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Cholesterol and Bile Acid synthesis
EXAM 2
28
Medical
Professional
09/02/2010

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Cards

Term
where is cholesterol derived from?
Definition
diet and synthesized from acetyl CoA
Term
how is cholesterol present?
Definition
free or esterified forms
Term
how is cholesterol transported
Definition
by lipoproteins
Term
how is cholesterol excreted
Definition
unchanged or as bile acids
Term
what is the rate limiting step of cholesterol synthesis?
Definition
HMG CoA->Mevalonate by HMG reductase
Term
where is the location of HMG CoA reductase
Definition
ER
Term
which organ synthesizes the highest amt of cholesterol?
Definition
liver
Term
which organ synthesizes the lowest amount of cholesterol
Definition
adrenal medulla
Term
what type of lipoprotein transports
Definition
cholesterol (LDL)
Term
how is dietary cholesterol transported?
Definition
chylomicrons
Term
name some factors that increase intracellular free cholesterol concentration
Definition
biosynthesis, dietary intake, hydrolysis of CE, receptor mediated uptake of cholesterol
Term
what are some of the factors that decrease intracellular cholesterol?
Definition
down regulation of the LDL receptor, ACAT activation (free->CE), conversion (cholesterol->bile acids), efflux to lipoproteins.
Term
Give an example of some statins used to inhibit HMG reductase
Definition
Zocor, pravachol, mevacor. make reaction reversible and competitively inhibits
Term
what is the sterol independent way of affecting HMG activity?
Definition
protein kinase and phosphoprotein phosphatase
Term
what is an activator HMG reductase?
Definition
insulin, thyroid hormone
Term
what are inhibitors of HMG coA reductase
Definition
glucagon, glucocorticoids
Term
what is the rate limiting reaction in the synthesis of bile acid
Definition
cholesterol->7 alpha hydroxycholesterol by hydroxylase
Term
these two BA are synthesized in the liver from cholesterol
Definition
cholic and chenodeoxycholic acid
Term
primary bile acids are converted to bile salts by conjugation with
Definition
glycine or taurine
Term
a deficiency in 7a hydroxylase leads to
Definition
vit C deficiency
Term
is deoxycholic acid and lithocholic acid conjugated?
Definition
no
Term
all primary and secondary bile acids are absorbed ileum and via the enterohepatic circulation?
Definition
Lithocolic acid
Term
what controls secretion of bile acids?
Definition
CCK and hepatocrinin
Term
what are gallstones created?
Definition
excess cholesterol enters the bile than can be solubilized and precipitates into stones
Term
where does vitD synthesis begin?
Definition
liver, skin, and kidney.
Term
what does plaque contain
Definition
cholesterol, CE, collagen, proteoglycan, elastin
Term
what is HDL transport
Definition
transport of cholesterol for excretion
Term
LDL functions
Definition
delivers cholesterol to tissues
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