Metabolism Flashcards

1
Q

How are amino acids joined together?

A

Two amino acids are joined via a CONDENSATION REACTION

Water is release; OH from carboxylic acid side and H from amine side

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2
Q

What are the main types of bonding?

A
  1. COVALENT
    • Two atoms share electrons
    • Strongest bonds in a protein
    • Found in primary structure
    • Disulphide bridges (between two cysteine side chains)
  2. HYDROGEN
    • Bonding between a partially negative atom and H which is partially positive
    • occue between atoms on different side chains, or between water molecules
  3. IONIC
    • electrostatic forces of attraction between charged side chains
    • can be quite strong bonds
    • majority of charged groups are at the surface of a folded protein
  4. VAN DER WAALS
    • weak electrostatic forces of attraction between two atoms
    • induced due to dipoles
    • large number of such interactions = change in protein
  5. HYDROPHOBIC INTERACTIONS
    • major force in driving folding of proteins into correct conformation
    • creates hydrophobic core and hydrophillic surface
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3
Q

What is the difference between an alpha-helix and a beta-pleated sheet?

A

ALPHA-HELIX

  • projection of side chains from individual amino acids
  • usually helices are right handed due to L-amino acids
  • proline adds a kink to the helix
    • NH group is lost => no hydrogen bond with C=O group

BETA-PLEAT

  • NH and C=O groups are at right angles to the backbone
  • strands may run anti-parallel or parallel
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4
Q

Explain the different structures of a protein

A

Protiens fold into a single conformation of lowest energy

Denaturants = urea (H-bonds) and 2-mercaptoethanol (disulphide bonds)

  1. linear sequence of amino acids (written from amino terminus to carboxyl terminus)
  2. either folding into an alpha-helix or beta-pleated sheet
  3. arrangement of secondary structure into compact globular structures (domains)
  4. only in some proteins; 3D structure of protein composed of several sub units
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5
Q

Explain the mechanism of the drug warfarin

A

Warfarin is an anticoagulant which inhibits the carboxylation reaction of glutamate

Glutamate is carboxylated (using vit-K) to form gamma-carboxyglutamate which is used for the blood clotting cascade and is critical for normal function as the calcium binding capability is increased.

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6
Q

What is the concept of free energy?

A

A reaction will only occur spontaneously is delta-G is negative i.e. the products have lower energy (disorder) than the reactants

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7
Q

How does ATP act as a carrier of free energy?

A

ATP has 3 phosphanhydride bonds which have a large negative delta-G when hydrolysed

Reactions which are energetically unfavourable are then COUPLED to a energetically favourable one = making the overall delta-G negative and the reaction proceeds

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8
Q

Explain how enzymes act as catalysts

A

Enzymes = speed up the rate of reaction by lowering the activation energy (substrate binds to active site of enzyme causing bonds to be strained; accept (H+ too)/donate electrons)

Enzymes cause the substrate to resemble the transition state (a geometric and electronic arrangement so a reaction can proceed)

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9
Q

Explain how lysozyme works

A

Component of tears and nasal secretions

Hydrolyses sugar molecules within bacterial cell walls causing bacteria to lyse and die

Hydrolyses alternating polysaccharide copolymers of N-acetly glucosmaine (NAG) and N-acetyl muramic acid (NAM) representing a polysaccharide unit

Cleaves at beta (1,4) glycosidic linkage connects C1 of NAM to C4 of NAG

Residues: Glu35 and Asp52 needed for catalysis

  • Glu35 protonates oxygen in glycosidic bond (breaks bond between 2 sugars)
  • Water is deprotanted by Glu35
  • Asp52 stabilises charge
  • OH- attacks remaining sugar by adding itself; returning both Glu and Asp to their original state
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10
Q

Explain how glucose-6-phosphatase works

A

Predominatly found in the liver

Releases glucose from glycogen (low blood glucose levels)

Deficiency in this enzyme: Von Gierke’s disease; low blood glucose levels, slow growth, large livers and short stature

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11
Q

What are the differences between the lock and key and induced fit models?

A

Lock and Key: shape of the substrate matches the shape of the active site - explains specificity

Induced Fit: substrate causes conformational change in enzyme to form active site, release of products causes original state to reform

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12
Q

Describe the effects of substrate concentration on enzyme controlled reactions

A

Substrate concentration reaches a saturation point once there arent any active sites available.

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13
Q

Describe the effects of temperature on enzyme controlled reactions

A

Each enzyme has an optimum temperature

Lower - low rate of reaction

Higher - enzyme denatured

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14
Q

Describe the effects of pH on enzyme controlled reactions

A

Each enzyme has an optimum pH; any variations cause denaturation; enzyme may become ionised or protonated.

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15
Q

Explain the role of NAD

A

NAD+ is a coenzyme and is required in dehydrogenation reactions

Readily accepts a hydrogen and 2 electrons

E.g. pyruvate => lactate (enz. lactate dehydrogenase)

generates NAD+ to regenerate pyruvate

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16
Q

Draw a sketch to show the three stages of cellular metabolism

A
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17
Q

What is glycolysis?

A

Glycolysis is an anaerobic process which occurs in the cytoplasm and converts glucose into two pyruvate molecules and releases 2 ATP molecules.

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18
Q

What are the stages in the first half of glycolysis i.e. producing 2 moles of glyceraldehyde-3-phosphate?

A
  1. glucose ►glucose-6-phosphate (enz. hexokinase; ATP => ADP)
  2. glucose-6-phosphate ► fructose-6-phosphate (enz. phosphoglucose isomerase)
  3. fructose-6-phospate ► fructose-1,6-bisphosphate (enz. phosphofructokinase; ATP => ADP)
  4. fructose-1,6-bisphosphate ► glyceraldehyde-3-phosphate + dihydroxyacetone phosphate (enz. aldolase)
  5. dihydroxyacetone phosphate ►glyceraldehyde-3-phosphate (enz. triose phosphate isomerase)
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19
Q

What is the second stage of glycolysis to produce ATP?

A
  1. glyceraldehyde-3- phosphate► 1,3-bisphosphoglycerate (enz. glyceraldehyde-3-phosphate dehydrogenase; NAD+ + Pi=> NADH)
  2. 1,3-bisphosphoglycerate ► 3-phosphoglycerate (enz. phosphoglycerate kinase; ADP => ATP)
  3. 3-phosphoglycerate ►2-phosphoglycerate (enz. phosphoglycerate mutase)
  4. 2-phosphoglycerate ►phosphoenolpyruvate (enz. enolase)
  5. phosphoenolpyruvate ►pyruvate (enz. pyruvate kinase; ADP => ATP)
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20
Q

Compare the amount of ATP generated from aerobic and anaerobic metabolism of glucose

A

Anaerobic = 2 ATP from glycolysis

Aerobic = 38 ATP because of the TCA cycle and Oxidative Phosphorylation

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21
Q

Describe the fate of pyruvate

A
  1. ALCOHOLIC FERMENTATION
    • pyruvate ► acetaldehyde (enz. pyruvate decarboxylase; H+ => CO2)
    • acetaldehyde ► ethanol (enz. alcohol dehydrogenase; NADH + H+ => NAD+) anaerobic, occurs in yeast
  2. GENERATION OF LACTATE
    • pyruvate ► lactate (enz. lactate dehydrogenase; NADH + H+ => NAD+) anaerobic, occurs in mammalian muscles during intense activity
  3. GENERATION OF ACETYL COA
    • pyruvate ► acetyl CoA + CO2 (enz. pyruvate dehydrogenase complex; NAD+ => NADH) occurs in mitochondria of cells acetyle CoA can be used to produce ATP
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22
Q

What are the reactions catalysed by lactate dehydrogenase?

A

Lactate Dehydrogenase - LDH

Present in; heart, liver, kidney, skeletal muscle, brain, lungs and blood cells.

Catalyses conversion of pyruvate to lactate and vice versa

High levels can be diagnostic of:

  • stroke
  • heart attack
  • liver disease
  • muscle injury
  • muscular dystrophy
  • pulmonary infarction
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23
Q

What are the reactions catalysed by creatine kinase?

A

Creatine kinase - CK

Used to convert creatine phosphate to create and ATP when there is a high demand for ATP

Muscle damage = CK leaks into the bloodstream

High levels:

  • myocardial infarction
  • extent of muscular disease
  • cause of chest pain
  • discover carriers of muscular dystrophy

Tests can measure total CK levels or a specific isoform

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24
Q

What does the pyruvate dehydrogenase complex consist of?

A

Consists of 3 enzymes and 5 co-factors.

Enzymes :

  1. pyruvate decarboxylase
  2. lipoamide reductase- transacetylase
  3. dihydrolipoyl dehydrogenase

Co-factors:

  1. thiamine pyrophosphate (PG 1) = loses a proton, so the carbocation produced attacks pyruvate
  2. lipoamide (PG 2) = undergoes oxidation and reduction
  3. FAD (PG 3) = can accept and donate 2 electrons with 2 protons
  4. NAD+
  5. CoA
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25
Q

Explain the oxidative decarboxylation reaction.

A
  1. Pyruvate is decarboxylated to hydroxyethyl TPP
  2. Oxidised and transfered to lipoamide to produce acetylipoamide
  3. Acetyl group is transfered to CoA to give acetyl CoA
  4. Lipoamide is regenerated
  5. Regeneration of FADH2 and NADH
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26
Q

How are fatty acids and amino acids converted to acetyl CoA?

A

AMINO ACIDS = undergo transamination to remove the amine group this forms a keto acid and

e.g. alanine + alpha-ketoglutarate => pyruvate + glumate (enz. alanine aminotransferase)

pyruvate - enters Krebs

glutamate - reconverted to alpha-ketoglutarate to generate NH4+

FATTY ACIDS ??

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27
Q

Recall the steps of the Krebs (TCA) Cycle

A
  1. oxaloacetate ► citrate (enz. citrate synthase; acetyl-CoA => HS-CoA +H+
  2. citrate ► isocitrate (enz. aconitase)
  3. isocitrate ► alpha-ketoglutarate (enz. isocitrate dehydrogenase; NAD+ => NADH + H+ + CO2
  4. alpha-ketoglutarate ► succinyl-CoA (enz. alpha-ketoglutarate dehydrogenase complex; HS-CoA NAD+ => NADH + H+ + CO2)
  5. succinyl-CoA ► succinate (enz. succinyl-CoA synthetase; GDP +Pi + H2O => GTP HS-CoA)
  6. succinate► fumarate (enz. succinate dehydrogenase; FAD => FADH2)
  7. fumerate ► malate (enz. fumerase; water)
  8. malate ► oxaloacetate (enz. malate dehydrogenase; NAD+ =>NADH + H+)

Each turn produces 2 CO2, 3 NADH, 1 GTP, 1 FADH2

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28
Q

Summarise the glycerol-phosphate shuttle

A

Carries electrons (from NADH produced during glycolysis) from the cytoplasm to the mitochondria in skeletal muscle and the brain and to regenerate NAD+

  1. dihydroxyacetone phosphate ► glycerol-3-phosphate (enz. cytoplasmic glycerol-3-phosphate dehydrogenase) TRANSFER OF ELECTRONS
  2. membrane-bound glycerol-3-phosphate dehydrogenase, transfers electrons to FAD => co-enzyme Q which is part of the ETC
29
Q

Explain the malate-aspartate shuttle

A

Shuttle usually found in the heart or liver in order to regenerate NAD+

Net Reaction: cyto NADH + mito NAD+ ► cyto NAD+ + mito NADH

  1. oxaloacetate ► malate (enz. cytosolic malate dehydrogenase; H- from NADH)

MALATE ENTERS MITOCHONDRIA

  1. malate ► oxaloacetate (enz. mitochondrial malate dehydrogenase; NAD+ => NADH)

Malate can enter the mitochondria via a transporter (alpha-ketoglutarate transporter) exchanges malate for alpha-ketoglutarate.

This is produced via a transamination reaction:

glutamateAA + oxaloacetateKA => alpha-ketoglutarateKA + aspartateAA

Requiring another transporter (glutamate/aspartate) exchanging glutamate for aspartate

30
Q

Name two examples where NADPH is used

A

NADH = catabolic reactions (breaking down)

NADPH = anabolic (building up)

NAD+ and NADP+ accepts 2 electrons and a proton (high energy- easily transferred) to produce NADH and NADPH respectively

  1. Thymidine synthesis:
    • dihydrofolate ► tetrahydrofolate (NADPH + H+ => NADP+)
  2. Biosynthesis of cholestrol:
    • 7-dehydrocholestrol ► cholestrol (NADPH + H+ => NADP+)
31
Q

Draw a cross-section of a mitochondrion and label the parts

A

Outer membrane = limits size of the organelle

Inner membrane = folds inwards to form cristae

Intermembrane space

Matrix = contains soluble enzymes and molecules required for Krebs

32
Q

Summarise the proposed evolutionary origin of mitochondria

A

Mitochondria established an endosymbiotic relationship with eukaryotes

Mitochondira only arise from pre-exiting mitochondria or chloroplasts

Mitochondria have their own genome (circular like prokaryotes, and non-histone associated)

Mitochondria have their own machinery to synthesise proteins

First AA is fMet (like in bacteria, rather than Met)

Some antibiotics prevent protein synthesis in mitochondria but not in eukaryotes

33
Q

What is the chemiosmotic theory?

A

Chemiosmosis = the movement of ions across a partially permeable membrane, down their electrochemical gradient.

The chemiosmotic theory can be applied to oxidative phosphorylation:

  1. Protons are pumped from the matrix into the intermembrane space via the control of the electron transport chain
  2. Protons return to the matrix (down the electrochemical gradient) via ATP synthase which is an enzyme with a specific channel and can synthesis ATP
34
Q

What are the major features of the electron transport chain?

A

3 Membrane Complexes:

  1. NADH dehydrogenase complex
  2. Cytochrome b-c1 complex
  3. Cytochrome oxidase complex

2 Mobile Carriers:

  1. Ubiquinone (co-enzyme Q)
  2. Cytochrome C

Each protein can accept electrons (and a proton)

35
Q

How does the electron transport chain work?

A
  1. NADH is dehydrogenated via NADH dehydrogenase complex thus releasing NAD+, 2 electrons and a proton
  2. The electrons are passed to ubiquinone which becomes reduced to ubiquinol
  3. Electrons are passed to cytochrome b-c, and ubiquione forms again
  4. Electrons are passed to cytochrome C
  5. Electrons are passed to cytochrome oxidase complex
  6. Oxygen is the final electron acceptor which accepts a proton as well in order to produce water

order = NU-BCO

Whenever an electron passes through, a proton is pumped into the intermembrane space.

Each unit of the chain has a higher affinity than the previous unit

Electrons lose energy as they move from each complex

36
Q

Explain the function of ubiquinone

A

A mobile carrier of electrons

Can either pick up one or two electrons to be passed to the cytochrome b-c complex

Has a hydrophobic tail which limits its movement to the lipid bilayer where it is needed

37
Q

Explain the function of cytochrome oxidase

A

The final protein in the electron transport chain

Recieves 4 electrons from cytochrome C which are passed to O2 (high affinity for electrons) so that water can be generated.

4 protons are also pumped into the intermembrane space- enhances the proton gradient.

38
Q

What is the general structure of ATP synthase?

A

Two distinct parts

  1. Membrane bound = F0
    • ​​a
    • b
    • c
  2. Projections into matrix = F1
    • alpha
    • beta
    • gamma
39
Q

Explain how ATP is synthesised using ATP synthase

A
  1. Protons flow through; causes the disk of the c subunit to rotate
  2. gamma subunit also rotates as it is fixed to the disk
  3. alpha & beta subunits are locked in a fixed position and do not rotate due to anchorage by the b and a subunits

gamma subunit = asymmetrical axle

beta subunit = undergoes structural changes due to rotation of gamma subunit; affinities for ATP and ADP alter. There are three conformations open, loose and tight

40
Q

How is carbon monoxide poisonous?

A

CO binds to Fe2+ (in cytochrome oxidase) which blocks the flow of electrons

41
Q

How is cyanide poisonous?

A

CN- binds to Fe2+ (in cytochrome oxidase) which blocks the flow of electrons

42
Q

How is malonate poisonous?

A

Malonate acts as a competitive inhibitor with succinate for succinate dehydrogenase (allows FAD to pass on electrons)

Essentially, slows down the flow of electrons from succinate to ubiquinone

43
Q

How is olgiomycin poisonous?

A

An antibiotic

Binds to the ‘stalk’ of ATP synthase and so the flow of protons is blocked preventing ATP synthesis and accumulating protons in the intermembrane space.

44
Q

What types of fatty acids exist in the body?

A

May be saturated (straight chain) or unsaturated (C=C causes a kink in the chain)

45
Q

How are fats derived?

A

There are three main sources from which fats are derived

  1. Diet ( release of bile salts which solublize fatty acid molecules - forms micelles which can be absorbed by enterocytes. Lack of bile salts = steatorrhea (fatty stool)
  2. De novo biosynthesis in the the liver
  3. Storage depots in adipocytes
46
Q

How are fatty acids, such as palmitate, METABOLISED to produce acetyl-coA?

A

fatty acid ► acyl coA

  • fatty acid + ATP + HS-CoA => fatty acyl CoA + AMP + PPi
    • 2 phosphoanhydride bonds are broken (ATP>AMP)
    • enz. acyl CoA sythetase
  1. Acyl CoA is generated on the outer mitochondrial membrane and is transported into the matrix using the CARNITINE SHUTTLE which involves a translocase
    • carnitine ►acyl carnitine (enz. carnitine acyltransferase I; fatty acyl coA => coA) CYTOPLASM
    • acyl carnitine ► carnitine (enz. carnitine acyltransferase II; coA => fatty acyl coA)
  2. The following reactions occur as part of the beta-oxidation cycle
    1. Oxidation
      • fatty acyl-coA ► trans enoyl-coA (enz. acyl-coA dehydrogenase; FAD => FADH2)
    2. Hydration
      • trans enoyl-coA ► 3-hydroxyacyl coA species (enz. 3-hydroxyacyl-coA hydrolase; water used up)
    3. Oxidation
      • 3-hydroxyacyl coA species ► ketoacyl co A (3-hydroxyacyl-coA dehydrogenase; NAD+ => NADH)
    4. Thiolysis
      • ketoacyl-coA ► acyl-coA species + acetyl coA (enz. beta-ketothiolase)
      • acyl-coA species is shortened by 2 C in every cycle

The beta-oxidation cycle continues till 2 acetyl coA are produced via thiolysis.

Palminate (16 C) requires 7 cycles and produces 129 ATP molecules.

47
Q

How are fatty acids SYNTHESISED from acetyl coA?

A

Fatty acid biosynthesis = Lipogenesis

  1. acetyl coA ►malonyl coA (enz. acetyl coA carboxylase; ATP + HCO3- => ADP +Pi)
  2. malonyl coA ► malonyl ACP (enz. malonyl coA-ACP transferase; ACP => CoA-SH)
  3. acetyl coA ► acetyl ACP (enz. acetyl coA-ACP transferase; ACP => CoA-SH)
  4. CONDENSATION
    • acetyl ACP + malonyl ACP ► beta-ketoacyl ACP (enz. beta-ketoacyl ACP synthase; release of CO2 and ACP)
  5. REDUCTION
    • beta-ketoacyl ACP ► 3-hydroxyacyl ACP (enz. beta-ketoacyl ACP reductase; NADPH => NADP)
  6. DEHYDRATION
    • 3-hydroxyacyl ACP ► trans enoyl ACP (enz. 3-hydroxyacyl-ACP dehydrase; release of water)
  7. REDUCTION
    • trans enoyl ACP ► acyl ACP (enz. enoyl ACP reductase; NADPH => NADP)
48
Q

Compare the synthesis and metabolism of fatty acids

A

SYNTHESIS

  • Occurs in the cytoplasm
  • ACP is a carrier
  • Reduction occurs by using NADPH
  • acyl + malonyl groups => fatty acid

METABOLISM

  • Occurs in the mitochondrial matrix
  • CoA is a carrier
  • Reduction occurs using FAD/NAD+
  • fatty acid => acyl + acetyl groups
49
Q

What is medium-chain acyl-coenzyme A dehydrogenase deficiency (MCADD)?

A

autosomal recessive

patients should not go without food for more than 10-12 hours; stick to a high carbohydrate diet = body can not depend on fatty acids for energy

50
Q

What is a primary carnitine deficiency?

A

autosomal recessive disorder

symptoms occur in infancy/ early childhood e.g. encephalopathies, cardiomyopathies, muscle weakness and hypoglycaemia

reduced ability of the carnitine transporter to take up carntine (needed for beta-oxidation) mutation in gene SLC22A5

51
Q

How is cholestrol synthesised from acetyl-coA?

A
  1. 2 X acetyl coA ► acetoacetyl coA (enz. beta-ketothiolase; releases CoA)
  2. acetoacetyl coA + acetyl coA ► HMG-CoA (enz. HMG-CoA synthase; water used up, release of CoA)
  3. HMG-CoA ► mevalonate (enz. HMG-CoA reductase)
    • enz. under negative feedback by cholestrol, mevalonate and bile salts
  4. mevalonate ► 3-isopentenyl pyrophosphate (IPP) (several phosphorylation and decarboxylation reactions)
    1. mevalonate > 5-phosphomevalonate (mevalonate kinase)
    2. 5-phosphomevalonate > 5-pyrophosphomevalonate (phospho mevalonate kinase)
    3. 5-pyrophosphomevalonate > mevalonate- 3-phospho-5-pyrophosphate (kinase)
    4. mevalonate-3-phospho-5-pyrophosphate > 3-isopentenyl pyrophosphate (phosphho mevalonate decarboxylase)
  5. IPP ►DPP (enz. isopentenyl pyrophosphate isomerase)
  6. DPP ► GPP (enz. geranyl transferase; uses IPP)
  7. GPP ► FPP (enz. geranyl transferase; uses IPP)
  8. FPP ► squalene (enz. squalene synthetase; FPP + NADPH => 2PPi + NADP+ + H+)
  9. squalene ►lanosterol
    1. squalene > squalene epoxide (squalene monoxygenase; NADPH + O2=> NADP +H2O)
    2. squalene epoxide > lanosterol ( squalene epoxide lanosterol cyclase)
  10. lanosterol ► cholestrol (reduced and demethylated; releases HCOOH and 2X CO2)
52
Q

How are bile salts synthesised from cholestrol?

A

cholestrol ► glychocholate + taurocholate (bile salts)

bile salts = major breakdown products of cholestrol; generated in the liver and stored in the gall bladder

53
Q

How are steroid hormones synthesised from cholestrol?

A

cholestrol ► pregnenolone (enz. desmolase)

Pregnenolone is the precursor to all classes of steroid hormones:

  • glucocorticoids
  • mineralcorticoids
  • androgens
  • oestrogens
  • progestins
54
Q

How is cholestrol transported round the body?

A

LIPOPROTEINS due to insoluble nature of cholestrol in aqueous solution

Composition of a lipoprotein:

  • phospholipid monolayer with cholestrol
  • apoproteins
  • core: cholestrol esters and triacylglycerols

Cholestrol esters: synthesised from cholestrol and phosphatidylcholine (enz. LCAT). Allows more tight packaging due to hydrophobic nature

Lipoproteins can vary in their density depending on the amount of apoprotein, also allows recognition by different cell types.

55
Q

How is cholestrol taken up into cells?

A

Mixed micelles are formed which consist of:

  • free fatty acids
  • bile salts
  • cholestrol
  • lysophosphatidic acid
  • digestion of lipids by lipases produces MAG and DAG

Micelles are absorbed by enterocytes which line the small intestine; resynthesising TAGs into CM (chylomicrons) are produced and transported to the lymph and enter the blood stream at the thoracic duct or the left subclavian vein.

The enzyme lipoprotein lipase then catalyses the hydrolysis of triacylglycerols to glycerol (goes to liver for gluconeogenesis) and fatty acids (undergo beta-oxidation)

56
Q

What are the differences between LDL and HDL?

A

LDL = low density lipoprotein - bad cholestrol

  • transport new cholestrol synthesised from the liver to tissues
  • continuous high levels of LDL = atherosclerosis
  • larger in size and 40% is cholestrol esters

HDL = high density lipoprotein - good cholestrol

  • transports cholestrol from tissues to the liver for use or disposal
  • helps to lower total serum cholestrol
  • smaller in size and 20% is cholestrol esters
57
Q

What are the effects of mutations on the LDL receptor (LDLR)?

A

Cholestrol is only taken up by those cells which have the LDL receptor via receptor mediated endocytosis

Mutations in the LDLR can lead to familial hypercholesterolaemia (FH)

Inherited as a monogenic dominant trat

Heterozygous: higher cholestrol levels (2-3X) than normal people and susceptible to athersclerosis in middle age

Homozygous: severely high cholestrol approx 5X the normal level and atherosclerosis and myocardial infarction may occur in adolescence.

58
Q

What mutations can occur in the LDLR which lead to FH?

A
  1. Deletion of LDLR gene = LDLR not synthesised
  2. Mutation throughout coding region = LDLR not transported properly from ER to Golgi
  3. Mutation in N-terminus = LDLR does not bind to LDL effectively
  4. Mutation in cytoplasmic domain = LDLR-LDL complex does not form correctly to lead to receptor mediated endocytosis
  5. Mutation in EGFP domain = LDL is not released from receptor in the endosome and LDLR is not recycled
59
Q

What drugs can control hypercholesterolaemia?

A

HMG-CoA-Reductase Inhibitors (statins)

A competitive inhibitor of HMG-CoA reductase. Inhibits the production of mevalonate

Resins/ sequestrants

Binds to bile acid-cholestrol complexes to prevent their reabsorption by the intestine. Lowers LDL by 15-30% and raises HDL by 3-5%

60
Q

What is endocytosis?

A

The entry of molecules into a cell via an endosome; they are either transported or become lysosomes so that its contents can be degraded.

61
Q

What is exocytosis?

A

The movement of molecules out of a cell using vesicles

62
Q

How is a protein secreted from a cell?

A

Secretory/exocytic pathway

  1. Nucleus to rough endoplasmic reticulum (RER)
    • newly-synthesised proteins can enter the lumen of ER in order to undergo modifications
      • folding
      • formation of disulphide bridges
      • glyosylation
      • specific proteolytic cleavages
      • assembly of multimeric proteins
  2. RER to Golgi Apparatus
    • travels in a vesicle via forward pathway
    • moves from cis to medial and trans golgi network where the protein can undergo post-translational modification until the final form is reached
    • sometimes protein reaches Golgi by accident and is returned to RER via return pathway
  3. Golgi Apparatus to Exocytosis
    • proteins packaged into vesicles at trans Golgi network
    • travels to plasma membrane where exocytosis occurs
63
Q

What is constituitive secretion?

A

Exocytosis of vesicles occurs as soon as the protein is ready; usually unregulated and consists of plasma membrane proteins

64
Q

How does regulated secretion occur?

A

Secretory vesicles are stored until a signal is received after which exocytosis occurs

The singnal may be chemical, hormonal or electrical

65
Q

How does endocytosis occur?

A
  1. Early endosome
    • endocytic material is taken up and may be recycled or degraded
  2. Late endosome
    • endocytic material remains in this phase till maturity
  3. Lysosome
    • can hydrolyse the endocytic material into simpler compounds
66
Q

What are the three different types of endocytosis?

A
  1. Receptor mediated (e.g. LDL receptor with cholestrol)
  2. Pinocytosis (fluid)
  3. Phagocytosis (particles)
67
Q

How are vesicles transported within cells?

A

Vesicles make use of the cytoskeleton directed by microtubules and actin filaments

formed in donor cell > fusion with donor cell > released > docked onto acceptor cell > fuses with acceptor cell > release of contents

68
Q

Which disease are due to defects in the secretory/exocytosis pathway?

A

CYSTIC FIBROSIS
Mutation in CFTR gene; loss of phenylalanine residue preventing folding of protein and so is retained in RER

ROBINOW SYNDROME
Mutation in ROR2 which is responsible for cartilage and bone growth; retained and degraded in the RER causes dwarfism and dysmorphic facial appearance

69
Q

What disease is caused by a defect in the endocytic pathway?

A

FAMILIAL HYPERCHOLESTEROLAEMIA
Mutation in the LDL receptor and so the cell can not take up LDL