Human metabolism lecture 8 Flashcards

1
Q

Role of cholesterol

A
  • Regulates membrane fluidity

- Precursor for bile acids, vitamin D, steroid hormones

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2
Q

Cellular cholesterol status

A

Sources of cellular cholesterol

  1. De novo synthesis
    (20-30 E, mevalonic A = 1st unique E, similar to ketone body synthesis, 2NADPH/H+, HMG coa reductase that response to [cholesterol]
  2. Circulating cholesterol carried by LDL
    - ↑ LDL receptor = ↑ capacity for uptake
    - Receptor mediated endocytosis, Cathrin coated pits, proton pump, pH optimum
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3
Q

NPC1/2

A
  • NPC2 binds esterified cholesterol in lumen of ER + transfers to membrane bound NPC1
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4
Q

Transcriptional regulation

A
  • LDL receptor + HMG CoA reductase have TF SREBP2
  • ER [cholesterol] ↑, SREBP2 binds INSIG + stays in ER
  • ” “ ↓ , SREBP2 goes to Golgi by COPII where activated by S1P/S2P, moves to nucleus
  • SCAP has sterol sensing domain + binds INSIG
  • ↑ cholesterol, SCAP binds cholesterol, x bind COPII, SCAP/SREBP retained in ER by INSIG
  • ↓ cholesterol, SCAP binds COPII, SCAP/SCREBP move to Golgi
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5
Q

Endocytic cholesterol metabolism

A
  • Free cholesterol enters enterocyte via NPC1L1
  • Some cholesterol returns to lumen via ABCG5/8 in TICE
  • Remaining cholesterol is esterified by ACAT
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6
Q

Cholesterol disposal

A
  • Excess cholesterol excreted
  • RCT, efflux of cholesterol on HDL to liver
  • In liver, secreted into bile, portion reabsorbed
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7
Q

Cholesterol efflux from tissues

A
  • 4 pathways from a macrophage (2 need diffusion by SR-B1, 2 need ATP)
  • Liver + intestine make apoA1
  • ApoA1 gathers cholesterol from 2 diffusion pathways
  • As ApoA1 gets cholesterol, matures to HDL + LCAT
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8
Q

Good vs bad cholesterol

A
  • Were cholesterol reaches
  • Cellular cholesterol is safe
  • Most carried by LDL (bad), minority by HDL (good)
  • If endothelial layer damaged, LDL taken up into sub-endothelial space + oxidised (bad)
  • Statins inhibit HMG CoA reductase
  • ↑ LDL receptor no. → ↑ capacity for cholesterol uptake, ↓ circulating LDL
  • Epidemiological studies
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