Cholesterol Flashcards

1
Q

How is cholesterol structured?

A

Steroid composed of 27 carbon atoms
Has cyclic rings with hydrophobic tail
Steroid ring structure is planar
Apart from hydroxyl group at position 3, molecule is very hydrophobic and consists of only H and C atoms

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2
Q

Why is cholesterol important?

A

Vital component in cell membranes- more than 90% of cholesterol in our bodies is found in cell membranes

Cholesterol can increase and decrease membrane stiffness depending on temperature and nature of membrane

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3
Q

What are the 3 main parts which make up the cholesterol synthesis pathway?

A
  1. Synthesis of isopentyl pyrophosphate- an activated isoprene
  2. Condenstation of 6 molecules of isopentyl pyrophosphate to form squalene
  3. Cyclisation and demethylation of squalene by monooxygenases to give cholesterol
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4
Q

What happens in the 1st step in the synthesis of isopentyl pyrophosphate and where does it occur?

A

occurs in cytoplasm
2 molecules of acetyl CoA condense to form acetoacetyl CoA
Catalysed by beta-ketothiolase

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5
Q

What happens in the 2nd step in the synthesis of isopentyl pyrophosphate?

A

Another molecule of acetyl CoA condenses to form 3-hydroxy-3-methyl-glutonyl (HMG- CoA)
this reaction is catalysed by HMG-CoA synthase

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6
Q

What happens in the 3rd step of synthesis of isopentyl pyrophosphate?

A

HMG- CoA reductase reduces HMG-CoA to give mevalonate
NADPH is used as a source of reducing power for biosynthetic reactions

HMG-CoA reductase is under negative feedback control by cholesterol, mevalonate and bile salts

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7
Q

What’s the 4th step in the synthesis of isopentyl pyrophosphate?

A

Mevalonate undergoes sequential phosphorylation at hydroxyl groups at position 3 and 5

This is followed by decarboxylation to form isopentyl pyrophosphate (isopentyl PP) which is 5 carbon

This activated isoprene unit is the main building block for cholesterol synthesis

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8
Q

Whats an important role of isoprene?

A

Isoprene unit gives lipophilicity to biomolecules

Dolichol phosphate is a specialised lipid molecule located in ER membrane and involved in N-linked glycosylation of proteins

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9
Q

How do proteins gain affinity for lipid bilayers?

A

Proteins can undergo lipid modifications such as prenylation (addition of farnesyl or a geranylgeranyl) which gives then affinity for lipid bilayers

The same lipophilic properties of isoprene unit confines ubiquinone to inner membrane of mitochondria

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10
Q

How is squalene formed?

A

Occurs in cytoplasm
Dimethylallyl pyrophosphate is produced from isopentyl PP via isomeriasation reaction

This can condense with a unit of isopentyl PP to form geranyl pyrophosphate

2 condensation reactions occur where isopentyl PP is added to dimethylallyl pyrophosphate and grows the chain to farnesyl pyrophosphate

2 farnesyl PP condense to from squalene plus 2 molecules of pyrophosphate

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11
Q

How is cholesterol formed in the last step?

A

Occurs in ER

Squalene reduced in presence of O2 and NADPH to form squalene epoxide which has different CC bond distributions

Enzyme squalene epoxide lanosterol-cyclase catalyses formation of lanosterol

A series of 1,2-methyl groups and hydride shifts along chains of squalene result in formation of the 4 rings

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12
Q

What happens to lanosterol?

A

Its reduced and 3 methyl units are removed to generate cholesterol
This takes place by 19 steps

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13
Q

How are bile salts synthesised from cholesterol?

A

Bile salts are major breakdown products of cholesterol

Cholesterol can be converted by series of reactions into the primary bile salt glycocholate and also taurocholate

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14
Q

How are steroid hormones synthesised?

A

Made from cholesterol

The precursor pregnenolone is generated from cholesterol by enzyme desolate

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15
Q

What are the 5 classes of hormones that come from pregnenolone?

A

Progestogens which give rise to:
Glucocorticoids
Mineralocorticoids
Androgens which give rise to oestrogen’s

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16
Q

How are vitamin D metabolites generate from cholesterol?

A

Vit D is a collective term for. group of steroids which are vital for intestinal absorption of important ions needed for bone development e.g. calcium, phosphate and magnesium

Bulk of western died is low in vet D

Main source is activity of UV upon 7-dehydrocholesterol in epidermis of skin

17
Q

What is calcitriol?

A

1st active vit D metabolite and plays key role in calcium metabolism

It functions as a steroid hormone binding vitamin D response elements (VDREs) in the promotor of target genes inducing key genes involved in bone metabolism

18
Q

What does a deficiency of Vit D3 in children lead to?

A

Rickets- defect of bone development

19
Q

What is familiar hypercholesterolaemia?

A

Monogenetic dominant trait in which cholesterol transportation is defective

People who carry the mutant genes have cholesterol levels 2-3 times higher than a healthy person

They’re susceptible to atherosclerosis in middle age

20
Q

Who is most affected by familial hypercholesterolaemia?

A

Homozygotes who carry 2 copies of the mutant gene
Their serum cholesterol is 5 times higher than healthy individual
Severe atherosclerosis and coronary infarction is observed in adolescence

21
Q

What is the mechanism underlying familial hypercholesterolaemia?

A

Patients with FH lack functional LDL receptors (needed for uptake of cholesterol)

This is caused by mutations in domains of LDLRs

It can effect receptor expression, LDL binding, LDLR endocytosis and recycling

22
Q

How is familial hypercholesterolaemia controlled?

A

Inhibition of De novo cholesterol synthesis in liver
Reduction of dietary cholesterol absorption by intestines
This is achieved by HMG-CoA reducatase inhibition and resins respectively

23
Q

What is the role of resins or sequestrants?

A

E.g. cholestyramine (questran, prevalite)

These bind to or sequester bile acid-cholesterol complexes preventing their reabsorption by intestines
They can lower LDL by 15-20% and raise HDL

24
Q

What is the role of HMG-CoA reductase inhibitors?

A

Aka Statins
e.g. lipter (pfizer) and Crestor (astra Zeneca)

Lovastatin is a competitive inhibitor of HMG-CoA reductase