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Lipid Metabolism and pathophysiology
Cholesterol, lipid metabolism, hyperlipidemia, hypercholesteremia
21
Medical
Graduate
02/23/2010

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Cards

Term
What are the five types of lipoproteins?
Definition
Chylomicrons, very-low density lipoproteins, low density lipoproteins, intermediate density lipoproteins and high density lipoproteins
Term
True or false: Lipoprotein lipase (LPL) is an intracellular enzyme that catalyzes the degradation of VLDL and chylomicrons to their constituent parts, releasing monoacylglycerols and fatty acids into skeletal muscle and adipose tissue.
Definition
False, it is extracellular but the rest is correct
Term
These apolipoproteins activate LPL
Definition
apoC-II
Term
The LDL receptor binds what two apoproteins on the LDL molecule?
Definition
apoE and apoB-100
Term
Definition: A general mechanism wherein cells take up large molecules through a corresponding, specific receptor
Definition
Receptor Mediated Endocytosis
Term
LDLRs cluster around these structures, which enclose ingested LDL and fuse with a lysosome for further degradation.
Definition
Clathrin-coated pits
Term
Cholesterol delivered by VLDL to the tissues is esterified by this enzyme, associated with HDL
Definition
lecithin-cholesterol acyltransferase, LCAT
Term
The liver disposes of excess cholesterol by incorporating it into what digestive substance?
Definition
Bile salts
Term
What two ways does the body prevent excess intracellular cholesterol accumulation?
Definition
Negative feedback of increased cholesterol on cholesterol biosynthesis in the liver, and decreased expression of the LDLR on cell surfaces
Term
LDL contains only this apoprotein, which is recognized by the LDLR in addition to apoE
Definition
apoB-100, IDL has apoE and apoB-100 but not apoC-II
Term
Not to be confused with scavenger receptors, HDL scavenges cholesterol from cells and brings it back to the liver by way of this enzyme, activate by this apoprotein
Definition
LCAT, apoA-1
Term
What percent of VLDL is taken up by the liver through LDLR?
Definition
50%, other half is hydrolyzed to LDL by LPL
Term
True or false: HDL is taken up by the liver in a manner similar to VLDL, receptor-mediated endocytosis
Definition
False, HDL binds to the SR-BI receptor on hepatocytes and transfers its cholesterol esters before disassociating and returning to circulation
Term
True or false: All of the LDLR are found in the liver
Definition
False, 70% in liver but other tissues (skeletal muscle, adipose tissue) have LDLR as well
Term
What percent of total body cholesterol is circulated in the plasma?
Definition
7%, on LDL
Term
True or false: VLDL and LDL are rich in triacylglycerols, while HDL is rich in cholesteryl esters
Definition
True
Term
Circulating macrophages, while low in LDLR, contain many of these types of receptors, which can assist in the phagocytosis of oxidized-LDL
Definition
scavenger receptors
Term
These substances, found in blueberries and citrus fruits, prevent scavenger receptor uptake of LDL in the plasma by protecting the N-terminus
Definition
Anti-oxidants, only oxidized LDL can by taken up by scavenger receptors on macrophages, they lose their protection while in atheromas in SM of arteries
Term
True or false: Familial hypercholesteremia, an autosomal dominant disease, results from mutations in the LDLR
Definition
True, homozygotes have severe cholesteremia and can have myocardial infarctions by the age of 5
Term
5 different mutations on the LDLR gene can cause familial hypercholesteremia, what are they?
Definition
Synthesis disorders, no LDLR at all. Transport disorders, LDLR are made but aren't transported to the golgi complex. Binding, LDLR fuse with cell membrane but can't bind apoE or apoB-100. Pit formation, LDLR bind apoproteins but can't cluster in coated pits. Endosome fusion, clathrin coated pits are formed but they don't bind with the endosome.
Term
This enzyme, the inhibition target of statin drugs, is key in synthesizing cholesterol endogenously, it is inhibited by increased intracellular cholesterol.
Definition
HMG CoA reductase
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