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Biochem Test 2:1
Cholesterol, Ketogenisis Review, and Integration from Biochemistry 1 Series
55
Biochemistry
Undergraduate 3
04/07/2011

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Term
Integration 11

Describe the mechanisms allowing an increased use of glucose and fatty acids by a muscle cell when it goes from resting to exercising (5)
Definition
Causes an increase in AMP which leads to the 4 following things:

Increases glut 4 doorways
Activates muscle glycogen phosphorylase
Activates PFK-1
AMP dependent protein kinase which then phosphorlates acetyl coA carboxylase (turns it off) which turns off the production of malonyl coA (less inhibition of carnitine shuttle)
Term
Integration 6i

Glucose 6-phosphate dehydrogenase function
Definition
First enzyme in the pentose phosphate pathway; makes NADPH; glucose 6-P to phosphogluconolactone (don't need to know)
Term
Integration 4h

Fructose 1,6-bisphosphatase function
Definition
inducible enzyme; converts fructose-1,6-bisphosphate to fructose 6-phosphate in gluconeogenesis
Term
Integration 4i

Phosphoenolpyruvate carboxykinase (PEPCK) function
Definition
fasting; turns OAA into PEP
Term
Integration 5a

Active when dephosphorylated or when phosphorylated & function: Phosphofructokinase-2
Definition
dephosphorylated; makes fructose 2,6 bisphosphate which promotes PFK-1
Term
Integration 5b

Active when dephosphorylated or when phosphorylated & function: Pyruvate Kinase
Definition
dephosphorylated; PEP to pyruvate; makes ATP
Term
Integration 6f

Pyruvate carboxylase
On during fasting or fed state, and function?
Definition
On during both

fed glucose to fat
fasting for gluconeogenesis

function is to convert pyruvate to OAA
Term
Integration 6g Citrate Lyase function
Definition
Citrate to OAA & acetyl CoA; takes an ATP
Term
Integration 7: Describe mechanisms that affect the storage of triacylglycerols in adipose tissue during the fed state.

Describe how adipocytes make the glycerol 3-phosphate needed for triacylglycerol synthesis, and how adipocytes can import fatty acids for attachment to the glycerol backbones.
Definition
Insulin increases glut 4 proteins in liver cells, with the glucose being then used for FA production
--
Adipocytes import FA's using LPL

Liver can phosphorylate glycerol --glycerol kinase--> G3P and can use glucose to make DHAP and <--Trios Phosphate Isomerase--> G3P (uses NADH to NAD+)

adipoctyes can only use glucose to make DHAP via <--Trios Phosphate Isomerase--> G3P (uses NADH to NAD+)
Term
Integration 9: Describe the regulation of lipolysis in adipocytes during fasting
Definition
Glucagon leads to PKA activation which activates HSL
Term
Integration 10

Describe the mechanisms by which your liver’s production of ketone bodies increases in the fasting state (10)
Definition
a decrease in the insulin level in the blood
and an increase in the glucagon level in the blood

an increase in the supply of fatty acids from adipose

an increase in beta oxidation of fatty acids in liver cells

an increase in NADH and acetyl CoA in mitochondria of liver cells

the high NADH (high NADH/NAD+ ratio)

oxaloacetate being reversed to malate in TCA which is then used in the malate shuttle for use in gluconeogenesis

oxaloacetate becomes unavailable for reaction with acetyl CoA

the high acetyl CoA and unavailability of oxaloacetate

increased use of the acetyl CoA to make ketone bodies

Also: mitochondrial HMG-CoA synthase is induced in fasting
Term
Ketone Synthesis Review (4)
Definition
2 acetylCoA <--Thiolase--> Acetoacetyl CoA (coA gets thrown away) --HMG coA synthase--> 3-Hydroxy-3-Methylglutaryl CoA (HMG CoA) --HMG CoA Lyase--> Acetyl CoA (thrown away) and Acetoacetate
Term
What two things activate PFK-1?
Definition
AMP, F 2,6-BP
Term
Cholesterol 2c

Steps we need to know for cholesterol synthesis (8)
Definition
Cytosolic acetyl CoA

HMG-CoA

Mevalonate

Isoprene donors

Squalene

Lanosterol

7-dehydrocholestero

Cholesterol
Term
Cholesterol 1

Draw the steroid ring system, label the rings and each carbon
Definition
-
Term
What does too much cholesterol in one's bile lead to?
Definition
Gall stones
Term
Cholesterol 2a

Name tissues/organs that are the principal sites of cholesterol synthesis (2)
Definition
liver, gonads (ovaries, testacles)
Term
Cholesterol 2b

Where does cholesterol synthesis occur?
Definition
Cytosol
Term
Cholesterol 2d

What is the reducing agent in cholesterol synthesis?
Definition
NADPH
Term
Cholesterol 2e

Mitochondrial vs cytosolic HMG-CoA
Definition
mitochondrial to make ketone bodies

cytosolic used to make cholesterol or fat
Term
Cholesterol 2f

Give the reaction catalyzed by HMG-CoA reductase (3)
Definition
Control Point, Uses NADPH

HMG-CoA → Mevalonate

Takes 3 acetyl CoA molecules to make mevalonate
Term
Cholesterol 2g

Describe conversion of Mevalonate to The two interchangeable isoprene donors (3) (p. 641)

Draw Mevalonate

Draw an isoprene
Definition
Mevalonate is phosphorylated and drops an H and adds two phosphates to become 5-pyrophosphate mevalonate

It is then again phosphorylated and becomes 3-P-5PP mevalonate Costs 3 ATP; one for each phosphorylation

Carboxyl group CO2 and the 3-P is cut off to make Delta 3 Isopentenyl pyrophosphate ←→ dimethylallyl pyrophosphate



Isoprene:

CH2
||
C-CH3
|
CH
||
CH2
Term
Cholesterol 2h

What constitutes squalene?

How many carbons are needed to make squalene?
Definition
6 isoprenes in squalene, therefore 30 C’s

6 C’s needed to make 1 isoprene, therefore 18 acetyl groups and 36 carbons needed to make squalene
Term
Cholesterol 2i

Describe the cyclization of squalene to lanosterol (5 w/ lots of details)
Definition
Squalene + O2 + NADPH –Squalene monooxygenase→ Squalene 2,3-epoxide (same oxygen) + H2O + NADP+ --2 Cyclase steps→ Lanosterol –Many reactions→ 7dehydrocholesterol + NADPH --reduction→ Cholesterol + NADP+
Term
Cholesterol 3a

Predict the effect of an increase in the concentration of cholesterol in a cell on the cell’s expression of the gene for HMG-CoA reductase
Definition
Slows it down
Term
Cholesterol 3b

Predict the effect of an increase in the concentration of cholesterol in a cell on the cell’s rate of degradation (proteolysis) of HMG-CoA reductase
Definition
Increases degradation/proteolysis
Term
Cholesterol 3c

Predict the effect of phosphorylation of HMG-CoA reductase on its activity
Definition
Deactivate; cholesterol produced in fed state
Term
Cholesterol 3e

Predict the effect of an increase in the concentration of AMP in a cell on the percentage of HMG-CoA reductase molecules that is phosphorylated
Definition
Increase in HMG-CoA reductase phosphorylation
Term
Cholesterol 4

Describe the mechanism by which an increase in the concentration of cholesterol in a cell decreases the cell’s expression of the genes for HMG-CoA reductase and HMG-CoA synthase (3)
Definition
SREBP binds to SRE on DNA and causes transcription

Cholesterol/sterols make SREBP stay bound to ER membrane and not induce transcription

Sterols Increase HMG-CoA Reductase proteolysis/degradation
Term
Cholesterol 5b

Describe the reaction catalyzed by 7α-hydroxylase (6)
Definition
cholesterol → 7α-hydroxycholesterol

control step in bile production

bile salts allosterically inhibit 7α-hydroxylase

NADPH is oxidized to NADP+ to make cytochrome P450 (Fe3+) become cytochrome P450 (Fe2+) which is used as a cofactor

O2 becomes H2O; O atom is reduced

An O is donated making an OH group
Term
Cholesterol 5c

Say how many carbons are in the structure of an unconjugated bile salt. Be able to recognize the chemical structure of an unconjugated bile salt. (3)
Definition
24 C’s

C 25, 26, 27 missing

C 24 becomes carboxyllic
Term
Define conjugation
Definition
conjugation = attachment of something that makes a molecule more water soluble (frequently done in detoxification)
Term
Why is taurine not a true amino acid?
Definition
It's not used in protein production
Term
Cholesterol 5d

Describe the conjugation of bile salts by the liver. Be able to recognize the chemical structure of a conjugated bile salt. (2)
Definition
Cholic Acid + ATP + CoA → AMP +PPi + Cholyl CoA

Cholyl CoA loses its CoA and becomes either Taurocholic acid or Glycocholic acid depending on which amino acid replaces the CoA
Term
Cholesterol 5e

Describe the enterohepatic circulation of bile salts.
Definition
Bile salts released from gall-bladder in small intestine, 95% of bile salts are then later reabsorbed in ileum
Term
Cholesterol 6a

Describe the reaction catalyzed by cholesterol desmolase
Definition
Cholesterol → pregnenolone
Term
Cholesterol 6b

Distinguish between corticosteroids (i.e. glucocorticoids and mineralocorticoids), androgens, and estrogens. Name an example of each, and give its origin.
Definition
Corticosteroids (c21)- steroids made by the adrenal cortex

Mineralcorticoids- important in how your body handles minerals

Aldosterone- save sodium get rid of potassium (when blood pressure is too low)

Glucocorticoids- important in how your body handles glucose

Androgens male 19C’s
Testosterone - Testes/Gonads

Estrogens female 18C’s
Estrogen - Ovaries/Gonads
Term
Cholesterol 6c

Describe the reactions catalyzed by aromatase (5) and 5α-reductase (3)
Definition
Aromatase cleaves carbon 19C

Androgen to estrogen

2 instances

androstenedione to estrone

testosterone to estradiol
--
5α-reductase

Testosterone → Dihydrotestosterone

DHT is an even stronger androgen than testosterone, found in hair follicles and in prostate gland

Inhibiting DHT and aromatase can prevent baldness and reduce enlarged prostate gland

Dihydro = two extra hydrogens
Term
Cholesterol 7c

Describe the synthesis of chylomicrons, their transport of dietary (exogenous) triacylglycerols, and their delivery of fatty acids to adipose tissue and muscle after a fatty meal (5)
Definition
pancreatic lipase, and colipase breaks down TAGs to FA’s and a 2-monoacylglycerol in micelles in small intestines

TAG’s resynthesized in enterocyte smooth ER
apoproteins made in rough ER
Chylomicrons then put in secretory vesicle by enterocyte golgi complex and secreted

then into lymph, then into blood where muscle and liver cell LPL uptake TAGs and the remnants are sent back to the liver
Term
How are VLDLs made? (5)
Definition
Typically made from glucose

DHAP → G-3-P + FACoA → TG + Other lipids + ApoB-100 → VLDL
Term
Cholesterol 7f

Describe how, when lipoproteins are abundant in the blood, adipocytes can import fatty acids for the synthesis of stored fat. Describe the role of apo C2 in this process, and identify the source of the apo C2
Definition
HDL provides CII apoprotein (which activates LPL)
Term
Cholesterol 8

Describe the roles served by the apo(lipo)proteins of lipoproteins and give examples (4)
Definition
apo b 48 on a chylomicron:
- Make the surface more attractive to the water
- Forming the protein making a stable package for export

activating enzymes (eg. Apo CII, apo A1)

lipoprotein binding to a lipoprotein receptor can cause endocytosis (LDLs can accumulate if this does not occur) (eg. Apo B100, apo E)
Term
Cholesterol 9

Describe the conversion of chylomicrons into chylomicron remnants, and the fate of the chylomicron remnants
Definition
They release contents little by little as they travel through the blood at LPLs

Still contain a lot of cholesterol ester and cholesterol which can be used to make either steroid hormones or bile salts (in liver)
Term
Cholesterol 10

How do liver cells uptake Lipoproteins?
Definition
LDLs are removed from the blood by receptor mediated endocytosis

Liver cells have chylomicron remnant receptors (requires that chylomicron have apo E from HDLs) LDL receptors for apo B-100 and apo E (liver cells have all cells that make steroid hormones)
Term
Cholesterol 11

Where do LDLs get apo B-100 and apo E?
Definition
HDLs responsible for donation of both to LDLs
Term
Cholesterol 11

Describe the biochemical basis and clinical consequences of familial hypercholesterolemia
Definition
Inheritance of lack of genetic coding for LDL receptors, causing cholesterol levels such as 400 or 500, can have heart attacks at age 20-30, if inherited from both parents, cholesterol can rise to 1000, children have heart attacks with this condition.
Term
Cholesterol 11

Describe the regulation of the expression of the gene coding for LDL receptors. (3)
Definition
sterol regulatory element binding protein (binds to DNA and increases LDL receptor production)

additional gene with sterol regulatory element for making LDL

cells will get better at making and importing cholesterol when it is needed
Term
Cholesterol 12a

Describe how increased fiber intake can lower cholesterol (10)
Definition
Can slow the absorption of fructose

Fiber decreases enterohepatic reabsorption of bile salts → amount of bile salts returning to the liver decreases → less inhibition of 7a-hydroxylase in liver cells → more use of intracellular cholesterol to make bile salts → intracellular concentration of cholesterol decreases → SREBP comes untethered and binds to DNA → expression of the gene coding for LDL receptors increases → more LDLs are removed from the blood → blood level of LDL cholesterol decreases
Term
Cholesterol 12b

Describe how statin drugs (and red yeast rice) can decrease the level of cholesterol in your blood, and why can this be unhealthy?
Definition
They inhibit HMG-coA reductase

Which also inhibits isoprene donors

Recommendation of Coq10 supplementation if HMG-coA reductase inhibitor is being taken to lower cholesterol
Term
Cholesterol 13

Describe the role of antioxidants in the prevention of atherosclerosis (4)
Definition
LDLs that stay in the blood too long will become oxidized

Oxidized LDLs are attractive to macrophages in the walls of arteries

When macrophages phagocytose too much oxidized LDL they then become foam cells and act deranged by sending off chemicals that they wouldn’t normally and draw cells and things that would not come normally and can cause plaque build up

Antioxidants prevent LDL oxidation
Term
Cholesterol 14

What cells make HDL?
Definition
Liver cells make the HDL which is responsible for all that we're learning (since other cells make other lipoproteins that qualify as HDLs by definition but do do what liver HDLs do)
Term
Cholesterol 15

Describe the maturation of HDLs as they function in reverse cholesterol transport. Describe the reaction catalyzed by LCAT and its importance in this process. Describe the role of apo A1 in this process. Draw schematics for the structure of a lecithin and the structure of a cholesterol ester. (8)
Definition
HDL can remove cholesterol from the walls of arteries where it does not belong

Cholesterol to cholesterol ester establishes putting cholesterol in the core of an HDL

Cholesterol to cholesterol ester catalyzed by LCAT lecithin cholesterol acyl transferase

FA at position 3 needs to be donated from a lecithin molecule

Which is why lecithin granules are given to individuals with high cholesterol

[G – Fatty Acid
L
Y
C
E – Fatty Acid
R
O
L – P] – Choline (shorter)

Lecithin = Phosphatidyl (part of diagram in brackets) Choline

Apoprotein that activates LCAT is apo A1

Cholesterol –ester bond- FA is a cholesterol ester
Term
Cholesterol 16

Describe the interactions between HDLs and other lipoproteins in circulation. Describe the fate of HDLs. (3)
Definition
CETP – Cholesterol Ester Transfer Protein transfers cholesterol from HDL to VLDL

Exchanges proteins with chylomicrons and VLDL

HDL then goes back to liver at the end of their lives
Term
Cholesterol 17

Describe the synthesis of vitamin D3, and the conversion of vitamin D3 into calcitriol:
Describe the conversion of 7-dehydrocholesterol into cholecalciferol (vitamin D3), and the conversion of cholecalciferol into calcitriol (1,25-dihydroxycholecalciferol). Describe some of the functions of calcitriol. (7)
Definition
7-dehydrocholesterol converts to cholecalciferol (vit d3) by the energy from a photon

starts out by breaking the b-ring of 7-dehydrocholesterol, then becomes cholecalciferol which is converted in the liver to 25-hydroxycholecalciferol (calcidiol) where the kidney converts it to 1,25-dihydroxycholecalciferol (aka 1,25-(OH)2D3 or simply calcitriol) via PTH.

PTH induces 1-a-hydroxylase which converts calcidiol to calcitriol

UVB (for breaking the b-ring)

Calcitriol improves ability to absorb Ca++ from digestive tract

Enters enterocyte and forms transcription factor that binds to DNA, causes creation of calcibindin (protein that binds to calcium and causes the absorption of it)
Term
Cholesterol 18

Note the importance of monooxygenases in cholesterol metabolism (e.g. squalene monooxygenase and the hydroxylases and cytochrome P450 enzymes). Describe in general the reactions catalyzed by enzymes classified as monooxygenases or mixed function oxidases. Name and describe the structure of the cofactor required by all cytochromes. (7)
Definition
General Monooxygenase function: O2 + S(ubstrate) + Electron Donor-XH2 (such as NADPH + H+) --> H2O + Electron Donor-X + S - OH

squalene monooxygenase converts squalene to squalene 2,3-epoxide which is a step in its conversion to lanosterol

all cytochromes have protein wrapped around a cofactor called heme

cytochromes important for bile salt production

hydroxylases important for tyrosine production from phenylalanine

cholesterol → 7α-hydroxycholesterol done by a 7a-hydroxylase, with cytochrome P450 as a cofactor

1-a-hydroxylase responsible for calcidiol to calcitriol
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