Final W4 Flashcards
There is a strong correlation between high levels of cholesterol in ___ and ___ disease. Cholesterol is a crucial component of ___ ___ and an important precursor to ___ hormones and __ ___. All ___ can synthesize cholesterol
blood, cardiovascular, cellular membranes, steroids, bile acids, cells
Stage one of cholesterol formation involves 2 molecules of ____ condensing to form _____. This product then condenses with a third molecule of acetyl-CoA to yield _____. This product is reduced to ____.
acetyl-CoA, acetoacetyl-CoA, HMG-CoA, mevalonate
In stage two of cholesterol formation, ___ ______ groups are transferred to mevalonate. The intermediate ________ _____ releases ____ and phosphate, producing an activated ____
3 phosphate, 3-phospho 5-pyrophosphomevalonate CO2, isoprene
In stage 3 of cholesterol formation, 2 activated isoprenes condense, forming __ ___ with __ carbons. This product ___ with another activated isoprene forming ___ ___ with ___ carbons. Two molecules of this product condense, forming ___ with ___ carbons
geranyl pyrophosphate, 10, condenses, farnesyl pyrophosphate, 15, squalene, 30
In the last stage of cholesterol formation __ ___ catalyzes the addition of one ___ atom from O2 to the end of squalene, forming an ____. ____ results in the formation of ___ which contains the __ rings characteristic of the steroid nucleus. Several additional reactions add and reposition ___ groups to form cholesterol.
squalene monooxygenase, oxygen, epoxide, cyclization, lanosterol, 4, methyl
Cholesterol can be formed into __ ___ which emulsify dietary fats, __ ___ which are hydrophobic molecules for lipoprotein transport, or ____ ___ such as testosterone and estradiol
bile salts, cholesterol esters, steroid hormones
hormone that promotes the activation of HMG-CoA reductase
insulin
Hormones that promote the inactivation of HMG-CoA reductase
glucagon, AMPK
___ ___ __ is the leading cause of death in developed countries. ___ are the most widely used drugs for lowering ___ cholesterol levels. They are ___ ___ of HMG-CoA reductase, resembling the substrate ____. The most widely used statin is _____.
coronary heart disease, statins, serum, competitive inhibitors, mevalonate, atorvastatin
Ketone bodies are produced in the ___ as an alternative fate for acetyl-CoA. ___ is produced in smaller quantities and exhaled. ___ and ______ are transported by blood to extrahepatic tissues. The ____ relies heavily on ketone bodies for fuel because fatty acids cannot cross the BBB
liver, acetone, acetoacetate, D-beta-hydroxybutyrate, brain
The synthesis of ketone bodies occurs in the __ __ of _____. First two molecules of acetyl-CoA condense to form _____. This condenses with another molecule of acetyl-CoA forming ___. This produced is cleaved to free ____ and ____. The latter is ___ reduced to ____ or ____ to acetone
mitochondrial matrix, acetoacetyl-CoA, HMG-CoA, acetyl-CoA, acetoacetate, reversibly, D-beta-hydroxybutyrate, decarboxylated
The breakdown of ketone bodies occurs in the mitochondria in __ ___. First, D-beta-hydroxybutyrate is oxidized to ____. This is then metabolized to ____. This produced is cleaved to 2 molecules of ___ which enters the citric acid cycle
extrahepatic, acetoacetate, acetoacetyl-CoA, acetyl-CoA
___ consumes oxaloacetate and slows citric acid cycle. The slowing of the citric acid cycle promotes __ ___ production. The release of ___ during the formation of acetoacetate enables the continued oxidation of __ ___.
gluconeogenesis, ketone body, CoA, fatty acids
During starvation, gluconeogenesis is __ to provide ___ to tissues such as the brain. This depletes citric acid cycle ___, resulting in ____ producing ketone bodies.
active, glucose, intermediates, acetyl-CoA
In people with diabetes, insufficient ___ prevents glucose uptake from the blood. Low glucose in cells stimulates ___ and ____, which depletes the citric acid cycle intermediates and produces ___ ___. Thus these individuals have a much higher concentration of ___ in the blood and urine.
insulin, beta-oxidation, gluconeogenesis, ketone bodies, acetoacetate