Cholestrol metabolism Flashcards

1
Q

What is cholestrol?

A

Steroid that: inc/dec membrane stiffness depending on temperature + membrane nature and interactions with cytoskeleton

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2
Q

Where is cholestrol synthesized?

A

liver

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3
Q

What are the steps in the biosynthesis of cholestrol?

A

see notes

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4
Q

What is the precursor to all steroid hormones?

A
  • pregnenolone generated from cholestrol by desmolase

- All 5 classes of steroid hormone come from pregnenolone

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5
Q

What molecules are made form cholestrol?

A

Vitamin D and Bile Salts

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6
Q

How does cholestrol act in cell signalling?

A

Lipid raft: fluctuating cholestrol and sphingolipid assembly organise signalling by localising key proteins on surface receptor into discreet domains

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7
Q

How is cholestrol transported around the body?

A

Lipoproteins: overcomes problem of insolubility of lipid in aqueous solutions

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8
Q

What is the structure of lipoproteins?

A
  • Outside: phospholipid monolayer containing cholesterol and apoproteins
  • In core: is cholesteryl ester and triacylglycerol
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9
Q

How is cholesteryl ester synthesized?

A

Cholesteryl ester is synthesized in plasma from cholestrol and phosphatidylcholin

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10
Q

What enzymes are involved in lipoprotein synthesis?

A
  • lecithin cholestrol acyltransferase (LCAT) making cholesteryl esters more hydrophobic than cholestrol and pack more tightly in lipid core
  • acyl CoA cholestrol acyltransferase (ACAT) generates cholestrol from long chain fatty acyl CoA (an intracellular enzyme acting on cholestrol taken in by endocytosis)
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11
Q

What is the role of lipoprotein lipase?

A
  • in capillary endothelial cells lining various tissues (adipose, heart, skeletal muscle)
  • hydrolysis of triacylglycerols in chylomicrons
  • Apoprotein CII on chylomicron activates lipoprotein lipase
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12
Q

Compare HDL and LDL

A

see notes

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13
Q

Classify lipoproteins according to density

A
  1. Chylomicrons (CM)
  2. Very low density
  3. Intermeditate density
  4. Low density
  5. High density
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14
Q

Give examples of cholestrol transport dysfunctions

A

Familial Hypercholestrolaemia: monogneic dominant inheritance

- Heterozygote 2-3x higher cholestrol
- Homozygote 5x higher - may have severse atherosclerosis and coronary infarction in adolescence 
	- Controlling FH 
1. HMG-CoA reductase inhibitors aka statins - competitive inhibitor 
2. Resins/ sequestrants: bind/hide away/isolate bile acid-cholestrol complexes preventing reabsoprtion by intesitng - lowers both HDL and LDL
- Different disease classes affect different parts of endocytosis 

LDL receptor:

- Patients with severe FH lack functional LDLR
- Receive LDL and sent to early endosome then recylced back to plasma membrane then transferred to lysosome to give free cholestrol
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15
Q

Statins are highly effective inhibitors of cholesterol synthesis and function by inhibiting which enzyme?

A

3-hydroxy-3 methylglutaryl-CoA reductase

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16
Q

The bulk of the body’s cholesterol requirements are met by what?

A

de novo synthesis of cholesterol from acetyl-CoA