lipoprotein metabolism - biochem Flashcards

1
Q

cholesterol is a precursor for what

A

steroid hormones, bile acids, vit. D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the rate-limiting step of de novo cholesterol synthesis

A

HMG-CoA
–(HMGCR)–>
mevalonate
->
->
->
cholesterol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what enzyme is the target of cholesterol-lowering statin drugs

A

HMGCR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is SREBP

A

a TF that activates HMGCR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

how is HMGCR inhibited through negative feedback

A

SREBP is inhibited by cholesterol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

liver is distribution hub of _____

A

cholesterol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

reaction for cholesterol ester synthesis in cells

A

free cholesterol
–(ACAT)–>
cholesterol ester

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

reaction for cholesterol ester synthesis in plasma

A

free cholesterol
–(LCAT)–>
cholesterol ester

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

free cholesterol

-polarity
-function

A

amphipathic
membrane structure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

cholesterol ester (CE)

-polarity
-function & where
-transported how

A

hydrophobic
storage
in lipid droplets within cells
transported in plasma inside lipoprotein particles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

how do lipoprotein particles transport cholesterol

A

in the core of lipoprotein particles in the form of cholesterol ester

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

lipoprotein composition

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

integral apoproteins

-definition
-function

A

structural component of lipoproteins (can’t be removed)

gives “identity” to the lipoprotein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

peripheral apoproteins

-definition
-function

A

transferable between lipoproteins

controls activity of lipoprotein-metabolizing enzymes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

TG-rich lipoproteins

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

cholesterol-rich lipoproteins

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

lipoprotein CM is _____ & contains _____

A

TG-rich

ApoB-48
ApoE
ApoC-II

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

integral apoproteins

A

ApoB-48
ApoB-100
Apo(a)
ApoA-I

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

peripheral apoproteins

A

ApoE
ApoC-II

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

lipoprotein VLDL is _____ & contains _____

A

TG-rich

ApoB-100
ApoE
ApoC-II

21
Q

lipoprotein CMR is _____ & contains _____

A

cholesterol-rich

ApoB-48
ApoE

22
Q

lipoprotein IDL is _____ & contains _____

A

cholesterol-rich

ApoB-100
ApoE

23
Q

lipoprotein LDL is _____ & contains _____

A

cholesterol-rich

ApoB-100

24
Q

lipoprotein Lp(a) is _____ & contains _____

A

cholesterol-rich

ApoB-100
Apo(a)

25
Q

lipoprotein HDL is _____ & contains _____

A

cholesterol-rich

ApoA-I
ApoE
ApoC-II

26
Q

lipoprotein Lp(a) has high _____, contributes to _____, & how is it shown in labs

A

high heterogeneity

contributes to atherosclerosis

in labs it is lumped in with LDL

27
Q

why does hydrolysis of remaining TG not occur in CMR (which would produce additional smaller lipoproteins)

A

bc ApoB-48 is too short to bind an LDL receptor

28
Q

how are cholesterol-rich lipoproteins produced from TG-rich lipoproteins

A

CM, VLDL
–(LPL hydrolyzes TG)–>
CMR, IDL

29
Q

how is LDL produced from IDL

A

hydrolysis of remaining TG in IDL occurs

30
Q

what Apo protein does the liver express

A

only ApoB100

31
Q

general pathway of cholesterol in the body

A

dietary cholesterol
->
absorbed in intestines
->
delivered to liver
->
excess hepatic cholesterol (as bile acids) is transported back to intestine for fecal excretion

32
Q

detailed pathway of cholesterol absorption into chylomicrons

A

dietary cholesterol + plant sterols (sitosterols) taken into enterocytes via NPC1L1 (cholesterol transport protein)
->
cholesterol esterified by ACAT to form cholesterol ester
->
chylomicron formed
->
chylomicron exocytosed from enterocyte to the lymph and into the circulation
->
plant sterols leave enterocyte & back to where they started via ABCG5/8 (sterol efflux protein)

33
Q

components of a chylomicron

A

cholesterol ester
TAG
PL (phospholipid)
fat-soluble vitamins

-> MTTP loads all of them onto ApoB-48

34
Q

what is a deficiency in ABCG5/8 called

A

sitosterolemia

35
Q

what happens if NPC1L1 (Ezetimibe) is inhibited

A

decreased cholesterol absorption
->
decreased plasma cholesterol

36
Q

how is dietary cholesterol delivered to the liver

A

by CM remnants

37
Q

LDLR pathway

A

LDL binds to LDLR through AopB-100
->
this complex taken in by endocytosis
->
LDL & LDLR separate in endosome
->
LDLR recycled back to plasma membrane
->
LDL goes to lysosomes & enters cellular cholesterol pool

38
Q

v intracellular cholesterol = ___ LDLR = ___ LDL-c

A

^ LDLR, v LDL-c

39
Q

^ intracellular cholesterol = ___ LDLR = ___ LDL-c

A

v LDLR, ^ LDL-c

40
Q

what are the main bile acids that cholesterol is converted into

A

cholic & chenodeoxycholic acids

41
Q

what is the rate-limiting enzyme of bile acid synthesis

42
Q

how is bile acid synthesis regulated

A

negative feedback of bile acids inhibits CYP7A1 via transcription factor

43
Q

how are bile acids delivered to duodenum

44
Q

% of excreted bile acids that are reabsorbed, & how are they reabsorbed

A

95% reabsorbed to liver through portal vein

45
Q

reverse cholesterol transport mechanism

A

LDL enters intima layer of artery
->
LDL oxidized by free radicals
->
gobbled up by macrophages, makes foam cells
->
HDL causes reverse cholesterol transport from artery to liver

46
Q

what does HDL protect against by initiating reverse cholesterol transport

A

atherosclerosis

47
Q

mechanism if foam cells accumulate in artery

A

atherosclerotic plaque build up
->
blood vessels narrow
->
ischemia, MI

48
Q

mechanism of how bile acid reabsorption inhibition lowers cholesterol

A

bile acid reabsorption inhibition
->
less bile acid in liver
->
CYP7A1 no longer inhibited
->
more cholesterol converted to bile acid
->
less cholesterol in liver
->
causes more expression of LDLR on surface
->
more LDL uptake
->
lower plasma LDL