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Lipid Accumulations
1 and 2
17
Veterinary Medicine
Professional
01/24/2015

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Cards

Term
What are the 3 most important points of hepatic lipid metabolism?
Definition
1) free fatty acids passively absorbed by liver from blood
2) conjugation of triglyceride with apolipoprotein requires protein synthesis
3) Excretion of lipoproteins is energy dependent
Term
What are the 2 possible mechanisms of increased fatty acid uptake?
Definition
1) ingestion
2) mobilization from fat stores due to pregnancy, starvation, etc
Term
What are the rate-limiting steps of lipidosis? What happens when they slow?
Definition
-apoprotein production
-lipoprotein formation
-when they slow down triglycerides accumulate
Term
In what 4 ways does metabolism modify due to toxicosis or hypoxia?
Definition
Decreased:
1) ATP
2) conversion of FAs to triglycerides
3) triglycerides to lipoproteins
4) secretion of lipoproteins
Term
Explain how lipoprotein secretion can be decreased.
Definition
-reduced protein synthesis due to particular toxins (ex: CCl4) or malnutrition:
1) decreased apolipoprotein and/or enzyme synthesis
2) decreases triglyceride to lipoprotein reducing export
Term
How does a liver with mild hepatic lipidosis look?
Definition
-liver is yellow-bronze with accentuated lobular pattern due to lipid-laden hepatocytes in all centrolobular areas
Term
How does a liver look with severe hepatic lipidosis?
Definition
-liver is diffusely pale, yellowed, friable, and greasy
-sections of the liver may float in water or formalin
Term
What are the mechanisms of hepatic lipidosis?
Definition
1) increased FA uptake: saturates metabolism
2) decrease in ATP: reduces triglyceride and lipoprotein production and lipoprotein excretion
3) decreased protein synthesis: decreases lipoprotein production
Term
Definition: Atherosclerosis
Definition
-vascular wall thickening due to accumulations of cholesterol-rich lipid in vessel wall
Term
Where in veterinary medicine is atherosclerosis usually seen?
Definition
-hypothyroid dogs
-diabetic dogs and cats
-dogs with hereditary hyperlipidemia/hypercholesterolemia
Term
Definition: Lysosomal storage diseases
Definition
-enzyme defect or absence so that appropriate breakdown and metabolism of a complex structure doesn't take place and an intermediate product accumulates within lysosomes
Term
What happens to cells during lysosomal storage diseases
Definition
-cells become swollen and finally vacuolated
Term
True or False: Lysosomal storage diseases are an example of autosomal recessive genetic diseases.
Definition
TRUE
Term
Definition: Neural lysosomal storage disease
Definition
-accumulation of specific sphingolipids called gangliosides
Term
What are the two common forms of gangliosidoses? Which is the receptor for cholera toxin?
Definition
-GM1 and GM@
-GM1
Term
What is the key clinical sign/lack thereof of animals with lysosomal storage diseases?
Definition
-they are normal at birth, clinical signs do not start until around 6m of age
-if neural, the animal's personality will change
Term
Can lysosomal storage diseases be reversed?
Definition
-no
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