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Lipids - 2007
Lipids - Kaiser - 2007
34
Medical
Professional
08/31/2007

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Term
Abetalipoproteinemia
Definition
defect in structural gene for apo B-100. Fat malabsorption and hypocholesterolemia, severe GI symptoms.
Treatment: restriction of TGs w/ long-chain FAs b/c medium-chain TGs don't req chylomicron formation but are transported by albumin as free FAs.
Term
Lipoprotein Lipase Deficiency & Apoprotein C-II Deficiency
Definition
both characterized by
- elevated plasma chylomicrons and TG conc.
- repeated attacks of abdominal pain, pancreatitis, hepatosplenomegaly.
Treatment: restriction of fat in diet.
Term
3 Methods to reduce lipid absorption
Definition
(1) Fake Fats - substitute fake fats (without glycerol backbone) for TGs since they will not be recognized by lipases (i.e. olestra has a sucrose core in place of glycerol)

(2) Lipase Inhibitors - tetrahydrolipistatin inhibits gastric & pancreatic lipase; reduces hydrolysis of TGs limiting free FAs (e.g. orlistat and Alli) but may block absorption of fat soluable vitamins

(3) FATP4 blocker - since FATP4 is major transporter of FFAs into enterocytes, it may be a good future drug target

(3)
Term
4 Steps of B-Oxidation of FAs
Definition
(1) Acyl-CoA DH - (acyl CoA -> tans-Enoyl CoA)

(2) Enoyl -CoA Hydrase - (trans-enoyl CoA -> 3-Hydroxyacyl CoA)

(3) B-Hydroxyacyl-CoA DH - (hydroxyacyl CoA -> 3-Ketoacyl CoA)

(4) 3-Ketoacyl-CoA Thiolases - (3-Ketoacyl -> Acyl CoA + Acetyl CoA)
Term
Chylomicrons
Definition
largest, lightest lipoprotein; synthesized in intestine; enter circulation; transport TGs to peripheral cells and liver.
Term
Very Low Density Lipoproteins (VLDLs)
Definition
Originate in liver; secreted into circulation; transport endogenously synthesized TGs to peripheral cells for storage or use
Term
Intermediate Density Lipoproteins (IDLs)`
Definition
producing during conversion of VLDL to LDL; contain TGs and Cholesterol esters
Term
Low Density Lipoproteins (LDLs)
Definition
from metabolism of VLDLs, core mostly cholesterol esters of hepatic and intravascular origin; delivers cholesterol to peripheral cells.
Term
High Density Lipoproteins (HDLs)
Definition
synth and sec in small intestine and liver; 50% protein, 30% phospholipid, remainder free and esterified cholesterol.
Term
Pancreatic Triglyceride Lipase (PTL)
Definition
removes FAs from sn-1 and sn-3 positions of TGs;
Term
FATP4
Definition
Fatty acid transport protein 4 - highly expressed in enterocytes; plays major role in uptake of FAs from intestinal lumen.
Term
Zellweger Syndrome
Definition
autosomal recessive; no functional peroxisomes, LE: 12 weeks; very high plasma FAs (long-chain, 26C).

peroxisomes play vital role in B-ox of FAs. Although mito B-ox fine, carnitine shuttle very inefficient in transport of long FAs.
Term
Refsum Syndrome
Definition
autosomal recessive; accumulation of phytanic acid in plams & tissue.

symp: peripheral neuropathy, ataxia, retinitis pigmentosa; bone/skin changes. phytanic acid has 4 methyl grps (pos 3,7,11,15)

position 3 FAs connot be degraded; must be modified by a-ox.

so, degen of 3 methyl branched FAs FA req a-ox
Term
What happens in the case of high ATP and acetyl CoA (high fat diet) during conditions of carb starvation? FA syth? Why or why not?
Definition
excess Acetyl-CoA is not used for FA synth b/c low carb levels lead to depletion of OAA needed to form citrate (to transfer Acetyl-CoA to cytosol). In effect, ketone bodies are formed.
Term
What effect (pos/neg) do the following have on lipogenic enzymes?
(1) high carb diet
(2) high insulin
(3) high fat low carb diet
(4) fasting
Definition
(1) +
(2) +
(3) -
(4) -
Term
What 2 molecules comprise ceramide?
Definition
Sphingosine + FA
Term
What characterizes a sphingosine?
Definition
long chain amino alcohol
Term
What comprises sphingomyelin?
Definition
ceramide + phosphatidylcholine
Term
What class of molecule to you form when you add a carbohydrate to a ceramide?
Definition
glycosphingolipids
Term
What characterizes gangliosides and what organ contains the highest concentration of gangliosides?
Definition
1 or more N-acetylneuraminic acids (sialic acid residues) and the brain.
Term
Where are the highest concentrations of sphingolipids found and in what organelle are they degraded?
Definition
the myelin sheath membrane of neurons and in lysosomes
Funcion: cell-cell recognition, contact inhibition of growth, signal transduction, second messengers
Term
What enzyme is deficient in Tay-Sachs disease?
Definition
B-hexoaminidase A (converts ganglioside GM2 to Cer-Glc-Gal-NeuAc)
Term
What enzyme is deficient in Sandhoff's disease?
Definition
B-Hexoaminidases A & B (converts globoside to Cer-GLC-Gal-Gal)
Term
The majority of diseases that we discussed are effects of deficiencies in what type of pathway? What is the cause of the pathology (hepato- and splenomegaly, mental retardation, early death)
Definition
Degredation of sphingolipids... and accumulation of the substrate.
Term
What is the enzyme def involved in Metachromic leukodystrophy?
Definition
arylsulphatase A (converts sulphatide to Cer-Gal)
Term
Fabry's disease
Definition
def of a-galactosidase (removes Gal from Cer-Glc-Gal)
Term
Gaucher's disease
Definition
B-glucosidase (removes Glc from Cer-Glc)
Term
Krabbe's Disease
Definition
B-galactosidase def (removes Gal from Cer-Gal)
Term
Niemann-Pick disease
Definition
def in sphingomyelinase (converts sphingomyelin to ceramide)

Note: sphingomyelin is a ceramide + phosphatidylcholine)
Term
Farber's disease
Definition
def in ceraminidase (breaks ceramide into Sphingosine + FA)
Term
What is phosphatidate (1) used for and(2) made from?
Definition
phosphatidate is involved in biosynth of TGs and phospholipids (phosphatidylserine and phosphatidylinositol)

it is made from DHAP and Glycerol (or Glycerol-3-P)
Term
Where is leptin produced? What does it do? Does it have a long or short term effect?
Definition
produced in adipocytes, decreases appetite, increases caloric expenditure, long term effect
Term
Where are ghrelins released? What do they do to appetite? Short and/or long-term effect?
Definition
produced by stomach, increase appetite, short and long term effects.
Term
Name a few lipogenic enzymes?
Definition
acetyl-CoA, FA synthase, citrate lyase, malic enzyme, DH of the PPP (Glc-6-P DH, etc.)
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