Cholesterol Metabolism Flashcards

1
Q

What are four functions of cholesterol?

A

membranes
bile acids
steroid hormones
vitamin D

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2
Q

What is the one precursor of Cholesterol and where does it come from?

A

Acetyl CoA and it comes from: pyruvate dehydrogenase,

b-oxidation of fatty acids, and oxidation of ketogenic amino acids (e.g. leucine, lysine)

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3
Q

Cholesterol synthesis happens in the nucleus and doesn’t require much energy. (T/F)

A

False, It happens in the cytosol and requires a lot of energy, that’s why the “on/off switch” is early in the synthesis pathway.

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4
Q

HMG CoA Reductase is controlled by..

A

transcription
degradation
phosphorylation
inhibited by statins

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5
Q

When there is high cholesterol, SCAP is inactive, but when there is low cholesterol SCAP does this.

A

SCAP cleaves the DNA binding domain of SREBP, which then translocates to the nucleus and regulates transcription of HMG CoA reductase.

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6
Q

High levels of what promote proteolysis of HMG CoA reductase?

A

Sterols

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7
Q

In the fasted state, HMG-CoA is phosphorylated and inactive (T/F)

A

T

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8
Q

Where is the main source for cholesterol synthesis? How can cholesterol be exported from there?

A

The Liver. Cholesterol can be exported as cholesterol esters (VLDL) or bile acids.

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9
Q

What inhibits bile acid production?

A

Bile acids inhibit the 7alpha-hydroxylase.

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10
Q

The majority of bile salts are recycled back to the liver, while a small portion is excreted in the feces. (T/F)

A

T

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11
Q

When bile salts act as detergents, they do what specifically to dietary fats?

A

Make dietary fats soluble and accessible to lipase.

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12
Q

Nascent chylomicrons are composed of what and where are they initially sent?

A

They are made of dietary fat and cholesterol in intestinal epithelial cells. They are first sent to the lymph.

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13
Q

Mature chylomicrons are made after what is combined with nascent chylomicrons?

A

HDL particles transfer ApoCII to nascent chylomicrons to make mature chylomicrons. ApoCII activates lipoprotein lipase (LPL).

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14
Q

What does nascent VLDL from the liver require to become mature?

A

Other than an education on proper manners, it needs ApoCII and ApoE from circulating high density lipoprotein (HDL) to become mature.

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15
Q

Familial hypercholesterolemia are formed from mutations in what?

A

The LPL receptor. Symptoms are: hyperlipidemia, premature CVD, and xanthomas

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16
Q

What is an ingestible precursor for circulating steroid hormones?

A

Fat digestion, eventually converted to cholesterol.

17
Q

Congenital adrenal hyperplasia can result in mutation in steroid hormone biosynthesis genes, e.g. Cyp21, what happens as a result of this condition?

A

In these patients circulating aldosterone and cortisol are decreased, and androgens are increased.