Lipids Flashcards
What are lipids?
- Amiphipathic: mostly hydrophobic, but with a polar or charged region
- Usually not water soluble
- Do not form large, covalent polymers
- Tend to form non-covalent higher-order structures
- Sequester (hide) from the hydrophobic hydrocarbon component(s) from the polar aqueous environment
- Stabilised by Van der Waals interactions between the hydrocarbon parts
Key points about fatty acids
Weak acids: deprotonated at physiological pH
Alkyl chains may be:
- Saturated (fully reduced, no C=C)
- Unsaturated (some C=C)
Monosaturated: one double bond
Polysaturated: many double bonds
Bonds of saturated and unsaturated fatty acids
Saturated hydrocarbon chains can rotate freely about any C-C bond. (they do not have C=C bond)
Unsaturated hydrocarbon chains cannot rotate around the double bond. The double bond is usually cis, which makes the hydrocarbon chain bend.
Number of carbon atoms in fatty acids
Most naturally occurring fatty acids have an even number of carbon atoms because fatty acid synthesis involves adding two-carbon units
Fatty acid interactions depend on their structure
Van der waals forces between the fatty acids
Long fatty acid tails have more interactions, are stronger and therefore harder to break apart.
Short fatty acid tails have fewer interactions, are weaker, and easier to break apart.
Longer aliphatic carbon chains promote van der waals interactions -> higher melting temp
What about unsaturated fatty acids?
Unsaturated fatty acids are bent and cannot pack so well together:
- fewer van der waals interactions can form
- lower melting temp
Essential fatty acids
α-linolenic acid (ALA):
This is an omega-3 (ω-3) fatty acid.
The diagram shows that this fatty acid has double bonds at positions 9, 12, and 15 (as indicated in red), counting from the carboxyl end. The ω-3 designation comes from the position of the first double bond, which is three carbons away from the omega (methyl) end of the fatty acid chain.
Linoleic acid:
This is an omega-6 (ω-6) fatty acid.
The diagram shows double bonds at positions 9 and 12 (also indicated in red), and the ω-6 refers to the location of the first double bond being six carbons away from the omega end of the chain.
Essential fatty acids
Where do we get essential fatty acids from?
Sources of essential fatty acids include:
Seeds: Chia, flax, hemp, poppy, sesame
Oils derived from these seeds and other vegetable oils
Nuts: Particularly walnuts, which are rich in essential fatty acids.
What do essential fatty acids do?
Source of signaling molecules:
Eicosanoids: These are signaling molecules that play a crucial role in regulating inflammation and other cellular functions. They are derived from omega-3 and omega-6 fatty acids.
Endocannabinoids: These molecules, also derived from essential fatty acids, affect mood, behavior, and inflammation, interacting with the endocannabinoid system in the body.
Part of lipids that form signaling rafts in cell membranes:
Essential fatty acids are involved in forming specialized structures in cell membranes called lipid rafts, which help organize signaling molecules and regulate various cell functions.
Regulation of transcription factors:
Essential fatty acids can activate or inhibit transcription factors like NF-κB, which is involved in the regulation of genes linked to inflammation and immune responses (such as inflammatory cytokine production).
Micelles
Fatty acids are amphiphilic molecules, meaning they have both hydrophobic (water-repelling) and hydrophilic (water-attracting) parts.
The hydrophobic tail (nonpolar) of the fatty acid avoids water, while the hydrophilic head (polar) interacts with water.
In an aqueous environment, fatty acids self-assemble into a micelle structure, where the hydrophobic tails are shielded from water in the center of the micelle, and the hydrophilic heads face outward toward the water. This forms a spherical shape.
Lipid Bilayers (Membranes)
Phospholipids (which include glycerol- and sphingolipids) have a similar amphiphilic structure but tend to be more cylindrical due to the presence of two hydrophobic tails instead of one.
These lipids self-assemble into bilayers, which are the foundation of cell membranes.
In this structure, the hydrophobic tails face inward, away from water, while the hydrophilic heads face outward on both sides of the bilayer, interacting with the aqueous environment.
Key Properties
Amphiphilic nature: This is what allows fatty acids, glycerolipids, and sphingolipids to self-assemble into organized structures like micelles and bilayers.
Micelles typically form when fatty acids or detergents are present, while lipid bilayers form the structural basis of cell membranes.
These structures are crucial for the key properties of membranes, such as selective permeability, fluidity, and the ability to create compartments within cells.
Structure of biological membranes
Phospholipid Bilayer:
The cell membrane is primarily composed of a phospholipid bilayer.
Each phospholipid has a hydrophilic head (which interacts with water) and two hydrophobic tails (which avoid water).
In the bilayer, the hydrophobic tails face inward, away from water, while the hydrophilic heads face the aqueous environment on both sides of the membrane (extracellular fluid and cytoplasm).
Cholesterol:
Cholesterol molecules are interspersed within the phospholipid bilayer.
They play a crucial role in increasing membrane fluidity and stabilizing the membrane by preventing the fatty acid tails of the phospholipids from sticking too closely together.
Proteins in the Membrane:
Integral proteins (including protein channels and transport proteins) are embedded within the membrane and can span the entire bilayer. These proteins assist in the movement of molecules and ions across the membrane.
Peripheral proteins are attached to the surface of the membrane, often interacting with other membrane components, such as the cytoskeleton.
Glycoproteins and glycolipids are proteins and lipids with carbohydrate chains attached, playing roles in cell recognition, signaling, and communication.
Cytoskeleton:
The membrane is supported by the cytoskeleton, a network of protein filaments that provides structural support and helps maintain the shape of the cell.
Membrane Fluidity:
The fluid nature of the membrane allows for dynamic movement of its components, enabling processes like membrane fusion, vesicle formation, and protein movement.
Structure of the Lipid Bilayer
Structure of the Lipid Bilayer:
Bilayer Arrangement:
The lipid bilayer consists of two layers of phospholipids. Each phospholipid has a hydrophilic head (which interacts with water) and hydrophobic tails (which avoid water).
The hydrophobic tails of the two layers face inward, forming the hydrophobic core of the membrane, while the hydrophilic heads face the aqueous environments inside and outside the cell.
Hydrophobic Core:
The hydrophobic core, which is about 30 Ångstroms (Å) thick, is the region formed by the fatty acid tails of the phospholipids. This core is impermeable to most polar or charged molecules, contributing to the membrane’s selective permeability.
Interfacial Regions:
These are the regions where the hydrophilic heads of the phospholipids interact with the surrounding aqueous environment (extracellular fluid and cytoplasm). These interfacial regions are crucial for the membrane’s interaction with other molecules and ions.
Overall Thickness:
The total thickness of the lipid bilayer is approximately 60 Å. This includes the hydrophobic core and the interfacial regions. The bilayer’s structure provides both stability and flexibility to the membrane.
Two major states of lipid bilayers
- Gel State (Below the Transition Temperature, Tₘ):
When the temperature is below the transition temperature (Tₘ), the lipid bilayer is in a more ordered, solid-like state.
In this state, the hydrocarbon tails of the lipids are tightly packed together in a highly organized, rigid structure, similar to a gel.
The membrane is less fluid, meaning that the movement of individual lipid molecules and proteins within the bilayer is significantly restricted. - Liquid Crystal State (Above the Transition Temperature, Tₘ):
When the temperature is above Tₘ, the lipid bilayer shifts to a liquid crystal state.
In this state, the hydrocarbon tails are less tightly packed, and the interior of the membrane becomes more dynamic, resembling a liquid hydrocarbon.
This increased fluidity allows for greater movement of the lipid molecules and embedded proteins, which is essential for various membrane functions, including transport, signaling, and flexibility.
Role of Heat
Heating the membrane causes the transition from the gel state to the liquid crystal state, increasing membrane fluidity.
Cooling causes the reverse transition, moving the membrane back to a more rigid, gel-like state.
Biological lipid bilayers are dynamic
- Lateral Movement:
Lipids and proteins within the bilayer can move laterally, allowing for the fluidity of the membrane. This lateral movement enables the redistribution of membrane components, essential for processes such as cell signaling, membrane fusion, and the formation of lipid rafts. - Membrane Fluidity:
The fluidity of the membrane is influenced by temperature, the composition of fatty acids (saturated vs. unsaturated), and the presence of cholesterol. Membranes must maintain an optimal balance of fluidity for proper function—too rigid and they lose flexibility; too fluid and they lose structural integrity.
Building blocks of membrane lipids
Head Group:
The head group is hydrophilic (water-attracting) and interacts with the aqueous environments on either side of the membrane.
This section is composed of:
Phosphate group: Attached to the backbone, the phosphate group provides a charged, polar end that interacts with water.
Rest of the head group: This varies depending on the specific type of phospholipid. It could include molecules like choline, ethanolamine, serine, or inositol. In the diagram, it shows a choline group.
Backbone:
(can be glycerolipid or glycolipids)
The backbone in most phospholipids is glycerol, a three-carbon molecule that connects the fatty acid tails to the head group.
Glycerol serves as the central scaffold to which the fatty acid tails and phosphate group attach.
Fatty Acid Tails:
These tails are hydrophobic (water-repelling) and form the inner, nonpolar part of the lipid bilayer.
The diagram shows two specific fatty acids attached to the glycerol backbone:
Palmitate: A saturated fatty acid, which means it has no double bonds in its hydrocarbon chain, making it straight.
Oleate: An unsaturated fatty acid, which has one or more double bonds, creating a kink in its structure.
These fatty acid tails determine the fluidity of the membrane—saturated fatty acids make the membrane more rigid, while unsaturated fatty acids increase fluidity.
Sphingosine Backbone
C1: Has a hydroxyl group (OH), to which a head group can be attached.
C2: Has an amino group (NH₂), which can attach to a fatty acid. This forms an amide bond in sphingolipids.
C3: Already has a hydrocarbon chain attached (shown in yellow), making sphingosine naturally hydrophobic in this region. This chain is long and contributes to the structure and fluidity of sphingolipids in membranes.
Glycerol Backbone
C1: Has a hydroxyl group (OH), to which a head group (like phosphate and a molecule such as choline) can attach, forming the hydrophilic portion of the lipid.
C2: Also has a hydroxyl group (OH), which can attach to a fatty acid.
C3: Has another hydroxyl group (OH), to which a second fatty acid can be attached.
Basic structure of a glycerophospholipid
Location in the Plasma Membrane:
Under normal conditions, phosphatidylserine is located in the inner leaflet of the cell’s plasma membrane, meaning it faces the inside of the cell.
Movement During Apoptosis:
When a cell undergoes apoptosis, phosphatidylserine is translocated to the outer leaflet of the membrane, exposing it to the extracellular environment. This movement acts as a signal for phagocytes (cells that engulf and digest dying cells) to recognize and clear the dying cell.
Attracting Phagocytes:
The exposure of phosphatidylserine on the outer membrane serves as an “eat me” signal, attracting phagocytes to consume the remnants of the apoptotic cell.
Phosphatidylserine binds to various receptors on the surface of phagocytes, including MFG-E8, Annexin I, and other receptor proteins, facilitating the recognition and engulfment of the apoptotic cell.
Phagocyte-Cell Interaction:
The diagram also shows interactions between apoptotic cells and phagocytes, highlighting several receptor-ligand interactions that help phagocytes recognize the dying cells.
Receptors like TREM2, Mannose receptor, LRPs, and integrins bind to proteins and lipids on the apoptotic cell, facilitating the process of phagocytosis.
Cholera (Vibrio cholerae)
Pathological Condition:
Cholera is characterized by severe diarrhea due to the action of the cholera toxin produced by the bacterium Vibrio cholerae.
Gangliosides (GM1):
Cholera toxin specifically recognizes and binds to gangliosides, particularly GM1 gangliosides, which are glycolipids found in the lipid rafts of the cell membrane.
This binding facilitates the entry of the cholera toxin into the host cell. The lipid rafts, which are specialized microdomains of the cell membrane rich in cholesterol and glycosphingolipids, assist in the internalization of the toxin.
Cell Entry Mechanism:
Once bound to GM1, the toxin is internalized via caveolae or clathrin-mediated endocytosis and other endocytic pathways. It is then transported to the early endosome (EE) or recycling endosome (RE).
The toxin is eventually routed to the trans-Golgi network (TGN) and then to the endoplasmic reticulum (ER), where it can exert its pathological effects, such as disrupting ion balance and causing diarrhea.
Enterotoxigenic E. coli (ETEC)
Pathology:
ETEC is a common cause of diarrhea, similar to cholera, and produces a toxin that operates through a comparable mechanism.
Ganglioside Binding:
Like cholera toxin, the ETEC toxin also binds to gangliosides on the host cell membrane to gain access to the cell. This allows the bacterium to deliver its pathogenic toxin into the host and cause symptoms.
Normal Intestinal Water Secretion:
Chloride ion secretion drives the normal process of water movement into the small intestinal lumen. This helps maintain a balance of fluid in the intestines, necessary for digestion and nutrient absorption.
Under normal conditions, most of the water secreted into the small intestine is reabsorbed before it reaches the large intestine, preventing excessive fluid loss.
How Cholera Toxin Disrupts this Balance:
Cholera Toxin Binding:
Vibrio cholerae releases cholera toxin, which binds to GM1 gangliosides on the surface of intestinal epithelial cells.
Activation of G Protein:
The cholera toxin activates the Gsα subunit of the G protein, which in turn activates adenylate cyclase (AC) inside the cell. This results in an increased production of cyclic AMP (cAMP).
Chloride Ion Secretion Increases:
The elevated levels of cAMP cause the CFTR (Cystic Fibrosis Transmembrane Conductance Regulator) chloride channels to open, leading to an excessive secretion of chloride ions (Cl⁻) into the intestinal lumen.
Water Follows Ions:
As more chloride ions are secreted into the lumen, sodium ions (Na⁺) and water follow due to osmotic forces. This leads to large volumes of water being drawn into the intestinal lumen.
Diarrhea Occurs:
When the amount of water secreted into the lumen exceeds the intestines’ capacity to absorb it, diarrhea results. In cholera, this can become extreme, leading to severe dehydration and potentially life-threatening electrolyte imbalances.
How cholera causes severe diarrhea
Cholera Toxin Mechanism: Cholera toxins bind to gangliosides (such as GM1) on the intestinal epithelial cells. This binding activates adenylyl cyclase (AC), leading to an increase in the intracellular concentration of cyclic AMP (cAMP).
Effect on Ion Channels: The increase in cAMP results in the opening of chloride channels (CFTR channels), leading to the uncontrolled secretion of chloride ions (Cl-) into the intestinal lumen. This also draws sodium (Na+), potassium (K+), bicarbonate (HCO3-), and water into the lumen, causing extensive fluid loss.
Impact on the Enteric Nervous System: The cholera toxin also affects the enteric nervous system, which further stimulates fluid secretion.
Resulting Diarrhea: The consequence of these actions is secretory diarrhea, which is severe and life-threatening if left untreated. Since the diarrhea is secretory in nature, fasting does not resolve it, and rehydration therapy is critical for survival.
Asymmetric nature of lipid membranes
Membrane Asymmetry: The lipid bilayer of cell membranes is asymmetric, meaning that different types of phospholipids are distributed unequally between the inner and outer leaflets.
Phospholipid Distribution:
Phosphatidylcholine (PC) and Sphingomyelin (SP) are primarily found in the outer leaflet of the membrane.
Phosphatidylethanolamine (PE) and Phosphatidylserine (PS) are found mostly in the inner leaflet.
Phosphatidylinositol (PI) and other negatively charged phospholipids are also predominantly located in the inner leaflet.
Examples of Membranes:
The graph shows the distribution of these lipids in different membranes: human erythrocyte (red blood cell) membrane, rat liver plasma membrane, and pig platelet plasma membrane. Each shows a distinct pattern of lipid asymmetry.
For example, in the human erythrocyte membrane, sphingomyelin and phosphatidylcholine are mainly present in the outer leaflet, while phosphatidylethanolamine and phosphatidylserine are largely in the inner leaflet.
Functional Importance:
The asymmetrical distribution of lipids plays a crucial role in various functions such as cell signaling, recognition, and apoptosis. For instance, phosphatidylserine (PS), when found in the outer leaflet, acts as a signal for apoptosis (programmed cell death).
Structure of cholesterol
Has four fused rings characteristic of its structure.
Key points about cholesterol
Weakly amphipathic: It has a small polar (hydroxyl group) region and a much larger nonpolar region, making it mostly hydrophobic.
Insoluble in water: Cholesterol’s hydrophobic nature makes it useful in cell membranes, where it helps with stability and structure, but this also makes it difficult to transport in water-based environments like blood without carrier proteins.
Rigid structure: The fused cyclohexane rings (in chair conformation) make cholesterol bulky and rigid compared to other lipids.
Membrane disruption: Cholesterol tends to disrupt lipid packing in cell membranes, influencing membrane fluidity and stability.
Role of cholesterol in regulating membrane fluidity
Cholesterol’s Role in Membranes:
Cholesterol is an important component of cell membranes, where it modulates fluidity.
It influences the temperature at which the membrane transitions from a gel state (rigid, less fluid) to a liquid crystal state (more fluid, dynamic).
Gel State vs. Liquid Crystal State:
The gel state occurs below the transition temperature (T_m). In this state, the hydrocarbon tails of the phospholipids are tightly packed in an organized manner, resulting in a more rigid membrane.
In the liquid crystal state, which occurs above T_m, the hydrocarbon tails become more disordered and dynamic, allowing for greater fluidity within the membrane.
Cholesterol’s Effect on Transition Temperature:
Cholesterol lowers the temperature at which the membrane shifts from the gel state to the liquid crystal state, effectively increasing membrane fluidity at lower temperatures.
By positioning itself between the fatty acid tails of the phospholipids, cholesterol prevents them from packing too closely, thereby maintaining fluidity even at lower temperatures.
Role of cholesterol in forming lipid rafts within the cell membrane
Lipid Rafts:
Lipid rafts are specialized microdomains within the cell membrane that are rich in cholesterol, sphingolipids, and GPI-anchored proteins (glycosylphosphatidylinositol-anchored proteins).
Cholesterol and sphingolipids create a more ordered and tightly packed environment compared to the surrounding lipid bilayer, forming lipid rafts.
Association of Proteins:
Lipid rafts serve as organizing centers for the assembly of signaling molecules, receptor clustering, and membrane protein sorting.
Certain transmembrane proteins and GPI-anchored proteins preferentially associate with lipid rafts due to their compatibility with the raft environment.
Platform Formation:
Multiple lipid rafts can associate to form larger domains, sometimes referred to as raft platforms. These platforms enhance interactions between proteins, facilitating efficient signal transduction and other cellular processes.
Role of Cholesterol:
Cholesterol is crucial for the stability of lipid rafts, as its bulky and rigid structure helps maintain the ordered state of these domains, making them distinct from the more fluid areas of the membrane.
Cholesterol derivatives
Vitamin D (illustrated in the image)
Bile salts
Steroid hormones
What is Vitamin D?
Fat-Soluble Secosteroids:
Vitamin D is a group of fat-soluble compounds called secosteroids.
Function:
It plays a crucial role in increasing intestinal absorption of calcium, magnesium, and phosphate, which are important for bone health and other biological processes.
Forms of Vitamin D:
The most important forms are vitamin D3 (cholecalciferol) and vitamin D2 (ergocalciferol).
Vitamin D
Major Source:
Synthesis of cholecalciferol (vitamin D3) occurs in the lower layers of the skin epidermis. This synthesis is dependent on sun exposure (specifically UVB radiation).
Dietary Sources:
Only a few foods naturally contain significant amounts of vitamin D. These include:
Fatty fish (e.g., salmon, mackerel)
Mushrooms that are exposed to UV light
Not an Essential Vitamin:
Vitamin D is considered not essential as it can be synthesized by the body given sufficient sunlight. Because of this, it is sometimes noted that vitamin D does not fit the strict definition of a vitamin, since vitamins are generally nutrients that must be obtained from the diet.
Activated by two hydroxylation steps, the first in the liver and the second in the kidneys.
Bile salts
Polar Derivatives:
Bile salts are polar derivatives of cholesterol, which means they are more water-soluble than cholesterol due to the addition of polar functional groups.
Effective Detergents:
Bile salts act as highly effective detergents, meaning they can emulsify fats and break them into smaller droplets. This increases the surface area for digestive enzymes to act upon, aiding in fat digestion.
Role in Digestion:
Bile salts are released into the small intestine where they help solubilize dietary lipids. This is crucial for the absorption of fats and fat-soluble vitamins during digestion.
Bile salts solubilise dietary lipids
Formation of Bile Salts:
Cholic acid, a typical bile acid, ionizes to give its cognate bile salt.
Bile salts are derived from bile acids like cholic acid, with modifications that make them more water-soluble.
Amphipathic Nature:
The bile salt molecule has a hydrophobic face and a hydrophilic face.
The hydrophobic surface associates with triacylglycerols (fats), while the hydrophilic surface faces outward, allowing it to interact with the surrounding aqueous environment.
This association of bile salts with fats forms a complex known as a micelle.
Micelle Formation:
Micelles are structures formed when bile salts surround lipid molecules, facilitating the emulsification of fats.
The hydrophilic surface of the bile salt faces outward, making micelles water-soluble and allowing them to associate with pancreatic lipase and colipase.
Fat Digestion and Absorption:
Pancreatic lipase acts on the triacylglycerols in the micelles, breaking them down into fatty acids.
These smaller fatty acids are then incorporated into a much smaller micelle, which can be absorbed through the intestinal mucosa into the body.
Cholesterol as a Precursor
Cholesterol is a precursor for several potent signaling molecules, including all steroid hormones.
Steroid Hormones Derived from Cholesterol:
The diagram shows the pathways that lead from cholesterol to different steroid hormones. Cholesterol is first converted into pregnenolone, which serves as the starting molecule for various hormones.
Classes of Steroid Hormones:
Estrogens:
Examples: Estrone, Estradiol
Functions: Involved in the ovarian cycle and the development of female secondary sex characteristics.
Androgens:
Examples: Testosterone, Dihydrotestosterone
Functions: Responsible for the development and maintenance of male traits and reproductive activity.
Glucocorticoids:
Examples: Cortisol
Functions: Involved in the stress response and help to decrease inflammation.
Mineralocorticoids:
Examples: Aldosterone
Functions: Help increase blood volume and pressure by regulating sodium and water retention.
Progestogens (not highlighted here but important to note):
Derived from progesterone and involved in maintaining pregnancy and the menstrual cycle.
Sources of cholesterol
Essential for Animal Life:
Cholesterol is an essential component of animal cell membranes and is crucial for various biological functions.
Sources of Cholesterol:
It can be obtained through the diet, especially from foods of animal origin such as meat, dairy, and eggs.
Cholesterol can also be synthesized de novo (internally by the body):
It is the principal sterol synthesized by animals.
Plants produce very little cholesterol, mainly synthesizing phytosterols instead, which are structurally similar but have different biological roles.
Site of Cholesterol Synthesis:
The liver (specifically hepatic cells) is the major site of cholesterol synthesis in mammals. It plays a key role in regulating cholesterol levels in the body.
Cholesterol in Prokaryotes:
Cholesterol is generally absent in prokaryotes (bacteria and archaea).
However, some bacteria, such as Mycoplasma, require cholesterol for growth, as they lack a cell wall and depend on cholesterol for membrane stability.
Synthesis of cholesterol
All 27 carbon atoms of cholesterol are derived from acetyl CoA through a multi-step process consisting of three main stages:
Synthesis of Isopentenyl Pyrophosphate:
The first step involves the synthesis of isopentenyl pyrophosphate, an inactivated isoprene unit that serves as the key building block for cholesterol.
This step occurs in the cytoplasm and involves several reactions that lead to the formation of the isoprene unit.
Condensation to Form Squalene:
The next step is the condensation of six molecules of isopentenyl pyrophosphate to form squalene, a linear hydrocarbon molecule.
This step takes place in the endoplasmic reticulum and involves the combination of multiple isoprene units.
Cyclization of Squalene and Conversion to Cholesterol:
Cyclization of squalene occurs in what is described as an “astounding reaction” that involves multiple steps.
Squalene is converted into a tetracyclic product, which undergoes a series of 19 additional steps to form cholesterol.
Process of cholesterol transport in the body, particularly focusing on the role of lipoprotein particles
Cholesterol Transport:
Cholesterol is carried through the bloodstream by lipoprotein particles in the form of cholesterol esters (a modified, more hydrophobic form of cholesterol).
Lipoprotein particles serve to emulsify lipids so they can be transported in the blood, as lipids are generally hydrophobic and not soluble in the aqueous environment of the bloodstream.
Structure of Lipoprotein Particles:
Each lipoprotein particle has a core of hydrophobic lipids (such as an oil droplet) surrounded by a shell of more polar lipids and proteins.
The hydrophobic core carries nonpolar substances like cholesterol esters and triglycerides.
The outer shell, made of phospholipids and proteins, interacts with the aqueous environment.
Apolipoproteins:
The protein components of lipoprotein particles are called apolipoproteins.
These proteins help to solubilize hydrophobic lipids within the bloodstream.
They also provide cell-targeting signals, helping lipoprotein particles deliver cholesterol and other lipids to specific tissues or cells in the body.
Transport and cellular uptake of cholesterol
Cholesterol Transport:
Cholesterol is carried through the bloodstream by lipoprotein particles in the form of cholesterol esters.
Cholesterol esters are even more hydrophobic than cholesterol, making them more suited for transport within the hydrophobic core of lipoproteins, such as LDL (Low-Density Lipoproteins).
The cholesterol esters are trapped in the LDL particle, making LDL an efficient transporter of cholesterol to different tissues.
Cellular Uptake via LDL:
LDL particles enter cells through a process called receptor-mediated endocytosis.
This process involves the binding of LDL particles to specific receptors on the cell surface, which triggers endocytosis.
Endocytosis:
Endocytosis is the process by which cells take up large molecules or particles from the extracellular environment.
During this process, the entire LDL-receptor complex is engulfed by the cell membrane and internalized into the cell, allowing the cholesterol esters to be processed and used by the cell.
Absence of the LDL receptor
Familial Hypercholesterolemia (FH):
Normal LDL Removal:
In healthy individuals, LDL particles (which transport cholesterol) circulate for approximately 2.5 days before being removed by the liver through the LDL receptors.
Cause of FH:
FH occurs when LDL receptors on liver cells are either non-functional or absent.
As a result, LDL particles aren’t removed properly and continue circulating in the blood for extended periods.
Effects:
This results in a high concentration of circulating LDL particles, leading to cholesterol deposition in tissues.
Such deposits contribute to atherosclerosis and an increased risk of cardiovascular diseases.
Types of FH:
Homozygotes (Rare Form):
Individuals inherit defective LDL receptor genes from both parents, resulting in no functional LDL receptors.
This severe condition leads to extremely high cholesterol levels, often resulting in severe coronary heart disease in childhood.
Heterozygotes (More Common Form):
These individuals inherit one normal and one defective LDL receptor gene, resulting in approximately half the normal number of LDL receptors.
Cholesterol levels are still elevated, which may lead to premature cardiovascular disease in their 30s or 40s.
Implications:
Early detection and management are crucial for those with FH, as lifestyle modifications, medications, or even interventions like LDL apheresis can help reduce cholesterol levels and minimize cardiovascular risk.
Roles of different lipoprotein particles
Familial Hypercholesterolemia (FH):
Normal Function:
LDL particles (which carry cholesterol) typically circulate in the blood for around 2.5 days before they are removed by the liver through LDL receptors.
Cause of FH:
FH occurs when LDL receptors on liver cells are either non-functional or absent.
Without functional receptors, LDL particles aren’t properly removed from the bloodstream and continue to circulate for much longer than normal.
Effects:
The prolonged circulation of LDL leads to elevated cholesterol levels in the blood.
As a result, cholesterol is deposited in various tissues, leading to atherosclerosis and other complications related to cardiovascular health due to the high concentration of circulating cholesterol.
Implications:
The lack of functional LDL receptors is a major risk factor for premature cardiovascular disease because it results in persistent high cholesterol levels.
FH is an inherited condition, which means it can be passed down through families, making early detection and management important to prevent health issues.
Role of cholesterol in atherosclerosis
History and Discovery:
Over 100 years ago, a fatty yellowish material was found on the arterial walls of patients who had died of heart disease.
This material was named atheroma, derived from the Greek word meaning “porridge,” due to its soft, fatty consistency.
Formation of Atheromas:
Atheromas are initiated by the deposition of foam cells, which are fat-laden macrophages containing LDL particles (commonly referred to as “bad cholesterol”).
The LDL particles get trapped in the arterial walls and are taken up by macrophages, which become foam cells. This accumulation leads to plaque formation within the blood vessel wall.
Progression of Atherosclerosis:
The buildup of atherosclerotic plaques narrows the artery, restricting blood flow, which is depicted in the image showing normal vs. partly blocked blood vessels.
As the plaque grows, it causes inflammation and increases the risk of complications such as heart attacks or strokes if the plaque ruptures and forms a clot.
Coronary Artery Atheroma:
The photograph shows a coronary artery with an atheroma, highlighting how the buildup of cholesterol and foam cells leads to the obstruction of the artery, which can significantly compromise blood flow to the heart muscle.