Lipid Metabolism Flashcards
Steps of lipid absorption
- Minor digestion in mouth and stomach (lingual lipase)
- Major digestion in duodenum (pancreatic lipase)
- Micelle formation by bile
- Passive absorption into intestinal epithelial cells
- Reesterification with FFA
- Addition of apoproteins to form chylomicrons
- Export to lymphatics
Abnormalities in lipid absorption
- Defective digestion: steatorrhea, more than 6g of unsplit fat in faeces per day. Due to chronic illnesses of pancreas.
- Defective absorption: split fat in faeces. Due to coeliac diseases, sprue, crohn’s disease, surgical removal of intestine, obstruction of bile duct.
- Chluria: abnormal connection between urinary tract and lymphatic drainage system. Milky urine. Seen in filariasis
Site and precursor for synthesis of TAG
ER of liver cells and adipose tissue
Fatty acid, Glycerol
Site and product of TAG degradation
Liver
Glycerol, 3 FFA
CoA contains (beta oxidation)
Pantothenic acid
Beta mercapto ethanolamine (has SH group to form thioester bond in acyl CoA)
Activation of fatty acids for beta oxidation
- in cytosol
- forms acyl CoA
- uses ATP (to AMP)
- thiokinase/acyl CoA synthetase
Role of carnitine
- Beta hydroxy gamma trimethyl ammonium butyrate
- Synthesised from lysine, methionine
- In liver and kidney
- beta oxidation is mitochondrial
- long chain fatty acyl CoA cannot pass through inner mitochondrial membrane
- carnitine helps in transport
- CAT-1 forms acyl carnitine
- translocase protein carries this across membrane
- CAT-2 transfers back acyl group
Intermediates of beta oxidation
Acyl CoA Transenoyl CoA B hydroxyacyl CoA B ketoacyl CoA Acyl CoA + Acetyl CoA
Energetics of beta oxidation
1 cycle gives 1 FADH2 (1.5) and 1 NADH+H+(2.5)
1 acetyl CoA = 10
Palmitic acid has 16 C i.e., 8 Acetyl CoA, 7 cycles
80 + 28 - 2
106
(2 for initial activation)
Regulation of beta oxidation
- Availability of FFA
- Indirectly by insulin: glucagon ratio
- CAT-1 (-) Malonyl CoA
Fate of propionyl CoA
Propionyl CoA (carboxylase)
D methyl Malonyl CoA (racemase)
L methyl Malonyl CoA (mutase)
Succinyl CoA
Alpha oxidation
- 1 C removed at a time
- In brain, ER
- No activation of fatty acid needed
- Hydroxylation occurs at alpha C
- Then oxidised to keto acid which gets decarboxylated
- Does not generate energy
- Used for FA with methyl grp at beta C which blocks beta oxidation ex: phytanic acid
Omega oxidation
- in microsomes
- hydroxylase enzymes
- uses NADPH, cytochrome P450
- produces dicarboxylic acids
- used when beta oxidation is defective
De novo synthesis of fatty acids site and precursor
Liver, adipose, brain, kidney, mammary glands
Cytoplasm
Acetyl CoA
Transport of Acetyl CoA for de novo synthesis of fatty acids
- Acetyl CoA is formed in mitochondria
- inner membrane of mitochondria is not permeable to it
- converted into citrate
- transported by TCA transporter
- citrate split into OAA and Acetyl CoA in cytoplasm using ATP citrate lyase
Components of fatty acid synthase complex
Only functions as dimer
- Ketoacyl synthase
- Acetyl transacylase
- Malonyl transacylase
- Dehydratase
- Enoyl reductase
- Ketoacyl reductase
- ACP
- Thioesterase
Advantages of multi enzyme complex in de novo synthesis of fatty acids
- Intermediates can react easily with active sites
- One gene codes of all enzymes, so equimolar concs.
- Efficiency enhanced
Rate limiting enzyme of de novo synthesis of fatty acids
Acetyl CoA carboxylase
Converts acetyl CoA to Malonyl CoA
(+) Citrate
(-) palmitoyl CoA
Intermediates of de novo synthesis of fatty acids
Acetyl enzyme Acetyl (acyl) Malonyl enzyme Beta ketoacyl ACP (NADPH) Beta hydroxyacyl ACP Transenoyl ACP (NADPH) Acyl ACP Acyl enzyme FAS + Palmitate
Sources of NADPH in de novo synthesis of fatty acids
HMP shunt
Malic enzyme
Malate + NADP+ = Pyruvate + CO2 + NADPH+H+
Ketogenesis site
Liver mitochondria
Structure of cholesterol
- Cyclopentanoperhydrophenanthrene ring
- 27 C atoms in total
- Hydroxyl group at 3rd position
- Double bond b/w C5-C6
- 8 C side chain attached to 17th C
Major sites of cholesterol synthesis
- Liver
- Adrenal cortex
- Testes
- Ovary
- Intestine
Partly in ER, partly in cytoplasm
C atoms of cholesterol come from
Acetyl CoA
ATP citrate lyase reaction
Citrate + ATP + CoA + H2O
OAA + acetyl CoA + ADP + Pi
Provides acetyl CoA for cholesterol and fatty acid synthesis
Fate of HMG CoA in mitochondria and cytosol
Mitochondria - ketogenesis
Cytosol - cholesterol synthesis
Intermediates of cholesterol synthesis
Acetyl CoA Acetoacetyl CoA HMG CoA Mevalonate Mevalonate 5 P Mevalonate 5 pyroP 3phospho 5pyrophospho mevalonate Isopentyl pyroP Geranyl pyroP Farnesyl pyroP Squalene Squalene epoxide Lanosterol Zymosterol Desmosterol Cholesterol
Regulation of cholesterol synthesis
- HMG CoA reductase regulation at transcription
(+) Dephosphorylation
(-) phosphorylation
(+) Insulin, thyroxine
(-) cortisol, glucagon - Statins are competitive inhibitors of HMG CoA reductase
Enzymes of cholesterol synthesis
Thiolase Synthase Reductase Kinase Kinase Kinase Decarboxylase Isomerase Transferase Synthase Epoxidase Cyclase Isomerase Reductase
Role of liver in cholesterol metabolism
- Synthesizes cholesterol
- Removes cholesterol from lipoprotein remnants
- Excrete cholesterol through bile
- Converts cholesterol to bile acids
Apoprotein of chylomicrons
B48, A, C, E
Apoprotein of VLDL
B100, C, E
Apoprotein of LDL
B100
Apoprotein of HDL
A, C, D, E
As density of Lp increases, diameter and lipid conc.
Decreases
Function of chylomicrons
TAG from gut to muscle and adipose tissue
Function of VLDL
TAG from liver to muscle and adipose tissue
Function of LDL
Cholesterol from liver to peripheral tissues
Function of HDL
Cholesterol from peripheral tissues to liver
Function of Apo A1
In HDL
- Activates LCAT
- Ligand for HDL receptor
- Anti atherogenic
Function of Apo A2
In HDL
- Inhibits LCAT
- Stimulates lipase
Function of apo B 100
In LDL, VLDL
1. Binds LDL receptor
Function of apo C
In chylo, VLDL
- Activation of LCAT
- Anti atherogenic
Function of apoE
In LDL, VLDL, Chylo
- Arginine rich
- Ligand for hepatic uptake
Lp(a)
- associated with MI
- attached to B 100 by disulphide bond
- risky when conc. >30mg/dl
- higher in Indians than Western
- homologous to plasminogen
- interferes with plasminogen activation
- impairs fibrinolysis
- leads to intravascular thrombosis and MI
Primary bile acids
Cholic acid
Chenodeoxycholic acid
Conjugated bile acids
Glycocholic
Taurocholic
Glycochenodeoxycholic
Taurochenodeoxycholic
Secondary bile acids
Deoxycholic
Lithocholic
Digestion of medium chain fatty acids
- pancreatic lipase and bile salts not needed
- MCT specific lipase catalyses complete hydrolysis into glycerol and FA
- Free MCFA diffuse into portal circulation
- oxidised by peripheral cells
Examples of very long chain fatty acids
Eicosapentaenoic acid Decosahexanoic acid (DHA)
Decosahexanoic acid
- synthesised in liver
- from linoleic acid
- needed for development of brain and retina
- low levels associated with retinitis pigmentosa
- accumulates in brain before birth and 12 wks after
- needed for rotational mvmt of rhodopsin for photoactivation
Digestion of VLCFA
- partly oxidised in peroxisomes
- unlike beta oxidation, electrons from FADH2 are directly donated to O2 to give H2O2
- this is one mechanism to kill bacteria by neutrophils
- H2O2 detoxified by catalase
Beta oxidation of MUFA
- same until double bond is reached
- in palmitoleic acid, db is cis
- converted into trans by isomerase
- continues with 2, 3, 4 steps of b oxidation
- FAD dependent dehydrogenation not needed
- 1.5 ATP less per db
Examples of PUFA
Linoleic acid 18
Linolenic acid 18
Arachidonic acid 20
Significance of PUFA
- In vegetable oils
- Nutritionally essential. Essential FA
- Prostaglandins, thrombaxane, leukotrienes from arachidonic
- Integral part of mitochondrial membranes
- Components of cell membranes
- Cannot be closely packed. Inc. fluidity of membrane
- Can undergo peroxidation easily. Cells with PUFA liable to ROS damage
- DHA needed for retina and brain
Desaturation of FA
- MUFA can be synthesised from saturated FA using desaturase
- NADH, O2, cytochrome b5 needed
- PUFA can be formed from MUFA
- db can be added only b/w existing bond and carboxyl end
- hence, linoleic cannot be from oleic
- linoleic can be converted into arachidonic
Essential fatty acids
Linoleic
Linolenic
Gamma linolenic acid
- Omega 6 family
- from linoleic
- desaturated to arachidonic
- prevents CVS diseases
- dilates blood vessels
- lowers BP
- prevents atherosclerosis
- inhibits tumor growth and cancer spread
Synthesis of prostaglandins
- not stored as such
- precursors of PG stored in membranes as phospholipids
- AA release by action of phospholipase A2 on phospholipids
- synthesis needs PG H synthase containing cyclooxygenase and peroxidase
- PGG2, PGH2 formed as intermediates
Regulation of PG synthesis
1. Phospholipase \+ Epinephrine, thrombine, angiotensin ii - steroids 2. Cyclooxygenase \+ Catecholamines - aspirin, NSAIDs 3. Cyclooxygenase is a suicide enzyme 4. PGs are quickly inactivated by 15-hydroxy-PG-dehydrogenase
Effects of PG on CVS
- PGI2 synthesised by vascular endothelium
- vasodilation
- inhibit platelet aggregation
- TXA2 causes vasoconstriction and platelet aggregation
Effects of PG on ovaries
- PGF2 used for MTP, inducing labour, arresting postpatum haemorrhage
- involved in LH induced ovulation
Effects of PG on respiratory tract
PGF - bronchoconstrictor
PGE - bronchodilator - relieves bronchospasm
Effects of PG on immunity
PGE2, PGD2 - produce inflammation by Inc. capillary permeability
PGE2 - reduces T, B cell function
Effects of PG on GIT
Inhibit gastric secretion
Inc. Intestinal motility
Used to treat acid peptic disease
Effects of PG on metabolism
Inc. Lipolysis
Inc. Ca+2 mobilisation from bone
Inc. glycogen synthesis