Chol Flashcards

1
Q

What are the main phases of cholesterol biosynthesis?

A
  1. Synthesis of Mevalonate from Acetate 2. Conversion of Mevalonate to Activated Isoprenes 3. Condensation of Activated Isoprene Units to Form Squalene 4. Conversion of Squalene to Four-Ring Steroid Nucleus
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2
Q

What is the role of Cyt P450 in cholesterol metabolism?

A

Cyt P450 enzymes function as mixed-function oxidases, facilitating hydroxylation reactions that increase water solubility of substrates.

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3
Q

What are the main cholesterol derivatives?

A
  • Steroid hormones * Bile acids * Vitamin D * Cholesteryl esters
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4
Q

Fill in the blank: Cholesterol is synthesized from _______.

A

Acetyl-CoA

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5
Q

What is the first step in the synthesis of Mevalonate?

A

2 Acetyl-CoA → Acetoacetyl-CoA, catalyzed by acetyl-CoA acyl transferase.

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6
Q

What is the rate-limiting step in cholesterol synthesis?

A

Conversion of HMG-CoA to Mevalonate, catalyzed by HMG-CoA reductase.

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7
Q

What are the activated isoprene units produced from mevalonate?

A
  • Δ3-isopentyl pyrophosphate * Dimethylallyl pyrophosphate
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8
Q

How many ATP molecules are required to create each of the six activated isoprenes?

A

Three ATP molecules are used.

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9
Q

What is the cyclization product of squalene in animals?

A

Lanosterol

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10
Q

What leads to the formation of atherosclerosis?

A

Pathological accumulation of cholesterol leading to obstruction of blood vessels.

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11
Q

What is the function of bile acids?

A

They aid in the digestion of fats and act as emulsifiers.

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12
Q

What regulates cholesterol metabolism at several levels?

A
  • Covalent modification of HMG-CoA reductase * Transcriptional regulation of HMG-CoA gene * Proteolytic degradation of HMG-CoA reductase * Activation of ACAT * Transcriptional regulation of LDL receptor
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13
Q

What is familial hypercholesterolemia characterized by?

A

Extremely high blood levels of cholesterol due to a defective LDL receptor.

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14
Q

What do statin drugs inhibit?

A

HMG-CoA reductase

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15
Q

What process protects against atherosclerosis?

A

Reverse cholesterol transport by HDL

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16
Q

Fill in the blank: Steroid hormones synthesis occurs in the _______.

A

Mitochondria of steroidogenic tissues

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17
Q

What are the two classes of steroids synthesized in the adrenal gland?

A
  • Mineralcorticoids * Glucocorticoids
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18
Q

What is the primary transporter of cholesterol in the blood?

A

Plasma lipoproteins

19
Q

What happens to cholesteryl esters in terms of solubility?

A

They are more nonpolar than cholesterol.

20
Q

What activates ACAT?

A

Cholesterol

21
Q

What is the function of apolipoproteins?

A

They are specific carrier proteins that transport lipids in the blood.

22
Q

True or False: Insulin leads to the phosphorylation and inactivation of HMG-CoA reductase.

23
Q

What is the metabolic fate of cholesterol after synthesis?

A
  • Export as bile acids * Used for membrane synthesis in liver * Used as a precursor for steroid hormones and vitamin D
24
Q

What is the effect of glucagon and epinephrine on HMG-CoA reductase activity?

A

They lead to phosphorylation and reduce its activity.

25
Q

What is the primary role of HDL in cholesterol metabolism?

A

To remove cholesterol from peripheral tissues and transport it to the liver.

26
Q

What process increases the water solubility of substrates?

A

Hydroxylation

Hydroxylation makes substrates easier for transport in blood and excretion by urine.

27
Q

Where does steroid hormone synthesis occur?

A

In mitochondria of steroidogenic tissues: placenta, ovaries, testes, and adrenal cortex

These tissues are responsible for producing steroid hormones.

28
Q

What is the role of Cytochrome P450s in steroidogenic tissues?

A

Used to hydroxylate intermediates in the conversion of cholesterol to steroid hormones

P450s are found associated with the inner mitochondrial and microsomal membranes.

29
Q

What is the function of P450 in the liver?

A

Hydroxylates intermediates in the conversion of cholesterol to bile acid and hydroxylates cholecalciferol to 25-hydroxycholecalciferol

This process is crucial for the metabolism of cholesterol and vitamin D.

30
Q

What does hydroxylation affect in foreign compounds and drugs?

A

Activation or inactivation, changing its level of toxicity and solubility

Hydroxylation is important for drug metabolism.

31
Q

What is the role of P450 in the kidney regarding vitamin D3?

A

Hydroxylates vitamin D3 to its biologically active 1,25-dihydroxylated form

This activation is essential for vitamin D’s biological functions.

32
Q

What is an activated precursor in the biosynthesis of many biomolecules?

A

Isopentenyl pyrophosphate

This compound is involved in the synthesis of cholesterol, vitamins A, E, and K, and ubiquinone.

33
Q

What is prenylation?

A

Anchoring of proteins to the inner surface of cellular membrane by covalent attachment to an isoprenoid

This process is important for protein localization and function within the cell.

34
Q

precursor for all steroids

A

Cholesterol

35
Q

Cholesterol Structure

A

27 carbon atoms
Four fused rings
• Peripheral side chain
• Only one double bond (C=C)

36
Q

All of its carbon atoms are provided by

37
Q

Synthesis of Mevalonate from Acetate

A

2 Acetyl-CoA Acetyoacetyl-CoA
– Catalyzed by acetyl-CoA acyl transferase

Acetyl-CoA + Acetoacetyl-CoA  -hydroxyl--methylglutaryl-CoA HMG-CoA
– Catalyzed by HMG-CoA
synthase

HMG-CoA + 2 NADPH Mevalonate
– Catalyzed by HMG-CoA reductase

38
Q

The two activated isoprenes join ———-
displacing one set of diphosphates  forms

A

head-to-tail,

Geranyl

39
Q

Six Activated Isoprene Units Condense to Form Squalene

A

two isoprenes join head-to-tail, Geranyl pyrophopshate
• Geranyl pyrophosphate + isopentenyl pyrophosphate
forms 15-C Farnesyl pyrophosphate
• Two farnesyl pyrophosphates join
head-to-head to form phosphate- free Squalene

40
Q

Enzyme:
Two farnesyl pyrophosphates join head-to-head to form phosphate- free Squalene

A

Squalene synthase

41
Q

Conversion of Squalene to Four-Ring Steroid Nucleus

A

Squalene monooxygenase
adds one oxygen from O2 to the end of the squalene chain
 forms squalene 2,3-epoxide
 A mixed-function oxidase
 requires NADPH

42
Q

correlate with atherosclerosis

A

Very high LDL-cholesterol

43
Q

associated with heart disease

A

Low HDL-cholesterol levels

44
Q

Statins

A

competitive inhibitors of
HMG-CoA reductase