Lecture 5 Flashcards
When lipids enter enterocytes they travel to E.R. where they are what?
Biosynthesized
LCFA that enter ER have how many carbons?
14>
What happens to LCFA that enter E.R.
Made into AcylCoA by AcylCoA Synthase (thiokinase)
Because LCFA that enter E.R. are acylated what is low?
FFA
Acyl-FA is also recognized as what?
CoA-Thioester which is a substrate for Beta oxidation
Wwhat is a substrate for Beta oxidation?
CoA Thioester
Can FFA diffuse into mitochondria?
Yes but they can not be oxidized
If a FFA diffuses into mitochondria, can they be oxidized?
No
What is used by TAG Synthase to convert 2-monoglycerols to TAG?
Acyl-CoA aka CoA thioester
2 parts of TAG synthase?
MAG acyltransferase
DAG acyltransferase
Lysolecithin (lysophospholipids) convert to phospholipids by what enzyme?
acyltransferase
Cholesterol is acted on by acyl cholesterol transferase (ACAT) to make what?
Cholesteryl ester
Do erythrocytes have mitochondria?
No
Can brain oxidize FFA?
No, because it has a blood brain barrier
3 hormones that facilitate lipolysis
Glucocorticoids
Growth Hormone
Thyroid hormone
Glucocorticoids
Growth hormone
Thyroid hormone
synthesize what?
Hormone sensitive lipase
Which is the rate controlling step in lipolysis
What breaks down TAG in adipose?
ATGL
adipose triglyceride lipase
What breaks down monoacylglycerol?
MAG
Monoacylglycerol lipase
In cushings disease there is what?
Excess glucocorticoid
In cushings disease there is excess glucocorticoid which leads to what?
long-term steroid therapies where fat is reduced in lower extreme but greatly increased in truncal obesity leading to buffalo hump showing that ab and neck adipocytes are not very reactive to these hormones
Insulin ensures that TAG are synthesized in what state and degraded in what state?
Synthesized
Degraded
Which nervous system ensure release of TAG during stress?
Sympathetic
Albumin bound FA have a high turnover time in plasma of how long?
3 minutes
What happens to glycerol in liver?
Go into glucose synthesis
Intestine and liver release _____ which adipocytes can’t.
lipoproteins
adipocytes can only release FFA (unesterified)
What 3 components of the body can not oxidize FA
Brain
Erythrocytes
Neurons
Beta oxidation metabolizes what type of Fats?
Saturated
To be oxidized Short FA must have what?
Even number carbon chain
Chain length of 18-20
if not they need additional enzymatic reaction
WHere does beta oxidation occur?
Mitochondrial matrix
DUring beta oxidation what happens to Acyl-CoA FA
2 carbon atoms must be removed to make acetyl-CoA, NADH, and FADH2
What must occur for a FA with less than 14 carbons to diffuse into mitochondria
must be protonated
What carries LCFA from cytosol into mitochondrial matrix?
Carnitine through a carnitine shuttle
First step of transferring a LCFA into mitochondrial matrix
Acyl FA group is transferred to the OH group of carnitine forming acyl carnitine
What transfer the AcylFA group to the OH group of carnitine?
Carnitine-Palmitoyl transferase
or
CAT
Carnitine Palmitoyl transferase has 2 forms. Explain them
CPT1 is the outer membrane
CPT2 is the inner membrane
What crosses mitochondria membrane via carnitine shuttle?
Acyl-Carnitine and Carnitine via diffusion using Carnitine acylcarnitine translocase
What enzyme helps transfer Acyl Carnitine and Carnitine across mitochondrial membrane
Carnitine-Acylcarnitine
Translocase
Once the Carnitine-AcylCarnitine gets across mitochondrial membrane what happens?
Carnitine Palmitoyl Transferase 2 catalyzes the carnitine group and adds Coenzyme A back
Does SCFA or MCFA need carnitine?
No they can diffuse passively where they are acylated
What inhibits CPT1 from transferring LCFA into mitochondria?
Malonyl CoA
WHen Malony CoA inhibits CPT1, LCFA can’t get into mitochondria because what?
FA synthesis is occuring in cytosol and the new palmitate can not enter either
Where does carnitine come from?
Diet or liver and kidney make them out of lysine and methionine
Can heart and skseletal muscle make carnitine?
No
Where is carnitine stored?
Skeletal muscle
Carnitine removes what?
Branch chain acyl group that are made when BCAA are catabolized for energy
What happens to acyl groups the body can not catabolize?
trapped and excreted at renal level by carnitine
Deficiency of carnitine can lead to what?
InAbility of tissue to use LCFA as a source of energy
Build up of Branch Chain Acyl Groups and FFA in tissuess
What causes carnitine deficiency?
Liver failure
Malnutrition
Strict Diet
Increase need due to infection, burns, pregnancy, hemodialysis.
Congenital deficiency; where tubular reabsorption of carnitine is bad, or cellular uptake of carnitine is bad
What does hemodialysis lead to?
Extracting carnitine from the blood
CPT1 deficiency can lead to what?
Impair liver tissue ability to make glucose in fasting state
CPT1 deficiency impair liver tissue ability to make glucose in fasting state leading to what?
Hypoglycermia or Death
CPT 2 deficiency occurs mainly where?
Cardiac and skeletal muscles
When CPT2 is deficient what occurs?
Cardiomyopathy
muscle weakness
myoglobinemia
How do you treat carnitine deficiency?
High Carb diet, Low LCFA diet Supplement MCFA avoid fasting Supplement carnitine