Lipid Metabolism Flashcards

1
Q

Lipids

A
  • Fatty compounds that perform a
    variety of functions in your body.
  • Lipids are fatty, waxy, or oily
    compounds that are soluble in
    organic solvents and insoluble in
    polar solvents such as water. Lipids
    include:
  • Fats and oils (triglycerides)
  • Phospholipids
  • Waxes
  • Steroids
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2
Q

Fatty Acids

A
  • Essential fuel and major energy source
  • A lot of the fat used by the body comes
    from diet
  • You can also synthesise fatty acids from
    Acetyl CoA
  • Have molecular formular R-COOH i.e. something carry a
    carboxylic acid group
  • Therefore, fatty acids are weak acids
  • Due to the average pKa value of fatty acids (~4.5) at physiological
    pH the equilibrium position lies to the right of the equation.
  • Fatty acids exist in their anionic form under physiological
    conditions.
  • This has the suffix “–ate” rather than “–ic acid”
  • Terms often used synonymously incorrectly
    Required for lipogenesis:
    synthesis of TAG, an energy
    dense storage molecule
  • Synthesised from Acetyl
    CoA
  • In fed state, Acetyl CoA is
    abundant → stored in
    adipose tissue as TAG
    OR
  • FA released into the blood
    stream from TAG by
    lipolysis when there is a
    need for energy
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3
Q

Saturated vs unsaturated FA

A

Unsaturated = double bond
at some location in the
hydrocarbon tail
* Saturated = no double bonds,
no opportunity for new bonds
to be formed
* Polyunsaturated = more than
one double bond
* Monounsaturated = one
double bond

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4
Q

Cis and trans configuration of the C=C double bond

A
  • Double bonds may be in 2 stereoisomeric
    configurations
  • C=C double bond has significant
    consequences for the molecular properties
    (structure, chemical characteristics)
  • Cis = sharp bend in the hydrocarbon chain
  • Trans = no sharp bend
  • Most natural FA possess C=C bonds in the
    cis configuration
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5
Q

Triacylglycerides

A
  • AKA triglyceride
  • Triacylglycerol is the major form of
    dietary lipid in fats and oils
  • Triacylglycerol is composed of three
    fatty acids esterified to a glycerol
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6
Q

Lipid Digestion

A
  • Mouth: lingual lipases,
    which are secreted by
    glands in the tongue to
    begin the process of
    digesting triglycerides
  • Stomach is also the major
    site for the emulsification
    of dietary fat and fat-
    soluble vitamins
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7
Q

Absorption

A
  • FA + MAG absorbed by enterocyte.
  • Assembled in chylomicron.
  • Chylomicron travels to blood via
    lymphatic system
  • Chylomicron acquires CII
  • LPL activates after contact with CII.
  • TAG hydrolysed to FFA and glycerol
    and delivered to cells
  • Chylomicron returns CII to HDL
  • Chylomicron remnants endocytosed
    by hepatocytes
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8
Q

Lipid Catabolism

A
  • TAG stores in adipose tissue are a major fuel reserve
  • Easily mobilised for exercise or starvation
    1. Lipolysis (splitting TAG into FA and glycerol)
    1. FA ‘activation’ (molecular modification of liberated
      FAs necessary to obtain access to the mitochondria)
    1. FA entry into mitochondria (from the cytoplasm)
    1. β-oxidation (oxidation, releasing energy)
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9
Q

1) Lipolysis

A
  • Cytosol of adipose cells
  • Hydrolysis of TAG by lipase
  • Produces glycerol and free fatty acids
  • Hormone sensitive lipase (HSL) hydrolyses TAG→ MAG
  • MAG-specific lipase removes remaining fatty acid
  • Glycerol transported to liver to make TAG or be
    converted to intermediate for gluconeogenesis
  • FFA either re-esterified to TAG in adipocyte or
    transported in blood for oxidation
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10
Q

2) Activation of Fatty Acids

A

Fatty acyl CoA synthetase
(thiokinase) activates fatty
acids by attaching them to CoA
* Requires ATP
* Fatty acids are non-polar and
would diffuse out of cells.
* Addition of CoA traps the fatty
acid inside

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11
Q

3) Transport to Mitochondria

A

Fatty acids enter
mitochondrial matrix via
carnitine shuttle

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12
Q

4) β-oxidation

A
  • FA catabolism generates
    FADH2 and NADH+H+ and
    releases acetyl CoA.
  • Acetyl CoA enters the TCA
    cycle for oxidation and
    reducing equivalents can
    undergo oxidative
    phosphorylation to release
    energy
  • Each cycle reduces chain by 2
    carbons (Acetyl CoA)
  • 1) Oxidation
  • 2) Hydration
  • 3) Oxidation by NAD+
  • 4) Thiolytic cleavage by CoA
  • Repeat cycle until complete
    oxidation
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13
Q

TAG Biosynthesis

A
  • Bulk of human energy from
    carbohydrates
  • Storage as glycogen is limited
  • Conversion from carbohydrate to
    fat is required
  • Acetyl CoA from Glycolysis is
    incorporated into new fatty acid
    molecules.
  • Then FA esterified to TAG for
    storage in adipose tissue
  • Occurs in cytoplasm of
    adipocytes, liver, kidney and
    lactating mammary gland
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14
Q

Fatty Acid Biosynthesis

A

STEPS
* 1) Transport of acetyl CoA to the cytoplasm, where the synthetic
enzymes are located
* 2) Activation: synthesis of malonyl CoA and localising at fatty acid
synthase
* 3) Sequence of condensation, reduction, dehydration and a
second reduction
* 4) Addition of a 2-carbon unit (derived from another malonyl coA)
* 5) Repeat 3 & 4 – No of repeats determines the length

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15
Q

1) Transport of acetyl CoA from mitochondria
to cytoplasm

A
  • Mechanism known as the citrate shuttle or
    pyruvate-malate cycle
  • Acetyl CoA condenses with oxaloacetate
    to form citrate
  • Citrate exported from matrix to cytoplasm
    in exchange for malate
  • Citrate reacts with ATP and CoA to form
    oxaloacetate and acetyl CoA
  • Oxaloacetate is reduced to malate
  • Malate decarboxylated to pyruvate
  • Pyruvate re-enters mitochondria where is
    regenerates oxaloacetate
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16
Q

2) Synthesis of malonyl CoA

A
  • Irreversible rate limiting step of FA
    synthesis
  • Carboxylation of acetyl coA to
    malonyl CoA
  • Acyl carrier protein (ACP) is a
    component of fatty acid synthase
    (FAS)
  • ACP accepts acyl groups. 2 ACP
    required as FAS is a homodimer
17
Q

3) condensation, reduction, dehydration and a second reduction

A

Condensation
* ACP-anchored acetyl group is
cleaved off and transferred to
the protruding end of the
malonyl group
* This transfer displaces the
carboxyl group, liberating CO2.
* Results in a saturated four-
carbon chain, still attached to
the ACP. This forms the basic
skeleton of an FA.
Malonyl-ACP
Acyl-ACP

  • Keto group at C3 (R-C(=O)-R’) reduced to
    alcohol group (-OH)
  • Double bond introduced between C2 &
    C3 releasing H20
  • Double bond removed by saturation of
    C2 and C3 with H
18
Q

4) Addition of a 2-carbon unit

A
  • 4C chain condenses with malonyl CoA to form a 6C chain.and repeat until 16C palmitate
    Each repeat requires a malonyl CoA
    molecule
19
Q

Lipogenesis: TAG Synthesis

A

3 stages
1. Formation of glycerol-3-phosphate
* Glycerol is phosphorylated at C3 by glycerol kinase using
ATP as the phosphate donor,
* Dihydroxyacetone phosphate (DHAP) is reduced by
glycerol-3-phosphate dehydrogenase.
2. FA activation.
* FA attach to CoA. Fatty acyl-CoA synthetase performs
this reaction.
3. Esterification of glycerol-2-phosphate
* The three activated FAs are esterified to glycerol-3-
phosphate in stages.

20
Q

Sugar

A

Carbohydrate containing foods are broken down by the body to glucose.
Glucose is then used for energy. Excess glucose can be converted to
triglycerides for storage in adipocyte

21
Q

Cholesterol

A

Cholesterol is a sterol/lipid
We get some from our diet
We synthesis some
Mostly associated with
CVD

23
Q

Cholesterol Absorption

A
  • Free cholesterol is more readily incorporated into bile acid micelle
  • Cholesterol absorbed 29.0-80.1%
  • Free cholesterol absorbed by clathrin-mediated endocytosis via NCP1L1
  • Acetyl CoA:acetyltransferase 2 (ACAT2) converts FC to CE
  • Microsomal triglyceride transfer protein (MTP) shuttles CE for incorporation
    into nascent chylomicron
24
Q

Hepatic Absorption of
Chylomicron Remnants

A
  • Chylomicron acquires apo C-II and E from HDL
    converting nascent chylomicron to mature chylomicron
  • Within tissues, apo C-II activate lipoprotein lactase
    (LPL) found on the capillary endothelium, catalysing the
    hydrolysis of TAG
  • Chylomicron remnant returns apo C-II to HDL
  • Apo B-48 and apo E recognised by hepatic LDLr and low
    density lipoprotein receptor-related protein (LRP),
    inducing uptake of chylomicron remnant
25
Cholesterol Synthesis
Cholesterol is synthesised in all nucleated cells Approximately 10mg/kg/d Approximately 700mg/d
26
Cholesterol Synthesis Regulation
* Competitive inhibition * Statins occupy a portion of the binding site of HMG CoA reductase, blocking access of the substrate * Feedback inhibition * Mevalonate and cholesterol inhibit HMG CoA reductase * Hormones * Insulin favours formation of active (dephosphorylated) form of HMG CoA reductase to increase rate of cholesterol synthesis * Glucagon favours the inactive (phosphorylated) form of HMG CoA reductase to decrease rate of cholesterol synthesis
27
Bile Acids
* Cholesterol removed by 2 ways * Conversion to bile * Excretion * CYP7A1 key enzyme in BA synthesis
28
Bile Acid Metabolism
Conjugation improves solubility Conjugation increases polarity, lowing bile acids ability for passive transport. Bile acid movement tightly regulator and under receptor control. Enterohepatic circulation of bile acids occurs between 4-12 times per day
29
Cholesterol & Bile Acid Excretion
~500mg/day bile acids excreted ~500mg/day cholesterol excreted
30
Statin
There are 5 types of statin available on prescription in the UK * Atorvastatin (Lipitor) * Fluvastatin (Lescol) * Pravastatin (Lipostat) * Rosuvastatin (Crestor) * Simvastatin (Zocor) Standard statin regimens (eg, 20–40 mg/d simvastatin) typically reduce LDL cholesterol concentrations by about a third Regimens involving higher doses or newer, more potent statins (eg, 40–80 mg/d atorvastatin or 10– 20 mg rosuvastatin) can halve LDL cholesterol.
31
Ezetimibe
* Blocks NPC1L1 * Exact mechanism unknown * Inhibits cholesterol absorption by ~50% * Lowers LDL-C by 15-20% * Can be used in combination with statins * Cannon et al. (2015): combination therapy lowered LDL-C by a further 24% than statin therapy alone
32
PCSK9 Inhibitors
PCSK9 binds to the LDL receptor. After internalization of the LDL receptor bound to PCSK9 (and an LDL particle), the LDL receptor is degraded. PCSK9 can be inhibited using: B1: RNA-targeting drugs e,g. Inclisiran B2: monoclonal antibodies that bind and neutralize PCSK9 e.g. Evolocumab
33
Diet North Karelia Project
Internationally, Finnish males, especially those in the province of North Karelia, had the highest rate of CHD in the late 1960s, as a result of a diet high in salt and saturated fat, and low in vegetables, in addition to high rates of smoking and physical inactivity A low-resource, community-based intervention study titled the North Karelia Project was implemented in 1972 to improve diet and exercise patterns; and reduce smoking rates The project resulted in the most rapid decline in CHD mortality in the world. 1977: * 4.1 and 1.2% reduction in serum cholesterol was exhibited in men and women, respectively * 17.4 and 11.5% reduction in CHD risk in males and females 2007: * 21% and 23% decline in total cholesterol * 60% reduction in CHD risk * 30 year project reflected an 85% decrease in CHD-related mortality
34
Diet – Alter Saturated Fat Intake
An 8-week reduction in SFA Reduced TC and LDL-cholesterol by 9·3 and 11·8 %, respectively, in healthy males and females aged between 20 and 65 years
35
Diet – Alter MUFA and PUFA intake
Meta-analysis of 13,614 participants participating in diets where SFA was replaced with PUFA 0·76 mM/l (29 mg/dl) reduction in TC Each 1 mM/l reduction in TC was associated with 24 % reduced risk for a CHD event. Each additional year of diet was related to a further 9·2 % risk reduction
36
Diet - Phytosterols
* 2 g/d dose of phytosterols lowers LDL-cholesterol by 10 % * A meta-analysis of 124 studies concluded 0·6–3·3 g/d phytosterols reduced LDL-cholesterol by 6–12 %. * Stanols and sterols show similar LDL-cholesterol lowering efficacies * The effect of phytosterols diminishes above about 2–3 g/d
37
Diet -Fibre
* Soluble fibre could lower TC and LDL-C by 0·045 and 0·057 mM/l per g soluble fibre, respectively * Possible mechanisms: bile acid micelle formulation, fat excretion, intestinal motility, SCFA production, absorption of macronutrients, digestive bacteria
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