lipoprotein metabolism Flashcards

1
Q

fatty acids

A

hydrophobic long carbon chains - saturated, monounsaturated, polyunsatuarted, cholesterol, triglycerides = esters w fatty acids

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2
Q

cholesterol balance

A

intestinal absorption of dietary. and biliary cholesterol and cholesterol biosynthesis in the liver and intestine

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3
Q
A
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4
Q

cholesterol function

A

most vital lipid, required for fluidity of membrane, affects receptors GPCR, adrenergic, required to make hormones, obtained from diet and synthesized de novo from acetyl-coa
can lead to atherosclerosis, low density. lipoprotein

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5
Q

lipids in the blood

A

fatty. acid - bound to albumin
cholesterol triglycerides and phospholipids - transported by lipoproteins

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6
Q

LDL lipids

A

transport cholesterol
binds to LDL receptors and LDL particle taken up to cell, endocytose, taken to lysozome, C123, mutations –> too much cholesterol and disease niemann pick
transported to mitochondria to make more things like steroids

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7
Q

SREBP

A

activates when there is low cholesterol by driving transcription of cholesterol or making more LDL receptors
SREBP and SCAP

usually stay in ER but if levels fall –> golgi wher eenzymes help cleave protein
hmgcoa reductase can synthesize cholesterol

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8
Q

anatomy of lipoprotein

A

layer of phospholipid, cholesterol in membrane, some charge inside, insoluable material inside and proteins that do a lot of things like binding to LDL receptors (e.g. apo B)

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9
Q

apolipoproteins

A

structural determinants of lipoproteins, enzyme foacts, ligands for bidning to lipoprotein receptors
LDL has apoB100 (recognized by LDLr)
they only have this protein

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10
Q

chylomicrons

A

cholesterol packaged / lipoprotein

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11
Q

VLDL

A

important lipoprotein

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12
Q

lipoprotein trnasport

A

cholesterol comes in - transport lipids thru capillaries - tryglyceride turns into glyceorl and fatty acids for energy - VLDL particles from liver ! –> LDL particles w apoB100 protein, HDL particles pick up cholesterol from different tissues

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13
Q

apob48

A

microsomal triglycide transfer protein - adds tricglyceride and then goes to blood

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14
Q

apob100

A

made in liver, generated in rough er, vldl particles, then blood

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15
Q

HDL and apoc2 interact

A

coenzyme, cofactor

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16
Q

triglyceride degrading enzymes

A

LPL (lipoprotein lipase)
triglyceride into fatty acids see before slide

17
Q

cholesterol can decrease transcription of

A

LDL proteins

18
Q

coronary atherosclerosis

A

blockage or coronary blood vessels
left coronary artery - LAD, LCx
right coronary artery -
bloackage of epicardial coronary vessels in excess of 60% –> ischemia

19
Q

atherosclerosis

A

build up of plaque in walls of arteries – can lead to MI/heart attack where heart muscle dies
LDL is a major risk factor

20
Q

stress test

A

treadmill test to see how well heart handles workload
stressing agent

contraindications -

21
Q

angina pectoris

A

partial blockage of blood vessel

22
Q

free radical formation

A

in heart disease free radicals are released in artery linbing and oxidize LDL (low density lipoproteins)

23
Q

dyslipidemias e.g. atherosclerosis

A

native LDL particles, undergo into subendothelial space, free radicals oxidize them, monocytes take them and form foam cells that just burst

24
Q

role of macrophage inflammation of the artery

A

stuff from before, release protease –> inflammation
statins have anti inflam properties

25
pharmacologic approaches to lower LDL cholesterol
statins inhibit HMG-CoA reductase which turns HMG into cholesterol ezetimibe inhibit NPC1L1 transporter so that intstine cant take up cholesterol PCKSK0 inhibitors
26
cholesterol lowering agents
statins something attach to ras (PI3K?)
27
bisphosphonates
prevent osteoporosis
28
genetic disorders
familal hypercholesterolemia
29
PCSK9 is a serine protein that binds to
LDLR, inducing LDLR degradation
30
praluent/alirocumab
decrease cardaic events by 50%
31
blood lipid levels
high density lipoprotein should be high, ldl cholesterol should be low, triglyceride levels low
32
statin intolerant patients
rhabdomyolysis! muscle necrosis, weakness, diabetes, electrolyte disturbace, acute renal failure, myalgia and pigmenturia, cognitive side effects
33
ezetimibe (zetia)
reduce uptake of cholesterol
34
combining zetia and vytorin is better?
no, effects minimal
35
new drugs beyond statins?
CETP torcertrapib - lipophilic
36
obicetrapib - CETP inhibitor
undergoing clinical trials