Midterm II: Cholesterol (Ben) Flashcards
What is the first step in the synthesis of mevalonate?
Reactants?
Enzyme?
Products?
Condensation…
Reactants: 2x Acetyl-CoA
Enzyme: Thiolase
Products: Acetoacetyl-CoA + CoA-SH
What is the 2nd step in the synthesis of m__evalonate?
Reactants?
Enzyme?
Products?
A second condensation…
Reactants: Acetoacetyl-CoA + Acetyl-CoA
Enzyme: HMG-CoA Synthase
Products: HMG-CoA + CoA-SH
What is the 3rd and final step in the synthesis of mevalonate?
Reactants?
Enzyme?
Products?
Reduction…
Reactants: HMG-CoA + 2 NADPH + 2 H+
Enzyme: HMG-CoA Reductase
Products: Mevalonate + 2 NADP+ + CoA-SH
After formation of mevalonate…
what is the next (2nd) step of cholesterol synthesis?
(generally, no specific enzymes etc.)
formation of isoprenoid units from mevalonate by loss of CO2
After formation of isoprenoid units…
what is the next (3rd) step in cholesterol synthesis?
(generally, no specific enzymes)
condensation of six isoprenoid units to form squalene
After squalene formation…
what is the next (4th) step in cholesterol synthesis?
(generally, no specific enzymes)
cyclization of squalene to form lanosterol
(lanosterol goes on to form cholesterol)
What is the main step for regulation of cholesterol synthesis?
the HMG-CoA Reductase step creating mevalonate near the beginning of synthesis
What endogenous substances directly inhibit HMG-CoA Reductase?
And what drugs inhibit it?
- Bile Acid
- Cholesterol
- Mevalonate
(Direct + downstream products of HMG-CoA Reductase activity)
- Statin drugs
How do cholesterol + its metabolites repress transcription of HMG-CoA Reductase?
by repressing activation of SREBP (steroid regulatory element-binding protein)
- cholesterol blocks SREBP from moving to the golgi where its HLH domain can be cleaved and sent to the nucleus to upregulate cholesterol synthesis genes
What protein keeps SREBP from moving from to the golgi for cleavage of its HLH domain?
And how else does this protein decrease cholesterol synthesis?
Insig (Insulin induced gene)
- binds to sterol-sensing domain of SCAP and keeps SCAP/SREBP in the ER
- also directly increases degradation of HMG-CoA Reductase
What protein promotes activation of SREBP and thus its presence in the nucleus as an upregulator of HMG-CoA reductase?
SCAP
SREBP Cleavage-Activating Protein
What two enzymes cleave SREBP and allow it to travel to the nucleus?
S1P - cleaves the HLH domain off of the rest of the protein
S2P - remove the HLH domain from the golgi membrane for transport to the nucleus
What are the 3 steps of cholesterol absorption from the intestine?
- Uptake - of hydrolyzed cholesterol esters as free cholesterol via NPC1L1 transporter into enterocyte
- Resynthesis - of cholesterol esters
- Secretion - of cholesterol esters into chylomicrons in the lymph
What protein is important in absorption of free cholesterol from the intestine?
What drug blocks it?
NPC1L1
Niemann-Pick C1-Like Protein 1
- blocked by ezetimibe
What enzyme is responsible for cholesterol esterification?
Two isoforms… which one is where (types of cells)?
ACAT (Acetyl-CoA Acetyltransferase)
- ACAT1 - in macrophages and Kupfer cells of the liver
- ACAT2 - in hepatocytes and enterocytes