Final Exam Prep

Created by Gary Clemons

p.6

Extrahepatic tissues and the liver express the ___ receptor.

Click to see answer

p.6

LDL

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p.6
Lipoprotein Composition and Function

Extrahepatic tissues and the liver express the ___ receptor.

LDL

p.4
Fatty Acid Synthesis Mechanism

The major regulatory enzyme for fatty acid synthesis is ___.

Acetyl-CoA carboxylase

p.3
Fatty Acid Synthesis Mechanism

Fatty acid synthase is a multimeric enzyme that synthesizes ___ palmitate.

C-16

p.6
Lipoprotein Composition and Function

ABC transporters assist in the transport of ___ from the cells to HDL.

cholesterol/lipid

p.4
Lipoprotein Composition and Function

VLDL carries new TAG from the liver to the ___.

adipose

p.2
Ketogenesis and Its Regulation

Ketogenesis is regulated by the activity of ___ and cytosolic levels of ___ which inhibit CPTI.

lipolysis, malonyl-CoA

p.1
Lipolysis and Hormonal Regulation

Acyl-CoA synthetase can re-convert free fatty acids to ___.

acyl-CoA

p.1
Beta-Oxidation Pathway

Fatty acyl-carnitine is moved to the inner mitochondrial matrix by ___ and ___.

carnitine palmitoyl transferase II, carnitine acylcarnitine translocase

p.7
Cholesterol Synthesis and Regulation

Statins are a class of drugs that inhibit ___ for the management of elevated cholesterol.

HMG-CoA reductase

p.7
Cholesterol Synthesis and Regulation

The majority of bile acids are reabsorbed in the ___, while secondary bile salts are largely excreted.

ileum

p.6
Clinical Correlates of Lipid Metabolism

Total cholesterol is a measurement of: LDL + HDL + ___% of TAGs.

20

p.2
Ketogenesis and Its Regulation

Ketogenesis is the process of generating ketones from excess ___ produced from β-oxidation.

acetyl-CoA

p.2
Beta-Oxidation Pathway

___ deficiency and medium chain acyl-dehydrogenase deficiency can lead to hypoglycemia.

CPTI

p.4
Fatty Acid Synthesis Mechanism

Citrate acts as an ___ effector for Acetyl-CoA carboxylase.

allosteric

p.4
Role of Apoproteins in Lipoproteins

ApoE is an apoprotein on chylomicrons and VLDL used for uptake by the ___.

liver

p.5
Role of Apoproteins in Lipoproteins

The LDL receptor binds ___ on LDL particles and facilitates the uptake of ___ particles.

ApoB100, LDL

p.5
Role of Apoproteins in Lipoproteins

Microsomal transfer protein (MTP) is essential for the loading of ___ onto the chylomicron.

ApoB48

p.5
Role of Apoproteins in Lipoproteins

VLDLs interact with ___ in circulation to get a full complement of ___ and ___.

HDL, ApoE, ApoCII

p.7
Cholesterol Synthesis and Regulation

Cholesterol is excreted primarily as unesterified cholesterol and ___.

bile acids

p.3
Fatty Acid Synthesis Mechanism

OAA is converted to pyruvate in a two-step process involving ___ and ___.

malate dehydrogenase, malic enzyme

p.3
Control of Fatty Acid Synthesis and Oxidation

Malonyl-CoA inhibits ___ to prevent oxidation from occurring at the same time as synthesis.

CPT1

p.6
Role of Apoproteins in Lipoproteins

ApoE on IDL facilitates uptake by the liver ___ receptor.

SR-B1

p.6
Cholesterol Synthesis and Regulation

Cholesterol is used as a substrate for the synthesis of steroid hormones, sex hormones, bile acids, and ___.

Vitamin D

p.2
Ketogenesis and Its Regulation

HMG-CoA lyase cleaves HMG-CoA into ___ and ___.

acetyl-CoA, acetoacetate

p.2
Lipolysis and Hormonal Regulation

The major regulatory enzyme for lipolysis is ___.

hormone-sensitive lipase

p.5
Lipoprotein Composition and Function

ApoCII on chylomicrons interacts with ___, which hydrolyzes TAGs into ___ and free fatty acids.

Lipoprotein lipase (LPL), FFA

p.3
Fatty Acid Synthesis Mechanism

The pentose phosphate pathway provides ___ for TAG synthesis and ___ for fatty acid synthesis.

glycerol, NADPH

p.4
Lipoprotein Composition and Function

Fatty acids are not stored in the ___ but are packaged into VLDL particles as TAGs.

liver

p.6
Cholesterol Synthesis and Regulation

HMG-CoA reductase is inhibited by ___, which binds SREBP and retains it in the ER.

Insig

p.2
Ketogenesis and Its Regulation

Prolonged ketogenesis can lead to ___, which can occur from starvation or uncontrolled diabetes.

ketoacidosis

p.5
Lipoprotein Composition and Function

Chylomicrons transport dietary ___ and fat-soluble ___ and are synthesized in the ___ epithelial cell.

lipids, vitamins, intestinal

p.1
Beta-Oxidation Pathway

The process of generating acetyl-CoA, NADH, and FADH2 from the oxidation of free fatty acids is called ___.

β-oxidation

p.1
Beta-Oxidation Pathway

The products of β-oxidation are ___, ___, and ___.

acetyl-CoA, NADH, FADH2

p.7
Cholesterol Synthesis and Regulation

Cholesterol 7 α-hydroxylase, the regulatory step in bile acid synthesis, is inhibited by ___.

bile acids

p.6
Clinical Correlates of Lipid Metabolism

Abetalipoproteinemia results in the loss of the ability to form lipoproteins containing ___, leading to the loss of chylomicrons and VLDL.

ApoB

p.4
Cholesterol Synthesis and Regulation

ACAT catalyzes the transfer of a fatty acid from coenzyme A to the hydroxyl group on carbon 3 of ___.

cholesterol

p.2
Beta-Oxidation Pathway

β-oxidation supplies high levels of ___ in the fasted state.

ATP

p.2
Lipolysis and Hormonal Regulation

Epinephrine ___ the activity of hormone-sensitive lipase, while insulin ___ its activity.

increases, decreases

p.1
Beta-Oxidation Pathway

Long chain fatty acids cannot cross the ___ and require a transport system.

mitochondrial membrane

p.7
Cholesterol Synthesis and Regulation

LDL receptor expression is regulated by PCSK9 mediated degradation and elevated intracellular cholesterol inhibits ___ transcription.

LDL receptor

p.3
Fatty Acid Synthesis Mechanism

In the mitochondria, acetyl-CoA combines with OAA to form ___, which is then transported out of the mitochondria.

citrate

p.4
Control of Fatty Acid Synthesis and Oxidation

Insulin ___ the activity of Acetyl-CoA carboxylase.

increases

p.4
Lipoprotein Composition and Function

ABCG1/ABCA1 transporter is responsible for active transport of cholesterol and lipids out of the cell into the ___ particle.

HDL

p.2
Beta-Oxidation Pathway

Deficiencies in β-oxidation can result in ___ due to the inability to support glucose synthesis.

hypoglycemia

p.1
Lipolysis and Hormonal Regulation

Triacylglycerols are hydrolyzed into ___ and ___.

free fatty acids, glycerol

p.5
Lipoprotein Composition and Function

ApoCII on VLDL interacts with ___, which hydrolyzes TAGs into ___ and free fatty acids.

Lipoprotein lipase (LPL), FFA

p.7
Lipoprotein Composition and Function

Cholesteryl esterase transfer protein is associated with ___ and exchanges TAGs from VLDL with cholesteryl ester from HDL.

HDL

p.3
Fatty Acid Synthesis Mechanism

Citrate lyase cleaves citrate in the cytosol to produce ___ and ___.

OAA, acetyl-CoA

p.6
Lipoprotein Composition and Function

LDL is the maturation product of ___ that retains ApoB100.

VLDL

p.4
Role of Apoproteins in Lipoproteins

HDL originates in the ___ and its primary apoprotein is ___.

liver, ApoA

p.2
Ketogenesis and Its Regulation

Acetoacetate can be reduced to ___ or spontaneously decarboxylated to ___.

D-3 hydroxybutyrate (β-hydroxybutyrate), acetone

p.5
Role of Apoproteins in Lipoproteins

SR1 (Scavenger receptor) on liver cells functions in ___ particle uptake.

HDL

p.1
Lipolysis and Hormonal Regulation

Free fatty acids travel bound to ___ to peripheral tissues.

albumin

p.1
Beta-Oxidation Pathway

CPTI is inhibited by ___.

malonyl-CoA

p.3
Fatty Acid Synthesis Mechanism

The acyl-carrier protein (ACP) subunit of fatty acid synthase requires ___ as a cofactor.

pantothenic acid

p.4
Control of Fatty Acid Synthesis and Oxidation

Glucagon ___ the activity of Acetyl-CoA carboxylase.

decreases

p.2
Ketogenesis and Its Regulation

___ synthase generates HMG-CoA during ketogenesis.

HMG-CoA

p.5
Lipoprotein Composition and Function

Lipoprotein lipase (LPL) on vascular epithelium cleaves ___ into glycerol and free fatty acids to be stored in the ___ after being reformed into triacylglycerols.

triacylglycerols, adipose

p.1
Lipolysis and Hormonal Regulation

___ inhibits the process of lipolysis.

Insulin

p.7
Cholesterol Synthesis and Regulation

Elevated levels of sterols/cholesterol enhance the degradation of the enzyme ___.

HMG-CoA reductase

p.6
Role of Apoproteins in Lipoproteins

HDLs originate from the liver and intestine; ___ is present on HDL particles.

ApoA

p.6
Cholesterol Synthesis and Regulation

The synthesis of mevalonate is regulated by the enzyme ___.

HMG-CoA reductase

p.2
Ketogenesis and Its Regulation

During starvation states, the ___ will oxidize ketones, decreasing the reliance on glucose.

brain

p.1
Control of Fatty Acid Synthesis and Oxidation

When insulin is HIGH, ___ occurs.

fatty acid synthesis

p.5
Role of Apoproteins in Lipoproteins

ApoE on chylomicron remnants facilitates uptake by the liver ___ receptor, where they are broken down into cholesterol, amino acids, and ___.

SR-B1, glycerol

p.3
Control of Fatty Acid Synthesis and Oxidation

Fatty acid synthesis is activated by ___ and inhibited by ___.

insulin, glucagon

p.6
Lipoprotein Composition and Function

Cholesterol esterase transfer protein exchanges TAGs from VLDL with ___ from HDL.

cholesterol ester

p.6
Cholesterol Synthesis and Regulation

HMG-CoA reductase is activated by sterol response element-binding protein (SREBP) mediated transcription and insulin-mediated ___.

dephosphorylation

p.5
Role of Apoproteins in Lipoproteins

CETP (Cholesteryl ester transfer protein) transfers cholesteryl ester from ___ to ___ and transfers TG from ___ to ___.

HDL, VLDL, VLDL, HDL

p.2
Beta-Oxidation Pathway

Malonyl-CoA acts as an allosteric inhibitor for ___.

CPT1

p.5
Lipoprotein Composition and Function

VLDL transports fatty acids synthesized in the ___.

liver

p.1
Beta-Oxidation Pathway

The β-oxidation spiral involves ___ major enzymes.

4

p.1
β-Oxidation Pathway

Which enzyme adds an acyl-CoA to free fatty acids during β-oxidation?
A) Hormone-sensitive lipase
B) Carnitine palmitoyl transferase I
C) Acyl-CoA synthetase
D) Fatty acid oxidase
E) Pyruvate carboxylase

C) Acyl-CoA synthetase
Explanation: Acyl-CoA synthetase adds an acyl-CoA to free fatty acids, which is a crucial step in preparing fatty acids for β-oxidation.

p.7
Cholesterol Synthesis and Regulation

Primary bile acids are ___ and chenodeoxycholic acid.

cholic acid

p.3
Fatty Acid Synthesis Mechanism

The enzyme ___ converts acetyl-CoA to malonyl-CoA and is regulated by insulin, citrate, and dephosphorylation.

acetyl-CoA carboxylase

p.6
Lipoprotein Composition and Function

LDL is largely filled with ___ ester.

cholesterol

p.6
Cholesterol Synthesis and Regulation

Acetyl-CoA is the source of all carbons in ___ synthesis.

cholesterol

p.2
Ketogenesis and Its Regulation

The two ketone bodies are ___ and ___.

acetoacetate, D-3 hydroxybutyrate (β-hydroxybutyrate)

p.2
Beta-Oxidation Pathway

The major regulatory enzyme for β-oxidation is ___.

carnitine palmitoyltransferase (CPT1)

p.5
Lipolysis and Hormonal Regulation

Insulin enhances the activity of ___.

Lipoprotein lipase (LPL)

p.7
Clinical Correlates of Lipid Metabolism

Where are the majority of bile acids reabsorbed?
A) Stomach
B) Duodenum
C) Jejunum
D) Ileum
E) Colon

D) Ileum
Explanation: The majority of bile acids are reabsorbed in the ileum.

p.5
Lipoprotein Composition and Function

Which receptor binds ApoB100 on LDL particles and facilitates their uptake?
A) SR1
B) LDL Receptor
C) CETP
D) LPL
E) MTP

B) LDL Receptor
Explanation: The LDL Receptor binds ApoB100 on LDL particles and facilitates the uptake of LDL particles.

p.5
Role of Insulin and Glucagon in Metabolism

What enhances the activity of lipoprotein lipase (LPL)?
A) Glucagon
B) Insulin
C) CETP
D) MTP
E) SR1

B) Insulin
Explanation: Insulin enhances the activity of lipoprotein lipase (LPL), facilitating the hydrolysis of TAGs.

p.2
Ketogenesis Mechanism

Which tissue cannot oxidize ketones for fuel?
A) Liver
B) Skeletal muscle
C) Brain
D) Heart
E) Kidney

A) Liver
Explanation: The liver cannot oxidize ketones for fuel, although it produces them. Other tissues, such as skeletal muscle and the brain (during starvation), can use ketones as fuel.

p.7
Cholesterol Synthesis and Regulation

As LDL binds LDL Receptor and is taken up by the cell, this decreases the activity of ___ by increasing intracellular levels of cholesterol.

HMG-CoA reductase

p.6
Clinical Correlates of Lipid Metabolism

Familial hypercholesterolemia is caused by the loss of the ___ receptor, leading to increased LDLs in circulation.

LDL

p.4
Role of Apoproteins in Lipoproteins

ApoCII interacts with ___ to activate the enzyme.

LPL

p.2
Beta-Oxidation Pathway

ATP is required for the processes of glucose synthesis via ___ and nitrogen disposal via the ___.

gluconeogenesis, urea cycle

p.1
Lipolysis and Hormonal Regulation

Hormone-sensitive lipase is activated by ___ and ___.

glucagon, epinephrine

p.1
Beta-Oxidation Pathway

Acyl-CoA synthetase adds an ___ to free fatty acids.

acyl-CoA

p.7
Lipoprotein Composition and Function

Which of the following is NOT a factor that regulates LDL receptor expression?
A) PCSK9 mediated degradation
B) Elevated intracellular cholesterol
C) AMPKinase mediated phosphorylation
D) Inhibition of LDL receptor transcription
E) Statins

C) AMPKinase mediated phosphorylation
Explanation: LDL receptor expression is regulated by PCSK9 mediated degradation and elevated intracellular cholesterol, which inhibits LDL receptor transcription. AMPKinase mediated phosphorylation is not mentioned as a regulator of LDL receptor expression.

p.4
Lipoprotein Composition and Function

What is the primary function of chylomicrons?
A) Reverse cholesterol transport
B) Carry dietary TAG to adipose tissue
C) Transport cholesterol to the liver
D) Carry newly synthesized TAG from the liver to adipose tissue
E) Activate lipoprotein lipase

B) Carry dietary TAG to adipose tissue
Explanation: Chylomicrons carry dietary TAG (triacylglycerol) to adipose tissue for storage.

p.4
Role of Apoproteins in Lipoproteins

LDL is formed from the maturation of ___ and contains the primary apoprotein ___.

VLDL, ApoB100

p.2
Ketogenesis and Its Regulation

Ketones can be used as fuel by other tissues but cannot be oxidized by the ___.

liver

p.5
Role of Apoproteins in Lipoproteins

Microsomal transfer protein (MTP) is involved in the loading of ___ proteins onto both chylomicrons in the intestine and ___ in the liver.

ApoB, VLDL

p.1
Lipolysis and Hormonal Regulation

Glycerol travels to the ___ to be used as a substrate for ___.

liver, gluconeogenesis

p.4
Role of Apoproteins in Lipoproteins

Chylomicrons originate in the ___ and their primary apoprotein is ___.

intestine, ApoB48

p.5
Role of Apoproteins in Lipoproteins

Phosphatidylcholine:cholesterol acyltransferase (PCAT, aka LCAT) esterifies ___ in the plasma when moving in and out of ___ particles.

cholesterol, HDL

p.1
Control of Fatty Acid Synthesis and Oxidation

When glucagon is HIGH, ___, ___, and ___ occur.

lipolysis, fatty acid β-oxidation, ketogenesis

p.5
Role of Apoproteins in Lipoproteins

Microsomal transfer protein (MTP) is essential for the loading of ___ onto the VLDL.

ApoB100

p.1
Beta-Oxidation Pathway

Acetyl-CoA is largely used for ___, ___, and to a lesser extent in the ___.

ketogenesis, allosteric activation of pyruvate carboxylase, TCA

p.6
Lipoprotein Composition and Function

What is the primary component of LDL?

C) Cholesterol ester
Explanation: LDL is largely filled with cholesterol ester, which is a significant component of its structure.

p.6
Cholesterol Synthesis Overview

What is the primary regulatory enzyme in cholesterol synthesis?

A) HMG-CoA reductase
Explanation: HMG-CoA reductase is the most important regulatory enzyme in cholesterol synthesis, particularly in the synthesis of mevalonate.

p.3
Enzymatic Regulation in Lipid Pathways

Which enzyme converts acetyl-CoA to malonyl-CoA?
A) Citrate lyase
B) Malate dehydrogenase
C) Acetyl-CoA carboxylase
D) Fatty acid synthase
E) Malic enzyme

C) Acetyl-CoA carboxylase
Explanation: Acetyl-CoA carboxylase is the regulatory enzyme that converts acetyl-CoA to malonyl-CoA, a crucial step in fatty acid synthesis.

p.2
Enzymatic Regulation in Lipid Pathways

What is the role of NADH and FADH2 in metabolism?
A) They are substrates for gluconeogenesis
B) They are oxidized to make ATP
C) They inhibit the TCA cycle
D) They activate lipolysis
E) They are converted to glucose

B) They are oxidized to make ATP
Explanation: NADH and FADH2 are oxidized to make ATP, which is a crucial part of cellular respiration and energy production.

p.5
Role of Apoproteins in Lipoproteins

Nascent chylomicrons interact with ___ in circulation to get a full complement of ___ and ___.

HDL, ApoE, ApoCII

p.1
Beta-Oxidation Pathway

Carnitine palmitoyl transferase I generates a ___.

fatty acyl-carnitine

p.1
β-Oxidation Pathway

What are the products of the β-oxidation spiral?
A) Acetyl-CoA, NADH, and FADH2
B) Glycerol, NADH, and FADH2
C) Acetyl-CoA, ATP, and NADH
D) Pyruvate, NADH, and FADH2
E) Acetyl-CoA, ATP, and FADH2

A) Acetyl-CoA, NADH, and FADH2
Explanation: The β-oxidation spiral produces acetyl-CoA, NADH, and FADH2 from the oxidation of free fatty acids.

p.4
Enzymatic Regulation in Lipid Pathways

Which enzyme is the major regulatory enzyme in fatty acid synthesis?
A) Acetyl-CoA carboxylase
B) Lipoprotein lipase
C) Hormone-sensitive lipase
D) HMG-CoA reductase
E) Carnitine acyltransferase

A) Acetyl-CoA carboxylase
Explanation: Acetyl-CoA carboxylase is the major regulatory enzyme in fatty acid synthesis.

p.5
Lipoprotein Composition and Function

Which protein on chylomicrons interacts with lipoprotein lipase (LPL) to hydrolyze TAGs?
A) ApoB100
B) ApoE
C) ApoCII
D) ApoB48
E) SR1

C) ApoCII
Explanation: ApoCII on chylomicrons interacts with lipoprotein lipase (LPL) to hydrolyze TAGs into free fatty acids.

p.6
Clinical Correlates of Lipid Metabolism

What is the measurement of total cholesterol composed of?

D) LDL + HDL + 20% of TAGs
Explanation: Total cholesterol is a measurement of LDL + HDL + 20% of TAGs, providing a comprehensive assessment of cholesterol levels in the blood.

p.2
Ketogenesis Mechanism

What are the two main ketone bodies produced during ketogenesis?
A) Acetone and pyruvate
B) Acetoacetate and D-3 hydroxybutyrate
C) Lactate and citrate
D) Glucose and glycogen
E) Oxaloacetate and fumarate

B) Acetoacetate and D-3 hydroxybutyrate
Explanation: The two main ketone bodies produced during ketogenesis are acetoacetate and D-3 hydroxybutyrate (β-hydroxybutyrate).

p.2
Lipolysis and Hormonal Control

What is the hormonal effect on hormone-sensitive lipase during lipolysis?
A) Activated by insulin
B) Inhibited by epinephrine
C) Activated by epinephrine
D) Inhibited by glucagon
E) Activated by glucose

C) Activated by epinephrine
Explanation: Hormone-sensitive lipase is activated by epinephrine and inhibited by insulin during lipolysis.

p.1
Lipolysis and Hormonal Control

What is the role of glycerol released during lipolysis?
A) It is used for ketogenesis
B) It is used for gluconeogenesis
C) It is stored in adipose tissue
D) It is converted to acetyl-CoA
E) It is used in the TCA cycle

B) It is used for gluconeogenesis
Explanation: Glycerol released during lipolysis travels to the liver where it is used as a substrate for gluconeogenesis, the process of generating glucose from non-carbohydrate sources.

p.7
Enzymatic Regulation in Lipid Pathways

What effect do elevated levels of sterols/cholesterol have on the enzyme HMG-CoA reductase?
A) Enhance its activity
B) Decrease its degradation
C) Enhance its degradation
D) Increase its synthesis
E) No effect

C) Enhance its degradation
Explanation: Elevated levels of sterols/cholesterol enhance the degradation of the enzyme HMG-CoA reductase.

p.6
Lipoprotein Composition and Function

What role does ApoE play in the metabolism of IDL?

A) Facilitates uptake by the liver SR-B1 receptor
Explanation: ApoE on IDL facilitates its uptake by the liver SR-B1 receptor, leading to its breakdown into cholesterol, amino acids, and glycerol.

p.4
Lipoprotein Composition and Function

Which lipoprotein carries newly synthesized TAG from the liver to adipose tissue?
A) HDL
B) LDL
C) VLDL
D) Chylomicron
E) IDL

C) VLDL
Explanation: VLDL (Very Low-Density Lipoprotein) carries newly synthesized TAG from the liver to adipose tissue.

p.1
Enzymatic Regulation in Lipid Pathways

What inhibits Carnitine Palmitoyl Transferase I (CPTI)?
A) Insulin
B) Glucagon
C) Malonyl-CoA
D) NADH
E) FADH2

C) Malonyl-CoA
Explanation: Carnitine Palmitoyl Transferase I (CPTI) is inhibited by malonyl-CoA, which prevents the transport of long-chain fatty acids into the mitochondria for β-oxidation.

p.5
Lipoprotein Composition and Function

What is the primary function of chylomicrons?
A) Transport dietary lipids and fat-soluble vitamins
B) Esterify cholesterol in the plasma
C) Facilitate the uptake of LDL particles
D) Transfer cholesteryl ester from HDL to VLDL
E) Cleave triacylglycerols into glycerol and free fatty acids

A) Transport dietary lipids and fat-soluble vitamins
Explanation: Chylomicrons transport dietary lipids and fat-soluble vitamins and are synthesized in the intestinal epithelial cell.

p.6
Enzymatic Regulation in Lipid Pathways

Which protein mediates the activation of HMG-CoA reductase?

C) Sterol response element-binding protein (SREBP)
Explanation: HMG-CoA reductase is activated by Sterol response element-binding protein (SREBP) mediated transcription.

p.2
Ketogenesis Mechanism

What is the primary function of ketogenesis?
A) Generating glucose from glycogen
B) Producing ketones from excess acetyl-CoA
C) Synthesizing fatty acids from acetyl-CoA
D) Converting pyruvate to lactate
E) Breaking down proteins into amino acids

B) Producing ketones from excess acetyl-CoA
Explanation: Ketogenesis is the process of generating ketones from excess acetyl-CoA produced from β-oxidation.

p.1
Role of Insulin and Glucagon in Metabolism

What happens when insulin levels are high?
A) Lipolysis
B) Fatty acid synthesis
C) β-oxidation
D) Ketogenesis
E) Gluconeogenesis

B) Fatty acid synthesis
Explanation: When insulin levels are high, it promotes fatty acid synthesis, which is the process of creating fatty acids from acetyl-CoA and malonyl-CoA in the body.

p.4
Lipoprotein Composition and Function

Which lipoprotein is the most dense?
A) HDL
B) LDL
C) VLDL
D) Chylomicron
E) IDL

A) HDL
Explanation: HDL (High-Density Lipoprotein) is the most dense lipoprotein.

p.4
Lipoprotein Composition and Function

What is the function of the ABCG1/ABCA1 transporter?
A) Catalyzes the transfer of a fatty acid from coenzyme A to cholesterol
B) Used for uptake by the liver
C) Interacts with LPL to activate the enzyme
D) Responsible for active transport of cholesterol and lipids out of the cell
E) Primary Apo protein in HDL

D) Responsible for active transport of cholesterol and lipids out of the cell
Explanation: The ABCG1/ABCA1 transporter is responsible for the active transport of cholesterol and lipids out of the cell into the HDL particle.

p.2
Clinical Correlates of Lipid Metabolism

What can cause ketoacidosis?
A) Excessive protein intake
B) Prolonged ketogenesis
C) High carbohydrate diet
D) Increased insulin levels
E) Decreased lipolysis

B) Prolonged ketogenesis
Explanation: Ketoacidosis can occur from prolonged ketogenesis, which can be due to conditions such as starvation or uncontrolled diabetes.

p.1
Lipolysis and Hormonal Control

Which enzyme is activated by glucagon and epinephrine during lipolysis?
A) Acyl-CoA synthetase
B) Carnitine palmitoyl transferase I
C) Hormone-sensitive lipase
D) Fatty acid oxidase
E) Pyruvate carboxylase

C) Hormone-sensitive lipase
Explanation: Hormone-sensitive lipase is activated by glucagon and epinephrine, leading to the hydrolysis of triacylglycerols into free fatty acids and glycerol during lipolysis.

p.5
Enzymatic Regulation in Lipid Pathways

What is the function of lipoprotein lipase (LPL) on vascular epithelium?
A) Esterifies cholesterol in the plasma
B) Transfers cholesteryl ester from HDL to VLDL
C) Cleaves triacylglycerols into glycerol and free fatty acids
D) Loads ApoB proteins onto chylomicrons
E) Facilitates the uptake of HDL particles

C) Cleaves triacylglycerols into glycerol and free fatty acids
Explanation: LPL on vascular epithelium cleaves triacylglycerols into glycerol and free fatty acids to be stored in the adipose after being reformed into triacylglycerols.

p.6
Lipoprotein Composition and Function

What is the role of ABC transporters in HDL function?

B) Assist in the transport of cholesterol/lipid from the cells to HDL
Explanation: ABC transporters assist in the transport of cholesterol and lipids from the cells to HDL, playing a crucial role in reverse cholesterol transport.

p.3
Fatty Acid Synthesis Regulation

Which pathway provides NADPH for fatty acid synthesis?
A) Glycolysis
B) Citric Acid Cycle
C) Pentose Phosphate Pathway
D) β-Oxidation
E) Urea Cycle

C) Pentose Phosphate Pathway
Explanation: The pentose phosphate pathway provides NADPH, which is essential for the reductive biosynthesis of fatty acids.

p.7
Clinical Correlates of Lipid Metabolism

What are the primary bile acids?
A) Cholic acid and chenodeoxycholic acid
B) Unesterified cholesterol and bile acids
C) LDL and HDL
D) TAGs and cholesteryl ester
E) PCSK9 and CETP

A) Cholic acid and chenodeoxycholic acid
Explanation: The primary bile acids are cholic acid and chenodeoxycholic acid.

p.4
Transport of Fatty Acids and Glycerol

Where are fatty acids packaged into VLDL particles transported for storage?
A) Liver
B) Muscle tissue
C) Adipose tissue
D) Brain
E) Kidneys

C) Adipose tissue
Explanation: Fatty acids are packaged into VLDL particles as TAGs (with cholesterol) and are transported to adipose tissue for storage.

p.4
Role of Insulin and Glucagon in Metabolism

What effect does insulin have on fatty acid synthesis?
A) Decreases activity
B) No effect
C) Increases activity
D) Inhibits enzyme production
E) Activates lipolysis

C) Increases activity
Explanation: Insulin increases the activity of acetyl-CoA carboxylase, thereby promoting fatty acid synthesis.

p.4
Fatty Acid Synthesis Regulation

Which allosteric effector increases the activity of acetyl-CoA carboxylase?
A) Palmitate
B) Citrate
C) Glucagon
D) Insulin
E) Cholesterol

B) Citrate
Explanation: Citrate is an allosteric effector that increases the activity of acetyl-CoA carboxylase.

p.6
Cholesterol Synthesis Overview

What is the source of all carbons in cholesterol synthesis?

C) Acetyl-CoA
Explanation: Acetyl-CoA is the source of all carbons in cholesterol synthesis, which is a cytosolic process.

p.1
Fatty Acid Synthesis Regulation

Which process does NOT occur simultaneously with fatty acid synthesis?
A) Lipolysis
B) Glycolysis
C) Gluconeogenesis
D) Protein synthesis
E) Glycogenolysis

A) Lipolysis
Explanation: Fatty acid synthesis and lipolysis do not occur at the same time because they are regulated by opposing hormones (insulin and glucagon, respectively).

p.7
Enzymatic Regulation in Lipid Pathways

Which enzyme is the regulatory step in bile acid synthesis?
A) HMG-CoA reductase
B) Cholesterol 7 α-hydroxylase
C) PCSK9
D) CETP
E) AMPKinase

B) Cholesterol 7 α-hydroxylase
Explanation: Cholesterol 7 α-hydroxylase is the regulatory step in bile acid synthesis and is inhibited by bile acids.

p.5
Enzymatic Regulation in Lipid Pathways

What is the role of Phosphatidylcholine:cholesterol acyltransferase (PCAT, aka LCAT)?
A) Hydrolyzes triglycerides in chylomicrons
B) Esterifies cholesterol in the plasma
C) Facilitates the uptake of LDL particles
D) Transfers cholesteryl ester from HDL to VLDL
E) Loads ApoB proteins onto chylomicrons

B) Esterifies cholesterol in the plasma
Explanation: PCAT (LCAT) esterifies cholesterol in the plasma when moving in and out of HDL particles.

p.4
Lipoprotein Composition and Function

What is the primary Apo protein in LDL?
A) ApoA
B) ApoB100
C) ApoB48
D) ApoCII
E) ApoE

B) ApoB100
Explanation: The primary Apo protein in LDL (Low-Density Lipoprotein) is ApoB100.

p.3
Enzymatic Regulation in Lipid Pathways

Which enzyme is responsible for the final release of palmitate in fatty acid synthesis?
A) Citrate lyase
B) Malate dehydrogenase
C) Acetyl-CoA carboxylase
D) Fatty acid synthase
E) Thioesterase

E) Thioesterase
Explanation: Thioesterase is responsible for releasing the final product, palmitate, from the fatty acid synthase enzyme complex.

p.2
Ketogenesis Mechanism

Which of the following is NOT a regulator of ketogenesis?
A) Activity of lipolysis
B) Cytosolic levels of malonyl-CoA
C) Flux through the TCA cycle
D) Concentration of intermediates like OAA
E) Levels of glucose in the blood

E) Levels of glucose in the blood
Explanation: Ketogenesis is regulated by the activity of lipolysis, cytosolic levels of malonyl-CoA, flux through the TCA cycle, and concentration of intermediates like OAA, but not directly by the levels of glucose in the blood.

p.7
Lipoprotein Composition and Function

What is the role of cholesteryl esterase transfer protein (CETP)?
A) Inhibits HMG-CoA reductase
B) Exchanges TAGs from VLDL with cholesteryl ester from HDL
C) Enhances LDL receptor expression
D) Promotes bile acid synthesis
E) Degrades LDL receptors

B) Exchanges TAGs from VLDL with cholesteryl ester from HDL
Explanation: Cholesteryl esterase transfer protein (CETP) is associated with HDL and exchanges TAGs from VLDL with cholesteryl ester from HDL.

p.4
Lipoprotein Composition and Function

What is the role of ApoCII?
A) Catalyzes the transfer of a fatty acid from coenzyme A to cholesterol
B) Used for uptake by the liver
C) Interacts with LPL to activate the enzyme
D) Responsible for active transport of cholesterol out of the cell
E) Primary Apo protein in HDL

C) Interacts with LPL to activate the enzyme
Explanation: ApoCII interacts with lipoprotein lipase (LPL) to activate the enzyme.

p.5
Lipoprotein Composition and Function

What is the primary function of VLDL?
A) Transport dietary lipids and fat-soluble vitamins
B) Esterify cholesterol in the plasma
C) Facilitate the uptake of LDL particles
D) Transport fatty acids synthesized in the liver
E) Cleave triacylglycerols into glycerol and free fatty acids

D) Transport fatty acids synthesized in the liver
Explanation: VLDL transports fatty acids synthesized in the liver and is synthesized in the hepatocyte before being released into circulation.

p.7
Cholesterol Synthesis Overview

What is the primary function of statins?
A) Enhance cholesterol absorption
B) Inhibit HMG-CoA reductase
C) Increase LDL receptor degradation
D) Promote bile acid synthesis
E) Enhance TAG exchange between VLDL and HDL

B) Inhibit HMG-CoA reductase
Explanation: Statins are a class of drugs that inhibit HMG-CoA reductase, which is used for the management of elevated cholesterol.

p.5
Lipoprotein Composition and Function

Which protein is essential for the loading of ApoB proteins onto both chylomicrons and VLDL?
A) CETP
B) LPL
C) SR1
D) MTP
E) PCAT

D) MTP
Explanation: Microsomal transfer protein (MTP) is involved in the loading of ApoB proteins onto both chylomicrons (in the intestine) and VLDL in the liver.

p.6
Clinical Correlates of Lipid Metabolism

What is the consequence of abetalipoproteinemia?

B) Loss of the ability to form lipoproteins containing ApoB
Explanation: Abetalipoproteinemia results in the loss of the ability to form lipoproteins containing ApoB, leading to the loss of chylomicrons and VLDL.

p.3
Fatty Acid Synthesis Regulation

What activates fatty acid synthesis in the cytosol?
A) Glucagon
B) Insulin
C) Palmitoyl-CoA
D) Phosphorylation
E) Malonyl-CoA

B) Insulin
Explanation: Fatty acid synthesis in the cytosol is activated by insulin, which promotes the process by facilitating the necessary enzymatic activities.

p.3
Fatty Acid Synthesis Regulation

What is the role of malonyl-CoA in fatty acid synthesis?
A) It is the final product of the pathway
B) It inhibits CPT1 to prevent oxidation during synthesis
C) It converts acetyl-CoA to citrate
D) It provides glycerol for TAG synthesis
E) It is reduced to malate

B) It inhibits CPT1 to prevent oxidation during synthesis
Explanation: Malonyl-CoA inhibits CPT1, ensuring that fatty acid oxidation does not occur simultaneously with fatty acid synthesis.

p.7
Clinical Correlates of Lipid Metabolism

How is cholesterol primarily excreted from the body?
A) As TAGs
B) As bile acids
C) As unesterified cholesterol
D) As LDL
E) As HDL

C) As unesterified cholesterol
Explanation: Cholesterol is excreted primarily as unesterified cholesterol and bile acids.

p.5
Lipoprotein Composition and Function

What is the primary function of CETP (Cholesteryl ester transfer protein)?
A) Transfers cholesteryl ester from VLDL to HDL
B) Transfers triglycerides from HDL to VLDL
C) Transfers cholesteryl ester from HDL to VLDL
D) Transfers triglycerides from HDL to LDL
E) Transfers cholesteryl ester from LDL to HDL

C) Transfers cholesteryl ester from HDL to VLDL
Explanation: CETP transfers cholesteryl ester from HDL to VLDL and transfers triglycerides from VLDL to HDL.

p.6
Lipoprotein Composition and Function

Which receptor is involved in the uptake of LDL particles by peripheral tissues?

B) LDL-receptor
Explanation: Extrahepatic tissues and the liver express the LDL-receptor, which is involved in the uptake of LDL particles, increasing intracellular cholesterol concentration.

p.2
Ketogenesis Mechanism

Which enzyme is responsible for generating HMG-CoA during ketogenesis?
A) HMG-CoA lyase
B) HMG-CoA synthase
C) Carnitine palmitoyltransferase I (CPTI)
D) Hormone-sensitive lipase
E) Medium Chain acyl-dehydrogenase

B) HMG-CoA synthase
Explanation: HMG-CoA synthase is the enzyme that generates HMG-CoA during the process of ketogenesis.

p.2
Clinical Correlates of Lipid Metabolism

What is a potential consequence of deficiencies in β-oxidation?
A) Hyperglycemia
B) Hypoglycemia
C) Increased ketogenesis
D) Decreased lipolysis
E) Elevated insulin levels

B) Hypoglycemia
Explanation: Deficiencies in β-oxidation can result in hypoglycemia due to the inability to support glucose synthesis.

p.6
Lipoprotein Composition and Function

What is the function of HDL in cholesterol transport?

C) Reverse cholesterol transport
Explanation: HDL is involved in reverse cholesterol transport, originating from the liver and intestine, and acts as a repository for ApoC and ApoE.

p.3
Fatty Acid Synthesis Regulation

What inhibits the enzyme acetyl-CoA carboxylase?
A) Insulin
B) Citrate
C) Dephosphorylation
D) Glucagon
E) NADPH

D) Glucagon
Explanation: Acetyl-CoA carboxylase is inhibited by glucagon, which signals the body to stop fatty acid synthesis when energy is needed elsewhere.

p.5
Lipoprotein Composition and Function

What happens to chylomicron remnants after interacting with the liver SR-B1 receptor?
A) They are esterified in the plasma
B) They are broken down into cholesterol, amino acids, and glycerol
C) They transfer cholesteryl ester to VLDL
D) They are loaded with ApoB proteins
E) They cleave triacylglycerols into glycerol and free fatty acids

B) They are broken down into cholesterol, amino acids, and glycerol
Explanation: Chylomicron remnants are taken up by the liver SR-B1 receptor and broken down into cholesterol, amino acids, and glycerol.

p.3
Transport of Fatty Acids and Glycerol

What is the role of the tricarboxylate transporter in fatty acid synthesis?
A) Converts OAA to pyruvate
B) Removes excess citrate from the mitochondria
C) Synthesizes C-16 palmitate
D) Converts acetyl-CoA to malonyl-CoA
E) Provides NADPH for fatty acid synthesis

B) Removes excess citrate from the mitochondria
Explanation: The tricarboxylate transporter removes excess citrate from the mitochondria, allowing it to be used in the cytosolic process of fatty acid synthesis.

p.2
β-Oxidation Pathway

Which enzyme is the major regulatory enzyme for β-oxidation?
A) Hormone-sensitive lipase
B) HMG-CoA synthase
C) Carnitine palmitoyltransferase I (CPTI)
D) HMG-CoA lyase
E) Medium Chain acyl-dehydrogenase

C) Carnitine palmitoyltransferase I (CPTI)
Explanation: Carnitine palmitoyltransferase I (CPTI) is the major regulatory enzyme for β-oxidation.

Study Smarter, Not Harder
Study Smarter, Not Harder