Lipids & Lipoprotein Metab Disorders Flashcards

1
Q

What are Lipids ?

A

compounds that are soluble in organic solvent but neatly insoluble in water

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2
Q

Classification of Clinically Important Lipid

A

1) Sterol Derivatives
2) Fatty Acids
3) Glycerol Esters
4) Sphingosine Derivatives
5) Terpenes

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3
Q

Non lipid groups that can be contained in some lipids

A

1) Sialic
2) phosphoryl
3) amino
4) sulphate groups

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4
Q

function of non lipid groups in lipids

A

they give lipid molecules an affinity for both water & organic solvents which is important in the formation of biological membranes

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5
Q

function of non lipid groups in lipids

A

they give lipid molecules an affinity for both water & organic solvents which is important in the formation of biological membranes

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6
Q

sterol derivatives

A
  • cholesterol & its esters
  • steroid hormones
  • bile acids
  • vit. D
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7
Q

fatty acids

A
  • short chain (2-4 carbon atoms)
  • medium chain (6-10 carbon atoms)
  • long chain (12 - 26 carbon atoms)
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8
Q

Terpenes

A

Vit A, Vit E, vit K

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9
Q

the only hydrophilic part of cholesterol is

A

the Hydroxyl group in the A-ring

*makes cholesterol an Amphiphatic Lipid

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10
Q

esterified form of cholesterol

A

cholesteryl ester

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11
Q

cholesterol esters do Not contain polar groups, T or F

A

True
*it makes them completely hydrophobic

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12
Q

cholesterol can be converted in the liver to _ & _ acids

A

cholic acid & chenodeoxycholic acid

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13
Q

fate of cholesterol

A

1) liver converts to primary bile acids
2) adrenal glands, testes & ovaries convert to steroid hormones
3) can be transformed to Vit D3 in skin after being converted to 7-dehydrocholesterol

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14
Q

what are fatty acids

A

linear chains of carbon-hydrogen bonds that terminate with a carbonyl group (COOH)

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15
Q

Fatty acid chain lengths

A

1) short chain ( 2-4 carbon atoms)
2) medium chain ( 6-10 carbon atoms)
3) long chain (12-16 carbon atoms)

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16
Q

FA chains important to metabolism & nutrition inhumans aare of which class

A

long chain

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17
Q

classify FA according to degree of saturation

A

1) Saturated FA
2) Monounsaturated FA
3) Polyunsaturated FA

*double bonds in polyunsaturated FA are usually 3 carbon atoms apart

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18
Q

which FA is found in only plants ?

A

Linoleic acid

19
Q

_ FA is not synthesized but is vital for health, growth & devpt

A

Essential FA

20
Q

most free FA is bound to _

A

Albumin

21
Q

clinical importance of FA

A

1) faecal FA used to determine malabsorptive & pancreatic disorders
2) free FA distinguish between HYPERINSULINEMIC HYPOGLYCEMIA (FFA normal) and disorders of FA oxidation (FFA elevated)

22
Q

what is glycerol?

A

glycerol is a three carbon atoms alcohol that contains a hydroxyl group on each of its carbon atoms

*each hydroxyl group can be esterified with a fatty acid

23
Q

the class of acylglycerol is determined by _

A

the number of fatty acyl groups present

24
Q

diff between phosphoglycerides & triglycerides

A

they have only two esterified Fatty Acids

25
Q

3rd position on the glycerol back bone contains an “A” group (hydrogen atom) making it a

A

Diacylphosphoglycerine

26
Q

if A group is a choline then the molecule is referred to as ..

A

PhosphatidylCholine

27
Q

triglycerides are removed from chylomicrons by the action of what enzyme

A

Lipoprotein Lipase

28
Q

apoproteins in chylomicrons

A

apo B48, apoC-1, C11, C-111 & apo-4

29
Q

principle role of chylomicrons

A

delivery of dietary lipids to the hepatic & peripheral cells

30
Q

very low density lipoprotein is synthesized where ?

A

the Liver (from carbohydrate, saturated FA & transFA)

31
Q

chylomicrons are rich in __ TG while VLDL are rich in __ TG

A

exogenous
endogenous

32
Q

apolipoproteins in VLDL

A

ApoB-100, ApoC111, Apo E

33
Q

Low Density Lipoproteins primarily contain apo_

A

B100

34
Q

macrophages that take up too much lipid become

A

foam cells

35
Q

Friedewald equation

A

LDL-c (mg/dl) = TC - CHDL-c + VDL-c

VDL-c = TG/5

36
Q

HDL is synthesized by _ & _

A

liver & intestine

37
Q

what apolipoprotein is contained in HDL

A

apo A1

38
Q

what is lipoprotein(a)

A

These are LDL-like particles that contain one molecule of apo(a) linked to apoB-100 by a disulfide bond

39
Q

what is lipoprotein(a)

A

These are LDL-like particles that contain one molecule of apo(a) linked to apoB-100 by a disulfide bond

40
Q

what is the temperature & time for fridge test ?

& what is the test based on ?

A

40degrees for 18 hrs

*that chylomicrons being less dense than serum will float to the top giving a creamy supernatant layer

41
Q

Examples of the support medium in Electrophoresis ?

A

Agarose or Cellular acetate

42
Q

what bands appear in plasma after electrophoresis ?

A

alpha band - HDL
beta band - LDL
pre-beta band - VLDL

*chylomicrons don’t exist in plasma so remain at the application line.

43
Q

what is contained in a lipid profile ?

A

Total Cholesterol
Total Triglyceride
HDL Cholesterol
LDL cholesterol
VLDL Cholesterol
AIP = Log [TG]/[HDL]

44
Q

preanalytical factors that influence cholesterol results

A

1) Age
2) sex
3) Fasting
4) Stress
5) Time of Specimen
6) Haemolysis