Chapter 17 Flashcards
Atherosclerosis
Lipid accumulation in vessel walls = inflammation/recruit WBC (macrophages)
Macrophage- consume lipids, recruit more macrophages
Plaque forms- cholesterol/dead macrophages, SMCs, this could lead to calcification
Function of lipoproteins
transport dietary triacylglycerols to adipose tissue
and cholesterol to the liver
Chylomicrons
Intestine –> Other tissues
TAGs –> Adipose
Cholesterol –> Liver
How does liver repackage cholesterol/lipids?
As VLDL
VDLD
Release TAGs and become LDL
50-65% TAG
LDL
Circulating Lipoprotein, “bad”
Taken up by adipose tissue/liver
45-50% cholesterol
HDL
Transport extra cholesterol from tissue back to the liver
40-55% protein
How LDL gives cell cholesterol
Receptor mediated endocytosis
LDL receptor recycled, but LDL protein degraded
How HDL removes excess cholesterol from adipose tissue
Flippase (ABC)
Tangier disease- defect in transporter gene = accumulation in tissues
Familial hypercholesterolemia
Genetic defect in LDL receptor
Causes rise in serum levels, atherosclerosis, early death
Nonfamilial hypercholesterolemia
Treated with PCSK9 inhibitor leads to increased recycling of LDL receptor to cell surface (PCSK9 causes degradation of LDL receptor)
More LDL receptor = increased uptake of circulating LDL
What is the primary source of fatty acids used as metabolic fuel?
Dietary triacylglycerols
Triacylglycerol —-> glycerol and 3x fatty acyl groups by
lipoprotein lipase (extracellular peripheral)
add 3H2O
Hydrolysis of triacylglycerols occurs
extracellularly
Why is the concentration of free fatty acids in body very low?
These molecules are detergents and could disrupt cell membranes
How are TAGs mobilized?
How do released TAGS travel?
Mobilized: via intracellular hormone-sensitive lipase
Travel: albumin carrier
Where are free fatty acids taken to?
Liver/muscles (especially heart muscle)
To be degraded, first, fatty acid must be…
activated
How are fatty acids activated?
2 steps by acyl-CoA synthetase
Fatty acid 2 step activation
1) F.a. displaces diphosphate group of ATP. This creates an acyladenylate
2) HSCoA displaces AMP from acyladenylate froming acyl-CoA
Why is fatty acid synthesis spontaneous and irreversible?
the hydrolysis of PPi is highly exergonic
Synthases are specific depending on
length of fatty acids