CC LIPOPROTEINS Flashcards
is absorbed by CM and delivered by VLDL and LDL
vit. E
does not require CM for absorption
vit. D
independent from lipoproteins
vit. A, K
proteins responsible for solubility of lipids in blood
- structural integrity of lipoproteins
apolipoproteins
plasma conc. of B-48
< 5
efflux of cholesterol from peripheral cells towards the HDL
ABCA
esterification of free cholesterol to cholesterol ester
LCAT
hydrolyze TAG and phospholipids from HDL
endothelial lipase
hydrolyze TAG and phospholipids from HDL, IDL, and VLDL
Hepatic lipase
hydrolyze TAG and CHOLE from HDL
LPP LIPASE
Most non-atherogenic LPP
largest and least dense
chylomicrons
chylomicrons are completely cleared after __ hours of fasting
6-9 hrs
apolipoproteins of chylomicrons
B-48
A-I
C
E
reverse cholesterol transport
-cardioprotective
HDL
Nascent disk-shaped particles
alpha lipoprotein
smallest most dense
HDL
Atherogenic transporter of TAG
pre-beta lipoprotein
-transport endogenous TAG exported by the liver
VLDL
apolipoproteins of VLDL
B-100
C
E
Most atherogenic
Beta lipoprotein
measure indirectly
“most cholesterol rich”
LDL
forward cholesterol transport
LDL
apolipoproteins of LDL
B-100
E
Product of VLDL catabolism
converted to LDL
-NOT MEASURED IN HEALTHY SERUM
IDL
Found in px with obstructive jaundice and LCAT deficiency
LP X
Sinking pre-beta lipoprotein
LDL-like variant
independent risk factor of atherosclerosis
Lp (a)
floating beta lipoprotein
migrates abnormally in the beta regions, instead of the pre-beta region
B-VLDL
Reference method for LPP quantification/ golden standard for LPP quantitative determination
-using salt reagent
ULTRACENTRIFUGATION
reagent used for ULTRACENTRIFUGATION
potassium bromide
migration of LPP based on their protein content
ELECTROPHORESIS
lipid staining dyes
oil red 0
fat red 7B
sudan black B
preferred support medium for electrophoresis
barbital/veronal
enzymatic tests coupled with detergent precipitation is the most useful LPP test
chemical precipitation
most popular method for HDL
homogeneous HDL-C assay
pH for barbital/veronal
8.6
beta quantification running timee
18 hours
test for lipoproteins that needs fasting
LDL-C
TAG
test for lipoproteins that doesn’t need fasting
HDL-C
TC
fluid of choice in routine clin lab
SST SERUM
lipoprotein lipase enzyme deficiency
TAG= 10,000 MG/DL (always milky despite over fasting)
type 1 hyperchylomicronemia
LDL receptor defect
type 2a hypercholesterolemia
Dysbetalipoproteinemia
-presence of B-VLDL and IDL
type 3a hyperlipoproteinemia
yellowish deposits of cholesterol under the skin, usually present around the eyelids
xanthelasma
Apo B synthesis defect
aka Bassen-kornzweig syndrome
-presence of acanthocytosis in the blood
Abetalipoproteinemia
no HDL produced
at chromosome 9 there is no presence of of ABCA 1 gene
Tanger’s disease
B-glucocerebrosidase deficiency
-most common cause of lipidosis
Gaucher’s disease
Hexosaminidase deficiency
- sphingolipid hyperaccumulation
-neurodegenerative
Tay-Sachs Disease
is an inherited disorder that results from the build-up of a particular type of fat called GLOBOTRIAOSYLCERAMIDE in the body’s cell
Fabry disease
hypochylomicronemia
chylomicron retention disease
Apo B-48 defect leading to fat malabsorption
-absence of vit. E
Anderson’s disease
sphingomyelinase deficiency
predominant among the Ashkenazi jews
Nieman-pick disease
fish eye disease
presence of LP X
LCAT Deficiency
childhood high serum LDL-C
SITOSTEROLEMIA
Accessory enzyme that converts diacylglycerol to TAG by adding one fatty acid
DGAT deficiency
most common, use if not specified
- unsuitable for non-fasting samples that contain CM or samples of B-VLDL
friedewald
plasma conc. of B-100
80-100
plasma conc. of E
3-6
plasma conc. of A-I
90-130
specific and sensitive marker for cholestasis
LP X
hydrophilic lipids present on surface of LPP
free-cholesterol
phospholipids
hydrophobic lipids present on the core of LPP
cholesterol ester
triglyceride
lipid transport and clearance depends on
apolipoprotein conc.
lipid diet
produced by liver, part of HDL
-alternative pathway for HDL metabolism
CETP (cholesterol ester transport protein)
deficiency of CETP leads to the production of __
large cholesterol laden HDL