Cholesterol Flashcards

1
Q

How much can diet change cholesterol levels?

A

10 - 15%

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2
Q

What do statins do?

A

Lower cholesterol by inhibiting HMG-CoA reductase

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3
Q

All 27 carbons in cholesterol are derived from ________

A

acetyl CoA

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4
Q

Cholesterol is a very hydrophobic molecule that has 27 carbons. On what carbon is the only hydrophilic OH group located?

A

3

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5
Q

How many rings does cholesterol have?

A

4

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6
Q

What are the two types of HMG CoA synthase? What pathways are they used in?

A

Mitochondrial - keytone bodies

Cytoplasmic - cholesterol

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7
Q

What is the major electron carrier for cholesterol synthesis?

A

NADPH

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8
Q

What is the rate limiting step of cholesterol synthesis catalyzed by? What type of energy input does it require?

A

HMG-CoA Reductase
Acetyl CoA -> Mevalonate
NADPH

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9
Q

What are two potential side effects of statins?

A

myopathy and rhabdomyolysis

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10
Q

What is a way to store cholesterol?

A

Cholesteryl Esters

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11
Q

High levels of cholesterol cause _________ of HMG-CoA reductase

A

proteolysis

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12
Q

What transcription factors control the transcription of HMG-CoA reductase?

A

Sterol regulatory element-binding proteins (SREBP)

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13
Q

Is HMG-CoA reductase activated by dephosphorylation or phosphorylation?

A

dephosphorylation

stimulated by insulin

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14
Q

What are the major sites of cholesterol synthesis?

A

Liver

Intestine

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15
Q

Bile acids are synthesized in ________ and sent to ________ for storage

A

liver

gall bladder

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16
Q

What is the rate limiting step of bile acid synthesis?

A

Cholesterol 7alpha-hydroxylase (CYP7A1) places OH on C7 of cholesterol

17
Q

What are the major components of bile?

A

Bile salts, water, cholesterol, bilirubin

18
Q

How do you convert bile acids to biles salts?

A

Create an amide bond by adding glycine or taurine

19
Q

What inhibits 7alpha-hydroxylase? in bile salt synthesis

A

bile salts

20
Q

80% of US gallstones are ________ stones

A

cholesterol

21
Q

VLDLs are produced primarily as a result of what process?

A

Made from carbohydrates as a result of breaking down glucose into acetyl-CoA

22
Q

Chylomicrons are made by the liver primarily with what?

A

Dietary triglycerides

23
Q

Why is the protein B-48 shorter than B-100?

A

Because there is a premature stop codon when it is being synthesized in the intestine.

24
Q

What is the name of the enzyme that converts cholesterol to cholesteryl ester by esterifying HDL cholesterol so it is retained in particles?

A

Lecithin Cholesterol Acyltransferase (LCAT)

25
What enzyme transports cholesterol esters and TGs between lipoproteins?
cholesterol ester transfer protein (CETP)
26
What is the major function of chylomicrons?
Transport dietary triglycerides
27
What is the major function of VLDLs?
Transport endogenous triglycerides mainly from excess carbs
28
What is the major function of LDLs?
Transport cholesterol to tissues
29
What does a deficiecy in LDL receptors cause?
High blood cholesterol
30
What scavenger receptor binds to HDL?
SR-B1
31
What scavenger receptors are located on macrophages and bind oxidized LDL (superoxide)?
SR-A1 and SR-A2
32
What are foam cells?
macrophages engorged with lipid
33
cholesterol ester transfer protein (CETP) transfers cholesterol from _____ to ______
HDL to VLDL
34
Inhibiting CETP raises what levels?
HDL
35
What is the biggest health concern for people with familial hypercholesterolemia (FH)?
Heart Disease
36
What is defective in a person with familial hypersholesterolemia (FH)?
Defective LDL receptor | Can't take in LDLs so they stay in the bloodstream
37
What is defective in Tangier Disease?
ABC A1
38
What does ABC A1 do?
Transports cholesterol out of macrophages into HDL
39
What happens to a person with Tangier Disease?
Extremely low levels of HDL, cholesterol accumulates in macrophages