FA Metabolism Flashcards
Lipases in Body
lingual- small amt of fats
stomach- short chain
Pancreas- in duodenum, most fat, co lipase & BA= 2 monoacylglycerol
Lipoprotein lipase
outside endothelial & adipocytes. Chylomicrons & VLDL. Fat taken up by FA transport protein & CD36 or diffusion. LPL expression stimulated by insulin (adipose) and glucagon + epi in other tissues.
Adipose tissue triglyceride lipase ATGL
cleaves triacylglycerol to diacylglycerol & FA
Activated by PKA
Hormone sensitive lipase HSL
Cleaves triacylglycerol & diacylglycerol to FA & monoacylglycerol in adipocytes, I by insulin, stimulated by somatotropin, epi & glucagon using PKA
PKA aslo hyperP perilipins (non P= inhibit lipase access to lipid droplets)
Monoacylglycerol lipase
in adipocytes, cleaves mono acylglycerol into FA & glycerol
Glycerol transported to liver & enters glycolysis via glycerokinase & a glycerophosphate dehydrogenase
PKA activates it
FA degradation
Short < 6 C medium 6-12 long 14-24 very long >24 C most cells but not in nerve (can't cross BBB)
FA activation
Acyl coA synthetase (thiokinase) makes FA adenylate whichs then converts to acyl Co A using thiokinase AGAIN
Carnitine shuttle into mitochondrium
carnitine formed in liver & kidney from lys & met
<12 C atoms pass by diffusion
rate limiting step of FA breakdown
Systemic primary carnitine def
renal re uptake transport OCTN2 (Na+) Hypoketotic hypoglycemia Reye syndrome Lethargy HEpato & cardio megaly Give carnitine orally
Carnitine palmitoyltransferase I def
hypoketotic hypoglycemia, Reye, heptaomegaly, m. weakenss
Prevent hypoglycemia with shorth & medium chain FA in diet
Carnitine acylcarnitine translocase def
presents w/in hours of birth
Seizures, bradycardia, breathing problems, sudden infant death
Low lipid intake, med chain FA, avoid excercise, carnitine
Carnitine palmitoyltransferase II def
Adult: m. problems, attacks during exercise, fasting, high fat diet, infection. Variable w/ age
Infantine- <1 yo, hypoketonic hypoglycemia, loss of consciousness & seizures
neonate- onset hours to days after birth, rapidly fatal. Neuronal migration defect
Low lipid intake, med chain FA, carnitine,avoid excercise
Bezafibrate- induce enz expression
Peroxisome Proliferator activated R
nuclear R proteins that bind FFA, eicosanoids etc. dimerize w/ RXR & control expression of increased number of peroxisomes.
Jamaican vomiting sickness
Posioning from MCPA-Co A inactivates carnitine acyl transferase I & II.
Short chain acyl CoA dehydrogenase also (NADH production)
Treat: supportive
B oxidation
occurs in mitochondrial matrix
Forms acetyl Co A from acyl CoA (which then gets reformed and recycled)
remove H to form 2x bond @ FADH2
add H2O to 2x bond
Reduce alcohol to ketone, form NADH
Make/break C-C on carbonyl C using coA- SH as energy
*can use w oxidation but not major pathway!
Unsaturated FA
problems in B oxidation
Cis double bonds
Use 3 additional enzymes to change 2x bonds from wrong direction
Propionic Acidemia
defect in propionyl co A carboxylase, frequent in Mid east.
Vomiting, ketoacidosis, pancytopenia, hypogammaglobulineamia, protein intolerance
Treat: low protein diet
Methylmalonic Aciduria CBL
Defect mitoch transport of B12 or defect conversion to adenyl form
Acidosis
Megaloblastic Anemia
Treat: B12
Methylmalonic aciduria mut
acidosis only , no anemia
Sudden infant death
Therapy: nutritional manage, treat infections, carnitine
SCAD
generalized or muscle only. Metabolic acidosis, fialure to thrive, dev delay, seizures, myopathy
NO HYPOGLYCEMIA
MCAD
no FAD binding, after fasting or stress, fatal hypoglycemia (high gluconeogenesis, low KREBS), mitoch changes
Long term= slowed cognitive dev, cerebral edema, encephalopathy, no exercise, fatty liver
10% sudden infant death
LCAD
usually with VLCAD
VLCAD
missense mutations/deletions, some respond to bezafibrate.
Mem associated protein
Cardiomyopathy, non ketotic hypoglycemia, hepatic disf, sudden death
En handles upper 14-24 C not very long >24 C
TFP
mitochondria tri functional protein
long change, hydroxyacyl Co A dehydrogenase & thiolase complex.
One is defective but rarely all 3 are.
Fulminant neonatal liver failure
Preg may lead to acute fatty liver of pregnancy in mother.