Metabolism 7-8 Flashcards
What does cholesterol do?
Influences membrane stiffness and permeability dependent on temperature and nature of the membrane. Stiffness normally increases with temperature. Also changes interactions with the cytoskeleton.
How is cholesterol formed?
1) Activated isoprene unit (isopentenyl pyrophosphate) is made from acetyl-CoA units.
2) Six units of isopentenyl pyrophosphate are condensed to form squalene
3) Squalene is reduced in the presence of oxygen and NADPH to form squalene epoxide
4) Squalene epoxide lanosterolcyclase catalyses the formation of lanosterol
5) Lanosterol is then reduced and three methyl units are removed, forming cholesterol
What is the precursor to all steroid hormones?
Pregnenolone
What are the five forms of steroid hormones?
- Androgen
- Progesterone
- Glucocorticoids
- Mineralocorticoids
- Oestrogens
How is cholesterol linked to calcium?
Cholesterol is the precursor to calcitriol, which plays an important role in calcium metabolism.
What do lipoproteins contain?
Cholesterol and apoproteins.
What are cholesterol esters?
An even more hydrophobic version of cholesterol that cause even tighter packaging of lipoproteins.
How are cholesterol esters synthesised?
They are synthesised from cholesterol and an acyl group using lethicin.
What are chylomicrons?
A form of lipoprotein that travel from lacteals in the intestine to the thoracic duct and subclavian vein where they re-enter the bloodstream.
What is lipoprotein lipase?
An enzyme located on capillary endothelial cells in adipose, heart and skeletal tissue. It catalyses the hydrolysis of triacylglycerides into glycerol and fatty acids in chylomicrons.
How does HDL cholesterol work?
- Often referred to as “good” cholesterol
- Takes cholesterol from peripheral tissue and transports it back to the liver for excretion or use
- Helps to lower serum cholesterol levels
How does LDL cholesterol work?
- Often referred to as “bad” cholesterol
- Prolonged elevation of LDL levels can increase the risk of ahterosclerotic plaques
- Transports synthesised cholesterol from liver to the peripheral tissues
What is familial hypercholesterolaemia?
- Monogenic dominant trait
- Single mutant copy = 2-3x higher cholesterol levels and increased risk of atherosclerosis and coronary infarctions.
- Two mutant copies - 5x higher cholesterol levels and atherosclerotic plaques are seen in adolescence
What is familial hypercholesterolaemia caused by?
Lack of or non-functional LDL receptor on the surface of liver cells so LDL levels are not recognised, therefore LDL cholesterol is not scooped up.
How is familial hypercholesterolaemia treated?
Statins, resins and sequestrants.