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17 Cards in this Set

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Describe Lipoproteins, generally speaking.
Spherical particles with a hydrophobic core (TG and esterfied cholesterol)

On the surface, you have Apolipoproteins:
- large: apoB (B-48, B-100)
- small: apoA-I, apoC-II, apo-E
...they're like address particles.

they're all classified on the basis of density and electrophoretic mobility.
List VLDL, LDL, IDL, and HDL in order of increasing size. Where do chylomicrons fit?

What about by density?
HDL --> LDL --> IDL --> VLDL --> Chylomicrons

opposite order.
Describe the difference between integral apoproteins and peripheral apoproteins.
integral are a part of the phospholipid wall, peripherals are just stuck to it.
Given the apo's here, tell where they occur:
- A-I
- A-II
- A-IV
- B-48
- B-100
- principal of HDL, activates LPL
- dimer in HDL, enhances hepatic lipase activity
- in HDL, actv LCAT and LPL
- ONLY in chylomicron; derived from B-100 thru alternate splicing --> lacks LDL receptor b/ domain.
- principal protein in LDL, also in VLDL, IDL and Lp(a). It's the ligand for the LDL receptor.
Given the apo's here, tell where they occur:
- C-I
- C-II
- C-III
- D
- E
- (a)
- VLDL, HDL, chylo; actv LCAT
- ".."; actv LPL
- chylo, VLDL, HDL, IDL; *inhibits* LPL
- HDL; possibly actv CETP
- chylo, VLDL, HDL, IDL; b/ LDL receptor
- found in Lp(a) that is covalently bound to B-100
Trace the hx of Discoidal (pre-B-HDL).
- formed i/ liv and int.
+ chol, PL, AI, AII, E
+ disc-shaped
- interacts w/ chylomicron remnants and LCAT (lecithin-chol acyl transferase) to form *spherical* a-HDL-3.
+ chol, CE, PL, A, E
- interacts with the cell plasma membranes --> removes free chol.
- LCAT converts HDL-3 to HDL-2a (higher apoE and CE content)
- CETP mediates TriG/CE exchange between HDL-2a and VLDL --> HDL-2b (TriG rich)
What are the functions of HDL?
- transfers proteins to other lipoproteins
- picks up lipids from other lipoproteins
- converts chol --> CE via LCAT
- transfers CE to other lipoproteins which then get them back to the liver.
What is "reverse cholesterol transport"?
The process thru which chol-CE by HDL, and then CE gets given to other lipoproteins to take back to the liver.
What is Lp(a)? What is (a)?
- what weird protein domain does it have?
- high risk associations with clinical sequelae?
LDL + (a); (a) = apoA linked covalently to apoB-100 by disulfide.
- kringle protein domain: tri-looped w/ 3 intramolecular disulfide bonds --> looks like a pretzel.
- High risk association w/ premature CAD and stroke.
What is discoidal HDL or pre-B-HDL?
contains cholesterol, phospholipid, apoA-I, apoA-II, apoE and is disc shaped;
it is formed in liver and intestine
it interacts with chylomicron remnants and lecithin-cholesterol acyl transferase (LCAT) to form more spherical a-HDL3
What does the chylomicron remnant receptor recognize?

LDL-R? Main site of actv? Which apo does it recog most easily?
apoE

particles containing B-100 and/or E
- liver
- E > B-100
Name the places in the body where cholesterol degredation takes place? What is chol converted into?
ONLY in the liver.
Cholesterol --> Bile Acids
Where in the body does biosynth of cholesterol take place? Precursor in main site of synth?
- inhib of synth at this site?
liver and intestine.
- primarily liver
- acetyl CoA (Acetate)
- LDL uptake by liver.
What is the rate-limiting step in chol biosynth?
HMG-CoA reductase catalyzing HMG-CoA --> mevalonate.
Rate limiting step in bile acid synthesis?
cholesterol --> 7-a-chol by 7-a-hydroxylase
(aka CYP 7a1)
What % of bile acids are reabsorbed? Where does this occur?

What is the name we give to this circulation?

Where is dietary fat absorbed?
98-99% in the ileum; return to liver by way of portal circulation.

enterohepatic circulation

1st 100cm of the small intestine.
What do Bile salts do?
- emulsify fats
- aid in absorption of fat soluble Vits.
- accelerate pancreatic lipase actv.
- stim liver to secrete bile
- stim intestinal motility
- keep cholesterol in solution (as micelles)