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Fatty Acid Metabolism Reading
UC MED 2015
48
Medical
Graduate
10/24/2011

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Term
What is the classification for fatty acid with a chain length >C20?
Definition
very-long-chain length fatty acids
Term
What is the classification for fatty acid with a chain length C12-C20?
Definition
long-chain fatty acids
Term
What is the classification for fatty acid with a chain length C6-C12?
Definition
medium-chain fatty acids
Term
What is the classification for fatty acid with a chain length C4?
Definition
short-chain fatty acids
Term
Long-chain fatty acids circulate through the blood bond to?
Definition
albumin
Term
What converts long-chain fatty acids to fatty acyl coenzyme A (fatty acyl CoA)?
Definition
acyl CoA synthetases
Term
An activated acyl group is transported into the mitochondrial matrix bound to?
Definition
carnitine
Term
In the Beta-oxidation pathway, fatty acid is oxidized to?
Definition
1 FAD(2H)
1 NADH
1 acetyl CoA
Term
What are two ketone bodies (acetyl CoA generated from fatty acid oxidation is converted to this)?
Definition
1) acetoacetate
2) B-hydroxybutyrate
Term
What fatty acid type metabolism does not require carnitine and this metabolism occurs only in the liver?
Definition
water soluble medium-chain length fatty acids
Term
Odd-chain length fatty acids undergo B-oxidation to?
Definition
the terminal three-carbon propionyl CoA
Term
What happens to propionyl CoA?
Definition
It enters the TCA cycle as succinyl CoA.
Term
Excess fatty acids might undergo this?
Definition
omega(w)-oxidation- converts them to dicarboxylic acids which appear in the urine
Term
How are very-long-chain length fatty acids(both straight-chain and branched fatty acids) are whittled down to size by?
Definition
peroxisomal alpha and beta oxidation
Term
What are the products of peroxisomal alpha and beta oxidation?
Definition
H2O2, NADH, acetyl CoA or propionyl CoA and medium-chain or shirt-chain fatty acids
Term
Can the liver use ketone bodies for fuel?
Definition
No, it only can synthesize them
Term
What inhibits formation of the fatty acyl carnitine derivatives?
Definition
malonyl CoA
Term
What are the major fatty acids that are oxidized?
Definition
palmitate(C16), oleate(C18:1), and stearate(C18)
Term
What can activate lipolysis?
Definition
glucagon and other insulin counter-regulatory enzymes-(eg- epinephrine and norepinephrine)
Term
What is the structure of linoleate?
Definition
C18:2- polyunsaturated essential fatty acid
Term
What contains principally saturated and monounsaturated long-chain fatty acids?
Definition
animal fat
Term
What contain linoleate and some longer-chain and polyunsaturated fatty acids? They also contain smaller amounts of branched-chain and odd-chain-length fatty acids.
Definition
vegetable oils
Term
What contains medium-chain length fatty acids?
Definition
dairy fat, maternal milk, and vegetable oils
Term
Fatty acids synthesis generates?
Definition
palmitate(C16)-its from excess calories ingested as glucose
Term
Palmitate can be elongated to form?
Definition
stearate(C18) and oleate(C18:1)
Term
What are toxic to cells because they can disrupt the hydrophobic bonding between amino acid side chains in proteins?
Definition
long-chain fatty acids(cause they are hydrophobic and water insoluble)- thus they are transported in the blood bound to proteins such as albumin
Term
What releases long-chain fatty acids from adipose tissue triacylclycerols?
Definition
lipases
Term
Fatty acids enter cell by two pathways...
Definition
1) saturable transport process
2) diffusion through the lipid plasma membrane
Term
What enzyme activates long-chain fatty acids for B-oxidation by using ATP energy to form the fatty acyl CoA thioester bond? In this reaction, the B-bond of ATP is cleaved to form a fatty acyl AMP intermediate and pyrophosphate (PPi). Subsequent cleavage of PPi helps to drive the reaction.
Definition
acyl CoA synthetase (thiokinase)
Term
Where is acyl CoA synthetase located?
Definition
1) endoplasmic reticulum
2) outer mitochondrial membranes
3) peroxisomal membranes
Term
What is the the most common of these diseases, is characterized by adolescent to adult onset of recurrent episodes of acute myoglobinuria precipitated by prolonged exercise or fasting? During these episodes, the patient is weak, and may be somewhat hypoglycemic with diminished ketosis (hypoketosis), but metabolic decompensation is not severe. Lipid deposits are found in skeletal muscles. CPK levels, and long-chain acylcarnitines are elevated in the blood.
Definition
This disease is carnitine acyltransferase II or CPT II deficiency.

CPTII levels in fibroblasts are approximately 25% of normal. The remaining CPTII activity probably accounts for the mild effect on liver metabolism. In contrast, when CPTII deficiency presents in infants, CPT II levels are <10% of normal, the hypoglycemia and hypoketosis are severe, hepatomegaly occurs from the triacylglycerol deposits, and cardiomyopathy is also present.
Term
What are able to reversibly transfer an activated fatty acyl group from CoA to the hydroxyl group of carnitine to form an acylcarnitine ester?
Definition
Carnitine acyl transferase- The reaction is reversible,so the fatty acyl CoA derivative can be regenerated from the carnitine ester.
Term
What is the enzyme that transfers long-chain fatty acyl groups from CoA to carnitine; it is located on the outer mitochondrial membrane?
Definition
Carnitine:palmitoyltransferase I (CPTI)
Term
What helps fatty acylcarnitine cross the inner mitochondrial membrane?
Definition
translocase
Term
The fatty acyl group is transferred back to CoA by a second enzyme?
Definition
Carnitine:palmitoyltransferase II (CPTII)
Term
What is obtained in the diet or it can be synthesized from the side chain of lysine?
Definition
carnitine
Term
How many types of reactions occur in Beta-oxidation?
Definition
4
1) acyl CoA Dehydrogenase
2) enoyl hydratase
3) hydroxyacyl CoA Dehydrogenase
4) B-ketothiolases
Term
In the first reaction in B-oxidation, a double bond is formed between the B- and a- carbons by this enzyme? What else is produced during this rxn?
Definition
acyl CoA Dehydrogenase- produces a FAD(2H)
Term
The second step in B-oxidation, an -OH from water is added to the B-carbon, and an –H from water is added to the a-carbon by this enzyme?
Definition
enoyl hydratase
Term
In the third step of B-oxidation,the hydroxyl group on the B-carbon is oxidized to a ketone by? What is also formed during this step?
Definition
hydroxyacyl CoA dehydrogenase- NADH is produced
Term
In the fourth B-oxidation reaction, the bond between the B- and a-carbons is cleaved by a reaction that attaches CoASH to the B-carbon, and acetyl CoA is released?
Definition
B-ketothiolases
Term
What moves the double bond from the 3,4-position so that it is trans and in the 2,3-position,and B-oxidation continues? This is necessary for unsaturated fatty acids.
Definition
Enoyl CoA Isomerase
Term
What regulates B-oxidation in general?
Definition
free CoASH, availability of NAD+, and FAD
Term
What is is synthesized in the cytosol of many tissues by acetyl CoA carboxylase? It inhibits CPTI.
Definition
malonyl CoA
Term
What results from defective peroxisomal biogenesis, leads to complex developmental and metabolic phenotypes that affect principally the liver and the brain. One of the metabolic characteristics of these diseases is an elevation of C26:0 and C26:1 fatty acid levels in plasma.
Definition
Zwellegar Syndrome
Term
What disease is caused by a deficiency in a single peroxisomal enzyme, the phytanoyl CoA hydroxylase that carries out B-oxidation of phytanic acid. Symptoms include retinitis pigmentosa, cerebellar ataxia, and chronic polyneuropathy. Because phy-tanic acid is obtained solely from the diet, plac-ing patients on a low-phytanic acid diet hasresulted in marked improvement.
Definition
Refsum disease
Term
What amino acids are called ketogenic amino acids because their carbon skeleton is catabolized to acetyl CoA or acetoacetyl CoA, which may enter the pathway of ketone body synthesis in liver?
Definition
leucine(L), Isoleucine(I), Lysine(K), Tryptophan(W), Phenylalanine(P), and Tyrosine(Y)
Term
What amino acids also form acetyl CoA and acetoacetyl CoA in other tissues as well as the liver?
Definition
leucine and isoleucine
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