Cholesterol And Lipoproteins - Block 3

HMG-CoA reductase is the rate limiting enzyme in cholesterol biosynthesis. This means that the activity of this enzyme determines the overall rate of cholesterol production in the body. When the activity of HMG-CoA reductase is inhibited, the synthesis of cholesterol is reduced. Therefore, the statement "The rate limiting enzyme of cholesterol biosynthesis is HMG-CoA reductase" is true.

HDL, also known as high-density lipoprotein, is often referred to as the "good" cholesterol. It is considered protective because it helps remove excess cholesterol from cells and carries it back to the liver, where it is broken down and eliminated from the body. This process helps prevent the buildup of cholesterol in the arteries, reducing the risk of heart disease and other cardiovascular problems. Therefore, the statement that HDL takes cholesterol away from cells is true.

LDL, also known as low-density lipoprotein, is commonly referred to as "bad cholesterol." High levels of LDL in the blood can lead to the buildup of plaque in the arteries, increasing the risk of coronary heart disease. Therefore, LDL is associated with coronary heart disease.

Fatty acids are a major source of energy for the body. When they are hydrolyzed (broken down) and taken up by muscle and other tissues, they can be used as fuel for energy production. Therefore, the statement that fatty acids are used for providing energy is true.

HDL, or high-density lipoprotein, is the hardest lipoprotein to separate because it has high protein content. Lipoproteins are particles that transport cholesterol and triglycerides in the bloodstream. HDL is considered the "good" cholesterol as it helps remove excess cholesterol from the blood and carries it back to the liver for processing. Its high protein content makes it denser and more difficult to separate from other lipoproteins using traditional separation techniques.

Chylomicrons are large lipoprotein particles that transport dietary fats from the intestines to various tissues in the body. The metabolism of chylomicrons starts with their secretion from the mucosa cells in the intestine. These cells package dietary fats into chylomicrons and release them into the lymphatic system. From there, the chylomicrons enter the bloodstream and deliver the fats to different tissues for energy production or storage. The liver also plays a role in chylomicron metabolism by removing remnants of these particles from the bloodstream. However, the initial secretion of chylomicrons occurs in the mucosa cells of the intestine.

Lipoprotein lipase is the enzyme that hydrolyzes fatty acids from chylomicrons into adipocytes. Chylomicrons are large lipoprotein particles that transport dietary triglycerides from the intestines to various tissues, including adipocytes. Lipoprotein lipase acts on the surface of adipocytes and breaks down the triglycerides present in chylomicrons into free fatty acids and glycerol, which can then be taken up and stored by the adipocytes. Therefore, lipoprotein lipase plays a crucial role in lipid metabolism and storage in adipose tissue.

VLDL (Very Low-Density Lipoprotein) is synthesized in the liver and then secreted into the blood. The liver is responsible for the production of VLDL, which is a type of lipoprotein that transports triglycerides from the liver to other tissues in the body. Once in the blood, VLDL undergoes various transformations and eventually gets converted into LDL (Low-Density Lipoprotein) and HDL (High-Density Lipoprotein). Therefore, the correct answer is liver, blood.

The mature chylomicron has three apoproteins on it: Apo B-48, Apo C-II, and Apo E.

When isolating lipoproteins in an aqueous solution, the density range is measured by mixing with a salt solution and ultracentrifuging. Chylomicrons will float to the top because they have a lot of fat.

Apo-CII is necessary on the chylomicron to activate lipoprotein lipase. Lipoprotein lipase is an enzyme that plays a crucial role in the breakdown of triglycerides in chylomicrons, which are particles that transport dietary fat in the bloodstream. Apo-CII acts as a cofactor for lipoprotein lipase, allowing it to bind to the surface of chylomicrons and initiate the breakdown of triglycerides into fatty acids. This process is essential for the efficient utilization of dietary fat by various tissues in the body.

Chylomicrons are mainly composed of triglycerides. Triglycerides are a type of fat that is formed from glycerol and three fatty acids. Chylomicrons are large lipoprotein particles that transport dietary triglycerides from the intestines to various tissues in the body. They are formed in the intestinal cells after the digestion and absorption of dietary fats. Chylomicrons play a crucial role in the transportation and utilization of dietary fats for energy or storage in adipose tissue.

VLDL stands for very low-density lipoprotein, which is a type of lipoprotein produced by the liver. It is responsible for carrying triglycerides, a type of fat, from the liver to other tissues in the body. Therefore, VLDL is indeed an endogenous fat-carrying protein, making the statement "VLDL is an endogenous fat carrying protein" true.

Tendon xanthomas are a characteristic feature of familial hypercholesterolemia, a genetic disorder characterized by high levels of cholesterol in the blood. These xanthomas are deposits of cholesterol that accumulate in the tendons, causing them to appear yellowish and nodular. Therefore, it is correct to say that tendon xanthomas are associated with hypercholesterolemia.

Individuals who are homozygous for hypercholesterolemia have two copies of the gene mutation that causes the condition, resulting in extremely high cholesterol levels that cannot be effectively cleared from the body. This can lead to serious health complications, including the need for a liver transplant. On the other hand, individuals who are heterozygous for hypercholesterolemia have only one copy of the gene mutation and are able to clear cholesterol with the help of cholesterol clearing drugs. Therefore, the statement is true.

Chylomicrons are exogenous, but they are synthesized in the intestines.

Apo C-II is responsible for activating lipoprotein lipase, which is an enzyme involved in the breakdown of fats carried by proteins. Lipoprotein lipase helps in the removal of fats from fat-carrying proteins, allowing them to be utilized or stored in the body as needed.

Apo B-100 is found on VLDL, IDL, and LDL. It is the only protein of LDL. It is the LDL receptor ligand. One of the longest known protein in humans.

When cholesterol levels are high, it signals the body to downregulate the production of HMG-CoA reductase, which is an enzyme involved in cholesterol synthesis. This is a regulatory mechanism to prevent excessive cholesterol production when it is already abundant in the body. Therefore, when cholesterol is high, the synthesis of HMG-CoA reductase is switched off, leading to a decrease in cholesterol production. Hence, the statement is true.

Once the nascent chylomicron receives from HDL the C-II and E proteins, it is now considered mature.

Apo C-1 is a protein that plays a crucial role in the transportation of cholesterol esters into body tissues. It is required for the uptake process, enabling the cholesterol esters to be effectively transported and utilized by the body. Therefore, the statement that Apo C-1 is needed for uptake to transport cholesterol esters into body tissues is true.

Dietary Cholesterol can only be stored in the body esterifed by Lecithin-cholesterol acyltransferase (LCAT) or by acyl CoA cholesterol acyltransferase 1 and 2 (ACAT 1 and ACAT 2).

LDL, also known as "bad cholesterol," are lipoproteins that primarily carry cholesterol in the bloodstream. They are responsible for delivering cholesterol to various cells in the body. LDL particles contain approximately 50% cholesterol and 50% protein, along with other lipids such as triglycerides. Therefore, the correct answer is "50% cholesterol and 50% protein."

Chylomicrons are large molecules that transport dietary fats in the blood. When they are secreted, they are considered nascent chylomicrons, meaning they are newly formed or in an early stage. These nascent chylomicrons have B-48 apoproteins attached to them, which are necessary for their function in transporting fats. The term "nascent" indicates the early stage of formation, while "B-48" refers to the specific apoprotein attached to the chylomicrons.

Apo B-48 is exclusively found on chylomicrons. This apoprotein is synthesized in the intestine and is responsible for the assembly and secretion of chylomicrons, which are lipoprotein particles that transport dietary triglycerides from the intestine to other tissues. Apo B-48 is unique to chylomicrons and is different from Apo B-100, which is found on other lipoproteins like VLDL and LDL. Apo CII and Apo A1 are also apoproteins found on different lipoproteins, but they are not exclusively found on chylomicrons.

The correct answer is mevalonic acid. HMG-CoA is converted into mevalonic acid by the enzyme HMG-CoA reductase. Mevalonic acid is a key intermediate in the biosynthesis of cholesterol. This process is regulated by SREBP (sterol regulatory element-binding protein), which controls the transcription of genes involved in cholesterol synthesis. The translation protein mentioned in the question is not directly related to this specific pathway.

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Chylomicrons have a short half life of one hour. So, if the blood test was done within the hour chlyomicrons will be detected. If more than one hour from your patients big meal, no chylomicrons should be found in blood work, in a normally healthy person.

The nascent chylomicron does not have all the proteins it needs, so it obtains C-II and E from HDL secreted by the liver. HDL, or high-density lipoprotein, is responsible for transporting cholesterol from the peripheral tissues back to the liver. It is rich in proteins, including C-II and E, which are transferred to the nascent chylomicron to complete its formation and functionality. LDL, VLDL, and mature chylomicrons do not provide the necessary proteins for the nascent chylomicron.

The correct answer is sterol regulatory element binding protein (SREBP). SREBP is a transcription factor that plays a crucial role in regulating the synthesis and uptake of cholesterol in cells. When cellular cholesterol levels are low, SREBP is activated and translocates to the nucleus, where it binds to sterol regulatory elements on target genes, including HMG-CoA reductase, the rate-limiting enzyme in cholesterol synthesis. This leads to the upregulation of HMG-CoA reductase and other genes involved in cholesterol synthesis and uptake, helping to restore cellular cholesterol levels.

VLDL stands for Very Light Density Lipoprotein. Lipoproteins are responsible for transporting lipids (such as cholesterol and triglycerides) in the bloodstream. VLDL is a type of lipoprotein that carries triglycerides from the liver to various tissues in the body. It is considered "very light density" because it contains a higher proportion of triglycerides compared to other lipoproteins like LDL and HDL.

Tendon Xanthomas is a hyerpcholesterolemia. Resulting in a defect of the LDL receptor. The reduced LDL clearance leads to high LDL resulting in coronary artery disease and plaques.

Tendon Xanthomas is usually seen on the achilles tendon. TYPE IIa - inherited hyperlipoproteinemia.

HMG-CoA is inactive when it is phosphorylated. It is dephosphorylated by HMG-CoA reductase phosphatase.

Once the fatty acids are hydrolyzed, the C-II is sent back to the HDL. The chlomicron reminant is taken back up into the liver with B-48 and Apo E still attached and are mediated endocytosized on the liver via B/E receptors.

Apo A1 is the main protein of HDL, also known as high-density lipoprotein. HDL is responsible for transporting cholesterol from the body's tissues to the liver, where it can be broken down and eliminated. Apo A1 plays a crucial role in this process by binding to cholesterol and other lipids, forming a complex that can be recognized by receptors in the liver. This allows HDL to effectively remove excess cholesterol from the bloodstream, reducing the risk of cardiovascular diseases.

LDL is synthesized in the liver and intestine. It is formed from very low-density lipoprotein (VLDL) in the plasma. The liver is responsible for producing VLDL, which is then converted into LDL. The intestine also plays a role in synthesizing LDL by absorbing dietary cholesterol and triglycerides, which are then packaged into VLDL and eventually converted into LDL. Therefore, both the liver and the plasma VLDL contribute to the synthesis of LDL.

Remember: LCAT esterifies cholesterol

ACAT converts excess cholesterol into highly insoluble cholesterol esters that are stored in the cell.

Translation is the process by which a protein is synthesized from an mRNA template. In eukaryotic cells, translation occurs in the cytoplasm. Ribosomes, the cellular structures responsible for protein synthesis, are located in the cytosol. Therefore, the correct answer is cytosol.

When chylomicrons are secreted, they are carried by the lymphatics to the blood. Chylomicrons are large lipoprotein particles that are formed in the intestines during the process of fat digestion. They contain dietary fats and fat-soluble vitamins and are too large to directly enter the bloodstream. Instead, they are transported through the lymphatic system and eventually enter the bloodstream, where they can deliver their cargo to various tissues in the body. Therefore, the correct answer is blood.

Apo C-I is found on chylomicrons, VLDL, IDL, and HDL. Chylomicrons are lipoproteins that transport dietary triglycerides, VLDL are lipoproteins that transport endogenously synthesized triglycerides, IDL are intermediate-density lipoproteins that result from the metabolism of VLDL, and HDL are high-density lipoproteins that play a role in reverse cholesterol transport. Therefore, Apo C-I can be found on all of these lipoproteins.

Protein Kinase deactivates HMG-CoA reductase. Protein Kinase is an enzyme that adds a phosphate group to a protein, which can alter its function or activity. In this case, when Protein Kinase adds a phosphate group to HMG-CoA reductase, it inhibits its activity, leading to its deactivation.

Lipoprotein metabolism refers to the process of metabolizing lipoproteins, which are particles that transport lipids (such as cholesterol and triglycerides) in the blood. This metabolism primarily occurs in the plasma compartment of the blood, where lipoproteins are synthesized, modified, and cleared from circulation. The lipoproteins are responsible for transporting lipids to various tissues and organs, where they are utilized or stored. Therefore, the correct answer is "in the plasma compartment of the blood."

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HDL, also known as "good cholesterol," primarily carries proteins. These proteins help remove excess cholesterol from the bloodstream and transport it to the liver for disposal. While HDL does contain small amounts of fat and cholesterol, its main role is to carry proteins that aid in cholesterol metabolism and maintain cardiovascular health.

When intracellular proteins are low; gene expression is activated and HMG-CoA reductase is synthesized.

LCAT is an enzyme responsible for converting cholesterol into cholesterol esters. It is primarily found in plasma, which is the liquid component of blood. LCAT plays a crucial role in maintaining cholesterol balance and preventing the buildup of excess cholesterol in the bloodstream. While it is possible for LCAT to be present in other tissues, its main location is in the plasma, where it carries out its function of esterifying cholesterol. Therefore, the correct answer is plasma.

Apo A-1 can be found in HDL and chylomicrons.

SREBP, or Sterol Regulatory Element Binding Protein, is initially attached to the endoplasmic reticulum (ER). It undergoes proteolytic cleavage, which allows it to detach from the ER and enter the nucleus. Once in the nucleus, SREBP can regulate the expression of genes involved in lipid metabolism and cholesterol synthesis. Therefore, the correct answer is the nucleus.