Lipid Metabolism Flashcards
Lipids
Chemical substances consisting of long-chain fatty acids.
Triglycerides
Used in energy metabolism
Phospholipids
Important in structural components
Cholesterol
Precursor to steroids Cell membrane synth. Metabolic precursor of bile acids Obtained from diet Synthesized in liver and intestinal mucosa
Elevated ______ is implicated in the development of atherosclerosis.
Cholesterol
Chylomicrons
Exogenous transport pathway
Carry triglycerides, fat and cholesterol from the gut to the liver.
VLDL
Very low-density lipoprotein
Endogenous transport pathway
Main transporter of TG from liver to peripheral tissues.
HDL
Synthesized in liver
High-density lipoproteins
Carries cholesterol from peripheral tissues back to liver
Inverse correlation w/ coronary heart dz risk.
LDL
Bad cholesterol
Low-density lipoprotein
Main carrier of cholesterol from liver to peripheral tissues.
Linked to coronary atherosclerosis
Saturated fatty acids
Have single bonds btw carbon atoms.
C atoms are full, saturated
Most animal fat and coconut oil
Hypercholesterolemia causes
Genetics, age Saturated fat, cholesterol Sedendary lifestyle Poorly controlled DM Hypothyroidism nephrotic syndrome obstructive liver dz alcoholism drug therapy
Uptake of LDL’s by macrophages in the arterial can result in:
Insoluble cholesterol esters
Formation of foam cells
Development of atherosclerosis
HDL inhibits cellular uptake of?
LDL
Apoproteins
Six major classes
Regulate lipid transport and metabolism
Genetic defects cause hyperlipidemia and atherosclerosis.
Synthesized in intestine and liver..
Atherosclerosis process
1: Accumulation of lipoproteins within inner layer of arterial wall
2: oxidation of lipoproteins leads to inflammatory rxn
3: foam cells are accumulated, leading to fatty lesion formation.
4: Fatty lesions become fibrous plaques
5: fissures develop in plaque, exposing underlying tissues to platelets.
6: platelet adhesion leads to thrombus