a decrease in PGI2 and allows TXA2 produced by COX-1 to predominate -> thrombus (platelet plugs) form
  • clots occludes blood flow -> tissues die -> heart stops
135
Q

PGES1 as a therapeutic target

A
  • selective inhibition of PGES1 reduces PGE2 levels without affecting prostacyclin biosynthesis
  • currently working on this
136
Q

cannabinoids receptors

A
  • marijuana and a derivative of arachidonic acid (AA)
  • humans express 2 cannabinoid receptors (CB1 and CB2)
  • CB1 and CB2 are activated by THC and 2-AG and anadamide (AA derivatives/endocannabinoid)
  • CB1/CB2 are inhibitory -> their activation inhibits the target cell
  • cannabinoid receptors are activated by:
  • delta-tetrahydrocannabinol (THC), the major psychoactive constituent of marijuana
  • 2-arachidonoylglycerol (2-AG), an endocannabinoid
  • anadamide, an endocannabinoid
137
Q

endocannabinoids

A
  • 2-AG -> 2-arachidonoylglycerol
  • anadamide
  • arachidonic derivatives
  • produced by the body
  • activation of CB1/CB2 receptors modulates:
  • pain
  • reduce anxiety/stress responses
  • increase appetite
  • reproduction/fertility
  • cognition
  • development
  • major interest in developing drugs targeting the endocannabinoid system
138
Q

2-arachidonoylglycerol (2-AG)

A
  • arachidonic acid is attached at the 2 position
  • glycerol
  • 2-monoacyl glycerol
139
Q

2-AG is hydrolyzed and inactivated by MAGL

A
  • you dont want 2-AG to be constantly activating cannabinoid receptors
  • you want it to be made when needed and then degraded
  • monoacylglycerol lipase (MAGL)- cleaves the ester bonds of monoglycerides at the 2 position -> generates glycerol and a fatty acid (arachidonic acid)
  • MAGL terminates the signaling of 2-AG
  • MAGL inhibition elevates 2-AG levels -> increased activation of cannabinoid receptors
140
Q

MAGL inhibition elevates 2-AG levels, resulting in CB1/2 activation and reduction in pain

A
  • MAGL inhibition -> same effect as marijuana
  • elevate 2-AG levels by inhibiting MAGL -> activate cannabinoid receptors -> inhibit pain neurons
  • same cells are regulated by PGE2 to increase pain
141
Q

MAGL inhibition reduces arachidonic acid levels and prostaglandin biosynthesis

A
  • 2-AG is broken down by MAGL -> generates arachidonic acid
  • if you inhibit MAGL -> it increase 2-AG levels and reduce arachidonic acid levels -> therefore reduces prostaglandins
  • now arachidonic acid is the intermediate
  • arachidonic acid controls levels of prostaglandins
  • MAGL is the same enzyme that is used in adipose tissue, brain, etc. to control activity of this potent signaling molecule
142
Q

summary

A
  • arachidonic acid is a precursor to numerous bioactive lipids including prostaglandins
  • prostaglandins play prominent roles in the modulation of pain and inflammation
  • endocannabinoids are derivatives of arachidonic acid that activate cannabinoid receptors
  • modulation of bioactive lipid signaling holds therapeutic promise for the treatment of diverse disorders
143
Q

beta-oxidation

A

-multiple isoforms for different lengths

144
Q

fasting state/ketone

A
  • low glucose
  • acetyl-CoA -> ketone bodies
  • liver -> brain
  • glycogen is used first and when that is low we use ketones
  • beta-oxidation products inhibit pyruvate dehydrogenase -> glycolysis (inhibits fatty acid biosynthesis and cholesterol synthesis)
  • beta-oxidation increases ketones
  • mutation in acyl-CoA dehydrogenase -> no acetyl-CoA -> no ketones
145
Q

date rape drug (GHB)

A

-shifting OH of D-beta-hydroxybutyrate to the left