Lipid transport Flashcards

1
Q

What are the classes of lipids?

A
Triacyl glycerol
Fatty acids
Cholesterol
Cholesterol esters
Phospholipids
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2
Q

How are lipids transported in the blood?

A

Bound to Albumin because they are not soluble

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3
Q

What are lipoprotein particles?

A

Small assemblies of lipid molecules surrounded by polar molecules constructed in the liver.

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4
Q

What are the classes of lipoprotein particles?

A

Chylomicrons
VLDL
LDL
HDL

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5
Q

What do Chylomicrons do?

A

Carry lipids (triacylgylcerols) from food in the intestine to the tissues.

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6
Q

When are Chylomicrons present in the blood?

A

4-6 hours after a meal

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7
Q

What are VLDLs?

A

Formed in the liver for storage of energy. They’re rich in triacylglycerols and carry lipids from the liver to tissues

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8
Q

What are LDLs?

A

Formed in liver and contain lots of cholesterol. Carry cholesterol from the liver to tissues

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9
Q

What is a high level of LDLs associated with?

A

A higher risk of atherosclerosis

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10
Q

What are HDLs?

A

Formed in the tissues and carry cholesterol from tissues to liver

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11
Q

How are triacylglycerols transferred from chylomicrons and VLDLs?

A

Endothelial cells of capillaries have lipase which binds the chylomicrons and VLDL. Triacylglycerols and cleaved into Glycerol and fatty acids. Fatty acids enter the cell.

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12
Q

How is cholesterol transferred from LDLs?

A

LDL receptors bind to LDL, endocytose cell and cholesterol ester released then cleaved into cholesterol and fatty acid.

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13
Q

How does HDL transport cholesterol back to the liver?

A

HDL synthesised as shells in the liver. Sequesters cholesterol from the capillaries then carries it back to the liver.

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14
Q

What are Hyperlipoproteinaemias?

A

Raised levels of one or more lipoprotein classes.

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15
Q

What can cause Hyperlipoproteinaemia?

A

Over production or Under removal due to defective enzyme, receptors or apoproteins

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16
Q

What are the clinical signs of Hypercholesterolaemia?

A

Xanthelasma
Tendon Xanthoma
Corneal arcus

17
Q

How are atheroma formed?

A

Oxidised LDL, macrophages, foam cells, accumulation in intima of blood vessels, fatty streak, atheroma

18
Q

How can you treay Hyperlipoproteinaemias?

A

Diet, lifestyle and drugs (STATINS)

19
Q

How do Statins work?

A

Reduce cholesterol synthesis by inhibiting HMG CoA reductase and increasing LDL receptor expression on hepatocytes