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MCB-2 Block-3 Gems-9
Plasma Lipprotein, Aberrant lipid metabolism
25
Microbiology
Graduate
07/08/2011

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Cards

Term
VLDL
Definition
Delivers de novo TAG to periphery

Contains apo B-100, ApoE and C
Picks up more ApoE and C later from HDL

Lipoprotein Lipase relases FA from VLDL
Term
VLDL maturation
Definition
Half of VLDL remnants that have multiple copies of ApoE are taken up by liver

Smaller VLDL remnants with few ApoE copies become IDL -> LDL via hepatic triacylglycerol(HTGL)
Term
LDL
Definition
Has most cholesterol

Deliver cholesterol to periphery and liver

Contains apoB-100. Receptor mediated endocytosis. 2/3 cholesterol taken up by liver.

Some LDL cleared by macrophages that have scavenger receptors and affinity for acetylated or oxidized LDL.
Term
HDL
Definition
least TAGs and high choelsterol. Made by liver + intestine.

Delivers cholesterol to liver for elmination.

Important reservoir of apoproteins.
Term
Hepatic Triacylglycerol Lipase
Definition
Found on endothelial cells in space of disse, attached to lumen via heparin sulfate

Hydrolysis of TAGs and phospholipids

IDL -> LDL and HDL2 -> HDL3
Term
Apoplipoproteins on plasma lipoproteins
Definition
Chylomicron: B-48

VLDL, IDL, LDL: B-100

HDL: no B
Term
Chylomicrons
Definition
Formed with ApoB-48 and ApoA lipoproteins

ApoE and CII-Apolipoproteins are acquired later from HDL
Term
Disposal of chylomicron remnants
Definition
Chylomicron remnants bind to heparin sulfate and then bind to lipoprotein receptors(Requires ApoE) on surface of hepatocyte

Complex is endocytosed in space of disse

Hydrolyzed by lysosomal enzymes
Term
REgulation of Cholesterol and LDL receptors
Definition
Excess cholesterol -> ACAT -> Reduces choelsterol synthesis.

Reduces LDL receptor synthesis via SREBP
Term
Free cholesterol acts on 3 proteins
Definition
Induces Acyl-CoA cholesterol acyl transferase (Makes cholesterol Ester)

Represses HMG-CoA reductase: cholesterol synthesis

Reduces synthesis of LDL receptors
Term
Function and Fates of HDL
Definition
HDL transports cholesterol from extrahepatic tissues to liver for elimination

Nacent HDL: Liver and intestine: Contain ApoA-I,ApoA-II, and ApoC.

Intestinal only formed with ApoA-1 others picked up lateer.

HDL picks up apoplipoproteins from VLDL and chylomicrons.

Functions as mobile store for apoproteins ecept Apo-Bs(48,100)
Term
Enzymes Determining HDL function
Definition
Lecithin-cholesterol acyl transferase(LCAT) binds to surface of HDL and activated by ApoA-I (facilitates transfer of FA from cholesterol-ester to Lecithin)

Cholesterol ester transer protein(CETP) transfers cholesterol ester from HDL to other lipoproteins.
Term
Risk factors for atherosclerosis and CHD
Definition
LDL cholesterol correlates with CHD better than plasma cholesterol

High HDL is associated with reduction in risk
Term
Atheroslerosis
Definition
Cholesterol ester deposits occur first in macrophages than in extracellular space.

Oxidized LDL causes endothelial injury ->
macrophage migration and uptake of oxidized lipoprotein -> Foam cells.
Term
Lipoprotein(a) Lp(a)
Definition
Form of LDL in which glycoprotein(apolipoprotien(a) is disulfide bonded to ApoB-100 molecule of LDL.

Elevated Lp(a) levels: risk factor for atherosclerosis

Not affected by diet. Determined by gene expression in liver.
Term
abetalipoproteinemia
Definition
AR, Rare

Mutation in microsomal triglyceride transfer protein(MTP)

Effects absorption of dietary fats, cholesterol, and fat soluble vitamins(ADEK)

Liver, intestine cannot assemble normal TAG-rich ApoB containing lipoproteins.

VLDL, LDL, chylomicrons virtually absent.
Term
ApoE and Alzeimers
Definition
ApoE transports lipoproteins, fat-soluble vitamins, and cholesterol

Enhances protelytic breakdown of peptide beta amyloid.
Term
ABCA1 and ApoA1
Definition
Assist in HDL formation

ApoA1 binds ABCA1 -> accumulation of cholesterol -> nascent pre-HDL

(loads cholesterol onto HDL)
Tangier disease: mutation in ABCA1: orange tonsils. HDL levels reduced.
Term
Triglyceride lowering drugs
Definition
Fibric Acid derivatives

Clofibrate, Gemfibrosil, fenofibrate

Stimulates lipoprotein lipase

Interact with PPAra(peroxisome proliferator activated receptors)

Inhibits triglyceridie lipolysis in adipose, decreases FFA intake by liver, Decreases heapatic VLDL/TG synthesis
Term
Niacin(nicotinic Acid)
Definition
Water soluble B vitamin

converted to amide and incorporated into NAD

Triglyceride and cholesterol lowering. Decreases VLDL and LDL

Decreases TG lipase in adipose tissue.

Increases Lipoprotein lipase in adipose
Term
Deficiency of LCAT
Definition
Lecithin cholesterol acyl transferase
(lecithin = phosphatidyl choline)

Lecithin + cholesterol -> CE + lysolecithin

CHolestero acquired by HDL cannot be esterfied -> higher free cholesterol/CE ratio in all lipoproteins.

Complete: corneal clouding
Incomplete: Fish eye(opacity)
Term
Type I hyperchylomicronemia
Definition
Hydrolysis of TAGs impaired

Most plasma cholesterol is in VLDL(LDL formation impaired)

Deficiency of LPL or Apo-CII(LPL activator)
Term
Type II Hypercholesterolemia
Definition
Elevated LDL and VDL
Term
Type III: dysbetalipoproteinemia
Definition
ApoE that cannot bind hepatic ApoE receptors.

Chylomicron remnants and IDL-like VLDL remnants, accumulate in blood
Term
Typie IV and Type IV hyperlipoprotenemia
Definition
Elevated VLDL and chylomicrons.

Obseity, DM, ALcholism.

Dietary treatment is effective
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