Hepatic Lipidosis in Large Animals Flashcards

1
Q

what are lipoproteins composed of?

A

hydrophobic lipid core
polar shell

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2
Q

lipoproteins with the highest triglyceride content (chylomicrons) are the _________ dense

A

least

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3
Q

what synthesizes and secretes very low density lipoproteins?

A

liver

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4
Q

what is the rate of very low density lipoprotein secretion proportional to?

A

availability of components
rate of transfer of trigylceride from storage pool
microsomal trigylceride transfer protein abundance and activity

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5
Q

what is the utilization of very low density lipoprotein triglyceride proportional to?

A

rate at which VLDL loses triglycerides
rate of VLDL triglyceride hydrolysis by lipoprotein lipase or hepatic lipase
rate of removal of LDL remnants from circulation

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6
Q

what predisposes cows to hepatic lipidosis?

A

high-production cows
voluntary reduction in feed intake
obesity
+/- subclinical liver damage

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7
Q

what in the liver can predispose cows in general to hepatic lipidosis?

A

lack of phospholipid
low protein diet in dry period
low apoB-100 concentrations

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8
Q

what do ponies have a high rate of production of?

A

non-esterified fatty acids

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9
Q

what are the ketone levels like in camelids?

A

lower: higher than horses, lower than ruminants

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10
Q

can lipemia and hepatic lipidosis be induced by feed restriction alone in camelids?

A

yes

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11
Q

what is in the polar shell of lipoproteins?

A

free cholesterol
phospholipids
apolipoproteins

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12
Q

what do apolipoproteins do?

A

structural component of lipoprotein
functional roles: enzyme cofactors, receptor ligands

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13
Q

what do very low density lipoproteins do?

A

transport lipids from liver to peripheral tissues

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14
Q

what leads to poor hepatic export of trigylcerides in bovines?

A

lack of phospholipid or precursor choline
low protein diet in dry period
low apoB-100 concentrations: early lactation cows

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15
Q

what is high in bovine hepatic lipidosis?

A

ketones
non-esterified fatty acids in blood
GGT

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16
Q

which species has low triglycerides with hepatic lipidosis?

A

bovine

17
Q

why do ponies have a high rate of non-esterified fatty acid production?

A

norepinephrine-stimulated lipolysis high in adipocytes of ponies
lower levels of adenosine: anti-lipolytic nucleoside

18
Q

do we measure ketones in ponies?

A

no- not good ketone producers

19
Q

why don’t camelids clear triglycerides well?

A

peripheral insulin resistance

20
Q

what is pregnancy toxemia in camelids triggered by?

A

catabolism (negative energy balance)

21
Q

what is the treatment for hepatic lipidosis?

A

eliminate negative energy balance
treat underlying cause
supplemental feeding
exogenous insulin treatment of hyperlipidemic patients

22
Q

what are the types of lipoproteins, from least dense to most?

A

chylomicrons
very low density lipoprotein
intermediate density lipoprotein
low density lipoprotein

23
Q

what are triglycerides largely removed by?

A

lipoprotein lipase on capillary endothelial cells

24
Q

LDL provide ______________ to tissues

A

cholesterol

25
Q

what is responsible for stabilizing apolipoproteinB?

A

microsomal triglyceride transfer protein

26
Q

what predisposes ponies to hepatic lipidosis?

A

high rate of non-esterified fatty acids
enhanced VLDL secretion
slow lipoprotein clearance

27
Q

what metabolic disturbances are seen in camelids with hepatic lipidosis?

A

hyperlipemia
acidosis: ketosis
hyperglycemia
hypovolemia, azotemia