Cholesterol biosynthesis Flashcards

1
Q

explain the stucture of cholesterol:

A

sterol with an OH group
-weakly amphipathic

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2
Q

what is the single precursor of carbon atoms for cholesterol?

A

acetate
-every single carbon comes from acetate

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3
Q

what initiates cholesterol synthesis? where else is this seen?

A

cholesterol synthesis begins with the transport of acetyl coA out of the mitochondria
-this is the same as ketone synthesis

OAA -> citrate -> crosses IMM through citrate transporter (tricarboxylic acid transporter) and OMM through porins -> citrate lyase uses ATP to make acetyl coA and OAA

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4
Q

explain the 4 stages in the overall generation of cholesterol from acetate: where is this most likely occuring? what makes this energy intensive?

A

1) acetate -> mevalonate (6C)
2) mevalonate -> activated isoprene
3) activated isoprene -> squalene
4) squalene -> cholesterol

very energy intensive due to the breaking and forming of thioester bonds as well as needs for NADPH
-occuring in the liver

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5
Q

what is involved in stage 1 of cholesterol formation to make HMG-coA? what is formed? where does this occur? what enzymes are involed? how does this differ from ketogenesis?

A

1) linking 2 acetyl coA using a thiolase to generate acetoacetyl-coA (same as ketogenesis)
-HS-coA released
2) using coA, HMG-coA synthase enzyme generates HMG-coA
-HS-coA released

this occurs in the cytosol, in ketogenesis it occurs in the mitochondrial matrix

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6
Q

how many acetyl coA are used in phase 1 of cholesterol synthesis?

A

3 Acetyl coA

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7
Q

what is involved in genration of mevalonate? what is formed? where does this occur? what enzymes are involed? what is important about this step? how does this step differ from ketone synthesis?

A

1) conversion of HMG-coA to mevalonate using two NADPH and the HMG-coA reductase
-major regulatory step
-increases un repsonse to insulin
-decreases in response to glucagon

ketone synthesis uses HMG-CoA lyase instead of reductase
-producing acetoacetate instead of mevalonate

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8
Q

how is mevalonate converted into activated isoprene units?

A

mevalonate kinase transfers phosphate group from ATP to generate phosphomevalonate, which is then converted to isoprene through decarboxylation

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9
Q

in cholesterol synthesis, what happens to phosphomevalonate? what is used? why is this done?

A

converted into 5-pyrophosphomevalonate
-uses ATP and a kinase
-this makes it a good leaving group

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10
Q

in cholesterol synthesis, after the generation of 5-pyrophosphomevalonate, what occurs? what is used? what is generated?

A

1) decarboxylation
2) dephosphosphorylation
-uses ATP and releases CO2 and Pi

generates a C5 structure linked to pyrophosphate (there are 2 types, either IPP or DMAPP)

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11
Q

how many ATP are needed to convert mevalonate into 5C pyrophosphate molecules?

A

3 ATP

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12
Q

how is squalene formed? what drives this reaction? how many activated pyrophosphate molecules are needed to make squalene? why?

A

both 5C pyrophosphate molecules are linked together (using the energy from the release of PPi) to generate squalene
-uses 1 NADPH

6 pyrophosphate molecules are needed
-3 molecules generat a C15, 2 C15 molecules make squalene

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13
Q

what is involved in the conversion of squalene to cholesterol?

A

squalene monooxygenase is a regulated enzyme that uses NADPH and O2
-16 NADPH used and 2 NADH generated

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14
Q

how many C16 FA are needed to make cholesterol? explain.

A

3

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15
Q

what would you expect HMG-CoA to be involved in during the fasted vs fed state?

A

fasted: involved in ketone synthesis in the matrix

fed: involved in cholesterol synthesis in the cytosol /ER
-HMG-coA reductase is the first enzyme in cholesterol synthesis to be assiciated with the ER

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16
Q

how is HMG-CoA reductase regulated short term and long term?

A

rate of transcription and degradation is tightly controlled

long term: rate of gene transcription / enzyme degradation
-degradation increases when not in use

short term: covalent modification / statins

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17
Q

is HMG-coA reductase likely to be active phosphorylated?

A

no
-insulin will dephosphorylate HMG-coA reductase, activating it

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18
Q

how does AMPK impact HMG-coA reductase activity?

A

it will decrease activity of HMG-coA reuctase
-High AMP:ATP ratio activates AMPK -> phosphorylates HMG-coA reductase and ACC
->turns off pathways that use ATP

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19
Q

compare the difference in AMPK and protein kinase A. How does their response differ?

A

AMPK responds to energy levels within the cell ([AMP]) and PKA response to blood glucose levels outside of the cell

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20
Q

how does esterification affect cholesterol transport / storage? what enzyme catalyzes this?

A

esterification makes cholesterol completely hydrophobic to increase ability for transport and storage
-ACAT: takes a fatty acid from coA to cholesterol to generate cholesterol ester

21
Q

what are lipids and cholesterol transported in?

A

lipoproteins

22
Q

explain the 4 major lipoprotein particles. what are their major apolipoproteins?what impacts density?

A

1) HDL- highest density (least TAGs)
-AI (no B proteins)
2) LDL- low density
-B100
3) VLDL-very low density
-B100
4) chycolmicrons- lowest density (most TAGs)
-B48

density is increased with higher protein and lower TAG levels

23
Q

what 4 lipoproteins do chylomicrons contain? what do they do?

A

1) B48: allows us to get chylomicrons out of intestine into lymphatic system (cannot be taken up by LDL receptor)
2) C-II:activates LPL (hydrolizes TAGs to FFA + glycerol)
3) C-III: masks ApoE to inhibit uptake of CM into the liver (CIII falls off only after CM is hydrolized)
4) Apo-E: lipoprotein that can be taken up by the liver (signals formation of CM remnant)

24
Q

why is it important that CIII masks ApoE until a CM remnant is formed?

A

LPL must hydrolize all of the TAGs in the CM so that large amounts of TG are not taken up by the liver
-this would cause fatty liver

25
Q

what is the function of apolipoprotein B100? what other lipoprotein has the same function?

A

B100 is a ligand that allows the LP to be taken up by LDL receptors
-Apo E has the same function

26
Q

what lipoprotwins have Apo A1? why?

A

HDL and Chylomicrons
-activates LCAT and interacts with ABC transporter
(LCAT forms cholesterol esters and helps with maturation of HDL particles)

27
Q

what proportion of TG, Cholesterol and proteins would you expect in each type of lipoprotein?

A

CM: TG> cholesterol > Pro
VLDL: TG> cholesterol> pro
LDL: cholesterol > pro > TG
HDL: pro ~ cholesterol > TG

28
Q

explain the exogenous pathway of lipoprotein and lipid transport:

A

1) TG from diet are incoporated into CM (made in the intestine)
2) CM deliver TG to peripheral tissues (through the action of CII which activates LPL)
3) A CM remnant is formed and CIII falls off
4) CM remnant is taken up by the liver by LDL receptors which respond to ApoE

29
Q

explain the exogenous pathway of lipoprotein and lipid transport:

A

1) VLDL takes up cholesterol and TG made in the liver
2) released directly into the bloodstream and VLDL particles exposed to LPL, releasing FFA + glycerol
3) loss of TG and protein through the activity of LPL converts VLDL into IDL
4) IDL particles get converted into LDL particles which are taken up by other tissue to deposit cholesterol
5) LDL can be taken back up to the liver by B100

30
Q

what tissues do not take up glycerol from the hydrolization of TAGs? why?

A

adipocytes
-they lack glycerol kinase

31
Q

what happens with a LPL deficiency? What does this result in?

A

TAGs will not be broken down -> Apo CIII will not be released from the chylomicron -> Apo E will not be exposed -> chylomicrons will not be taken up by the liver and will stay in the bloodstream
-high levels of CM in blood
-high levels of VLDL (can still be taken up by liver)

32
Q

what are the 4 major functions of lipoproteins?

A

1) structural role
2) guide formation of lipoproteins
3) ligands
4) activators

33
Q

how is LDL,VLDL, CM remnants and IDL removed from the blood?

A

1) clathrin coated pits take up particles through binding of receptors (interacts w Apo E / B100)
2) particle in the cell is acted on by lysosomes which release cholesterol, FA and AA
3) increased cholesterol levels inside the cell stimulate ACAT which converts free cholesterol to cholesterol esters
4) high levels of cholesterol at the ER decrease HMG-coA reductase synthesis and LDL receptor synthesis

34
Q

explain how the LDL recpetors function. explain the function of 3 domains.

A

there are a number of domains responsible for internilization of ApoE/B100 lipoproteins
1) binding domain
2) domain responsible for pH-dependent conformation change
3) domain for receptor clustering and internalization

35
Q

how does HDL remove cholesterol from peripheral tissues? what transporter is needed?

A

Apo A1 interacts with ABCA1/CERP
-uses ATP to move cholesterol from inside the cell to HDL particles

36
Q

why are we more likely to get plaque formation in humans?

A

because LDL receptor and ABCA1 (CERP) deficiences are dominant
-only one mutation is needed to cause change so there is a higher chance

37
Q

what is the purpose of LCAT? how does this differ from ACAT? where are they found? what do they do? what is the fatty acid source for each?

A

LCAT: enzyme found in the bloodstream that converts cholesterol in HDL to cholesterol esters
-aids in maturation of HDL particles and transport of cholesterol from peripheral tissues to liver
-FA coming from glycerophospholipid (lecithin)

ACAT: cytosolic enzyme that converts cholesterol to cholesterol esters for storage
-prevents cholesterol accumulation in cells
-FA coming from fatty acyl-coA

38
Q

other than a cholesterol ester, what is produced using LCAT? explain the structure

A

CE and a lysophospholipid (lysolecithin)
-glycerol backbone, FA at C1, phosphate at C3

39
Q

why is cholesterol esterified?

A

converts it to its most hydrophobic form to be sucked into interior of HDL for storage / transport

40
Q

What 3 proteins are critical for HDL formation?

A

Apo A1
ABCA1/CERP
LCAT

41
Q

what is the function of SR? what 2 reasons make this a beneficial receptor for HDL?

A

Scavenger receptor (SR)
-HDL binds to these receptors to release cholesterol (to liver or steroid hormone producing tissues)
-both tissues which have high needs for cholesterol

1) not subject to down regulation from high cholesterol levels
2) doesnt have to take full HDL disk into the cell to remove cholesterol which allows for better recycling of HDL
-can be removed from blood without LDLr

42
Q

what is the indirect pathway that allows us to get cholesterol to peripheral tissues?

A

Cholesterol ester transfer protein (CETP) enzyme takes TAGs from LDL to HDL and takes cholesterol from HDL to LDL
-allows us to redistrubute cholesterol to tissues

43
Q

what is arteiosclerosis? how/ why does plaque build up? what is the affect of HDL?

A

thickening of arteries from build up of fat and cholesterol
-causing chronic inflammation

It is a response to chronic minimal injury to endothelium
-Monocytes,lipoproteins,platelets,etc. rush to help with endothelial injury
-macrophages and foam cells come to help and end up worsening the issue

HDL:
-inhibits oxidation
-inhibits inflammation
-decreases activation of endothelium
-decreases coagulation / platelet aggregation

44
Q

How is ABCA1 impacted as we age? how does this impact HDL?

A

down regulation of this transporter in machrophages occurs
-decreases the ability for HDL to take up cholesterol

45
Q

how does insulin impact cholesterol synthesis?

A

insulin promotes synthesis by activating HMG-CoA reductase

46
Q

what is the master regulator of cholesterol metabolism? explain the mechanism when cholesterol levels are high vs low.

A

the sterol regulatory element-binding protein (SREBP) is the master regulator
High cholesterol:
1) binding of cholesterol to SCAP (SCREBP cleavage-activating protein) allows SCAP/SREBP complex to associate with INSIG (insulin-induced gene)
2) association with INSIG prevents it from dissociating to ER membrane
-preventing it from transporting to golgi

Low cholesterol
1) cholesterol doesn’t bind
2) SREBP /SCAP dissociates from complex into the golgi
3) in the golgi SCAP allows S1P to work, which allows S2P to cleave SREBP
4) HLH taken to nucleus and affects transcription genes for:
-HMG-CoA reductase
-gene for LDL receptor
-gene that produces ACAT

47
Q

why is SREBP the master cholesterol regulator?

A

Its cleavage by S2P from SCAP allow it to produce HLH which is taken into the nucleus, affecting:
1) HMG-CoA reductase
2) LDLr
3) ACAT producing gene

48
Q

what is the affect of statins on cholesterol synthesis?

A

statins inhibit HMG-CoA reductase
-reducing amount of cholesterol in the cell
-increasing number of LDL receptors expressed
-Increasing uptake of cholesterol

49
Q

why would targeting CETP work in treating CVD?

A

CETP facilitates exchange of TG / CE from LDL to HDL to take CE to peripheral tissues

inhibiting CETP increases HDL : LDL ratio