Cholesterol DO Flashcards

1
Q

Describe the structure of cholesterol

A

Most common steroid in animal cells.

  • Very Hydrophobic
  • Contains 4 ring sterol nucleus.
  • In blood, found as cholesterol esters in lipoproteins.
  • Plants synthesize a range of sterols – not cholesterol.
  • Plant sterols are not generally absorbed by mammalian G-I tract
  • Block cholesterol absorption (pharmaceutical application).
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2
Q

Describe the influx and efflux of cholesterol in the liver

A

Yes, we need a certain amount of cholesterol for normal cellular Function

Cholesterol metabolism is an intricate balance –
biosynthesis/transport/utilisation.

The liver plays a central role in cholesterol homeostasis

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3
Q

What are the functions of cholesterol?

A

• Precursor for vitamin D
• Component of cell membrane – fluidity
• Cholesterol is used for bile acid synthesis only in the liver
• Cholesterol synthesis is needed in the brain due to the blood-brain barrier.
• Precursor for steroid hormones
• in the adrenal cortex (cortisol, aldosterone,
androgens)
• in ovaries (estrogen and progesterone) • in testes (testosterone)

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4
Q

What are the sites of De novo synthesis of cholesterol?

A
  • Occurs primarily in the liver. • Brain
  • Intestine
  • Reproductive tissues, including • ovaries,
  • testes,
  • placenta
  • Adrenal cortex
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5
Q

Give an overview of synthesis of cholesterol

A
  • Just like fatty acid synthesis, synthesis of cholesterol requires cytosolic acetyl CoA, NADPH and ATP
  • Rate Limiting Enzyme(RLE) is HMG CoA reductase
• Occurs in the cytoplasm with enzymes in cytosol and
Endoplasmic reticulum (ER).

• Cholesterol levels are carefully regulated:
– too much plasma cholesterol can lead to atherosclerosis
– too much cholesterol secretion causes formation of gall stones

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6
Q

What are sources of NADPH for cholesterol synthesis?

A

The NADPH required to provide reducing equivalents for cholesterol biosynthesis is produce by:
1. Pentosephosphatepathway
• Major pathway.

  1. Malic enzyme
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7
Q

What are the steps of de novo for cholesterol?

A

Begins in the cytosol with acetyl-CoA acting as a source of
carbon units.
• Can be split into the following basic steps:

  1. SynthesisofHMG–CoA
  2. Synthesis of six-carbon mevalonate
  3. Formation of a five-carbon isopentenyl pyrophosphate
  4. Condensation of isoprenes to form squalene (C30).
  5. Cyclization of squalene to lanosterol followed by cholesterol (C27) formation.
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8
Q

Describe synthesis of 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA)

A
  • Involves 3 molecules of acetyl-CoA.
  • Thiolase catalyses the linkage of 2 acetyl-CoA molecules to produce acetoacetyl-CoA.
  • HMG-CoA synthase catalyses the linkage of 3rd Acetyl-CoA.
    • Resulting in production of HMG- CoA (a six-carbon compound.)
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9
Q

Describe the synthesis of mevalonate

A
  • HMG CoA is reduced to mevalonate.
  • Reaction is catalysed by HMG-CoA reductase, the RLE of cholesterol synthesis
  • Requires 2 NADPH (reducing equivalent).
    • Is the primary regulatory step of cholesterol biosynthesis
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10
Q

How is mevalonoate derived from cholesterol?

A
  1. Mevalonic acid is converted to 5- pyrophosphomevalonate, requiring two ATP molecules.
  2. Followed by decarboxylation to form a 5 carbon isopentenyl pyrophosphate (IPP), using one ATP.
  3. IPP is isomerized to 3,3-dimethylallyl pyrophosphate (DPP).
  4. IPP and DPP are linked to form geranyl pyrophosphate (GPP)
  5. a second IPP is added to form farnesyl pyrophosphate (FPP)
  6. two FPPs are linked to form squalene (30 carbons). In the process, pyrophosphate is released. NADPH serves as reducing equivalent.

7.Squalene is cyclized with NADPH and O2 to form lanosterol
• Close rings – initial cyclical molecule
• without pyrophosphate, this compound and the downstream
intermediates to cholesterol are so hydrophobic, they require carrier proteins to keep them solubl

  1. Lanosterol (30C) is converted to cholesterol (27C) by a series of reactions performed in the ER by many enzymes
    – Lanosterol converted to cholesterol via several steps
    – Requires NADPH and the removal of 3 carbon atoms
    – Finally, a 27 carbon compound (cholesterol) formed.
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11
Q

Describe degradation of cholesterol

A

The ring structure of cholesterol cannot be metabolized to CO2 and H2O in humans.
• Cholesterol metabolized by:

  1. Conversion to bile acids – secreted in bile and released in feces
    • Total fecal excretion of bile salts balances hepatic synthesis. This is a major catabolic path in cholesterol metabolism.
  2. Reduction by intestinal microorganisms to coprostanol & cholestanol which are found in feces.
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12
Q

What are the action of intestinal flora of bile salts?

A

• Intestinal bacteria can remove taurine or glycine from bile salts

• Other intestinal bacteria convert primary bile acids into
secondary bile acids by removing hydroxyl groups
• deoxycholic acid and lithocholic acid from cholic acid and chenodeoxycholic acid, respectively

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13
Q

Describe the enterohepatic circulation of bile salts

A
  • Continous secretion of bile salts into bile (stored in gall bladder)
  • Passage into duodenum, uptake in the illeum and return to the liver.

• 95% of bile acids reabsorbed via
enterohepatic circulation • 5% excreted

  • Primary bile acids (cholic & chenocholic) metabolized by intestinal bacteria producing secondary bile acids.
  • Involves deconjugation and dehydroxylation.
  • Secondary bile acids - reabsorbed by the liver, reconjugated but not rehydroxylated – also become component of bile.
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