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Cholesterol Synthesis
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bravo-four-king-floor-hydrogen-football
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Last Update
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Published
09/04/2024
Cholesterol is required as a precursor for:{{c1:: – Vitamin D – Steroids – Bile salts::(3)}}
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09/04/2024
Cholesterol is a major structural component of {{c1::myelin sheaths::which nervous system component?}} which are synthesized by {{c1::glial (Schwann c…
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09/04/2024
Cholesterol is obtained from {{c1::dietary sources or synthesized de novo}}
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09/04/2024
{{c1::Liver (70-80 %) and small intestine (10%)}} are the main organs synthesizing cholesterol. Also produced in the {{c1::adrenal glands and gonads}}
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09/04/2024
Cholesterol is a critical component of {{c1::cell membranes (~30%)::what part of the cell?}}, where it regulates {{c1::membrane fluidity}}
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09/04/2024
An adult on a low cholesterol diet typically synthesizes about {{c1::800 mg::# mg}}.
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09/04/2024
3 key stages of de novo cholesterol synthesis:{{c1::1. Synthesis of isopentenyl pyrophosphate (IPP): - Cytosol, Condensation of acet…
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09/04/2024
Rate limiting step in cholesterol biosynthesis is the production of {{c1::HMG-CoA → mevalonate by the enzyme HMG-CoA reductase.}}
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09/04/2024
{{c1::HMG-CoA reductase}} is the target for {{c1::statin}} drugs that lower cholesterol
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09/04/2024
Statin drugs interfere with HMG-CoA reductase through {{c1::competitive}} inhibition
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09/04/2024
How is HMG-CoA reductase regulated?{{c2::1. Rate of synthesis of reductase mRNA is controlled by the Sterol Regulatory Element Binding Protein (SREBP)…
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09/04/2024
Bisphosphonates: {{c1::Used for treating bone diseases such as osteoporosis and osteogenesis imperfecta to inhibit osteoclast resorption of bone.::fun…
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09/04/2024
{{c1::image-occlusion:rect:left=.6543:top=.1211:width=.2566:height=.0299:oi=1}}{{c2::image-occlusion:rect:left=.6664:top=.4873:width=.2445:height=.022…
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09/04/2024
HMG-CoA reductase is inhibited by {{c1::statins::what drug class?}}
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09/04/2024
Farnesyl-PP synthase is inhibited by {{c1::bisphosphonates::what drug class?}}
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09/04/2024
Protein prenylation: {{c1::Post-translational modification of proteins adding a farnesyl or geranylgeranyl to C-terminal cysteines of target proteins.…
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09/04/2024
Bile and bile salts are made in the liver and {{c1::stored in the gallbladder between meals}}
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09/04/2024
Functions of bile salts:{{c1::• aid digestion by breaking down fats • help absorb fat-soluble vitamins • eliminate waste products::(3)}}
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09/04/2024
Enterohepatic circulation: {{c1::the way by which bile salts are reabsorbed in the GI tract for recirculation back to liver}}
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09/04/2024
Bile acids are {{c1::amphipathic. sterol side: hydrophobic. amino acid conjugate: hydrophilic.::hydrophilic/hydrophobic/amphipathic}}
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09/04/2024
Cholesterol is a component of {{c1::lipid rafts}} and necessary for {{c1::proper functioning of “coated pits” during}} endocytosis process
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09/04/2024
High cholesterol risk factors out of control include:{{c1::- Age- Genes::(2)}}
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09/04/2024
High cholesterol risk factors in control:{{c1::- Smoking- Weight- Diet- Sedentary::(4)}}
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09/04/2024
Cholesterol in the digestive system exists as either {{c1::bile salts or cholesterol}}
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09/04/2024
Bile salts are produced in {{c1::liver}}, stored in {{c1::gall bladder}} and secreted into the {{c1::duodenum after eating::where & when?}}
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09/04/2024
ABC transporters of clinical importance:{{c1::1. Drug resistance, malaria, cancer.2. Cystic fibrosis: Mutation in ABC chloride carrier.3: Export …
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09/04/2024
Major lipoproteins include:{{c1:: 1.Chylomicrons - large particles that carry dietary lipid 2.Very low-density lipoprotein (VLDL) - carry endogenous t…
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09/04/2024
What is FH? {{c1::Familial HypercholesterolemiaFamily history of early cardiac eventsHigh LDL cholesterol: >190mg/dL in adults, >160mg/dL in chi…
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09/04/2024
Exogenous pathway of cholesterol:1. {{c1::Dietary cholesterol and fatty acids are absorbed.}} 2. {{c1::Triglycerides are formed in the intestinal cell…
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09/04/2024
Endogenous Pathway of cholesterol 1. {{c1::VLDL is formed in the liver from triglycerides and cholesterol esters.}} 2. {{c1::These can be hydrolyzed b…
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09/04/2024
Reverse Cholesterol Transport1. {{c1::Lipid-poor preβ-HDL particles, produced in the liver or the intestine, initiate the efflux of cholesterol and ph…
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09/04/2024
{{c1::image-occlusion:rect:left=.0321:top=.3934:width=.1001:height=.0871:oi=1}}{{c2::image-occlusion:rect:left=.7407:top=.4117:width=.0866:height=.087…
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09/04/2024
Plasma cholesterol levels in normal & FH individuals:Normal: {{c1::150-200mg/dL}}FH heterozygote: {{c1::200-500mg/dL}}FH homozygote: {{c1::600-100…
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09/04/2024
Lipoprotein particle densities & composition:Chylomicrons: {{c1::< 0.95 g/ml, 99% lipid 1% protein}}VLDL: {{c1::0.95-1.006 g/ml, 92% lipid 8% p…
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09/04/2024
What dietary change can be used to manage cholesterol level & how?{{c1::Soluble Fiber: reduce intestinal uptake}}
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09/04/2024
Bile acid resins: {{c1::bind to bile and prevent intestinal uptake of cholesterol, manage cholesterol level::fxn}}
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09/04/2024
Niacin (Vitamin B3): {{c1::manage cholesterol levels, requires high doses and may have serious side effects, can be used in patients who do not tolera…
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09/04/2024
Ezetimibe:{{c1:: blocks intestinal absorption of cholesterol by blocking the NPC1L1 protein. Used in combination with a statin. }}
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09/04/2024
The APOE (apolipoprotein-E) gene is involved {{c1::in making a protein that helps carry cholesterol and other types of fat in the bloodstream.}}
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