Fat metabolism Flashcards

1
Q

Structure of a fatty acid?

A

hydrophilic carboxylic acid head

hydrophobic hydrocarbon tail

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2
Q

Function of adipocytes?

A
  • control acid storage and used to provide energy during starvation
  • Stored as triacyl
  • Albumin is a good carrier of fatty acid
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3
Q

Where is fat derived from?

A
  1. Diet
  2. De novo synthesis in liver
  3. Hydrolyze storage deposits in adipocytes
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4
Q

Where are bile salts stored and generated?

A

Bile salts generated by liver and stored in gallbladder

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5
Q

What is the function of bile salts?

A
  • Secreted into intestine during digestion to emulsify fat and fat soluble vitamins (A, D, E, K) digestion
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6
Q

What allows them to break down fat?

A

amiphilic allowing interaction with solute and triglyceride - are soluble form so lipases can break down

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7
Q

How are fats digested and absorbed?

A
  1. Triacylgylceride solubilized
  2. Taken up by enterocytes in intestine
  3. MonoACYLglycerols (MAG), DAG and free FA which join bile salts + lysophosphatidic acid (LPA) + fat soluble vitamins and form mixed micelles
  4. Absorbed by enterocytes –> triacylglycerol synthesized–> packaged in chylomicrons
  5. Chylomicrons from lacteals of intestine –>thoracic duct –>l. subclavian–> bloodstream
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8
Q

What does orlistat inhibit?

A
  • Gastric and pancreatic enzymes
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9
Q

What is the first reaction of beta oxidation?

A

Fatty acid + ATP + HS-CoA –> acyl CoA + AMP + PPi
- ATP –> AMP breaks two high energy bonds
Acyl CoA Synthetase

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10
Q

Where does beta oxidation occur?

A

In outer mitocondrial membrane cartinine shuttle transports into matrix

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11
Q

Steps of the Cartinine shuttle:

A

see notes

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12
Q

Steps of the Beta oxidation cycle?

A

see notes

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13
Q

What is the final ATP yield?

A

129 ATP

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14
Q

What is the overall reaction?

A

palmitoyl CoA + 7 FAD + 7 NAD+ + 7 H2O + 7 CoA

–> 8 acetyl CoA + 7 FADH2 + 7 NADH

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15
Q

Why does beta oxidation and carb metabolism need to be balanced?

A

oxaloacetate is needed for entry

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16
Q

What are formed when fat breakdown dominates?

A
  1. Acetoacetate
  2. Acetone
  3. D-3-hydroxybutyrate
    • formed by fusion of acetyl CoA
17
Q

What is the overall reaction of lipogenesis?

A

Acetyl-CoA + 7 Malonyl-CoA + 14 NADPH + 14H+–> Palmitate (16C) + 7CO2 + 6H2O + 8 CoA-SH + 14NADP+

18
Q

What are the steps of lipogenesis?

19
Q

How are fatty acids longer than 16 carbons generated?

A

elongationof the acyl group occurs separately from palmitate synthesis in the mitochondria and endoplasmic reticulum (ER).

20
Q

What enzyme desaturates fatty acids?

A

fatty acyl-CoA desaturases.

creates oleic acid and palmitoleic acid from stearate and palmitate, respectively, is called a Δ-9 desaturase

21
Q

What are the types of acetyl CoA dehydrogenases?

A
  1. Short
  2. Medium
  3. 3-hydroxy
  4. Long
  5. Very long
    • Catalyze initial step in each fatty acid beta oxidation cycle
22
Q

Examples of inborn errors in metabolism?

A

Medium chain acyl coenzyme A dehydrogenase (MCADD)

- Autosomal recessive, predominantly seen in Caucasians 
- 1/10000 live births
- Accounts for 1/1000 deaths from SIDS
- If diagnosed - avoid fasting and have high carb diet
- Part of heel prick test
- Patients with loss of appetite may need IV Glu to make sure body doesn't depend on fatty acids for energy

Primary Carnitine deficiency:

- Autosomal recessive
- Cartinine needed to get acyl group into membrane 
- Can be given as supplement to treat