Cholesterol Flashcards
Why is cholesterol important?
It is a critical component of cell membranes, signalling pathways, and a precursor for many important biomolecules
What are the three primary sources of fats?
- The diet
- De novo biosynthesis (liver- making it from scratch)
- Storage depots in adipose
How do sugars generate acetyl CoA?
sugars -> glucose -> pyruvate (outside mitochondria)-> pyruvate (inside mitochondria)-> acetyl CoA
How do fats generate acetyl CoA?
Fats-> fatty acids (outside mitochondria)-> fatty acids (inside mitochondria)-> acetyl CoA
What breaks down dietary fats?
Lipases
What are needed to solubilize dietary fats?
Bile acids
What does a lack of bile acids result in?
Steatorrhea (Fatty stool) - this is because majority of fat passes through the gut undigested and unabsorbed
What produced bile salts?
Liver
Where are bile salts stored?
gallbladder
What do bile salts do in digestion?
They emulsify fats in the intestine and aid the digestion and absorption of fat soluble vitamins (A, D, E and K)
What is Orlistat?
A potent inhibitor of gastric and pancreatic lipases
It is a chemically synthesised derivative of lipstatin
What are the main side effects of Orlisats?
Steatorrhea, abdominal pain, urgency to defecate, increased flatus
By how much does Orlistat reduce fat absorption?
30%
Can orlistat treat obesity?
Yes, it has been shown that it is effective in treating obesity for up to 2 years
what do lipoproteins do?
Transport lipids in the plasma
Where are VLDL produced and what is their role?
Liver- endogenous fat transport
Where are intermediate density lipoproteins sourced from and what is their role?
VLDL- LDL precursor
Where are LDL sourced from and what is their role?
IDL- cholesterol transport
Where are HDL produced and what is their role?
Liver- reverse cholesterol transport
Where are chylomicrons produced and what is their role?
Intestine - dietary fat transport
What do chylomicrons look like?
Where are digested dietary products absorbed?
By the enterocytes that line the brush border of the small intestine
What happens to triglycerides after they are resynthesised?
Triglycerides are resynthesised under the control of several enzymes prior to incorporation into chylomicrons (CM)
These are transported via lymphatics and on into the blood stream
Where do chylomicrons acquire apoproteins from?
From HDL following release into the blood stream
How do chylomicrons enter into the blood stream?
Travel from the lacteals of the intestine into the thoracic duct and into the left subclavian vein from which they enter into the blood stream
Where is lipoprotein lipase located?
On the capillary endothelial cells lining a variety of tissues, including adipose, heart and skeletal muscle
What is the life cycle of chylomicrons?
smaller chylomicron thingy=> remnants of chylomicron
FFA=> free fatty acids
Why is glycerol retuned to the liver?
for use in gluconeogenesis
What is the primary role of cholesterol in the body?
Maintenance of cell membrane integrity - can increase or decrease the stiffness depending on the temperature and nature of the membrane
Where is most of the cholesterol in the body found?
In cell membranes, more than 90%
What is the dietary cholesterol uptake limited to in humans?
0.5g a day
How are all the physiological requirements for cholesterol met?
They are supplied by the liver through the de novo synthesis of cholesterol from Acetyl CoA
What are the 3 CORE steps of cholesterol biosynthesis?
1) Synthesis of isopentenyl pyrophosphate, an activated isoprene unit which serves as a key building block (in cytoplasm)
2) condensation of 6 molecules of isopentenyl pyrophosphate to form squalene (in cytoplasm)
3) cyclisation and demythylation of squalene by monoxygenase to give cholesterol (ER)
What is the first step in cholesterol biosynthesis? (1.1)
Acetyl CoA + Acetyl CoA = Acetoacetyl CoA (via B-ketothiolase)
Condensation of 2 Acetyl-CoA molecules to form Acetoacetyl CoA.
What is the second step of cholesterol biosynthesis? (1.2)
Acetoacetyl CoA + Acetyl CoA -> HMG-CoA
Condensation of another Acetyl-CoA molecule to form HMG-CoA - using HMG-CoA Synthetase (via HMG-CoA synthase)