Week 6: Cholesterol Metabolism Flashcards

1
Q

What is cholesterol and what is it a precursor for?

A

Cholesterol is a four-ringed saccharide that is used to make steroid hormones, bile acids, and Vitamin D, and is also found within lipid rafts of the cell membrane. We make most cholesterol ourselves, but some also comes through our diet.

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2
Q

Where does cholesterol synthesis begin, and what is needed? What enzymes mediate this three-part process, and which step is rate-limiting?

A

(1) Cholesterol synthesis begins in the ER, and begins with 2 Ac-CoA molecules. They are joined by acetyl-CoA acyl transferase.
(2) Then, another acetyl-CoA is added via HMG-CoA synthase, forming HMG-CoA.
(3) Then, HMG-CoA reductase (RATE-LIMITING) converts HMG-CoA into mevalonate, removing a CoA-SH and H2O in the process

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3
Q

How does SREBP regulate cholesterol synthesis?

A

(1) Decreased cholesterol levels cause INSIG-1 to be cleaved from the INSIG-1/SCAP/SREBP molecule.
(2) Then, SREBP is cleaved from the SCAP/SREBP molecule by enzymes, moving to the nucleus to bind to a sterol regulatory element.
(3) This allows for transcription of the HMG-CoA reductase gene, increasing the presence of HMG-CoA reductase enzyme and speeding up endogenous cholesterol synthesis.

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4
Q

What is critical about the squalene step in cholesterol metabolism?

A

Squalene is the last linear molecule in the formation of cholesterol before it becomes a ring structure. This is also the linear acyl molecule that helps sharks, whales, and other sea creatures float!

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5
Q

What is the significance of 7-dehydrocholesterol?

A

If it is hit by a photon (i.e. if you are not a vampire), it can become Vitamin D3, which plays a critical role in cholesterol and phosphate metabolism.

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6
Q

What can cholesterol become in the liver? How are these materials recycled?

A

Cholic acids and chenodeoxycholic acids, both of which can be conjugated with amino acids taurine and glycine. This forms taurocholic and taurochenodeoxycholic acids, and glycocholic acid and glycochenodeoxycholic acid, respectively. They are stored in the gallbladder, and are released during digestion. They can be recycled by the hepatic portal vein, in a process called enterohepatic circulation.

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7
Q

How and where is cholesterol used to make steroid hormones, and what are they?

A

Cholesterol is used by the adrenal glands to make the steroid hormones cortisol (stress/fight or flight response) and aldosterone (BP regulation), and is modified by enzymes present there.

Cholesterol is also used by the gonads to make testosterone in males, and estradiol and progesterone in females.

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8
Q

What is the most heavily regulated step in cholesterol synthesis?

A

HMG-CoA to mevalonate, mediated by HMG-CoA reductase

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9
Q

How do oxysterols contribute to regulation of the activity of HMG-CoA reductase? How does this molecule relate to SREBP?

A

Oxysterols are made as a small portion of cholesterol (kind of like F 2,6-BP is a proxy for F16BP in glycolysis), and when present in high amounts, cause HMG-CoA reductase to undergo ubiquitylation and degradation in the 26S proteasome. This degradation is mediated by the same enzymes that regulate SREBP. Thus, as cholesterol levels rise, the amount of rate-limiting enzyme is decreased.

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10
Q

What effect does insulin have on cholesterol synthesis? What about glucagon?

A

Insulin increases the activity of HMG-CoA reductase, and increases cholesterol synthesis. It is phosphorylated/inactivated in the presence of glucagon, and decreases activity. HMG-CoA reductase is associated with the “lipogenic liver” (FA-synthesizing) in the well-fed state.

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11
Q

How is cholesterol transported in the bloodstream?

A

Cholesterol is transported via lipoproteins in the bloodstream, which are composed of a core of very hydrophobic lipids surrounded by a shell of polar, hydrophilic lipids and a variety of proteins.

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12
Q

What are the different kinds of lipoproteins?

A

Chylomicrons

Very low density lipoproteins (VLDL)

Intermediate and low density lipoproteins (IDL and LDL)

and high density lipoproteins (HDL)

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13
Q

What are the properties of chylomicrons?

A

These particles are the largest and least dense of the lipoproteins. They transport dietary lipids from the intestine to the liver and other tissues.

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14
Q

What are the properties of VLDL?

A

TAGs, cholesterol and phospholipids are transported from the liver to “needy” tissues by VLDL molecules. VLDLs can also be converted to other types, including IDL and LDL.

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15
Q

What are the properties of IDL and LDL?

A

When depleted of TAGs, VLDL remnants are given the name intermediate/low density lipoproteins. They can deliver cholesterol to tissues for various purposes, but constitute “bad” cholesterol. The exposure of IDL/LDL to vascular tissues is believed to induce an inflammatory response that can lead to atherosclerosis.

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16
Q

Why is HDL considered a “good” form of cholesterol, and what does it do?

A

It is a reverse cholesterol transport system, in which excess cholesterol is returned to the liver, where it is converted to bile acids and secreted. This process helps prevent the buildup of excess cholesterol and phospholipids in cells, and is a scavenging element of lipoprotein activity.

17
Q

How does LDL cause plaque/atherosclerotic buildup in the vascular system?

A

(1) Oxidized LDL sticks to the ECM of arteries, triggering an inflammatory response
(2) Macrophages come in to digest the cholesterol, and become “foamy” cells as the process moves forwards.
(3) They then undergo apoptosis, destroying nearby cells (necrosis) and leading to a larger and larger accumulation of cholesterol and dead cells (plaques)
(4) Plaques can occlude an aretery, or can break off and occlude other vessels, causing strokes and/or heart attacks

18
Q

How do statins work, and what are some examples?

A

Lipitor, Crestor, and other HMG-CoA reductase inhibitors all act as competitive inhibitors of HMG-CoA reductase, the rate-limiting enzyme in cholesterol synthesis.

19
Q

How do resins work, and what is their overall effect?

A

Resins bind to bile acids in the intestine so they cannot be recycled, and are instead excreted. This causes a diversion of cholesterol usage to bile acid synthesis as the body directs more cholesterol to formation and secretion of bile acids. This stimulates cholesterol to be disposed of in this form.

20
Q

Other than resins and statins, what is another kind of treatment for hypercholesterolemia?

A

Ezetimibe and other related drugs block the uptake of cholesterol in the intestine. This prevents exogenous cholesterol from entering the body, and may also decrease blood triglycerides.

21
Q

What are the four main kinds of storage and membrane lipids? Describe their structure.

A

(1) TAGs
(2) Glycerophospholipids (phosphate group and alcohol on one branch)
(3) Sphingosines (phosphate group/choline OR sugar moiety)–most readily IDd by ammonia group attached
(4) Cholesterol

22
Q

What is the common precursor to TAGs and glycerophospholipids?

A

Phosphatidic acid. Attachment of a head group (serine, choline, etc) forms the glycerophospholipid, esterification of another acyl group (long chain acid) forms the TAG.

23
Q

What are the two different ways by which headgroups can be attached to DAGs in forming the glycerophospholipid?

A

Either the DAG itself is activated, and the -OH moiety on the future headgroup attacks nucleophilically (like serine), or the headgroup is activated, and the -OH group on the DAG attacks the a-phosphate attached to the headgroup nucleophilically.

24
Q

What is produced from glycerophospholipids in the human body?

A

Surfactant in lung alveoli. The glycerophospholipids include: DPPC (phosphatidylcholine form) and PG (phosphatidylglycerol)

25
Q

What is the key factor that helps us identify plasmologens? What is their function?

A

Ether linkages, as opposed to ester (in glycerophospholipids and TAGs) linkages. They protect agains ROS’ and consititute platelet-activating factor.

26
Q

What are glucocerbrosides and galactocerebrosides?

A

Glucocerebrocides are minor lipids in non-neural tissues, but are precursors of globosides and gangliosides

Galactocerebrosides are common lipids in the brain, and are commonly referred to as cerebrosides

27
Q

What are gangliosides? Glycosphingolipids?

A

Gangliosides are large, diverse classes of sphingolipids that act as signaling molecules.

Glycosphingolipids have two critical biological roles: they are blood cell surface structures and the ganglioside GM1 is the receptor for choleratoxin in the human intestine