Lipid Metabolism Flashcards

1
Q

What synthesizes Acetyl-CoA and what is the main importance of Acetyl-CoA?

What is produced?

A

Glucose, fatty acids and amino acids

Importance is that it brings the metabolic pathways together

ATP and Water is produced

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2
Q

What is the committing step created from Acetyl-CoA that is needed for fatty acid synthesis?

What is the process?

A

Acetyl-CoA in the presences of Biotin (vitamin B7) and Acetyl-CoA carboxylase creates Malonyl-CoA

Malonyl-CoA is the committing step needed for fatty acid synthesis

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3
Q

How does allosteric (cooperatively) modification effect Citrate (metabolite found in Citric Acid Cycle)?

A

Stimulate Acetyl-CoA carboxylase leading to high-activity polymer

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4
Q

What is the final product of fatty acid synthesis and what does it do when there are increased levels of lipids?

A

Palmitoyl-CoA (fatty acid)

Inhibits Acetyl-CoA carboxylase leading to low-activity monomer

This is called Negative Feedback Inhibition

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5
Q

During covalent modification, how does insulin effect fatty acid synthesis?

A

Insulin increases when excess sugar needs storage.

It causes dephosphorylation (presence of phosphatase enzyme) which activates Acetyl-CoA Carboxylase (increases production of malonyl-CoA ==> fatty acid synthesis)

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6
Q

During covalent modification, how does Epinephrine and Glucagon effect fatty acid synthesis?

A

These hormones are released and increased when energy is needed

Causes phosphorylation (adding phosphate group) in the presence of protein kinase enzyme which turns off Acetyl-CoA Carboxylase (turns off Fatty Acid Synthesis)

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7
Q

Important enzyme in fatty acid synthesis needed after the committing step production of Malonyl-CoA?

A

Fatty Acid Synthase

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8
Q

For fatty acid synthesis with even number of Carbon atoms, what does it start with and where does it end?

A

Acetyl-CoA (start)

Melonyl-CoA (finish)

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9
Q

For fatty acid synthesis with production of an odd number of carbon atoms, what is the intermediate that is needed?

What is the end product?

A

Propionyl-CoA is the intermediate

Malonyl-CoA or its derivative is the end product and still the committing step for fatty acid synthesis (doesn’t matter if you have a fatty acid with even or odd number)

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10
Q

How is the fatty acid synthase enzyme regulated?

A

Positively regulated by increased sugar levels and negatively regulated by decrease in fatty acid/fat levels in diet

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11
Q

What is fatty acid elongase and desaturase?

A

Elongase - increase length of fatty acid hydrocarbon chain

Desaturase- remove desaturation by adding double bond

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12
Q

What are the two major organs for lipid synthesis?

A

Liver and adipose tissue

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13
Q

BLUF of fatty acid degradation (or fatty B-Oxidation)

**be able to identify on exam

A

Start with specific fatty acid and end up with a FA with less hydrocarbon chains

For example, you start with 4 Carbon atoms and end up with 2 Carbon atoms

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14
Q

Where does the fatty acid degradation start and end (specific locations)

A

Starts in the cytoplasm where fatty acyl-CoA forms and ends in the mitochondria where Beta oxidation occurs

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15
Q

These fatty acids can cross the mitochondrial membrane without assistance during fatty acid degradation

A

Fatty acids with less than 12 carbons

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16
Q

These fatty acids need assistance and are transported into the inner mitochondria matrix

What protein is involved in the process and type of fatty acid?

A

Fatty acids with 12 or MORE Carbons

Carnitine (protein) that is involved in the process

17
Q

Explain Fatty Acyl-CoA Transport

A

Free fatty acid produces the active form of Acyl-CoA from ATP + CoA (catalyzed with Acyl-CoA synthase)

Acyl-CoA can now cross from the cytoplasm into the inner mitochondria space

Acyl-Coa binds with CARNITINE to produce Acylcarnitine which is transferred by carnitine acylcarnitine translocase to the mitochondrial matrix

Once Acylcarntitine is inside the mitochondrial matrix, Beta oxidation can now take place

18
Q

Signs, symptoms and characteristics of CPT I deficiency

A

Autosomal recessive in infants and early childhood

Causes decrease in sugar and ketone levels and increase in ammonia when fasting for sick

Damaged/enlarged livers (buildup of fatty acids), kidney problems, muscle breakdown, seizures, coma, and impaired growth

Death is common unless diet of only medium-chain triglycerides

19
Q

Signs, symptoms and characteristics of CPT II deficiency

A

Inherited disorder of mitochondrial long-chain FA oxidation

Causes decrease sugar and ketone levels, liver failure, heart damage, fatigue, seizures and early death

Milder form: breakdown of muscle during exercise and fasting with reddish-brown urine

TxT: high-carb/low-fat diet, limit exercise

20
Q

Beta-Oxidation Steps (4)

A
  1. Acyl-CoA dehydrogenase forms double bond between two end carbons
  2. Enoyl-CoA hydratase hydrates the double bond with hydrogen and hydroxyl
  3. Hydroxyl is oxidized to a ketone by L-3-hydroxyacyl-CoA-dehydrogenase making a NADH
  4. Thiolase cleaves 3-keto acyl-CoA to make Acyl-CoA and Acetyl-CoA

End result is CO2 + H2O, 12 ATP and Acetyl-CoA enters citric acid cycle

21
Q

What are the three enzymes that finalize fatty acid degradation?

A

3-ketoacyl-CoA thilase, 3-Hydroxyacyl-CoA dehydrogenase, 2,3 Enoyl-CoA hydrase

All three enzymes need to be working properly. If one of the enzymes are not working properly, then it can lead to disease

22
Q

What are the deficiencies in 2nd Enzyme (dehydrogenase) now working properly?

A

body can’t convert FA to energy and build up in tissues

Pregnant woman may have liver disease and HELLP syndrome (Hemolysis, elevated liver enzymes and low platelets)

later in life: poor muscle tone and weakness, increase breakdown of muscles and problems with nerves in the arms and legs

23
Q

What two enzymes deal with beta oxidation of double bonds?

A

Enoyl-CoA isomerase converts the cis 3-4 double bond to a trans 2-3 double bond (creates an isomer by changing the position of the double bond)

2,4,-Dienoyl reductase reduces it to trans enoyl-CoA enabling beta oxidation to continue (removes a double bond)

24
Q

What is the products and ATP produced from fatty acid degradation of Palmitate (16 Carbons)?

A

8 Actyl-CoA + 8 FADH2 + 8 NADH + H+
(96ATP) (16 ATP) (24 ATP)

ATP Theoretical yield = 136 ATP (actual would be a little less)

25
Q

What is considered a Very-long-chain Fatty Acid (VLCFA) and how does the Mitochondria degrade it?

A

22 or more Carbon atoms
Peroxisomes will cleave the fatty acid chain by 8-carbons and then is transferred to Mitochondria to carry out beta oxidation

26
Q

What are the predominant storage form of lipids?

A

Triacyglycerols/triglycerides; produced in the liver and conducts lipid transport as well

27
Q

How is phosphatidylethanolamine formed and what is the process called?

A

CO2 (COO-) is removed from phosphatidylserine

Process is called decarboxylation

28
Q

When does the body synthesize ketone bodies?

A

decrease levels of carbohydrates, the body will often revert to an alternative source of energy. However, before this, body will conduct gluconeogenisis. Ketone body synthesis is a LAST RESORT due to toxicity

29
Q

Where are ketone bodies produced?

A

Liver

30
Q

What are the three main ketone bodies produced?

A

Acetoacetate, Acetone, and Beta hydroxybutyrate

31
Q

What is the difference between short term fasting and long term starvation?

A

short term fasting roughly around 12 hours

long term starvation is greater than 24 hours

32
Q

What regulates ketone body synthesis and what happens when the concentration is low?

A

Ketone body synthesis/degradation is regulated by oxaloacetate. When the concentration is low (from low carb levels and starvation), then increase production of ketone bodies

33
Q

What is Tay-Sachs Disease?

A

disease associated with lipid metabolism.

Deficient in enzyme Beta-N-acetylhexosaminidase which breaks down gangliosides (GM2) to produce energy

34
Q

What is the precurser for cholesterol synthesis?

A

Acetyl-CoA

35
Q

What is the permitting step for cholesterol synthesis?

A

production of Mevalonic Acid. This pathway happens when there are dangerously low levels of cholesterol

36
Q

What is produced at normal levels cholesterol?

A

Acetoacetate

37
Q

When cholesterol and mevalonic acid concentrations are high, what enzyme do they inhibit? (committing step)

A

HMG-CoA reductase

Negative Feedback Inhibition

38
Q

What are the mechanisms of Statins?

A

medication (ex: lovastatin) which reduce cholesterol in patients with high cholesterol and heart disease.

Statin inhibits HMG-CoA reductase meaning no production of mevalonic acid or cholesterol synthesis