Nutrition and metabolism of lipids Flashcards

1
Q

Why do we need lipids?

A

Membrane structure, fat soluble vitamins (A, D, E, K), energy storage, insulation and protection, building blocks for hormones, flavor and texture.

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2
Q

How much fat does you need?

A

Fat should be 25-35 (40) E%

Fat = 9 kcal / 37 kJ per gram

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3
Q

What are some main dietary lipids?

A

Mono-, di- and triglycerides, phospholipids and glycolipids, lipoprotein, fatty acids, sterols and fat soluble vitamins and phytochemicals.

Triglycerides = 3 fatty acids + glycerol
Phospho- and glycolipids = bases for membrane

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4
Q

What is the fatty acid nomenclature?

A

numbers of carbon : number of double bonds : n-how many carbons from the end.

E.g. 18:2 n-6 (linoleic acid)

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5
Q

What are essential fatty acids?

A

Human cannot synthesis n-3 or n-6 fatty acids. Therefore, they are needed to be implied into the diet.

n-3 are conditionally indispensable (i.e. necessary as f.)

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6
Q

What are som key sources of lipids in the diet?

A
Meat: SFA and cholesterol
Fish: PUFA
Eggs: SFA and phospholipids
Dairy: SFA
Snacks: SFA, PUFA and trans-fats?
Spreads: SFA, PUFA and trans-fats?
SFA = saturated fat
PUFA = poly unsaturated fat
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7
Q

What is best, saturated or unsaturated fat?

A

Unsaturated

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8
Q

What are some food-sources for n-3 and n-6 fatty acids?

A

n-3: fatty fish, linseed/flax-seed, algae

n-6: corn/maize oil, sunflower oil, soybean oil

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9
Q

Where can you find trans fats?

A

Mainly from hydrogenation of plant oils to make them soild (margarine) – makes them more stable like butter.
Very low amounts from ruminant digestion (dairy, meat).
Only very low amounts in food allowed currently.

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10
Q

What is phospholipids?

A

Structural lipids.

Used for membrane that is critical for normal function.

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11
Q

How is triglycerides broke down?

A

TAG + pancreatic lipids = 2-MAG + 2 FA

Triglycerides are broken down to fatty acids and glycerol in the intestunal lumen by PANCREATIC LIPIDS

! FA is not water soluble

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12
Q

How is lipids absorbed?

aka how is a chylomicron created?

A

Due to FA not being water soluble something needs to happen for the lipids to be absorbed into the water layer.

Short chain FA can pass to the blood with ATP.

Longer FA as TAG, PL and fatty acid conjugated bile acid forms a simple michelle in the intestinal lumen.

Together with 2-MG and cholesterol esther, a mixed michelle is formed. The mixed ester can pass the unstirred water layer.

This are the stacked close together TG, PL, FFA around a cholesterol ester. This is called CHYLOMICRON.

The chylomicron is then exocytosis (active transport of the cells) and then affect by lacteal in the blood stream.

FA-fatty acids
TAG-triglycerides
PL-phospholipids
2-MG
FFA - fatty free acid
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13
Q

What are the two pathways for lipid absorption?

A

Exogenous and endogenous pathway

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14
Q

Describe the exogenous pathway.

A

Consist of 8 steps and is the transport and distribution of dietary lipids.

1: in the intestine a chylomicron is produced.
2: the chylomicron is transported to the capillary
3: In the capillary the chylomicron is degraded by lipoprotein lipase (LPL) to create FFA that is moved to the adipose tissue (i.e. fat tissue)
4: After step 3 there are a chylomicron remnant CM REM) and empty HDL (high-density lipids) left.
5: The empty HDL is transported away. As the HDL is empty it will cruise around in the body to find cholesterol to fill it up.
6: The CM REM will travel to the liver. On the CM REM a apoE is attached.
7: The apoE finds the remnant receptor on the outside of the liver. This makes the CM REM pass into the liver.
8: in the liver the CM REM is dived up into FFA and cholesterol.

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15
Q

Describe the endogenous pathway.

A

Consist of 10 steps, is the transport and distribution of endogenously synthesized lipids. Lipids can be synthesized from excess carbohydrates.

1: FFA and cholesterol created from excess carbohydrates is transported into the liver. FFA and cholesterol is bound together with apolipoproteins to create VLDL(very low density lipoprotein).
2: VLDL is then transported into the capillary.
3: In the capillary the VLDL is degraded by lipoprotein lipase (LPL) to create FFA that is moved to the adipose tissue (i.e. fat tissue)
4: The reaming from the capillary is called IDL(intermediate-density lipoprotein), by-product HDL.
5: The empty HDL is transported away. As the HDL is empty it will cruise around in the body to find cholesterol to fill it up.
6: The HDL is then passed into the liver.
7: IDL is degraded by hepatic lipase (HPL) to LDL (low density protein)
8: LDL is then transported out of the liver
9: On peripheral tissue (any tissue outside of the gastrointestinal track) a LDL receptor can be found. The LDL is transported to the tissue.
10: The LDL can also be transported back to the liver.

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16
Q

Describe the reverse cholesterol transport pathway.

A

Consist of 4 steps, describes how lipids move from periphery tissue back to the liver.

1: an empty HDL is transported to the peripheral tissue.
2: HDL binds to the ABCA1 tissue. Fills on with LDL find in the tissue.
3: HDL is then transported to the liver. and binds to it.
4: HDL drops of the LDL in the liver

17
Q

What is beta-oxidation?

A

Converting FA to energy.

From C18:0 the result is apporc 120 ATP, the same carbon amount of glucose(3 molecules) result in 90 ATP

18
Q

What is LDL cholesterol associated with?

A

Elevated levels is associated with increased cardiovascular disease risk.

19
Q

Describe the cholesterol metabolism.

A

The total cholesterol pool is increased by the diet and the endogenous synthesis.
The pool is decresed by the amount in the bile (sv: galla) and other metabolism.

20
Q

How is plant sterols and cholesterol related?

A

Plant sterols is similar to cholesterol but has a lower absorption rate.

Cholesterol 50%, PS 0.5%.

21
Q

What is elevated HDL an indicator to?

A

Elevated HDL is an indicator of reverse cholesterol/lipid transport from peripheries to liver.

Increasing HDL does not appear to improve CVD outcomes. -cholesterol is only one of many risk factors.

22
Q

What are the interaction between carbohydrate metabolism and lipid metabolism?

A

Glucose metabolism is controlled by insulin. Insulin also plays a key role in lipid metabolism and distribution. Stimulation of lipoprotein lipase in adipose. Inhibits intracellular lipolysis of triglycerides. Suppression of VLDL secretion from the liver.

23
Q

Why is essential fatty acids for the health?

A

Essential fatty acids are important building blocks for: brain development, visual development, inflammatory response molecules, membranes.

DHA supplementation of pregnant mothers: reduced early preterm and very low birth weight infants, no effect on infant/toddler cognitive development.

LC.PUFA supplementation of lactating mothers: reduced risk of developing allergies, no effect on neurodevelopment or visual activity.

N-3 PUFA and cognition in children: common association between n-3 intake and cognitive performance. Supplementation does not appear toimprove academic performance.

24
Q

Describe som essential fatty acids as well what they are good for.

A

Linoleic acid (18:2 n-6) (10 g/d) – maintenance of normal blood cholesterol.

alfa-linolenic (18:3 n-3) (2 g/d) – maintenance of normal blood cholesterol.

DHA (22:6 n-3) –
maintenance of normal blood TG (2 g/d), normal brain function (250 mg/d) and normal vision (250 mg/d).

DHA/EPA (20:5 n-3) – normal cardiac function
cis-MUFAs and PUFAs (replacing SFAs on a gram for fram basis) – maintenance of normal blood LDL-cholesterol.

25
Q

What are som factors that can influence the role of fat on health?

A

Composition, processing, genetics, gut microbiota, nutrient status and other foods (carbohydrates).