Lipids Flashcards

1
Q

Lipids?

A
  • biological molecules that are insoluble in aqueous solution and soluble in organic solvents
  • fats, essential to the body
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2
Q

Major functions of lipids?

A
  1. serve as structural components of biological membranes
  2. provide energy reserves, predominantly in the form of triacylglycerols
  3. both lipids and lipid derivatives serve as vitamins and hormones
  4. lipophilic bile acids aid in lipid solubilization
  5. protects nerves and internal organs as thermal covering
  6. essential for growth
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3
Q

Fluid mosaic model of cell membrane? (4)

A
  • phospholipid bilayer with many proteins, some integral to the membrane, others attached more loosely
  • many other components such as cholesterol and attachment sites for extracellular environment (glycoproteins) and intracellular cytoskeleton
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4
Q

What are fatty acids?

A
  • long chain hydrocarbons with carboxyl on one end
  • carboxyl end is acidic
  • the rest is defined by the number of carbons in the hydrocarbon region and the degree of unsaturation
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5
Q

Degree of unsaturation?

A

-the presence or absence of C=C double bonds in the hydrocarbon region

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6
Q

Unsaturated fatty acid? (5)

A
  • has double bonds
  • oleic acid
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7
Q

Saturated fatty acids? (5)

A
  • has only single bonds
  • stearic acid
  • palmitic acid
  • mostly derived from diet
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8
Q

Monounsaturated fatty acids? (5)

A

have only one double bond

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9
Q

polyunsaturated fatty acids? (5)

A

have more than one double bond

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10
Q

Terminology? (6)

A

pic

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11
Q

Effects of double bonds? (7)

A
  • presence of double bonds gives hydrocarbon region a distinct bend
  • saturated are linear
  • carbons can be counted from carboxyl end (C2 = alpha, C3= beta)
  • can be counted from methyl end (methyl C is omega 1)
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12
Q

Where are saturated fatty acids found? (8)

A
  • found in dairy and meat and some plant oils (coconut, palm, palm kernel)
  • stack together to make solid form at room temp
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13
Q

Where are unsaturated fats found? (8)

A
  • liquid oils at room temp
  • because of bends, they do not stack well and are in liquid form
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14
Q

What determines the properties and functions of lipids?

A
  • depend on fatty acid chain length (number of carbons) and degree of unsaturation (the more the double bonds the more unsaturated)
  • vary among fatty acids
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15
Q

What are the most common properties of fatty acids?

A
  1. an even number of carbons
  2. between 14-24 carbons
  3. most common are 16 and 18 carbon fatty acids
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16
Q

What conformation do unsaturated fatty acids normally have?

A
  • cis
  • naturally occurring plants oils remain liquid at ambient temps because of the cis double bonds cause a curved configuration and prevents packing into crystal form
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17
Q

What controls membrane fluidity?

A

-controlled by fatty acid composition and cholesterol content

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18
Q

What are the classifications of fatty acids? (12)

A
  1. short chain
  2. medium chain
  3. long chain
  4. very long chain
    - because of various lengths, they are digested and metabolized differently
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19
Q

Short chain fatty acids sources? properties?

A
  • sources: bovine milk, swiss cheese, plants silage
  • water soluble nature
  • more readily absorbed in the stomach than other fatty acids
  • 2 to 3 carbons
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20
Q

Medium chain fatty acids sources? properties?

A
  • sources: butter fat, coconut and palm kernel oils
  • preferentially transported via portal vein to the liver because of their smaller size and greater solubility compared to longer chains
  • for entry into mitochondria, medium chains are not carnitine dependent
  • 4 to 11 carbons
  • fairly soluble in water
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21
Q

Long chain fatty acids sources? properties?

A
  • sources: animal fats, vegetable and marine oils
  • due to size and increased hydrophobic character, long chains are absorbed and metabolized more slowly than short and medium chains
  • they need carnitine shuttle for their transport to mitochondrial matrix
  • 12 to 20 carbons
  • water insoluble
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22
Q

Very long fatty acids sources? properties?

A
  • sources: plant oil, peanut oil
  • exclusively oxidized in peroxisomes
  • more than 20 carbons
  • water insoluble
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23
Q

Why is cows milk not recommended to infants under 12 months old?

A
  • because it contains mostly short and medium chains fatty acids and not long chain (palmitic, oleic, linoleic)
  • long chain fatty acids play a vital role in brain development in the first year
  • long chain polyunsaturated fatty acids play a vital role in overall development of immunity in infants
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24
Q

What is the effect of chain length on melting point in saturated fatty acids? (15)

A
  • the longer the chain length, the higher the melting point
  • fatty acids with melting points above room temp will be solid at room temp (22 degrees C)
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25
Q

What is the effect of degree of unsaturation on melting point in unsaturated fatty acids? (17)

A
  • the larger the degree of unsaturation (more double bonds) the lower the melting point
  • monounsaturated and polyunsaturated fatty acids contribute to membrane fluidity
  • most membranes (except brain) adapt to diet induced changes
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26
Q

What do diets enriched with monounsaturated fatty acids do for health?

A
  1. reduce total cholesterol and LDL levels
    - LDL is bad cholesterol, HDL is good
  2. cardioprotective effects
  3. blood pressure lowering effects
  4. improve insulin sensitivity
  5. provide anti thrombotic effects
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27
Q

What foods are high in monounsaturated fatty acids?

A
  • plant oils (canola oil, flaxseed oil, olive oil, peanut oil, pesto sauce, safflower oil, sesame oil, soybean oil, sunflower oil, walnut oil)
  • meat fat (pork, beef)
  • nuts and seeds (almonds, brazil nuts, natural peanut butter, dry roasted cashews, dry roasted peanuts, dry roasted sunflower seeds, hazelnuts, macadamia nuts, pecans, pine nuts, pistachios, roasted pumpkin seeds, sunflower seeds, walnuts)
  • avocado
  • olives
  • dark chocolate
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28
Q

What are DHA and Arachidonic Acid and why are they important?

A
  • DHA (docosahexanoic acid synthesized in liver and brain) and Arachidonic Acid
  • both are crucial to optimal development of brain and eyes
  • important in infant nutrition, routinely added to infant formula
  • AA is a major constituent of membrane phospholipids and an important precursor to biological compounds that regulate
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29
Q

What are essential fatty acids? (19)

A
  • they are polyunsaturated that are essential to humans because the body cannot introduce double bonds past carbon 9 (counting from carboxyl end)
  • mammals do not have enzymes (desaturases) that introduce double bonds at C12 and C15, but plants synthesize them both from oleic acid
  • Linoleic acid (LA)
  • alpha Linolenic acid (ALA)
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30
Q

Linoleic acid (LA)? (19)

A
  • essential fatty acid
  • omega 6, 18:2 (9, 12)
  • safflower, soybean, corn, peanut, sunflower oils
  • found in egg, meats, grains, nuts, most plant seeds, and some plant oils
  • can be desaturated and elongated to arachidonic acid
  • LA -> AA, GLA
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31
Q

alpha linolenic acid (ALA)? (19)

A
  • essential fatty acid
  • omega 3, 18:3 (9, 12, 15)
  • fish, walnuts, pine nuts, flaxseed, wheat germ, green leafy veggies, soy and canola oil
  • found in some plant oils (soybean, linseed, flax)
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32
Q

What are two important omega 3 fatty acids? why?

A
  • EPA, 20:5 (5, 8, 11, 14, 17)
  • DHA, 22:6 (4, 7, 10, 13, 16, 19)
  • they are metabolic derivatives of ALA and necessary for synthesis of a number of regulatory compounds in body
  • may reduce risk of heart attack
  • fish oils contain EPA and DHA
  • ALA -> EPA, DHA
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33
Q

What do the essential fatty acids (LA, ALA) combine with and form? (22)

A
  • combine with cholesterol
  • form eicosanoids and steroid hormones
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34
Q

Once ingested, LA (omega 6), what can it be converted into? function? (23)

A
  • may be converted into certain polyunsaturated acids:
  • gamma linolenic acid (GLA)
  • eicosatrienoic acid
  • eicosatetraenoic acid (AA)
  • these compounds affect key cell and physiological processes in the body ranging from cell signaling to inflammation
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35
Q

What do omega 3 fatty acids function in? (23)

A
  • essential in growth and development throughout human life cycle
  • should be included in diet
  • inhibit tissue eicosanoid biosynthesis and reduce inflammation
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36
Q

Arachidonic acid function?

A

-major constituent of membrane phospholipids and an essential precursor to a number of biological compounds known as eicosanoids that regulate body function, such as immunity, blood clotting, blood pressure

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37
Q

eicosanoids function?

A
  • derived from 20 carbon AA
  • modifications of AA from prostaglandins, the inflammatory hormones that aspirin interferes with
  • leukotrienes are produced in the body from AA by the enzyme 5-lipoxygenase
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38
Q

Essential fatty acids deficiency side effects?

A
  • hemorrhagic and scaly dermatitis
  • skin dryness and atrophy
  • weakness
  • impaired vision
  • tingling sensations
  • mood swings
  • edema
  • high blood pressure
  • high triglycerides
  • hemorrhagic folliculitis
  • hemotologic disturbances (sticky platelets)
  • immune and mental deficiencies
  • impaired growth
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39
Q

High omega 6/omega 3 ratio in modern diets? what does it lead to?

A
  • modern ratio is 15:1
  • excessive omega 6 has been linked with pathogenesis of many diseases, including cardiovascular disease, cancer, inflammatory and autoimmune disease
  • a 2:1 ratio has been associated with reduced mortality from cardiovascular disease, suppressed inflammation in patients with rheumatoid arthritis, decreased risk of breast cancer
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40
Q

Structure of cis vs trans unsaturated fatty acids? (25)

A
  • trans are produced when naturally occurring cis are altered chemically by partial hydrogenation
  • after this process, cis is changed to trans
  • cis has 2 carbons on the same side of the double bond
  • trans has 2 carbons on opposite sides of double bond
  • so the trans resembles the linear packing of saturated fatty acids
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41
Q

What increases membrane fluidity?

A
  • warmth because lipid molecules have more kinetic energy
  • more unsaturated fatty acids which prevent lipids from packing close together
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42
Q

Nerve transmission relation to membrane fluidity?

A
  • nerve transmission relies on ion pumping
  • when membranes are not fluid, this interferes with ion channels (transmembrane proteins) and prevents passage of ions
  • this is how local anesthetics such as lidocaine work
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43
Q

How does cholesterol affect membrane fluidity?

A
  • the steroid ring helps to stiffen the membrane, making it less fluid and preventing other lipids from packing tight
  • trans fatty acids that are incorporated into the cell membranes create denser membranes that alter the normal functions of the cell
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44
Q

Why is fat an essential part of a nutritious diet?

A
  • we need a minimum amount in order to provide adequate levels of essential fatty acids and fat soluble vitamins
  • during rest and prolonged exercise, fat is our primary source of stored energy for maintaining cell function
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45
Q

What effect does reducing saturated and trans fat in our diet have?

A
  • consuming saturated and trans fat, they are deposited in cell membranes and replace cis unsaturated fatty acids
  • this makes membrane less fluid
  • reducing these fats has a cholesterol lowering effect and a decreased risk for cardiovascular disease and obesity
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46
Q

What are most of the lipids consumed by humans in the form of?

A
  • in the form of triglycerides (triacylglycerols, TG)
  • the rest consist of cholesterol, cholesterol esters, free fatty acids, phospholipids
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47
Q

Triacylglycerol function?

A

-TG is the major form of fat stored in adipose cells -they are highly concentrated metabolic energy storage (main constituents of vegetable oils and animal fats) because they are anhydrous and exclude water

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48
Q

Structure of triglyceride? (28)

A
  • TG consists of 3 Carbon glycerol backbone and 3 fatty acids
  • glycerol is an alcohol composed of 3 carbon atoms
  • each other 3 fatty acids within each TG can be different sizes and can be either saturated or unsaturated
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49
Q

order of packing in TG? (29)

A
  • each fatty acid in TG can be different sizes and can be either saturated or unsaturated
  • saturated fatty acids have a straight configuration and usually pack into a solid crystal at ambient temps
  • highly ordered packing of fatty acid chains is disrupted by the presence of cis double bonds
  • TG with only saturated fatty acids stack well together to make solid fat at room temp
  • TG with monounsaturated fatty acids sandwiched between 2 saturated fatty acids don’t stack well because of the bend, these stay liquid at room temp
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50
Q

composition of various fats in butter, vegetable oil, and margarine? (30)

A

-vegetable oil can be partially hydrogenated to more trans fat, doesnt make it any healthier than saturated fats

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51
Q

What does a diet high in saturated fat and cholesterol result in?

A
  • increased LDL, decreased HDL which promotes cardiovascular disease and cancer growth
  • trans fats also raise levels of trigclyeride in blood
  • promotes insulin resistance, linked to diabetes, hypertension, and cardiovascular disease
  • animal fats and tropical oils high in myristic acid (C14:0) and low in linoleic acid increase cholesterol levels
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52
Q

What can oils high in linoleic acid such as grape seed oil, sunflower oil, and safflower oil do for health?

A

-play a significant role in reducing blood cholesterol levels when consumed regularly in diet

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53
Q

What is the most important use of lipids in the cells?

A
  • formation of membranes
  • membranes contain amphipathic with a hydrophobic end and a hydrophilic end
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54
Q

What are the two general classes of lipids?

A
  1. Neutral uncharge lipids (non polar)
  2. Amphipathic lipids (polar)
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55
Q

Neutral uncharged lipids (non polar) examples? (35)

A
  • Triacylglycerol (TG)
  • cholesterol esters (CE)
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56
Q

Amphipathic lipids (polar) examples?

A
  • phospholipids (PL)
  • cholesterol (C)
  • monoacylglycerols (MG)
  • diacylglycerols (DG)
  • sphingolipids
  • glycolipids
57
Q

Further classification of lipids? (33)

A
  • further classified based on chemical backbone
  • TG and glycerophospholipids (phospholipids) have a backbone of 3 carbon glycerol
  • Glcyosphingolipids (glycolipid) and sphingophospholipids (phospholipids) have a backbone of sphingosine
58
Q

Glycerol vs sphingosine backbones? (34)

A
  • glycerolipids have glycerol backbone
  • sphingolipids have a sphingosine backbone (18C alcohol)
59
Q

Example of Glycerolipids? properties? (37)

A
  • Monoacylglycerol (MG- monoglyceride)
  • amphipathic (one polar charged end, one uncharged non polar end)
  • polar
  • membrane lipid
  • only one OH group is esterified to a fatty acid
  • the other two OH groups are free, giving the structure some polarity
60
Q

Glycerophospholipids? properties? (38)

A
  • phospholipids
  • amphipathic (polar and non polar ends)
  • important part of membrane lipid bilayer of cell
  • assist in transporting fat in bloodstream
61
Q

Glycerophospholipid structure? (38)

A
  • consist of a glycerol backbone and 2 fatty acids with a phosphate and head group (alcohol: ethanol amine, choline, serine, inositol)
  • phosphate group is soluble in water (hydrophilic) giving it its amphipathic property
62
Q

Phosphatidylcholine?

A
  • common phospholipid
  • also called glycerol phospholipid or phosphoacylglycerol
  • lecithin (means egg yolk in Greek) is full of vitamin B and an example of phosphatidylcholine
  • surfactant
63
Q

Surfactant function of phosphatidylcholine?

A
  • acute respiratory distress syndrome (ARDS) is a disease related to maturity of the fetal lung and accounts for 15-20% neonatal mortality in western countries
  • proteins, phospholipids and phosphatidylcholine (80%) make up lung surfactant
  • level of PC rises at 35 weeks of gestation in amniotic fluid
  • PC coats alveoli of lungs and reduces surface tension, preventing lung collapse
  • lack of surfactant in babies born prematurely leads to ARDS
64
Q

What foods contain phospholipids?

A

peanuts, egg yolk, some processed foods containing dispersed fat

65
Q

What are plasmalogens? functions?

A
  • class of glycerophospholipids with polar head group and ester long chain alcohol group in place of one FA
  • form a significant fraction of the membranes in nervous tissue
  • biosynthesis localized in peroxisomes
  • Functions:
  • Protect cells against reactive oxygen species (ROS), signaling molecules and modulators of membrane dynamics
  • Platelet activating factor (PAF):
  • serves as an extracellular mediator in the process of inflammation, has antihypertensive activity, increases vascular permeability
66
Q

Sphingolipids?

A
  • have sphingosine backbone rather than glycerol
  • major components of nervous tissue and membranes
  • ceramide (sphingomyelin and glycolipids)
67
Q

Ceramide structure? (42)

A
  • contains sphingosine with a fatty acid joined to it amino group
  • sphingomyelin
  • glycolipids
68
Q

Sphingomyelin structure? (42)

A

-contains a ceramide and phosphocholine/phosphoethanolamine

69
Q

Glycolipids structure? (42)

A
  • or glycosphingolipids
  • contain a ceramide and a carbohydrate group (either galactose or glucose)
70
Q

4 major classes of glycolipids?

A
  1. cerebroside
    - contains a single moiety, principally galactose
  2. sulfatides
    - sulfuric acid esters of galactocerebrosides
  3. globosides
    - contains 2 or more sugars
  4. gangliosides
    - similar to globosides except also contain sialic acid
71
Q

Sphingophospholipids and the myelin sheath?

A
  • sphingolipids are important components of myelin sheath, a multilayered structure that protects and insulates the nerve fibers
  • sphingomyelin is the primary sphingolipid in humans
72
Q

Glycosphingolipids function?

A
  • cerebrosides
  • important components in muscle and nerve cell membrane
  • myelin is well known cerebroside
  • two major types are glucocerebrosides (other tissues) and galactocerebrosides (neural tissue)
73
Q

What are sterols?

A
  • type of lipid found in both plant and animal foods and are produced by the body
  • plant sterols are not well absorbed by the body and they reduce absorption of the major dietary sterol, cholesterol
74
Q

Cholesterol structure? (44)

A
  • most common sterol in our diets
  • polar lipid with steroid ring system (4 rings)
  • hydrophobic but a single OH group allows it to interact with water at a membrane surface, considered amphipathic (polar=unesterified) this OH group can be esterified to a fatty acid to form a cholesterol ester (hydrophobic non polar lipid=esterified)
75
Q

Cholesterol function? (44)

A
  • part of every cell membrane, especially neural cells that make up brain, spinal cord, and nerves
  • vital to metabolism, situated in the crossroads of several metabolic pathways
  • several important sterol compound are synthesized using it including sex and adrenal hormones, bile acids, and vitamin D
76
Q

What foods contain cholesterol?

A
  • fatty part of animal products such as butter and egg yolk, whole milk, meats, poultry
  • egg whites, skim milk, and lean meat contain little to no cholesterol
  • we do not need to consume cholesterol because our bodies continually synthesize it, in liver and intestine
77
Q

Cholesterol and related lipids? (45)

A

pic

78
Q

Bile acids structure? where made? (46)

A
  • made in the liver peroxisome by cytochrome P450 mediated oxidation of cholesterol
  • bile acids have a spacial configuration that gives them a polar side and a non polar side
79
Q

Fat soluble vitamins? (47)

A
  • A- retinol
  • D- calciferol
  • E- alpha tocopherol
  • K- phylloquinone, menaquinone
  • are absorbed into the intestinal mucosal cells along with the products of lipid digestion
  • impaired fat absorption or conditions which alter the proper digestion and absorption of the fat can lead to vitamin deficiency
  • excess fat soluble vitamins can lead to toxicity
80
Q

fat soluble vitamin summary? (48,49)

A

both pics

81
Q

Why are fats digested differently from proteins and carbs?

A
  • proteins and carbs are water soluble
  • fats are water insoluble
  • dietary fats are mixed with other foods when we chew
82
Q

Role of mouth and stomach in digestion of fat?

A
  • mouth has a limited role in breakdown of fats
  • in the stomach, it breaks fat into smaller droplets
  • these droplets float on top of digestive juices in the stomach until passed into small intestine
83
Q

Role of liver in digestion of fats?

A
  • liver produces bile acids and delivers them through the gall bladder
  • bile acids surround and emulsify dietary lipids in the duodenum
84
Q

Role of pancreas in digestion of fats?

A

-produces bicarbonate to neutralize stomach acids, enzymes and coenzymes (TG lipase, colipase, cholesteryl esterase, phospholipases)

85
Q

What is the problem of lipids and membranes in the body?

A
  • lipid and water don’t mix
  • our bodies are mostly aqueous and lipids are insoluble in water
  • the lipid bilayer separates one aqueous cell region from another
  • movement of big lipids across membranes requires them to broken down into smaller chemicals
  • lipid absorption- break lipids down, move them across the membrane, reassemble them in the cell
86
Q

What two complimentary mechanisms accomplish emulsification?

A
  1. use of bile salts
  2. mechanical mixing due to peristalsis
87
Q

Function of TG lipase?

A
  1. in complex with colipase, it breaks down TG which are present in the emulsified fat droplet
    - this occurs at the surface of the fat droplet
    - other lipid digesting enzymes work at the surface of the emulsified fat droplet to break down other lipids
88
Q

What happens to the products of TG digestion by TG lipase? (52)

A
  1. products of TG digestion (MG and fatty acids) are solubilized into small bile acid micelles
    - these micelles deliver MG and fatty acids to intestinal epithelial cells where they are absorbed
  2. within epithelial cells, the fatty acid and MG are reesterified into TG
  3. TG is packaged into chylomicrons
  4. chylomicrons are transported out to the lymphatics where they enter the bloodstream
89
Q

Overall process of digestion of fats? (51)

A
  1. liver produces bile acids
  2. dietary lipids are emulsified by bile acids in duodenum
  3. pancreas produces TG lipase, colipase, bicarbonate, cholesteryl esterase, phospholipases
  4. TG lipase (complex with colipase) breaks down TG in emulsified fat droplet at the surface of the droplet, other enzymes also work
  5. products of TG digestion (MG and fatty acid) are solubilized in small bile salt micelles
  6. MG and fatty acids are absorbed in to the intestinal epithelial cells from bile acid micelles
  7. chylomicrons are formed inside the cell
  8. chylomicrons are transported out of the cell to the lymphatics and then enter the blood
  9. products of digestion in small micelles are shuttled over to the brush border
90
Q

What are bile salts? functions? where synthesized and secreted?

A
  • bile salts are amphipathic lipids
  • responsible for emulsifying dietary fat droplets for better water solubility and help form smaller micelles for greater absorption of lipids into intestinal epithelial cells
  • synthesized in liver and secreted via gallbladder into the intestinal lumen
91
Q

Process of bile salts forming micelles? (54)

A
  1. non polar lipids are emulsified in surrounding aqueous milieu
  2. bile salts form aggregates of emulsion droplets of lipids
  3. in the lumen of intestine, pancreatic lipase digest dietary long chain fatty acids to products that amphipathic lipids
  4. polar lipids are emulsified in surrounding aqueous milieu by amphipathic lipids to form micelles
  5. amphipathic lipids spontaneously form aggregates to become soluble in water (miscible hydrophilic heads surrounding insoluble hydrophobic tails)
92
Q

What are micelles?

A
  • small aggregates of mixed lipids and bile acids suspended in ingesta
  • as ingesta is mixed, micelles bump into the brush border of small intestine enterocytes and the lipids, including MG and fatty acids are taken up into epithelial cells
93
Q

Process of biosynthesis of bile acids? where does it occur? (55)

A
  1. occurs in liver peroxisomes
  2. first step is hydroxylation of cholesterol to 7alpha-cholesterol by 7alpha-hydroxylase
  3. eventually, chenocholic acid and cholic acid are the products (2 primary bile acids)
  4. these products inhibit the first step (product inhibition)
94
Q

Conjugation of bile acids in liver? (57)

A
  1. prior to secretion, bile acids are conjugated with either glycine or taurine
    - this increases water solubility and prevents passive reabsorption once secreted into small intestine
  2. acid groups on bile acids are often converted to salts
  3. bile salts are a major component of bile
  4. sodium, calcium, potassium are often used to produce bile salts
    - sodium glcyocholate and sodium taurocholate (bile salts)
95
Q

Cholic acid and its relationship to other bile acids? (58)

A

pic

96
Q

chemical structure of the major bile acids found in human bile and feces? (59)

A

pic

97
Q

Bile acid synthesis defect? symptoms? treatments?

A
  • a defect prevents the body from making bile acid which can result in progressive liver disease
  • usually is a defect in the hydroxylase enzyme used to make bile acid
  • symptoms: progressive liver disease, cholestasis, jaundice, liver fibrosis, abnormal bile acid precursors in urine
  • treatments: oral bile acid therapy is used which causes suppression of the 7alpha-hydroxylase preventing further synthesis of cholestatic intermediates
98
Q

What happens to the sterol rings that have been used for bile acids?

A
  1. humans cannot break down and metabolize cholesterols complex ring structure for energy
  2. rings must either be recycled or eliminated
  3. enterohepatic circulation of bile salts occurs from the liver to the ileum of small intestine where digestion of fat takes place, back to the liver
99
Q

What happens to most bile acids in enterohepatic circulation?

A
  1. 95% are recycled
  2. 5% are excreted
100
Q

Recycling of bile acids? (61)

A
  1. there is a large pool of bile acids in the body (3-5g)
    - most are reabsorbed either actively or passively
  2. the majority is recycled as primary or secondary conjugated bile acids by active transport from proximal or distal ileum
    - secondary conjugated bile salts happen after flora bacteria dehydroxylate bile salts
    - these are taken back to the liver via the portal system and carried on albumin through blood stream
  3. additional bile acids are recycled via passive diffusion after they are deconjugated from amino acids glycine and taurine
101
Q

Excretion of bile acids? (61)

A

-in healthy people, the amount of bile acid synthesized from cholesterol equals the amount of bile salts excreted (.8g/day, 5%)

102
Q

Ways that the sterol ring is eliminated? (64)

A
  1. they are converted to bile acids, but not reabsorbed and the excreted int feces
  2. they are secreted as intact cholesterol into bile and then eliminated to feces
103
Q

Bile acid chelators? (64)

A
  • some types of dietary fibers, ion exchange resins like cholestyramine, block reabsorption of bile acids
  • since more cholesterol is converted to bile acids response, this helps to eliminate significant quantities of cholesterol from the body
104
Q

Cholesterol absorption inhibitors? (64)

A
  • class of compounds that prevent the uptake of cholesterol from small intestine into circulatory system
  • example: ezetimibe
105
Q

Role of various organs in digestion of lipids?

A
  1. mouth and stomach
    - lingual lipases in the mouth and gastric lipases in the stomach preferentially hydrolyze TG which contains short and medium chain fatty acids
    - churning and emulsifying occurs here
  2. Liver
    - bile salts produced in liver, and bile is recycled back to liver
  3. Pancreas
    - releases enzymes lipases and colipases to assist lipase for digestion of long chain fatty acids, and bicarbonate for pH neutralization
  4. Intestine (duodenum)
    - bile salts break up large fat droplets into smaller micelles, increasing surface area for digestive enzymes
106
Q

Lingual lipase function?

A
  • acid stable lipase
  • short and medium chain fatty acids from TG are targets of this enzyme
  • digestion by this enzyme is very limited due to short time food stays in mouth
107
Q

Gastric lipase function? (66)

A
  • acid stable lipase degrading short and medium chain fatty acids
  • accounts for 30% of total TG hydrolysis
  • this initial hydrolysis is slow
  • important because some of the water immiscible TGs are converted to products that possess both polar and and non polar groups
108
Q

Do short and medium chain fatty acids require bile salts for digestion? why is this important?

A
  • no
  • this is important when considering in dietary therapy for individuals with mal absorption of other lipids
109
Q

Why are acid lipases (lingual and gastric) important?

A
  • these enzymes are particularly important in neonates, for whom milk fat is the primary source of calories
  • lipids in cows milk are mostly short and medium chain fatty acids
  • they are also important digestive enzymes in individuals with pancreatic insufficiency such as those with cystic fibrosis
  • lingual and gastric lipases degrade TGs despite near or complete absence of pancreatic lipase
110
Q

4 pancreatic enzymes?

A
  1. TG lipase or pancreatic lipase
  2. colipase
  3. cholesteryl esterase
  4. phospholipase
111
Q

TG lipase (pancreatic) function? (67)

A
  • cuts ester bonds at primary alcohol of TG (1 and 3 position)
  • major products are 2-MG and fatty acids
112
Q

Orlistat?

A

-an anti obesity drug which inhibits pancreatic and gastric lipase thereby decreasing fat absorption and resulting in weight loss

113
Q

Colipase function? (68)

A
  • bile salts inhibit lipase
  • colipase binds lipase anchoring it at the lipid aqueous phase, bringing it into contact with the oil droplet
  • and orienting the enzymes active site toward its substrate
  • lipase activity is increased by binding to the colipase
  • colipase is secreted as a zymogen, procolipase, which is activated by trypsin in the intestine
114
Q

Cholesteryl esterase function? (69)

A
  • degrades cholesteryl esters to cholesterol and one fatty acid
  • esterase activity is increased in the presence of bile salts
115
Q

phospholipase function? (70)

A
  1. degrades phosphatidylcholine in two steps to one free fatty acid and lysophosphatidylcholine
  2. then to glycerophosphoylcholine and 2 free fatty acids
    - phospholipase A2 is secreted as a zymogen and is activated by trypsin in the intestine
    - its activity is greatly increased in the presence of bile salts
116
Q

Summary of lipid digestion? (71)

A

pic

117
Q

Differences in absorption and use of different lengths fatty acids chains?

A
  • short chain- formed in the intestines by friendly bacteria and are rapidly metabolized by intestinal cells
  • medium chain- absorbed and transported directly to the liver where they are burned for energy
  • long chain- turned into TGs and then are taken up by cells and used for energy or are stored
  • bile form gallbladder is needed to digest long chain fatty acids
118
Q

Lipid digestion in the duodenum? (73)

A
  1. in the duodenum, relatively large emulsified droplets become coated with bile salts
  2. lipid droplets contain mostly TGs, cholesterol, CE, PLs, and fat soluble vitamins
  3. digestive enzymes work at the oil water interface to release free fatty acids and 2-MG at the surface
  4. crowding occurs at the surfaces due to non polar molecules becoming more polar
  5. this allows molecules at the surface to pinch off into small micro droplets, called micelles
  6. micelles carry products of digestion to the microvilli where they are absorbed into intestinal epithelial cells (mixed micelles are smaller and contain products of digestion: free fatty acids, lysophospholipids, 2-MG, cholesterol, fat soluble vitamins)
  7. the micelles bud off from the large lipid droplets after digestion and move toward the brush border membrane of intestinal mucosal cells where lipids are absorbed
119
Q

2 Hormones that control lipid digestion?

A
  • cholecystokinin (CCK)
  • secretin
120
Q

Cholecystokinin (CCK) function? (74)

A
  1. cells in the mucosa of the jejunum and lower duodenum produce a small peptide called CCK
  2. when partially digested lipids and proteins enter the upper small intestine, CCK acts on the gall bladder and exocrine cells of pancreas, causing them to release bile salts and digestive enzymes respectively
  3. CCK also decreases gastric motility, resulting in a slower release of gastric contents into small intestine
121
Q

Secretin function? (74)

A
  1. in response to low pH in the chyme entering the intestine, secretin is released
  2. causes the pancreas to secrete bicarbonate to neutralize the pH of intestinal contents
122
Q

Where do micelles that are in the intestinal lumen go? (75)

A
  1. they come into contact with the epithelial cell membranes
  2. the products of lipid digestion pass out of the micelle through the membrane and into the cell
  3. in the cell, lipids are resynthesized and packaged with specific proteins into chylomicrons
  4. chylomicrons enter the lymphatic system and then pass from intestinal lymph ducts to the thoracic duct to vessels supplying lungs
  5. essential fatty acids are needed for surfactant production in lungs
  6. dietary fats are also transported to muscles, adipose tissue, and liver
123
Q

what do short and medium chain fatty acids require for absorption? (77)

A
  • they do not require bile salts for absorption
  • they do not need to be packaged into chylomicrons
  • they directly enter the portal blood and are transported to the liver bound to serum albumin
124
Q

What are chylomicrons?

A
  • contains lipid droplets surrounded by the more polar lipids and finally a layer of proteins
  • from intestines they are released into the blood via lymph system for delivery to various tissues for storage and production of energy through oxidation
125
Q

How are TGs synthesized in the liver packaged?

A

-packaged into VLDLs and released into the blood directly

126
Q

How are blood lipids classified?

A
  • distinguished based upon the density of the different lipoproteins
  • lipid is less dense than protein
  • the lower the density, the less protein it contains
127
Q

Structure and composition of chylomicrons? (79)

A
  • chylomicrons are spherical particles consisting of a core of TGs (85%) and cholesterol esters (CE) with a shell of alipoproteins, phospholipids, unesterified cholesterol
  • alipoproteins are embedded with their hydrophobic edges oriented toward the core and their hydrophilic edges toward the outside
  • the major protein of chylomicron is apoB48
128
Q

Chylomicron production deficiency?

A
  • genetic defect leads to lack of chylomicron
  • patients suffering from this disorder suffer from severe neural degeneration
  • lack of chylomicron interrupts transfer of Vit E fro intestine to neurons and other tissues
  • treatment: Vit E injections can overcome this block (oral doses greater than 1000X of normal)
129
Q

Formation of chylomicrons? (81)

A
  1. TG is produced in the smooth ER of intestinal cells from digestive products, fatty acids and 2-MG
  2. the protein is synthesized in the rough ER, major protein is apoB48
  3. assembly of lipoprotein occurs in the Golgi complex
    - ApoB organizes the assembly
    - picks up Apo A, C, E in plasma
    - TG composition resembles dietary intake
    - requires phospholipids
130
Q

What are the 2 forms of ApoB?

A
  • 48- small, in intestine
  • 100- large, in liver
131
Q

Further acquisition of protein found in chylomicrons? (82)

A
  1. newly synthesized chylomicrons (nascent) mature as they receive apoproteins C and E from high density lipoproteins (HDL)
  2. HDL functions in the transfer of these apoproteins and also in transfer of cholesterol from peripheral tissues to liver
    - ApoC also found in VLDL
132
Q

What is the fate of TG in chylomicrons? (83)

A
  1. TG components of chylomicrons (and VLDLs) are hydrolyzed to free fatty acids and glycerol in the capillaries of adipose tissue and skeletal muscle by the action of lipoprotein lipase
  2. free fatty acids are then absorbed by cells and the glycerol is returned via blood to the liver (and kidneys)
  3. glycerol is converted to glycolytic intermediate DHAP
  4. chylomicrons circulate through blood where they are delivered to a tissue that needs lipids
    - within lumen of capillaries in the blood stream, TGs are broken down by lipoprotein lipase to fatty acid and glycerol
    - this enzyme is used mostly by adipocytes and muscle cells
    - it is secreted and associated with the luminal surface of endothelial cells of capillary walls of most tissues
    - high insulin induces increased LPL
    - ApoC2 activates LPL
133
Q

What tissues oxidize fatty acids?

A
  • skeletal and heart muscles
  • liver
  • kidney
134
Q

What tissues do not oxidize fatty acids?

A
  • brain
  • RBC
  • adipose
135
Q

chylomicron summary? (83)

A
  1. chylomicrons are synthesized and packaged in intestinal epithelial cells, secreted into lymph, pass into the blood, and become mature chylomicrons
  2. on capillary walls, lipoprotein lipase (LPL), activated by ApoC, digests the TG of chylomicrons to fatty acids and glycerol
  3. fatty acids are oxidized by cells which need them or stored in adipose tissue as TGs
  4. remnants of chylomicrons are taken up by liver by receptor mediated endocytosis
  5. lysosomal enzymes digest the remnants, releasing products to be used by liver
136
Q

Regulation of lipoprotein lipase in fed state?

A
  • fed state promotes TG storage
  • increased LPL synthesis and activity in adipocytes
  • decreased LPL synthesis and activity in skeletal muscle and heart
137
Q

Regulation of lipoprotein lipase in exercised state/starved?

A
  • decreased LPL in adipocytes
  • increased LPL in muscle (skeletal and heart)
138
Q

Km of LPL?

A
  • Km of LPL is lower in muscle than adipose
  • substrates have a higher affinity for muscle LPL