ExpertMD_Lipid-Metabolism

Created by leandro valenzuela

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How many desaturases do mammals have?

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Four desaturases.

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Fatty Acid Metabolism

How many desaturases do mammals have?

Four desaturases.

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Role of Apolipoproteins

What are the initial apoproteins in chylomicrons?

Apo B48 and Apo A.

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Fatty Acid Metabolism

What are the two main enzymes involved in fatty acid synthesis?

Fatty acid synthase and Acetyl CoA carboxylase.

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Cholesterol Biosynthesis

What is the final product of the cholesterol synthesis pathway?

Cholesterol.

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Fatty Acid Metabolism

What is the significance of condensation in lipid metabolism?

It is a key step in the synthesis of lipids from precursors.

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Fatty Acid Metabolism

What role do thioester derivatives play in lipid metabolism?

They are involved in the loading of precursors.

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Fatty Acid Metabolism

What inhibits Acetyl-CoA carboxylase?

Increased fatty acid concentrations.

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Cholesterol Biosynthesis

What are the fates of cholesterol in the body?

Cholesterol ester, biliary cholesterol, bile acids, hormones, and vitamins.

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Ketone Bodies

During prolonged starvation, what percentage of the brain's energy requirements can ketone bodies provide?

About 70%.

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Fatty Acid Metabolism

What is the first stage of fatty acid synthesis?

Loading of precursors via thiol ester derivatives.

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Chylomicron Metabolism

What happens to fatty acids in the capillaries of adipose tissue and muscle?

They are hydrolyzed by lipoprotein lipase and absorbed by the tissues.

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VLDL and LDL Metabolism

What happens to VLDL as triglycerides are removed?

It is converted to IDL and then to LDL.

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Steroidogenesis and Related Disorders

What is the function of acyl-CoA: cholesterol acyl transferase (ACAT)?

ACAT transfers fatty acids of CoA to the C3 hydroxyl group of cholesterol.

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Steroidogenesis and Related Disorders

Where are bile acids synthesized and stored?

Synthesized in the liver and stored in the gallbladder.

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Role of Apolipoproteins

What role does Apo C play in lipid metabolism?

Apo C transports exogenous fatty acids to adipose and skeletal muscle and activates lipoprotein lipase.

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Fatty Acid Metabolism

Where is Acetyl-CoA carboxylase located in mammals?

In the smooth endoplasmic reticulum (SER).

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Ketone Bodies

What are the three main types of ketone bodies produced in the liver?

Acetoacetate, β-hydroxybutyrate, and acetone.

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Cholesterol Biosynthesis

What is the first step in cholesterol biosynthesis?

Conversion of Acetyl CoA to Mevalonate.

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Beta-Oxidation of Fatty Acids

What does propionyl-CoA convert to for entry into the TCA cycle?

Succinyl-CoA.

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HDL Function and Metabolism

What HDL level is associated with a lower risk of CHD?

HDL levels above 50 mg/dL.

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Role of Apolipoproteins

What is the role of ApoA-I in HDL metabolism?

It is synthesized de novo in the liver and small intestine and helps form nascent HDL particles.

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Fatty Acid Metabolism

What are the key processes involved in lipid metabolism?

Reduction, dehydration, and condensation of precursors.

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Regulation of Cholesterol Synthesis

Which enzyme catalyzes the first committed step in cholesterol synthesis?

HMG-CoA reductase.

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Cholesterol Biosynthesis

What is a precursor to bile salts and steroid hormones?

Cholesterol.

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Cholesterol Biosynthesis

What is the precursor to cholesterol synthesis?

Acetyl coenzyme A.

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Role of Apolipoproteins

Where are apolipoproteins synthesized?

In the small intestine.

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HDL Function and Metabolism

What enzyme esterifies free cholesterol in HDL?

Lecithin:cholesterol acyl transferase (LCAT).

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Cholesterol Biosynthesis

What are the fates of cholesterol?

Membranes, esters, biliary cholesterol, bile salts, hormones, and vitamins.

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Lipoprotein Transport Mechanisms

How do cells take up LDL?

Via LDLR-mediated endocytosis, which requires apo B-100.

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Fatty Acid Metabolism

What is the first and committed step of fatty acid synthesis?

Catalyzed by Acetyl-CoA carboxylase.

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Fatty Acid Metabolism

How is Acetyl-CoA carboxylase hormonally regulated?

Glucagon and epinephrine stimulate phosphorylation, leading to inactivation of the enzyme.

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Fatty Acid Metabolism

What is a limitation of mammals regarding fatty acid desaturation?

Mammals cannot incorporate a double bond beyond a certain point in the fatty acid chain.

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Lipoprotein Transport Mechanisms

What is the role of lipoprotein lipase in lipid metabolism?

It hydrolyzes triglycerides in VLDL and chylomicrons.

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Beta-Oxidation of Fatty Acids

What is produced from the final round of beta-oxidation of odd-chain fatty acids?

Propionyl-CoA.

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Fatty Acid Metabolism

What hormones are involved in the fasted state that promote fatty acid oxidation?

Epinephrine and glucagon.

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Cholesterol Biosynthesis

What is formed after the cyclization of unsaturated carbons in the cholesterol synthesis pathway?

Lanosterol.

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Regulation of Cholesterol Synthesis

What is the primary site for regulating cholesterol synthesis?

HMG-CoA reductase.

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Regulation of Cholesterol Synthesis

What does Lovastatin resemble in structure?

Mevalonate.

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Ketone Bodies

What is the normal level of ketone bodies in blood?

1 mg/mL.

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Role of Apolipoproteins

Which apolipoproteins are acquired in the small intestine?

Apo B48 and Apo A.

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HDL Function and Metabolism

What is the relationship between HDL levels and coronary heart disease (CHD)?

Higher HDL levels correlate with reduced risk of atherosclerosis and CHD.

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Cholesterol Biosynthesis

What enzyme adds oxygen to squalene to form an epoxide?

Squalene monooxygenase.

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Cholesterol Biosynthesis

What is one of the primary functions of cholesterol?

It stabilizes cell membranes.

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Chylomicron Metabolism

What is the fate of chylomicron remnants?

They are taken up by the liver, requiring Apo E for recognition.

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Cholesterol Biosynthesis

What is the structural characteristic of cholesterol?

It has a cyclopentanophenanthrene structure consisting of four fused rings.

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Cholesterol Biosynthesis

What is produced from Mevalonate in cholesterol biosynthesis?

2 Activated Isoprenes.

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Cholesterol Biosynthesis

What is the rate-limiting step of cholesterol synthesis?

The conversion of HMG-CoA to mevalonate.

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Beta-Oxidation of Fatty Acids

Where does beta-oxidation primarily occur?

In the mitochondrial matrix.

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Beta-Oxidation of Fatty Acids

What is required for the transport of fatty acids to mitochondria?

A carrier.

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Fatty Acid Metabolism

What is the role of biotin in fatty acid synthesis?

It is a cofactor that is dependent for the activity of Acetyl-CoA carboxylase.

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Regulation of Cholesterol Synthesis

What type of drugs inhibit HMG-CoA reductase to lower cholesterol?

Statin drugs (e.g., Lovastatin).

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Cholesterol Biosynthesis

What is cholesterol a precursor for?

Synthesis of all other steroids.

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HDL Function and Metabolism

How does HDL acquire cholesterol from peripheral tissues?

By acquiring it from macrophages in tissue subendothelial spaces.

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Fatty Acid Metabolism

What pathway provides NADPH for fatty acid synthesis?

Pentose phosphate pathway.

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LDL and LDL Metabolism

What is the primary function of LDL in the body?

To serve as primary plasma carriers of cholesterol for delivery to all tissues.

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HDL Function and Metabolism

What is the major function of HDL?

Reverse cholesterol transport, transporting peripheral tissue cholesterol back to the liver.

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Fatty Acid Metabolism

What coenzymes and cofactors are required for fatty acid synthesis?

Biotin, NADPH, Mg++, Mn++.

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Fatty Acid Metabolism

What processes are involved in the third stage of fatty acid synthesis?

Reduction, dehydration, and reduction.

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VLDL and LDL Metabolism

What is the primary function of VLDL?

To transport endogenously derived triglycerides to extra-hepatic tissues.

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Chylomicron Metabolism

What is the primary component of chylomicrons?

Dietary triglycerides (over 80%).

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Steroidogenesis and Related Disorders

What role do bile acids and salts play in digestion?

They act as effective detergents aiding in the absorption of lipids, cholesterol, and fat-soluble vitamins.

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Chylomicron Metabolism

How are chylomicrons secreted into the body?

They are secreted into lymphatics rather than directly into the bloodstream.

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Fatty Acid Metabolism

What is the major form of energy derived from dietary lipids?

Triacylglycerol (TAG).

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Fatty Acid Metabolism

What happens to TAG during fasting?

Fatty acid oxidation is favored as fats serve as fuel.

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Fatty Acid Metabolism

What enzyme hydrolyzes TAG to free fatty acids and glycerol?

Hormone-sensitive lipase.

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LDL and LDL Metabolism

What are the optimal LDL cholesterol levels?

Less than 100 mg/dL.

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Chylomicron Metabolism

What happens to glycerol after being released from chylomicrons and VLDL?

It is taken up by the liver and kidney and converted into a glycolytic intermediate.

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Chylomicron Metabolism

How do chylomicrons enter circulation?

Via the left subclavian vein.

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Beta-Oxidation of Fatty Acids

What is the primary fate of acetyl-CoA from β-oxidation?

Most enters the Krebs cycle, but some form ketone bodies.

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Cholesterol Biosynthesis

What functional groups are present in cholesterol's structure?

A hydroxyl group at C3, a double bond between C5 and C6, and methyl groups at C10 and C13.

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HDL Function and Metabolism

What is the role of ATP-binding cassette protein G1 (ABCG1) in HDL metabolism?

It facilitates the transfer of cholesterol.

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Regulation of Cholesterol Synthesis

What regulates HMG-CoA reductase?

Feedback, degradation, and modification.

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Steroidogenesis and Related Disorders

What effect does prenatal androgen exposure have on females with CAH?

It has a masculinizing effect on the development of external genitalia.

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LDL and LDL Metabolism

What is the genetic defect associated with familial hypercholesterolemia?

A mutation in the LDL receptor gene.

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Fatty Acid Metabolism

What occurs in the second stage of fatty acid synthesis?

Condensation of precursors.

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Cholesterol Biosynthesis

How is cholesterol obtained?

Through diet or synthesis.

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Lipoprotein Transport Mechanisms

What are the main types of lipoproteins involved in lipid transport?

Chylomicrons, VLDL, LDL, and HDL.

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Steroidogenesis and Related Disorders

Where is excess cholesterol stored?

As cholesterol esters in cytosolic lipid droplets.

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Lipoprotein Transport Mechanisms

What is the typical composition of lipoproteins?

Triglycerides and cholesterol esters internally, phospholipids externally.

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HDL Function and Metabolism

What is the primary function of HDL?

Reverse cholesterol transport.

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LDL and LDL Metabolism

What percentage of LDL uptake occurs in the liver?

75%.

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Cholesterol Biosynthesis

What disease is associated with cholesterol metabolism?

Atherosclerotic vascular disease.

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Cholesterol Biosynthesis

Where is cholesterol primarily synthesized in the body?

Mostly in the liver and intestine.

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Ketone Bodies

What condition can excessive amounts of ketone bodies cause?

Ketoacidosis.

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Chylomicron Metabolism

What happens to chylomicron remnants after metabolism?

They are taken up by the liver.

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Role of Apolipoproteins

Which apolipoprotein is exclusively associated with LDL?

Apo B-100.

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HDL Function and Metabolism

What are some functions of HDL beyond cholesterol transport?

Anti-inflammatory, antioxidant, and vasodilatory effects.

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VLDL and LDL Metabolism

What apoproteins are required for IDL to interact with hepatic receptors?

Both Apo B-100 and Apo E.

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HDL Function and Metabolism

What protein interacts with HDL during cholesterol binding?

ATP-binding cassette transport protein A1 (ABCA1).

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Fatty Acid Metabolism

What hormone increases during the fed state and inhibits hydrolysis of stored triglycerides?

Insulin.

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Role of Apolipoproteins

What effect do trans-fatty acids have on HDL and LDL levels?

They lower HDL and increase LDL.

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Fatty Acid Metabolism

What type of fatty acids are most naturally occurring?

Even-numbered fatty acids.

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Lipoprotein Transport Mechanisms

What role does lipoprotein lipase play in lipid metabolism?

It acts on adipose and muscle capillaries to process lipoproteins.

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Lipoprotein Transport Mechanisms

What are the relative sizes of lipoproteins from largest to smallest?

Chylomicrons, VLDL, LDL, HDL.

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Steroidogenesis and Related Disorders

What is the goal of correcting the deficiency in cortisol secretion in CAH?

To suppress ACTH overproduction.

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Beta-Oxidation of Fatty Acids

What are the three stages of fatty acid oxidation?

Activation of fatty acids, transport into mitochondria, and β-oxidation in the mitochondrial matrix.

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Steroidogenesis and Related Disorders

What is the most common enzyme deficiency in congenital adrenal hyperplasia (CAH)?

21-hydroxylase deficiency.

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LDL and LDL Metabolism

What happens to endocytosed LDL in lysosomes?

Apoproteins are degraded and cholesteryl esters (CE) are hydrolyzed to yield free cholesterol.

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