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Cardiology
Lipid Terminology & Function
80
Medical
Graduate
09/18/2010

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Cards

Term
Triglyceride
Definition
3 fatty acids on a glycerol molecule make what?
Term
Lipids
Definition
 What is a Group of carbon based compounds that are non-water soluble?
Term
Fats
Definition
What are a type of lipid that is solid at room temp?
Term
oils
Definition
What is a type of lipid that is liquid at room temp?
Term
Fats
Definition
What are esters of glycerol and fatty acids, they are stored intracellular and are utilized as an energy source?
Term
adipose tissue
Definition
Where are TG stored?
Term
liver & muscle
Definition
Where is glycogen stored?
Term
lipolysis
Definition
What process is TG converted to FA and glycerol?
Term
Fatty Acid
Definition
 What are long carbon chain organic acids, the carbons are hydrogenated to varying degrees, i.e. saturated or unsaturated?
Term
Unsaturated fats
Definition
What type of fats are liquid at room temp?
Term
Saturated Fats
Definition
What type of fats are solid at room temp?
Term
saturated
Definition
Higher degress of ____ fats in diets lead to harmful alteration in blood lipids.
Term

LDL-C

 

*Lower HDL-C

Definition
Elevated saturated fats and trans-fats in a diet leads to increase in what?
Term
Trans-FA
Definition
Partial hydrogenation of vegetable oil tends to produce alot of what?
Term
Trans-FA
Definition
Increased dietary ________ is thought to be responsible for dyslipideima and risk of Type II DM.
Term
Omega-3 FA
Definition
Which type of FA can the human body not synthesize?
Term
Omega-3 FA
Definition
Which type of FA may reduce the risk of CHD?
Term
Phytosterols
Definition
What causes incorporation of cholesterol into micelles in the gastrointestinal tract to be inhibited, decreasing the overall amount of cholesterol absorbed?
Term
Phytosterols
Definition
What lowers total cholesterol levels by inhibiting cholesterol absorption?
Term
Cholesterol
Definition
What is synthesized from fatty acid chains in liver and other animal tissues?
Term
Cholesterol
Definition
What is the principle component of animal cell plasma membranes?
Term
Cholesterol
Definition
What is a component of lipoprotein complexes in blood, and of plaques that form on arterial walls in atherosclerosis?
Term
Steroids
Definition
What are an important class of terpene-based lipids?
Term
Bile acids, Androgens & Estrogens, Progestins, Glucocorticoids, Mineralcorticoids
Definition
Steroids derived from cholesterol in animals is divided into what 5 families?
Term
Androgens & estrogens
Definition
What family of steroid derivatives mediates development of sexual characteristics and function?
Term
Progestins
Definition
What family of steroid derivatives regulates the menstrual cycle?
Term
Glucocorticoids
Definition
What family of steroid derivatives regulates carbohydrate, protein, and lipid metabolism and stabilizes capillary membranes?
Term
Mineralcorticoids
Definition
What family of steroid derivatives regulates renal sodium reabsorption?
Term
Bile Acids
Definition
What family of steroid derivateives are detergents secreted by liver that help emulsify lipids in?
Term
Cholesterol & TG
Definition
 Hydrophilic and hydrophobic portions of phospholipid allow __________and ______to be dissolved in plasma as a lipoprotein.
Term
Lipoproteins
Definition
Cholesterol and TG serve important functions however as insoluble molecules they must be transported in complexes known as what?
Term
Apolipoproteins
Definition
Lipoproteins contain specific _________ that interact with specific cell membrane recptors thereby “identifying” the phospholipid to the cell.
Term
Hydrophilic
Definition
The outer core of a lipoprotein is what, making it able to be transported in the circulation?
Term
Chylomicrons
Definition
What are the largest of the lipoproteins?
Term

HDL-C

LDL-C

TG

Total Cholesterol

Definition
What four things does a lipid panel measure?
Term
Chylomicrons
Definition
Most TG found in a lipid panel are what kind?
Term
TG
Definition
What is an important marker for atherosclerosis, but is NOT found in the plaque in the artery walls?
Term
HDL
Definition
Apolipoprotein A is a marker for what?
Term
LDL or VLDL
Definition
Apolipoprotein B is a marker for what?
Term
cholesterol, cholesterol esters, FFA & TG
Definition
What four things are found in a "core" of a lipoprotein?
Term
in the gut
Definition
Where are chylomicrons produced?
Term
Chylomicrons
Definition
What are necessary to transport energy from food into the muscle, liver and fat cells?
Term
TG
Definition
What are Chylomicrons mostly made up of?
Term
lipoprotein lipase
Definition
The capillary bed of chylomicrons contains high concentrations of what?
Term
FFA
Definition
LPL hydrolyzes TG in the CM into ______ that are either oxidized by the muscle cell to generate energy, stored in adipose tissue, oxidized in the liver, or used in hepatic VLDL synthesis
Term
CM remnant
Definition
Once the lipoprotein lipase has completed changing TG to FFA in the CM, what is it called?
Term
12 hours
Definition
At what time postprandial, do CM levels drop to zero?
Term
VLDL-C
Definition
What is a lipoprotein similar in structure to chylomicrons which contain high concentrations of TG?
Term
VLDL
Definition
What is synthesized in the liver from the FFA formed from the catabolizm of chylomicrons or from the endogenous production of TG from glucose and stored FFA in adipose?
Term
IDL - Intermediate Density Lipoprotein
Definition
The TG component of VLDL also undergoes hydrolysis by LPL to provide FA to adipose and muscle tissue. The remaining  lipid portion is called what?
Term
TG
Definition
After VLDL unloads ______ to the cells it turns into IDL
Term
Hepatic Lipase
Definition
IDL is converted to LDL by what enzyme?
Term
LDL
Definition
What carries the majority of cholesterol in the blood supplying it to the cells?
Term
LDL
Definition
What is the most atherogenic of the lipoproteins?
Term
More dangerous
Definition
Is a smaller sized LDL more or less dangerous than a large one?
Term
macrophages
Definition
What eats the LDL once it gets into the endothelium of the vessel wall?
Term
Lp(a) - Lipoprotein a
Definition
What consists of a particle of low-density lipoprotein cholesterol (LDL-C) linked by a disulfide bond to a large glycoprotein of hepatic origin?
Term
Lp(a)
Definition
What lipoprotein particle has both atherogenic and thrombogenic potential?
Term
Africans
Definition
What population is Lp(a) higher in?
Term
VLDL, LDL, IDL
Definition
Increased levels in what 3 lipoproteins are said to be atherogenic?
Term
HDL-C
Definition
What lipoprotein has a cardioprotective role facilitating the transfer of Cholesterol from atherogenic lipoproteins and peripheral tissues to be metabolized by the liver?
Term
liver & intestine
Definition
Where are HDL particle synthesized?
Term
enzyme lecithin-cholesterol acyltransferase (LCAT)
Definition
A circulating enzyme called what promotes the uptake of free cholesterol by HDL?
Term

Esterification

 

*this enhances the density of HDL

Definition
What is the process by which LCAT promotes the uptake of free cholesterol by HDL?
Term

No

 

*b/c we cannnot increase HDL's without decreasing LDL's and we cannot tell which one is responsible

Definition
Will an increase in just HDL decrease your risk for atherosclerosis?
Term
exogenous pathway
Definition
Which pathway transports dietary lipids to the periphery and liver?
Term
Endogenous pathway
Definition
Which lipoprotein metabolic pathway transports hepatic lipids to the periphery?
Term
maintaining net cholesterol balance
Definition
What is the main role of the liver in cholesterol?
Term
the Intestines
Definition
What is the primary means of cholesterol elimination?
Term
liver
Definition
What is the primary organ responsible for regulating the steady-state concentration of LDL?
Term
Primary dyslipidemia
Definition
What type of dyslipidemia comes from inherited disorders, genetically based derangement of synthesis or cell receptor?
Term
Secondary Dyslipidemia
Definition
What type of dyslipidemia results of another disease process, i.e. Type II diabetes, obesity, hypothyroidism?
Term
familial hypercholersterolemia
Definition
Which primary dyslipidemia has increased LDL & nl TG with an increase in ASCVD risk?
Term
Familial combined hyperlipidemia
Definition
What type of primary dyslipidemia has increased LDL, increased TG and decreased HDL?
Term
Obesity
Definition
What type of secondary dyslipidemia is where adipocytes deliver ↑ FFA to liver which then produces more VLDL thereby ↑ TG and LDL, and HDL is low?
Term
Type II DM
Definition
Secondary dyslipidemia caused by insulin resistance and ↓ LPL lead to ↑ TG. LDL-C levels near normal though smaller and more atherogenic. ↓ HDL can be attributed to what disease?
Term
Hyperthyroidism
Definition
Secondary dyslipidemia caused by what disease shows up as ↓ LDL receptor activity leads to ↑ LDL-C and can be reversed with treatment?
Term
Glucocorticoids
Definition
Secondary dyslipidema caused by what disease shows up as ↑ VLDL synthesis in liver leads to ↑ TG and LDL?
Term
Hypercholeterolemia
Definition
Xanthomas and xanthalasmas are PE findings that should lead you to suspect what?
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