Membrane Lipids & Bile Acid Metabolism Flashcards

1
Q

Major Phospholipids & Characteristics

A

Phosphatidylcholine (lecithin)

Phosphatidylserine

Phosphatidylethanolamine

Phsophatidylinositol

  • all contain FA
  • phosphoglycerides & sphingolipids syn in all body tissues on ER except erythrocytes
  • Enzymes present in cytoplasm or associated w/ ER mem
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2
Q

Phsopholipid Structure

A
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3
Q

Phospholipid Syn

A
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4
Q

Phosphatidylcholine Syn from phosphatidylserine

A

SAM very important methyl group donor

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5
Q

Salvage Pathway

A

Phosphatidylcholine can by synthesized from dietary choline when available.

If not available, PC can be made from glycolytic producs but isn’t suffiicient to prevent choline def

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6
Q

Cardiolipin

A

found in inner mitoch mem where maintains certain resp complexes on ETC

Only human glycerophospholipid that is antigenic

Can be recognized by Y against trepanoma pallidum (syphalis)

Autoimmune disease

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7
Q

Dipalmitoylphosphatidylcholine

A

Major part of lung surfactant

Made & secreted by granular pneumocytes

Lung surfatant lines alveoli

Decreases surface T of fluid layer reducing P needed to reinflat alveoli preventing collapse

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8
Q

Respiratory Distress Syndrome

A

Prevalent in premature infants

Due to def in syn of lung surfactant

Major constituents of surfactant are dipalmitoylphosphatidylcholine, phosphatidylglycerol, apoproteins (Sp A, B, C) & cholesterol

Measure: DPPC/S ratio 2:1 maturity

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9
Q

Platelet Activating Factor

A

present @ low [] but EXTREMELY potent!

Hormone released from phagocytic cells binds to surface proteins.

Causes platelets to aggregate & degranulate. It binds to surface R resulting in thrombotic & inflammatory events & anaphylactic rxns.

Causes neutrophils & alveoli macrophages to produce superoxide radicals

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10
Q

Plasmalogen (ethanolamine)

A

Phosphatidalethanolamine (in nerves)

Phosphatidalocholine (abundant in heart m.)

Found w/in peroxisomes

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11
Q

Plasmalogens 2

A

Plasmalogen def plays important role in Alzheimer’s disease pathogenesis, particularly in white matter, & suggested that altered plasmalogen content contributes to neurodegen & synapse loss.

Syn of plasmalogens occur w/in peroxisomes & in patients w/ Zellweger syndrome- little to no syn which results in death at an early age if it’s severe

F not well known. Resistance to phsopholipases?

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12
Q

Phospholipases

A

Degradation & remodeling of phospholipids

Present in cell mem & lysosomes of all tissues & pancreatic secretions

*not in humans

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13
Q

Phospholipase actions

A
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14
Q

Phospholipase 2

A
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15
Q

Glycosphingolipids

A

Intracell communication

Found on outer leaflet of PM where they interact w/ extracell environment

Play a role in regulation of cell interactions, growth & dev

Act as antigenic determinants of ABO blood group & also source of various embryonic antigesns important in particular stages of fetal dev

Essential components of all cell mem but found in nerve tissue

Some are antigenic

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16
Q

Tay Sachs

A

auto recessive

Hexoaminidase A def

GM2 ganglioside in nerve cells accumulates

Mental retardation, blindness, m. weakness, seizures, cherry-red macula, early mortality

infantile/juvenile/adult

17
Q

Guacher disease

A

auto recessive

Glucoceribrosidase def

Glucocerebroside accum in spleen, liver, lungs, bone marrow & brain

Hepatosplenomegaly

mental retardation in type 2 & 3

skeletal disorder in type 1

Use enz replacement therapy

18
Q

Fabry

A

x linked

a galactosidase A def

Globosides accum in eyes, kidneys, ANS & cardiovascular sys

Kidney failure, heart failure or stroke, reddish purple skin rashes, burning sensation in hands

use enz replacement

19
Q

Niemann Pick disease

A

Auto recessive

Sphingomyelinase def

Sphingomyelin accum in spleen, liver, lungs, bone marrow & brain

Type A- jaundice, hepatomegaly, profound brain damage (infantile)

Type B- large liver & spleen (teens)

Type C/D- moderate enlargement of spleen & liver, extensive brain damage (adult)

Bone marrow transplant

20
Q

Krabbes disease

A

Auto rec

B galactosidase def

Galactocerebroside accum. Globids cells, breakdown myelin in nerve, destruction of brain cells

Mental, motor deterioration, irritability, fever, seizures, vomiting, feeding difficulty, m. weakness, deafness, blindness

21
Q

Sandhoff Disease

A

Auto Rec

Hexosaminidase A & B def

GM2 & globosides accum in brain & other organs

Severe form of Tay Sachs, motor weakness, early blindness, macrocephaly, cherry red spot in eye, seizures infantile

22
Q

Metachromatic leukodystrophy MLD

A

auto recessive

Arylsulfatase A def

Sulfatides accum in nervous sys, liver, kidney

Difficulty walking, m. wasting & weakenss, blindess, convulstions, impaired swallowing, paralysis, dementia (infantile) dementia, (juvenile) psychiatric disorder (adult)

23
Q

Farber Disease

A

auto recessive

Ceraminidase def

Ceramid accum in joints, CNS, liver, heart, kidney

Impaired motor & mental ability, difficulty swallowing, arthritis, swollen LN & joints, horesness (infantile)

24
Q

Sphingolipidoses

A
  1. measure enz activity in cultured periph leukocytes or macrophages
  2. histological exam of tissues: tay sach’s shell like inclusions; Gaucher inclusions more like wrinkeled paper
  3. DNA analysis (southern blotting)
  4. prenatal diagnosis using amniocytes or chorionic villi
25
Cholesterol
Free cholesterol is esterified in mucosal cells w/ FA. Packaged into chylomicrons for liver transport. All body cholesterol stored in cells as lipid droplets in esterified form.
26
Cholesterol Metabolism
All cholesterol circulating in blood contained in lipoproteins; LDL Cholesterol necessary for syn of steroid hormones & bile acids High levels of plasma cholesterol strongly associated w/ atherosclerosis & CHD
27
DIetary Cholesterol
Rate of syn of cholesterol regulated by feedback I of HMG-CoA reductase by excess cholesterol. If large amts of dietray cholesterol entering the liver then rate of syn is inhibited. Excess cholesterol excreted as bile acids which result in 7 a hydroxylase actiavtion Cholesterol doesn't get absorbed in intestine.
28
Bile Acid Syn
29
Secondary Bile Acids
in lower parts of small intestine modified by ba enz deoxychoic acid & lithocholic acid
30
7 a hydroxylase
controllled by - feeback of bile acids requires thyroid hormones & vit C for activation (patients w/ hypothyroidism get hypercholesteronemia)
31
Bile Acid Syn Clinically
Syn & excretion in feces only mech to rid of excess cholestrol BA & phospholipids solubilize cholesterol in bile preventing precipitation of cholestrol in gallbladder. facilitate digestion of diet TAG by acting as emulsyfiers that render fats accessible to pancreatic lipases Facilitate intestinal absorption of fat soluble vitamins
32
Bile duct obstruction
Pale stools= lack of pigments, steatorrhea itching= bile in blood stream jaundice= conjugated billirubin (causes brown color for poop)