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General on Lipids

Very abundant in nature


• A major component of our diet (together with Proteins and Carbohydrates)


• Exists in a wide variety (phospholipid, triglycerides, waxes, terpenes, etc)


• Soluble/miscible in ORGANIC compounds (like ethanol, benzene)


• Insoluble in water.


Is alcohol an organic compound

Yes it is, it is produced by us during anaerobic respiration

Classification of lipids

Fatty acids (trans, saturated, unsaturated)


● Cholesterol (Steroid)


● Acylglycerol/glyceride (mono, di and triglyceride)


● Sphingolipids (Sphingosine based)


● Terpenes (Vit A, K, E)


● Phospholipids


● Bile acids


● Glycolipids








Define lipids

Lipids are compounds that are insoluble in water but soluble/miscible in organic solvents

Examples of monounsaturated, polyunsaturated and saturated fatty acids

Mnemonics: MOP & PEAL Some PALMS


MOP (Monounsaturated = Oleic and Palmitoleic acid)


PEAL (Polyunsaturated = Eicosapentaenoic, Arachidonic, Linoleic, Linolenic)


Some PALMS (Saturated = Palmitic, Myristic, Stearic)

Mention the functions of Lipids

The most abundant lipid in diet is? What percentage of total dietary lipid is it?

Triglycerides (90% of total dietary lipids)

Lipase converts triglycerides to

Fatty acid and glycerol (according to clin path)

Lipoprotein are made of

Proteins(Apolipoproteins) and Lipids.

Functions of apolipoproteins

1) They help to transport lipids


2) They activate and inhibit action of lipase


3) They regulate metabolism of lipoprotein


4) They are important structural molecules

The core of a lipoprotein is composed of

Triglycerides and cholesterol esters (water insoluble molecules)

The surface of the lipoprotein is composed of

Apolipoprotein, Phospholipids, Cholesterol (Amphipathic and water soluble molecule)

Mention the different types of lipoproteins

● Chylomicrons


● VLDL


● IDL


● LDL


● HDL


● Lipoprotein a (special kind of LDL)

Lipid metabolism is divided into

● Exogenous metabolism


● Endogenous metabolism


● Intracellular cholesterol metabolism


● HDL reverse cholesterol transport

Lipid disorders are classified based on

● Fredrickson's/WHO classification (for lipoproteins)


● Predominant lipid (Triglyceride or Cholesterol)


● Etiology of Hyperlipidaemia

Alpha lipoprotein is

HDL

Beta lipoprotein is

LDL

Pre beta lipoprotein is

VLDL (IDL is broad beta lipoprotein)

Fredrickson's classification (lipoprotein) of disorder include

Type 1 - Increased chylomicrons


● Type 2a - Increased LDL (Beta lipoprotein)


● Type 2b - Increased LDL (Beta lipoprotein) and VLDL (pre-Beta lipoprotein)


● Type 3 - Increased IDL (broad Beta lipoprotein)


● Type 4 - Increased VLDL


● Type 5 - Increased VLDL and chylomicron

It uses electrophoresis arrangement of lipoproteins and it doesn't consider HDL

Classification based on Predominant lipid in plasma

Predominant Hypercholesteraemia


● Mixed Hyperlipidaemia (both cholesterol and triglycerides)


● Predominant Hypertriglyceridemia

Arrangement of lipoproteins based on density and electrophoresis

Density : HDL>LDL>IDL>VLDL>Chylomicrons


Electrophoresis (anode to cathode) : HDL>VLDL>IDL>LDL>Chylomicrons

Based on etiology, lipid disorders are classified into

● Primary Hyperlipidaemia


● Secondary Hyperlipidaemia


● Primary Hypolipidemia


● Secondary Hypolipidemia


Primary is due to genetic malformation, Secondary is acquired

Primary hyperlipidaemia conditions include

● Chylomicron syndrome


● Familial Hypercholesteraemia


● Familial Hypertriglyceridemia


● Familial combined hyperlipidaemia


● Familial defective Apo B- 100


● Type 3 hyperlipidaemia


● Polygenic Hypercholesteraemia


● Hyperalphalipoproteinemia

Primary Hypolipidemia conditions include

● Tangier's disease


● Abetalipoproteinemia

Features of Chylomicron syndrome include

Abdominal pain (with acute pancreatitis)


● Eruptive xanthoma (swellings on the skin)


Hepatosplenomegaly


● Lipaemia retinalis (deposits in the eyes)

The gene that codes for formation of Lipoprotein lipase is on what chromosome

Chromosome 8

Difference between Familial and Polygenic Hypercholesteraemia

Familial is purely due to genetic mutation and is autosomal dominant


●Polygenic is due to genetic and environmental factors



●Familial presents with severe hypercholesteraemia


●Polygenic presents with mild/moderate hypercholesteraemia



●Familial presents with xanthoma in hands, Achilles tendon


●Polygenic doesn't present with xanthoma at all