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Download MBBS Biochemistry PPT 53 Lipid Metabolism Lecture Notes

Download MBBS (Bachelor of Medicine, Bachelor of Surgery) 1st year (First Year) Biochemistry ppt lectures Topic 53 Lipid Metabolism Notes. - biochemistry notes pdf, biochemistry mbbs 1st year notes pdf, biochemistry mbbs notes pdf, biochemistry lecture notes, paramedical biochemistry notes, medical biochemistry pdf, biochemistry lecture notes 2022 ppt, biochemistry pdf.

This post was last modified on 05 April 2022

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1. DIETARY LIPIDS

?INGESTION
?DIGESTION
?ABSORPTION

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?TRANSPORTATION
?UPTAKE BY TISSUES
2. LIPOLYSIS: LIPID CATABOLISM

q FATTY ACID OXIDATION

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q KETONE BODY METABOLISM

3. LIPOGENESIS:

q LIPID BIOSYNTHESIS

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q DE NOVO BIOSYNTHESIS OF FATTY ACIDS

4. LIPOPROTEIN METABOLIM/

TRANSPORTATION OF LIPIDS

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5. DISORDERS ASSOCIATED TO LIPID

METABOLISM

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INGESTION OF DIETARY LIPIDS/

EATING OF DIETARY LIPIDS
?Lipid is the chief

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constituent of human

food.

Why To Eat Dietary Lipids?

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OR

Importance Of Ingesting

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Dietary Lipids
Importance Of Ingesting Dietary Lipids:

? To obtain TAG a secondary source of energy

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for body tissues.

? To get source of Essential Fatty acids /PUFAs

structural components of tissues.

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? To get source of Fat Soluble Vitamins

(Vitamin A,D,E and K) associated with Fatty

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foods.

? To improve taste of recipes.

? To increase palatability and satiety value.

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?Thus daily consumption of

dietary lipids is essential

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?For the maintenance of

normal , growth, health and

reproduction of human

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body.
In What

Amount & Form

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The Dietary Lipids

to be Eaten?

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? The daily consumption of dietary

Lipids by human beings varies and

depends upon:

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?Dietary habits of an individual
?Economic status of a family
RDA OF DIETARY LIPIDS

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?Per day quantity of dietary

Lipids for an adult

individual is:

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?60-80 grams of dietary

Lipids in his/her diet.

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FORMS AND SOURCES OF

DIETARY LIPIDS
Dietary Forms Of Lipids

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? The dietary ingested Lipids contain fol owing

forms of Lipids:

?Triacylglycerol (TAG):Predominant

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form of dietary Lipid - 98%.

?Phospholipids
?Cholesterol Ester

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?Fat soluble Vitamins: are soluble in Fat

hence associated with fatty foods.
? The quality of ingested

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Lipids should contain

adequate amounts of

Essential Fatty Acids

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(PUFAs).

?The ideal ratio of dietary

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Fatty acids in a TAG should

be :

PUFA : MUFA : SFA

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1 : 1 : 1
Trans Fats are Detrimental To Health

? The sources of dietary Lipids

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should be free from Trans Fatty

acids/less than 1%.

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? Trans Fatty acids are not readily

metabolized by human body.

? Trans Fats increases the risk of

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Atherosclerosis.

Dietary Rich Sources Of Lipids
?The dietary rich sources

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of Lipids

?Obtained from foods of

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Plant and Animal origin.



Sources Of Plant Lipids

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q Plant Oils: Peanut ,Safflower

,Sunflower, Olive, Mustard Oils,

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Margarine etc.

qNuts: Peanuts , Walnuts , Cashew

,Almonds, Sesame ,Pine etc

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Sources Of Animal Lipids

?Milk

?Ghee, Butter , Cheese

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?Egg Yolk

?Fish

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?Animal-Fat ,Meat , Liver and Brain

Characteristics Of Food Fat Sources


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Visible Fat

. Butter, Margarine, Salad oils and

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dressing, Shortening Fat Meat

Invisible Fat

. Cheese, Cream portion of

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homogenized milk, Egg yolk, Nuts,

Seeds, Olives.
Digestion Of Dietary Lipids In GIT

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Digestion Of Dietary Lipids

Is

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Cleavage Of Ester Bonds

Present In Various Lipid Forms

By

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Lipases/Lipolytic Enzymes

In

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Different Parts Of GIT
Insignificant Digestion

Of Dietary Lipids

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Occurs in Mouth and Stomach

? Though the Salivary juice

contains Lingual Lipase and

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Gastric juice contains Gastric

Lipase .

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? The digestion of dietary Lipids in

mouth and stomach is negligible.
Insignificant Digestion Of Lipids In

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Mouth and Stomach Due to:

?No optimal pH in juices for optimal

activity of Enzyme Lipases to act on

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dietary Lipids of Mouth and Stomach

? No Emulsification Process in Mouth

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and GIT

?As non polar Lipid droplets are

insoluble in the juices.

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?Dietary Lipids do not have

contact with polar and soluble

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Enzymes present in the

aqueous phase of salivary and

gastric juices.

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?Since there is no contact of

dietary insoluble forms of Lipids

and soluble forms of Enzymes.

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?There is no cleaving of the Ester

bonds of Lipid structures in the

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salivary and gastric juices for

digestion of Lipids in mouth and

stomach.

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Significant and Complete

Digestion

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Of Dietary Lipids

Occurs In

Smal Intestine

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After Emulsification
What Is Emulsification?

Emulsification is an Essential

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Prerequisite Physicochemical

Process in Smal intestine

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To

Initiate and Complete

Significant Digestion of

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Dietary Lipids
?Emulsification is a

Physicochemical process

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?Which forms Emulsions

from the dietary ingested

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Lipids.

? Emulsification takes place in the

lumen of smal intestine.

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? This is very essential process to

occur before the digestion of

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dietary Lipids.
Requirements

Of

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Emulsification

To Form Emulsions

? Emulsification takes place to form

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Emulsions with the help of Emulsifying

agents:

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?Emulsifying Agents/Surfactants:

? Bile Salts (Sodium Glycocholate, Sodium

Taurocholate)

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? Amphipathic Lipids (present in diet)

?Mechanical force :

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? Provided by peristaltic movement of

intestine.
? During the process of

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Emulsification there is

dispersion of large droplets

of Fats/Oils

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? Into smal , miscible droplets

which are termed as

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Emulsions.


?Emulsions have non polar

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lipids (TAG) in center

?Covered with a peripheral

layer of Bile salts and

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Amphipathic Lipids.
Requirement Of Bile

In Smal Intestine

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For Lipid Digestion and

Absorption

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? Bile is a greenish fluid

produced in Liver.

? It is concentrated and is

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stored in Gal bladder.

? Carried through bile duct

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? Later secreted in Smal

intestine
?Cholecystokinin (CCK)

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and Secretin

?Stimulates the:

Gal bladder to contract

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and release bile.

Composition Of Bile

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? Bile is an Alkaline solution

composed of:

?Bile Salts (Surfactant)

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?Bilirubin (Bile Pigment)

?Cholesterol

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?Lecithin

?Bile acids


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Bile Acid

Role Of Bile Salts In Emulsification
?Name Of Bile salts :

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?Sodium Glycocholate

?Sodium Taurocholate

?Bile salts present in the

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bile have detergent like

action

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?Bile salts are

emulsifying agents

?They are responsible for

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fat Emulsification
? Bile salts present in Bile and

dietary Amphipathic Lipids by

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their detergent like action:

?Reduces surface tension

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?Increases surface area of

Fats/Oil and made them

miscible with aqueous phase.

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? Emulsions bring non polar

dietary Lipids in close

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contact with Lipid digesting

Enzymes present in aqueous

phase of intestinal juices.

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Significance Of Emulsification

? Emulsification facilitate in the digestion of

dietary ingested Lipids in small intestine by:

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?Reduces surface tension, increasing surface

area of Lipids

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?Forms Emulsions
?Improves the miscibility of non polar Lipids

TAG in aqueous phase.

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?Brings contact of dietary Lipids with Lipid

digesting enzymes.

?Facilitates cleavage of Ester bonds of

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dietary Lipids.


Emulsions formed by Bile salts, Triacylglycerols and pancreatic lipase.

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Action Of Specific

Lipid Digesting Enzymes

(Lipases)

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in Smal Intestine

? Dietary forms of Lipids are

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digested:

?By the action of specific Lipid

digesting enzymes

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?Present in Pancreatic and

intestinal juice
?Digestion of Lipids is

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cleavage of Ester

bonds present in their

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structures.

Digestion Of Triacylglycerol

(TAG)

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By Enzyme Pancreatic Lipase
? Dietary Fat/Oil which is chemically

TAG is the predominant ingested

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Lipid form.

? TAG is predominantly and

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significantly digested in smal

intestine

? After the process of Emulsification.

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Action Of Pancreatic Lipase

? Digestion of Triacylglycerol is

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cleaving of ester bonds present in its

structure.

? Triacylglycerol in small intestine is

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specifically acted upon by enzyme

Pancreatic Lipase.
Colipase Facilitates

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Pancreatic Lipase Activity

? Pancreatic Colipase

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?Is activated by Trypsin
?Colipase interacts with

Triacylglycerol and Pancreatic Lipase

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?Displaces Bile to allow recycling
?Improves activity of Pancreatic

Lipase

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Role Of Pancreatic Colipase

? Secreted from Pancreas as

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Procolipase

? Activated (cleaved) by

Trypsin

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? Colipase anchors Lipase to

the Emulsion.

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? One Colipase to one Lipase

(i.e., 1:1 ratio)

?Pancreatic Lipase digest

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TAG

?By specifically cleaving first

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and third ester bonds of

TAG structure.
? Pancreatic Lipase attack TAG at 1 and 3 positions of

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Ester bonds.

G Fatty Acid1

G

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l

l

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y

Lipase

y

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Fatty Acid1

c

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c Fatty Acid

2 H

+

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e Fatty Acid

2

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2

20

e

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r

r

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Fatty Acid3

ol

ol

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Fatty Acid3

Triacylglycerol

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2-Monoacylglycerol

2 Free Fatty Acids

? The products of TAG digestion

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? By Pancreatic Lipase activity

are:

?Free Fatty acids

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?Monoacylglycerol (2MAG)
Bile Salts

Dietary Fat

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Lipase 2-Monoacylglycerol

(large TG droplet)

+ 2 FFA

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Lipid emulsion

Triacylglycerol

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Colipase Pancreatic Lipase

Optimum PH 6 Cleaves 1st and 3 rd ester

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bond of TAG

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Free Fatty acids + 2-Monoacylglycerol

(Fatty acid esterified at C2 of Glycerol)


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Action of Non Specific

Lipid Esterases
? Non specific Lipid Esterases act

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on 2-MAG /Retinol Ester.

? It cleaves the ester bonds and

releases Free Fatty acid and

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Glycerol/Retinol respectively.

2-Monoacylglycerol

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Non Specific Esterase

Cleaves Ester bond at C2

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Free Fatty acid + Glycerol
Digestion Of Phospholipids

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by

Action of Phospholipase A2

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and

Lysophospholipase

? The pancreatic juice enzymes

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Phospholipase A2 and

Lysophospholipase digests

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dietary Phospholipids.


Phospholipid

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Phospholipase A2

Cleaves Ester bond at C2 of PL

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Lysophospholipid+ Free Fatty acid
Lysophospholipid

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Lysophospholipase

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Cleaves Ester bond at C1



Glycerophosphorylcholine+ Free Fatty

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acid

? Phospholipase A2 cleaves second

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position ester bond of Phospholipid

and form Lysophospholipid and Free

Fatty acid.

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? Lysophospholipid is then acted by

Lysophospholipase which cleaves ester

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bond at C1 to generate:

Glycerophosphorylcholine and Free

Fatty acids.

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Digestion Of Cholesterol Ester

By

Cholesterol Esterase

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Cholesterol Ester



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Cholesterol Esterase

Cleaves Ester bond at C3


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Free Cholesterol+ Free Fatty acid
End Products Of Lipid Digestion

? 5 Simple Forms as End products of Lipid Digestion

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1. Free Fatty acids
2. Glycerol
3. 2-Monoacylglycerol (2-MAG)
4. Glycerophosphoryl-Choline

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5. Free Cholesterol

Absorption

of

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Dietary End Products

Of Lipid Digestion
?Absorption of end

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products of Lipid

digestion takes place in

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smal intestine.

? The rate of absorption of

different types of Lipids differ.

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?Pork fat is almost absorbed

completely.

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?Castor oil is not at al absorbed.
Theories Of Lipid Absorption

? Absorption of Lipids is a complex

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mechanism and various theories are

proposed to explain its mechanism.

?Lipolytic Theory

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?Partition Theory
?Bergstorm Theory (Most Recent and

accepted one)

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?The simple forms of

Lipids as digestive end

products are ready for

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absorption.
Mechanism Of Lipid Absorption

? Bile Salts play an important role

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in absorption of digestive end

products of dietary Lipids.

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? Bile salts help in formation of

Mixed micel es.

?Mixed Micelle is a

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aggregation of digestive

end products of dietary

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Lipids with a peripheral

layer of Bile Salts.


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?The efficiency of Lipid

absorption depends upon:

?The quantity of Bile salts

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?Which solubilizes and

form Mixed Micelles.
Mixed Micel e Formation

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? Mixed Micel e is a complex of Lipid

materials and Bile salts soluble in water

?It contains Bile salts, end products of

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Phospholipids & Cholesterol at periphery

of a Mixed Micel es.

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?2-Monoacylglycerol, Free fatty acids and

fat-soluble Vitamins in center of Mixed

Micel es.

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Mixed Micel e Formation
? In the Mixed Micel e the non

polar long chain fatty acids

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are at the center

? At the periphery are

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Amphipathic Lipid moieties

and Bile salts.

? Bile salts and Amphipathic

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Lipids of Mixed Micelle

? Exert a solubilizing effect on

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non polar Lipid moieties and

help in their absorption.
? Mixed Micel es then get attached

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to the intestinal mucosal cel

membrane.

? This help the Lipid end products to

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slowly cross the mucosal

membrane.

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? Bile salts of Mixed Micelles do

not cross the intestinal mucosal

cel membrane.

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? They get retained in intestinal

lumen and later get recycled.
?The Bile salts are

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reabsorbed further down

the Gastrointestinal tract

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(in the ileum)

? Bile salts are transported

back to the Liver through

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enterohepatic circulation

? Final y recycled and

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secreted back into the

digestive tract
Re-Esterification of Simple Lipids

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OR

Resynthesis Of Complex

Forms Of Lipids

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In Intestinal Mucosal Cells

?Once the simpler forms of

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Lipids enter the intestinal

mucosal cells

?They are resynthesized

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into complex forms of

Lipids in the intestinal

--- Content provided by‌ FirstRanker.com ---

mucosal cells.
? Free Fatty acid (FFA) + Glycerol Monoacylglycerol

? MAG +FFA Diacylglycerol

--- Content provided by​ FirstRanker.com ---

? Diacylglycerol + FFA

Triacylglycerol

? Glycerophosphorylcholine + FFAs

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Phospholipid

? Cholesterol +FFA Cholesterol Ester

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? Note the resynthesized

complex Lipids in intestinal

mucosal cel s

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? Are usual y different from

those ingested through diet.
?The dietary absorbed

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Lipids in intestinal

mucosal cells are then

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mobilized out as

Lipoproteins.

Formation Of Lipoprotein

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Chylomicrons

In Intestinal Mucosal Cells

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For The

Transportation Of

Dietary Lipids

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?The Lipids of dietary origin

present in intestinal

mucosal cells are mostly

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non polar (TAG) and

hydrophobic in nature.

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? The transport of these dietary

Lipids through aqueous phase of

lymph and blood is

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? Facilitated through formation of

a Lipoprotein -Chylomicron in

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intestinal mucosal cells.
? Lipoprotein Chylomicron is

formed in intestinal mucosal

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cel s by

? Aggregation of dietary

ingested, digested and

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absorbed Lipids and

Apoprotein (ApoB48).

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? Chylomicron structure has the

non polar Lipids aggregated at

center, the Amphipathic Lipids

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and Apoproteins are at

periphery.
?Chylomicron has 98% of

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TAG (dietary origin)

?1% other Lipids and
?1% Proteins.

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? Chylomicrons from intestinal

mucosal cells are first released in

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Lacteals (Lymph vessels) of

Lymphatic system

? Which then enters the systemic

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blood circulation via Thoracic

duct.

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? Thus Chylomicron serve as a

vehicle for transporting the

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exogenous forms of dietary Lipids

? From Smal intestine to Liver via

aqueous phase of Lymph and

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Blood.


Lipid Digestion Absorption and

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Transport


Mechanism Of

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Lipid Absorption

Simple diffusion

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Exocytosis

Short and

medium

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chain fatty

acids

--- Content provided by​ FirstRanker.com ---

Overview

of Lipid

Digestion

--- Content provided by‌ FirstRanker.com ---


and

Absorption

--- Content provided by​ FirstRanker.com ---


Absorption of Lipids

Absorption of fat.

--- Content provided by​ FirstRanker.com ---

Transportation Of

Chylomicrons

Through Blood Circulation

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Action OF Enzyme Lipoprotein Lipase

On Lipoproteins

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(Chylomicrons and VLDL)

Unlike

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Plasma Lipid Clearance

OR

Role Of Clearing Factor

--- Content provided by FirstRanker.com ---





? Unlike Carbohydrates (Glucose) and

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Protein (Amino acids) who use

enterohepatic circulation to reach first

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to Liver.

? Most Lipids do use systemic circulatory

system.

--- Content provided by⁠ FirstRanker.com ---


? This allows Lipids to be cleared by the

whole body and avoids overwhelming

--- Content provided by‌ FirstRanker.com ---

the Liver with Lipids.
? Most of the absorbed Lipids

from GIT mucosal cel s do not

--- Content provided by⁠ FirstRanker.com ---

directly enter the blood

stream.

? Instead, they are packaged

--- Content provided by‌ FirstRanker.com ---


into Chylomicrons and first

released into the lymph.

--- Content provided by⁠ FirstRanker.com ---

? The lymph dumps into the Aortic arch (at

the Thoracic duct's connection with the left

Sub Clavian vein) .

--- Content provided by FirstRanker.com ---


? Where it then is transported through the

blood stream to be cleared and taken up

--- Content provided by‍ FirstRanker.com ---

by:

?Adipocytes
?Liver
?Muscle

--- Content provided by‌ FirstRanker.com ---

? Clearance of Lipoproteins

from circulation

? Is mediated by an enzyme

--- Content provided by​ FirstRanker.com ---


Lipoprotein Lipase (LPL)

acting upon TAG of

--- Content provided by‌ FirstRanker.com ---

Lipoproteins.

? Nascent (New) Chylomicrons released

from intestinal mucosal cells are

--- Content provided by​ FirstRanker.com ---


circulated first through lymph and

then in systemic blood circulation.
? Nascent Chylomicrons in

--- Content provided by⁠ FirstRanker.com ---


blood circulation get matured

? After the receipt of Apo C I

--- Content provided by⁠ FirstRanker.com ---

and ApoE from HDL.

? Apo C I of Mature Chylomicron then

stimulates an enzyme Lipoprotein Lipase

--- Content provided by​ FirstRanker.com ---


(LPL)

? LPL associated in endothelial lining of

--- Content provided by​ FirstRanker.com ---

blood vessels, of Adipose, Heart,

and Skeletal Muscle tissue, as well as in

Lactating Mammary glands.

--- Content provided by⁠ FirstRanker.com ---

? Stimulated Lipoprotein Lipase then

acts upon the TAG of Lipoproteins

(Chylomicron and VLDL).

--- Content provided by‍ FirstRanker.com ---


? Lipoprotein Lipase hydrolyze the TAG

of Lipoproteins to Free Fatty acids and

--- Content provided by‌ FirstRanker.com ---

Glycerol.

? Released Glycerol and Free Fatty acids

enter the adjacent Adiposecytes.

--- Content provided by‌ FirstRanker.com ---


? Glycerol and FFAs entered

in Adipocytes are

--- Content provided by‌ FirstRanker.com ---

transformed into TAG.

? TAG is storage form of

Fatty acids

--- Content provided by‌ FirstRanker.com ---


? TAG serve as a reserve

source of energy.
?The LPL by its activity

--- Content provided by⁠ FirstRanker.com ---


on Chylomicrons

reduces its content of

--- Content provided by​ FirstRanker.com ---

TAG.

? The Chylomicrons after the

action of LPL reaching to

--- Content provided by‍ FirstRanker.com ---


Liver are

? Maximal y reduced with TAG

--- Content provided by‌ FirstRanker.com ---

content and now termed as

Chylomicron Remnant.
? The Chylomicron remnant in

--- Content provided by⁠ FirstRanker.com ---

comparison to Nascent

Chylomicron is

? Smal er in size, and has very

--- Content provided by‌ FirstRanker.com ---


less percentage of dietary

TAG, associated to it.

--- Content provided by​ FirstRanker.com ---

? Chylomicron remnants get fixed

to their specific receptors

present on Hepatocytes and get

--- Content provided by‍ FirstRanker.com ---


internalized.

? The internalized Chylomicron

--- Content provided by FirstRanker.com ---

remnants inside the Liver gets

further metabolized.
? Lipoprotein Lipase is also

--- Content provided by⁠ FirstRanker.com ---

termed as Clearing Factor

? Since Lipoprotein Lipase clears

Lipaemic sera(Chylomicrons)

--- Content provided by⁠ FirstRanker.com ---


in post absorptive phase.

LPL Activity On Chylomicrons

--- Content provided by‌ FirstRanker.com ---

? In Post absorptive phase most of the

blood Chylomicrons are transformed to

Chylomicron remnants

--- Content provided by⁠ FirstRanker.com ---


? By the Lipoprotein Lipase activity,

? The released moieties from Chylomicrons

--- Content provided by‍ FirstRanker.com ---

are internalized by Adiposecytes and

Hepatocytes

? This clears the circulating Chylomicrons

--- Content provided by⁠ FirstRanker.com ---


from blood.
v Defect In Lipoprotein Lipase

Do not clear blood

--- Content provided by FirstRanker.com ---


Lipoproteins

Accumulates Chylomicrons

--- Content provided by​ FirstRanker.com ---

and VLDL in blood circulation

Heparin Is a Coenzyme For

Lipoprotein Lipase

--- Content provided by FirstRanker.com ---


? MI patients are administered

with Heparin injections

--- Content provided by⁠ FirstRanker.com ---

? Which may stimulate the

Lipoprotein Lipase activity

? And clear blood with elevated

--- Content provided by⁠ FirstRanker.com ---


Chylomicrons and VLDL.



--- Content provided by⁠ FirstRanker.com ---


Transport of Short Chain Fatty Acids

And

--- Content provided by‌ FirstRanker.com ---

Medium Chain Fatty Acids

Is Different From

Long Chain Fatty Acids

--- Content provided by‌ FirstRanker.com ---


? Transport of Short and Medium chain

Fatty acids

--- Content provided by‍ FirstRanker.com ---

?These enter portal blood directly

from enterocytes

?Transported after bound to Albumin

--- Content provided by FirstRanker.com ---


in blood

?Albumin?FFA complex
?FFA which are internalized in Liver

--- Content provided by​ FirstRanker.com ---


?Oxidized to liberate ATPs

OR

--- Content provided by‌ FirstRanker.com ---

?Elongated and used for TAG

formation

? Long-chain Fatty acids

--- Content provided by​ FirstRanker.com ---


?Transported in the form of

Chylomicrons

--- Content provided by‍ FirstRanker.com ---

?Drain into the Lymphatics via the

Lacteal in Mammals

?Enter blood stream at the Thoracic

--- Content provided by​ FirstRanker.com ---


duct
Important Role Of Bile Salts In

Lipid Digestion and Absorption

--- Content provided by​ FirstRanker.com ---


? Bile Salts are formed in Liver

from Bile acids.

--- Content provided by‌ FirstRanker.com ---

? Bile Salts are mixed and carried

through Bile via Common Bile

Duct(CBD) to small intestine.

--- Content provided by‌ FirstRanker.com ---

? Bile Salts in intestine helps in

Emulsification of dietary Lipids to

form Emulsions and Facilitates Lipid

--- Content provided by​ FirstRanker.com ---


Digestion.

? Later Bile Salts form Mixed Micel es

--- Content provided by‌ FirstRanker.com ---

and facilitates the absorption of

digestive end products Lipids.

Disorder Related

--- Content provided by⁠ FirstRanker.com ---


To Lipid

Digestion and Absorption/

--- Content provided by‌ FirstRanker.com ---

Steatorrhoea
Steatorrhoea

? Steatorrhoea is a Malabsorption

--- Content provided by⁠ FirstRanker.com ---

condition

? Where there is no digestion and no

absorption of dietary Lipids in GIT

--- Content provided by⁠ FirstRanker.com ---


? Dietary ingested Lipids are excreted

out through feces

--- Content provided by‍ FirstRanker.com ---

? Steatorrhoea leads to Fatty stools

Causes Of Steatorrhoea

? The basic cause to suffer from

--- Content provided by‌ FirstRanker.com ---


Steatorrhoea is:

?Absence of emulsifying

--- Content provided by​ FirstRanker.com ---

agents- Bile salts in the smal

intestine.

?Absence of specific Enzymes

--- Content provided by⁠ FirstRanker.com ---


for Lipid digestion.
Thus Any Condition Affecting,

Synthesis, Secretion and

--- Content provided by​ FirstRanker.com ---


Transport of Bile to Intestine

leads to Steatorrhoea

--- Content provided by FirstRanker.com ---

? Extensive Liver damage

affects Bile Synthesis.

? Celiac Diseases: Sprue,

--- Content provided by‌ FirstRanker.com ---


Crohn's Disease

? Surgical removal of intestine
? Obstructive Jaundice

--- Content provided by‍ FirstRanker.com ---


? Obstruction due to

narrowing of bile duct after

--- Content provided by‍ FirstRanker.com ---

surgeries

? Obstruction of CBD due to

Gal Stones

--- Content provided by⁠ FirstRanker.com ---


Biochemical Alterations in

Steatorrhoea
? No/Less Bile Salts in small

--- Content provided by​ FirstRanker.com ---


intestine

? No/Less Emulsification of

--- Content provided by‍ FirstRanker.com ---

dietary Lipids

? No/Less Emulsions formed
? No/Less Contact of Lipids with

--- Content provided by​ FirstRanker.com ---

Lipases

? No/Less digestion of dietary Lipids
? No/Less formation of Mixed

--- Content provided by​ FirstRanker.com ---

Micelles

? No/Less absorption of dietary

Lipids

--- Content provided by⁠ FirstRanker.com ---


? More excretion of dietary Lipids

through feces.
Consequences Of Steatorrhoea

--- Content provided by​ FirstRanker.com ---


? In Steatorrhoea person suffers from

deficiency of essential Fatty acids

--- Content provided by‌ FirstRanker.com ---

and Fat Soluble Vitamins.

? Body lacks exogenous TAG as

secondary source of Energy.

--- Content provided by​ FirstRanker.com ---


? Body lacks from Exogenous source of

Phospholipids and Cholesterol.
Diagnosis OF Steatorrhoea

--- Content provided by⁠ FirstRanker.com ---


? Determination Of Fecal Fat

? Microscopical y (Fat Globules present)
? Quantitatively (Gravimetric Method)

--- Content provided by‌ FirstRanker.com ---

Chyluria

? Chylomicrons in Urine is termed as

Chyluria.

--- Content provided by​ FirstRanker.com ---


? Abnormal condition where

lymphatic drainage system opens

--- Content provided by​ FirstRanker.com ---

in urinary tract.

? Urine appears milky

? Chyluria occurs in Filariasis.

--- Content provided by⁠ FirstRanker.com ---


Chylothorax

? Chylomicrons in Pleural

--- Content provided by‍ FirstRanker.com ---

fluid is termed as

Chylothorax.

? Abnormal y Thoracic duct

--- Content provided by‍ FirstRanker.com ---


opens in pleural cavity.
Overview Of Lipid Metabolism

vLipid metabolism involves:

--- Content provided by⁠ FirstRanker.com ---


vLipolysis
vLipogenesis
vLiver and Adipose tissue play a

--- Content provided by‍ FirstRanker.com ---

central role in Lipid metabolism.


vAdipose tissue is the main store

--- Content provided by​ FirstRanker.com ---

house of Triacylglycerol in the body.

vFatty acids are reduced

compound oxidized/catabolized

--- Content provided by⁠ FirstRanker.com ---


to Acetyl CoA

vFatty acids are biosynthesized

--- Content provided by‌ FirstRanker.com ---

using Acetyl CoA as a precursor.


Lipid Metabolism

--- Content provided by⁠ FirstRanker.com ---


What Is Lipolysis?

OR

--- Content provided by FirstRanker.com ---

Role Of Hormone Sensitive Lipase

(HSL)


--- Content provided by​ FirstRanker.com ---

?In a well fed condition

TAG is stored as reserve

source of energy in

--- Content provided by FirstRanker.com ---


Adiposecytes.

Fat Storage in White Adipose Tissue
? Lipolysis occurs in emergency

--- Content provided by‍ FirstRanker.com ---


conditions

? Lipolysis is the break down of

--- Content provided by​ FirstRanker.com ---

Depot Fat-Triacylglycerol(TAG)

? Into Free Fatty acids and

Glycerol

--- Content provided by FirstRanker.com ---


? By enzyme activity of Hormone

sensitive Lipase

--- Content provided by​ FirstRanker.com ---

Triacylglycerol



In Adipocytes Hormone Sensitive Lipase

--- Content provided by‌ FirstRanker.com ---


Cleaves Ester bonds

Glycerol+ Free Fatty acid

--- Content provided by⁠ FirstRanker.com ---


?During Lipolysis the

secondary source of

--- Content provided by​ FirstRanker.com ---

energy TAG

?Stored as depot Fat gets

utilized.

--- Content provided by‍ FirstRanker.com ---

Diagrammatic View Of Lipolysis

Conditions Of Lipolysis

? Lipolysis significantly and efficiently occurs :

--- Content provided by​ FirstRanker.com ---


?In emergency fasting condition

?In between long hours after meals

--- Content provided by‌ FirstRanker.com ---

?When the primary source of energy

Glucose go below normal range in blood

?In presence of Hormones Glucagon or

--- Content provided by‌ FirstRanker.com ---


Epinephrine

?By activity of Hormone Sensitive Lipase
? The Enzyme Hormone Sensitive

--- Content provided by⁠ FirstRanker.com ---


Lipase of Adipocytes is stimulated

By Hormones:

--- Content provided by FirstRanker.com ---

? Glucagon and Epinephrine

mediated via cAMP.

?On Lipolysis the Free Fatty

--- Content provided by⁠ FirstRanker.com ---


acids and Glycerol are

mobilized out of

--- Content provided by‍ FirstRanker.com ---

adipocytes in blood

circulation.
End Products Of Lipolysis

--- Content provided by‍ FirstRanker.com ---

?Free Fatty Acids
?Glycerol

Fate Of Glycerol After Lipolysis
? Glycerol (polar moiety)released in

--- Content provided by‌ FirstRanker.com ---


emergency condition during

Lipolysis

--- Content provided by⁠ FirstRanker.com ---

? Is carried through blood and

enters in Liver and Muscles.

Fate Of Glycerol In Muscles

--- Content provided by‍ FirstRanker.com ---

Glycerol Enter into

Glycolytic Pathway

(In Muscles)

--- Content provided by FirstRanker.com ---


Glycerol



--- Content provided by FirstRanker.com ---



Glycerol Kinase

Glycerol-3-Phosphate

--- Content provided by​ FirstRanker.com ---


Glyceraldehyde-3-PO4


?Glycerol of Lipolysis is

--- Content provided by​ FirstRanker.com ---


metabolized via Glycolysis

in Muscles
? Glycerol in muscles is

--- Content provided by⁠ FirstRanker.com ---


Phosphorylated to Glycerol-3-PO4

? Glycerol-3-PO4 is further oxidized

--- Content provided by⁠ FirstRanker.com ---

to Glyceraldehyde-3-PO4

? Thus Glyceraldehyde-3-PO4 in

Muscles make its entry in

--- Content provided by​ FirstRanker.com ---


Glycolysis

? Further gets metabolized to

--- Content provided by⁠ FirstRanker.com ---

generate energy (ATP) for

muscle activity.
Fate Of Glycerol In Liver

--- Content provided by‍ FirstRanker.com ---

Glycerol Of Lipolysis

Is a Precursor For Gluconeogenesis

(In Liver)

--- Content provided by FirstRanker.com ---


Glycerol Is Used For Glucose

Biosynthesis In Liver
? Glycerol of Lipolysis is metabolized

--- Content provided by⁠ FirstRanker.com ---


via Gluconeogenesis in Liver

? Glycerol in Liver is Phosphorylated

--- Content provided by‍ FirstRanker.com ---

to Glycerol-3-PO4 by Glycerol

Kinase

? Glycerol-3-PO4 is further oxidized to

--- Content provided by‍ FirstRanker.com ---


? Glyceraldehyde-3-PO4 and isomerized

to DHAP

--- Content provided by‍ FirstRanker.com ---

? This then is converted to Glucose.
? Thus Glyceraldehyde-3-PO4

in Liver make its entry in

--- Content provided by‌ FirstRanker.com ---

Gluconeogenesis and

? Further gets metabolized to

produce Glucose.

--- Content provided by​ FirstRanker.com ---


?Glucose formed in Liver is

mobilized out into blood

--- Content provided by FirstRanker.com ---

and

?Supplied to Brain and

Hepatocytes in fasting

--- Content provided by‌ FirstRanker.com ---


condition.
Fate Of Free Fatty Acids

After Lipolysis

--- Content provided by‌ FirstRanker.com ---


? Non polar Long Chain Free Fatty

acids released in blood

--- Content provided by⁠ FirstRanker.com ---

circulation after Lipolysis are not

transported on its own.

? Needs the help of a polar moiety.

--- Content provided by⁠ FirstRanker.com ---

Polar Moiety Albumin

Transports

Long Chain Free Fatty Acids

--- Content provided by‍ FirstRanker.com ---


In Blood

Released After Lipolysis

--- Content provided by‌ FirstRanker.com ---

? Long chain Free Fatty acids are

uncharged/nonpolar/hydrophobic

? They are linked with polar Protein

--- Content provided by⁠ FirstRanker.com ---


moiety Albumin

? FFA-Albumin complex get

--- Content provided by⁠ FirstRanker.com ---

transported through blood

circulation.
? Albumin remain in the blood

--- Content provided by‍ FirstRanker.com ---

circulation

? Free Fatty acids make its

entry in Muscle cel s.

--- Content provided by‌ FirstRanker.com ---


Fatty Acids In Muscles

Oxidized To Liberate Energy

--- Content provided by‌ FirstRanker.com ---

(ATP)
? Free Fatty acids are highly reduced

compounds.

--- Content provided by FirstRanker.com ---

? Free Fatty acids entered in Muscles

during emergency condition

? After Lipolysis, are oxidized to

--- Content provided by‌ FirstRanker.com ---


liberate chemical form of energy

ATP.

--- Content provided by​ FirstRanker.com ---

?Thus after Glucose Free

Fatty acid serve as

secondary source of

--- Content provided by FirstRanker.com ---


energy to body tissues.



--- Content provided by‌ FirstRanker.com ---






--- Content provided by‌ FirstRanker.com ---



208
Oxidation Of Fatty Acids

--- Content provided by‍ FirstRanker.com ---

OR

Catabolism/Degradation

Of Fatty Acids

--- Content provided by‌ FirstRanker.com ---


How Fatty Acid Oxidation

Serve As

--- Content provided by FirstRanker.com ---

Energy Source?
? Fatty acids are an important

secondary source of energy to

--- Content provided by FirstRanker.com ---

body.

?Since Fatty acids are reduced

compounds

--- Content provided by‍ FirstRanker.com ---


?Possess CH2-CH2 hydrocarbon bonds

with bond energy in their structures

--- Content provided by‍ FirstRanker.com ---

? Oxidation of Fatty acid /Catabolism or

breakdown of Fatty acid is by:

?Removal of Hydrogen from hydrocarbon

--- Content provided by​ FirstRanker.com ---


chain (CH2-CH2).

?Which are temporarily accepted by

--- Content provided by‍ FirstRanker.com ---

Coenzymes

?With formation of reduced Coenzymes
?Reoxidation of these reduced Coenzymes

--- Content provided by‌ FirstRanker.com ---

by entry in ETC /Oxidative Phosphorylation

generates ATP.
?Oxidation of the Hydrocarbon

--- Content provided by⁠ FirstRanker.com ---

bonds of fatty acid chain makes

them weaker

?Easy Cleavage of hydrocarbon

--- Content provided by FirstRanker.com ---


bonds of Fatty acid

?Which helps in shortening of

--- Content provided by FirstRanker.com ---

the long Fatty acid chain.

Types Of

Fatty Acid Oxidation

--- Content provided by‌ FirstRanker.com ---

1. Oxidation Based On Type Of Carbon Atom

? Alpha() Oxidation(Phytanic acid ?Branched Chain FA)

? Beta () Oxidation (Most Predominant)

--- Content provided by‌ FirstRanker.com ---


? Omega() Oxidation (When defect in Oxidation)

2.Oxidation Based On Number Of Carbon

--- Content provided by‌ FirstRanker.com ---

Atom

? Beta Oxidation of Even Carbon

Chain Fatty acid oxidation

--- Content provided by⁠ FirstRanker.com ---


? Beta Oxidation of Odd Chain

Fatty Acid Oxidation

--- Content provided by‌ FirstRanker.com ---

? Very Log Chain Fatty Acid

(VLCFA) Oxidation
3.Oxidation Based On Nature Of

--- Content provided by​ FirstRanker.com ---

Bonds

? Oxidation of Saturated

Fatty acids

--- Content provided by FirstRanker.com ---


? Oxidation of Unsaturated

Fatty acids

--- Content provided by​ FirstRanker.com ---

4.Oxidation Based On Cel ular Site

? Mitochondrial Fatty acid

Oxidation

--- Content provided by​ FirstRanker.com ---


? Endoplasmic Reticulum Fatty

acid Oxidation

--- Content provided by‌ FirstRanker.com ---

? Peroxisomal Fatty acid

Oxidation
The General

--- Content provided by FirstRanker.com ---

Pattern To Study

Metabolic Pathways

? Synonyms/Different Names of Pathway.

--- Content provided by‍ FirstRanker.com ---

? What is the Pathway ? (In brief)
? Where the pathway occurs/Location?
(Organ/Cellular site)
? When pathway occurs/Condition?
(well fed/emergency/aerobic/anaerobic)

--- Content provided by⁠ FirstRanker.com ---

? What type Of Pathway?

(Catabolic/Anabolic)
? Requirements for the Pathway
(If Anabolic Pathway)

--- Content provided by​ FirstRanker.com ---

? How the pathway Occurs/Stages/Steps?
(Type of Rxn , Enzymes ,Coenzymes)
? Why the Pathway occurred?
(Significance of Pathway)

--- Content provided by⁠ FirstRanker.com ---

? Precursor, intermediates, byproducts and

end products of metabolic Pathway.

? Energetics of the pathway/Net ATP Use

--- Content provided by‍ FirstRanker.com ---


and Generation

? Interrelation ships with other Pathways
? Regulation of Pathway :Modes of regulation.

--- Content provided by‍ FirstRanker.com ---

? Regulatory Hormone/ Regulatory

Enzyme/Modulators.

? Inborn Error of the Metabolic Pathway

--- Content provided by​ FirstRanker.com ---

How Palmitic Acid is

Completely Oxidized In Human Body?

Calculate Its Energetics

--- Content provided by‌ FirstRanker.com ---


Beta Oxidation

Of

--- Content provided by‌ FirstRanker.com ---

Even Carbon



Saturated Fatty Acid

--- Content provided by⁠ FirstRanker.com ---


At Mitochondrial Matrix
Historical Aspects Of

Beta Oxidation of Fatty Acids

--- Content provided by‌ FirstRanker.com ---


? Albert Lehninger showed that

? Oxidation of Fatty acids

--- Content provided by FirstRanker.com ---

occurred in the Mitochondria.
? Knoop showed that Fatty

acid is oxidized and

--- Content provided by FirstRanker.com ---

degraded by removal of 2-C

units

? F. Lynen and E. Reichart

--- Content provided by FirstRanker.com ---


showed that the 2-C unit

released is Acetyl-CoA, but

--- Content provided by‌ FirstRanker.com ---

not free Acetate.
Beta Oxidation Of Palmitate (C16)

What Is Beta Oxidation

--- Content provided by‌ FirstRanker.com ---

Of Fatty Acid ?
Definition Of Oxidation

of Fatty acid

--- Content provided by​ FirstRanker.com ---

? Oxidation of a Fatty acid at the

Beta Carbon atom/C3 (-CH2)
? Beta Oxidation of Fatty Acid is

--- Content provided by‍ FirstRanker.com ---

the most predominant type of

Fatty acid oxidation.

? Most of the Fatty acids in the

--- Content provided by​ FirstRanker.com ---


cel s get oxidized and catabolized

via Beta Oxidation of Fatty Acid

--- Content provided by‍ FirstRanker.com ---

b-Oxidation OF Fatty Acid

? b-oxidation of Fatty acids is the

catabolic/ degradative , energy

--- Content provided by‌ FirstRanker.com ---


generating metabolic pathway of

Fatty acids

--- Content provided by‌ FirstRanker.com ---

? It is referred to as the b-oxidation

pathway, because oxidation occurs at

the b-carbon (C3) of a Fatty acid.

--- Content provided by FirstRanker.com ---



? During Beta oxidation of

Fatty acid (-CH2) of Beta

--- Content provided by‍ FirstRanker.com ---


position is oxidized and

? Transformed to Carbonyl

--- Content provided by⁠ FirstRanker.com ---

atom (-C=O)


? The oxidized and transformed Beta

--- Content provided by FirstRanker.com ---

positioned -C-H2 to -C=O during

the steps of Beta Oxidation Proper.

? Makes the bond between Alpha

--- Content provided by⁠ FirstRanker.com ---


and Beta Carbon Atom weaker

and cleavable to release 2Carbon

--- Content provided by​ FirstRanker.com ---

unit Acetyl-CoA.

The Weak bond between Alpha and Beta

Carbon Atom is Cleaved to release

--- Content provided by FirstRanker.com ---


2Carbon Unit Acetyl-CoA


? With a removal of 2-C units

--- Content provided by​ FirstRanker.com ---


there is shortening the Fatty

acid chain.

--- Content provided by​ FirstRanker.com ---

? The 2-C units released after

the steps of Beta Oxidation is

Acetyl-CoA (active Acetate)

--- Content provided by FirstRanker.com ---


which enters TCA for its

complete oxidation.

--- Content provided by​ FirstRanker.com ---


b-Oxidation OF Fatty Acid

Is a Catabolic Energy Producing

--- Content provided by⁠ FirstRanker.com ---

Pathway
Organs Involved with

Beta Oxidation Of Fatty Acid

--- Content provided by‌ FirstRanker.com ---

?Skeletal Muscles
?Heart
?Hepatocytes
?Kidney

--- Content provided by​ FirstRanker.com ---

Cel ular Site For

Beta Oxidation Of Fatty Acid

?Cytosol

--- Content provided by‍ FirstRanker.com ---


(Activation of Fatty acid)

?Mitochondrial Matrix
(Beta Oxidation Proper)

--- Content provided by FirstRanker.com ---

b-Oxidation pathway:

Fatty acids are degraded in the Mitochondrial Matrix via

the b-Oxidation Pathway.

--- Content provided by‍ FirstRanker.com ---


Organs Which Do Not Operate

Beta Oxidation Of Fatty Acid
Remember In

--- Content provided by‌ FirstRanker.com ---


Brain and Erythrocytes

Fatty Acids

--- Content provided by​ FirstRanker.com ---

Do Not Serve

As A Source Of Energy

?Free Fatty acids cannot

--- Content provided by FirstRanker.com ---


cross the blood brain

barrier

--- Content provided by​ FirstRanker.com ---

?Hence Fatty acids do

not enter Brain to get

oxidized.

--- Content provided by‍ FirstRanker.com ---

? Beta Oxidation proper of Fatty

acid takes place in

Mitochondrial matrix

--- Content provided by FirstRanker.com ---


? Since mature RBC's has no

Mitochondria

--- Content provided by⁠ FirstRanker.com ---

? Hence no oxidation of Fatty

acids occurs in Erythrocytes.

? In emergency conditions

--- Content provided by​ FirstRanker.com ---


?Since Brain and Erythrocytes

cannot oxidize Fatty acids and

--- Content provided by‍ FirstRanker.com ---

use as energy source.

?These organs has to depend

only on Glucose for getting

--- Content provided by‍ FirstRanker.com ---


energy for their vitality.
Type Of Metabolic Pathway

? Beta Oxidation Of a Fatty acid is

--- Content provided by‍ FirstRanker.com ---


a:

?Catabolic Pathway
?Degradative Pathway

--- Content provided by‍ FirstRanker.com ---

?Energy generating metabolic

pathway in emergency phase

Condition Of Its Occurrence

--- Content provided by FirstRanker.com ---


? Usually Beta Oxidation of Fatty acids

efficiently occurs after Lipolysis.

--- Content provided by​ FirstRanker.com ---

? When there is low use of Glucose by body

cells

?In Fasting condition

--- Content provided by‌ FirstRanker.com ---

?In between Meals
?During Severe Exercises and Marathon Races
?In Patients of Diabetes mellitus
Stages And Reaction Steps

--- Content provided by‍ FirstRanker.com ---

Of Beta Oxidation Of Fatty Acids

Three Stages Of Beta Oxidation

For

--- Content provided by‌ FirstRanker.com ---


Fatty acid Palmitate
Stage I

Activation of Fatty acid (Acyl Chain) to

--- Content provided by​ FirstRanker.com ---


Acyl-CoA In Cytosol

? Palmitate to Palmitoyl-CoA

--- Content provided by‍ FirstRanker.com ---


In Cytosol

Stage II

--- Content provided by‌ FirstRanker.com ---

Translocation of Activated Fatty acid

From Cytosol into Mitochondrial

Matrix

--- Content provided by FirstRanker.com ---


Through The Role of Carnitine

(Carnitine Shuttle)
Stage I I

--- Content provided by‌ FirstRanker.com ---


Steps of Beta Oxidation Proper

In Mitochondrial Matrix

--- Content provided by​ FirstRanker.com ---

?Oxidation Reaction

?Hydration Reaction

?Oxidation Reaction

--- Content provided by FirstRanker.com ---


?Cleavage Reaction

Stage I

--- Content provided by FirstRanker.com ---

Activation Of Fatty acid

In Cytosol

Is a Preparative Phase

--- Content provided by FirstRanker.com ---

Site Of Fatty acid Activation

? Fatty acid(Acyl Chain) is activated

in Cytosol to Acyl-CoA .

--- Content provided by⁠ FirstRanker.com ---


? A long chain Fatty acid is termed as

Acyl chain.

--- Content provided by​ FirstRanker.com ---

? Every Fatty acid which undergoes

Oxidation of Fatty acid is first

activated to Acyl-CoA.

--- Content provided by⁠ FirstRanker.com ---

? Activation of a

Fatty acid means:

? Linking of Acyl Chain to

--- Content provided by⁠ FirstRanker.com ---


Coenzyme A to form Acyl-CoA

with a high energy bond.

--- Content provided by‍ FirstRanker.com ---

? During Activation of

Fatty acid (Acyl Chain)

? `H' of CoA-SH (Coenzyme A) is

--- Content provided by⁠ FirstRanker.com ---


substituted by Acyl chain

? To form CoA-S Acyl, i.e Acyl-CoA an

--- Content provided by FirstRanker.com ---

activated Fatty acid.
?Thus CoA is a carrier of

Acyl chain in an

--- Content provided by‍ FirstRanker.com ---

activated fatty acid.

Requirements of FA Activation

?Enzyme:

--- Content provided by FirstRanker.com ---


?Thiokinase /Acyl CoA Synthetase

?Coenzymes/Cofactor:

--- Content provided by‍ FirstRanker.com ---

?CoA-SH

?ATP

?Magnesium ions (Mg++)

--- Content provided by‌ FirstRanker.com ---



Steps Of Fatty Acid Activation

Activation of Fatty Acid

--- Content provided by FirstRanker.com ---



?An Acyl-CoA is an

activated energetic

--- Content provided by‍ FirstRanker.com ---


compound having high

energy bond.
Activation Of a Fatty Acid

--- Content provided by‍ FirstRanker.com ---


Is ATP Dependent

Converts ATP to AMP

--- Content provided by FirstRanker.com ---

Hence equivalent to 2 ATPs

? Thus formation of Acyl?CoA is

an expensive energetical y

--- Content provided by⁠ FirstRanker.com ---

CoezymeA (CoA-SH)

Activates

Fatty Acids

--- Content provided by FirstRanker.com ---


for Beta Oxidation

Acyl-CoA Synthetase/

--- Content provided by‌ FirstRanker.com ---

Fatty Acid Thiokinase

condenses Fatty acids with CoA,

with simultaneous hydrolysis of

--- Content provided by⁠ FirstRanker.com ---


ATP to AMP and PPi
Fatty acid Activation

? Activation of Fatty acids is esterification

--- Content provided by⁠ FirstRanker.com ---


of Fatty acid with Coenzyme A

? In presence of Acyl-CoA Synthetase

--- Content provided by‍ FirstRanker.com ---

(Thiokinase) forming an activated Fatty

acid as Acyl-CoA.

? This process is ATP-dependent, & occurs

--- Content provided by‍ FirstRanker.com ---


in 2 steps.

? During the activation of Fatty acid

--- Content provided by​ FirstRanker.com ---

ATP is converted to AMP and ppi.

? Two high energy bonds of ATP are

cleaved and utilized in this activation

--- Content provided by​ FirstRanker.com ---


which is equivalent to 2 ATPs.
? Subsequent hydrolysis of PPi from

ATP drives the reaction strongly

--- Content provided by FirstRanker.com ---


forward.

? Note the Acyl- Adenylate is an

--- Content provided by FirstRanker.com ---

intermediate in the mechanism.

? There are different Acyl-CoA

Synthetase for fatty acids of

--- Content provided by FirstRanker.com ---


different chain lengths.


Activated Fatty Acid (Acyl-CoA)

--- Content provided by‍ FirstRanker.com ---


is a High Energy Compound

Which Facilitates

--- Content provided by​ FirstRanker.com ---

The Second Stage

Of

Beta Oxidation Of Fatty Acid

--- Content provided by FirstRanker.com ---

Stage I

Translocation Of Acyl-CoA

From Cytosol

--- Content provided by‌ FirstRanker.com ---


Into Mitochondrial Matrix

With The Help Of Carnitine

--- Content provided by⁠ FirstRanker.com ---

?-oxidation proper

occurs in the

Mitochondrial matrix.

--- Content provided by​ FirstRanker.com ---



? CoA part of Acyl-CoA is

impermeable to inner

--- Content provided by​ FirstRanker.com ---


membrane of Mitochondria

? Since CoA is a complex structure.

--- Content provided by⁠ FirstRanker.com ---

? Long-chain Fatty acids cannot be

directly translocated into the

Mitochondrial matrix.

--- Content provided by‍ FirstRanker.com ---


? However short chain Fatty acids are

directly translocated into the

--- Content provided by FirstRanker.com ---

Mitochondrial matrix
? To translocate the activated long chain

Fatty acid (Acyl-CoA) from the cytosol to

--- Content provided by FirstRanker.com ---

the mitochondrial matrix

? Across the mitochondrial membrane

operates a specialized Carnitine Carrier

--- Content provided by‍ FirstRanker.com ---


System.

What Is Carnitine?

--- Content provided by‍ FirstRanker.com ---

? Carnitine is a functional, Non

Protein Nitrogenous (NPN)

substance.

--- Content provided by​ FirstRanker.com ---


? Carnitine is biosynthesized in the

body by amino acids Lysine and

--- Content provided by‌ FirstRanker.com ---

Methionine.


?

--- Content provided by⁠ FirstRanker.com ---




? Long chain Acyl CoA traverses

--- Content provided by​ FirstRanker.com ---

the inner mitochondria

membrane with a special

transport mechanism called

--- Content provided by⁠ FirstRanker.com ---


Carnitine Shuttle.


Mechanism Of Carnitine

--- Content provided by FirstRanker.com ---


In Transport Of Fatty Acyl CoA

From Cytosol To Mitochondrial Matrix

--- Content provided by​ FirstRanker.com ---


? Acyl-CoA a high energy

compound cleave its high energy

--- Content provided by‌ FirstRanker.com ---

bond in the second stage.

? The bond energy released is used

up for linking of Carnitine to Acyl

--- Content provided by‍ FirstRanker.com ---


chain to form Acyl-Carnitine.
? Long-chain FA are converted to

Acyl Carnitine and are then

--- Content provided by‍ FirstRanker.com ---


transported

? Acyl-CoA are reformed inside

--- Content provided by FirstRanker.com ---

the inner membrane of

mitochondrial matrix.

q Acyl groups from Acyl COA is

--- Content provided by​ FirstRanker.com ---


transferred to Carnitine to form Acyl

Carnitine catalyzed by Carnitine Acyl

--- Content provided by FirstRanker.com ---

Transferase I, in the outer mitochondrial

membrane

.

--- Content provided by⁠ FirstRanker.com ---

q Acylcarnitine is then shuttled across the

inner mitochondrial membrane by a

Translocase enzyme.

--- Content provided by⁠ FirstRanker.com ---



q The Acyl group is transferred back to CoA

of Mitochondrial pool in mitochondrial

--- Content provided by‍ FirstRanker.com ---


matrix by Carnitine Acyl Transferase I .

q Finally, Carnitine is returned to the

--- Content provided by‍ FirstRanker.com ---

cytosolic side by Protein Translocase, in

exchange for an incoming Acyl Carnitine.

Points To Remember

--- Content provided by⁠ FirstRanker.com ---


? Cell maintains two separate pools of

Coenzyme-A:

--- Content provided by​ FirstRanker.com ---

?Cytosolic pool of CoA
?Mitochondrial pool of CoA
?CoA is complex structure cannot

transport across Mitochondrial

--- Content provided by‌ FirstRanker.com ---


membrane

?CoA linked to Fatty acid in

--- Content provided by​ FirstRanker.com ---

Mitochondria is different from

that CoA used for Fatty acid

activation.

--- Content provided by‌ FirstRanker.com ---

Translocation of Palmitoyl-CoA

Across Mitochondrial

Membrane

--- Content provided by‍ FirstRanker.com ---


ATP + CoA

AMP + PPi

--- Content provided by​ FirstRanker.com ---

palmitate

palmitoyl-CoA

Cytoplasm

--- Content provided by⁠ FirstRanker.com ---


OUTER

ACS

--- Content provided by⁠ FirstRanker.com ---

MITOCHONDRIAL

CPT-I

[1]

--- Content provided by‍ FirstRanker.com ---


[2]

MEMBRANE

--- Content provided by⁠ FirstRanker.com ---

CoA

palmitoyl-CoA

Intermembrane

--- Content provided by‍ FirstRanker.com ---


palmitoyl-carnitine

Space

--- Content provided by⁠ FirstRanker.com ---

carnitine

Activation of Palmitate to Palmitoyl CoA and conversion to Palmitoyl

Carnitine

--- Content provided by​ FirstRanker.com ---

CPT-I

palmitoyl-CoA

CoA

--- Content provided by FirstRanker.com ---


Intermembrane Space

Palmitoyl-Carnitine

--- Content provided by‍ FirstRanker.com ---

Carnitine

INNER

CAT

--- Content provided by‌ FirstRanker.com ---


[3]

MITOCHONDRIAL

--- Content provided by​ FirstRanker.com ---

MEMBRANE

Matrix

CPT-II

--- Content provided by​ FirstRanker.com ---


Carnitine

palmitoyl-carnitine

--- Content provided by⁠ FirstRanker.com ---

[4]

palmitoyl-CoA

CoA

--- Content provided by‍ FirstRanker.com ---


Mitochondrial uptake via of Palmitoyl-Carnitine via the Carnitine-

Acylcarnitine Translocase (CAT)

--- Content provided by​ FirstRanker.com ---

ATP + CoA AMP + PPi

Cytoplasm

palmitate

--- Content provided by FirstRanker.com ---


palmitoyl-CoA

OUTER

--- Content provided by​ FirstRanker.com ---

MITOCHONDRIAL

ACS

CPT-I

--- Content provided by​ FirstRanker.com ---


MEMBRANE

[1]

--- Content provided by​ FirstRanker.com ---

[2]

CoA

Intermembrane

--- Content provided by‌ FirstRanker.com ---


palmitoyl-CoA

Space

--- Content provided by FirstRanker.com ---

palmitoyl-carnitine

Carnitine

INNER

--- Content provided by‌ FirstRanker.com ---


CAT

[3]

--- Content provided by​ FirstRanker.com ---

MITOCHONDRIAL

MEMBRANE

CPT-II

--- Content provided by‍ FirstRanker.com ---


Matrix

carnitine

--- Content provided by​ FirstRanker.com ---

palmitoyl-carnitine

[4]

palmitoyl-CoA

--- Content provided by‍ FirstRanker.com ---


CoA
Carnitine-mediated transfer of the fattyAcyl moiety into the

mitochondrial matrix is a 3-step process:

--- Content provided by FirstRanker.com ---

1. Carnitine Palmitoyl Transferase I, an enzyme on the

cytosolic surface of the outer mitochondrial membrane,

transfers a fatty acid from CoA to the OH on Carnitine.

--- Content provided by‌ FirstRanker.com ---

2. An Translocase/Antiporter in the inner mitochondrial

membrane mediates exchange of Carnitine for Acylcarnitine.

3. Carnitine Palmitoyl Transferase I , an enzyme within the

--- Content provided by​ FirstRanker.com ---


matrix, transfers the fatty acid from Carnitine to CoA.

(Carnitine exits the matrix in step 2.)
The fatty acid is now esterified to CoA in the mitochondrial

--- Content provided by‍ FirstRanker.com ---


matrix.
Stage I I

Steps of Beta Oxidation Proper/Cycle

--- Content provided by​ FirstRanker.com ---


In Mitochondrial Matrix

?Oxidation Reaction

--- Content provided by FirstRanker.com ---

?Hydration Reaction

?Oxidation Reaction

?Cleavage Reaction

--- Content provided by‌ FirstRanker.com ---


Site/Occurrence Of

? Oxidation Proper

--- Content provided by FirstRanker.com ---

? In the Mitochondrial Matrix of

Cel s.

? After the reach of Acyl-CoA in

--- Content provided by FirstRanker.com ---


Mitochondrial matrix.


Mechanism Of Reactions

--- Content provided by‌ FirstRanker.com ---


Of

Beta Oxidation Proper

--- Content provided by FirstRanker.com ---

of

Palmitoyl-CoA


--- Content provided by‌ FirstRanker.com ---






--- Content provided by​ FirstRanker.com ---




Step I: Oxidation by FAD linked Acyl CoA

--- Content provided by‌ FirstRanker.com ---

Dehydrogenase

Step I : Hydration by Enoyl CoA

Hydratase

--- Content provided by​ FirstRanker.com ---


Step I I: Oxidation by NAD linked
eta Hydroxy Acyl CoA Dehydrogenase

Step IV: Thiolytic Clevage Keto Thiolase

--- Content provided by​ FirstRanker.com ---

Palmitoylcarnitine

inner mitochondrial

Carnitine

--- Content provided by⁠ FirstRanker.com ---


membrane

respiratory chain

--- Content provided by FirstRanker.com ---

translocase

Palmitoylcarnitine

matrix side

--- Content provided by‍ FirstRanker.com ---


1.5 ATP2.5 ATP

Palmitoyl-CoA

--- Content provided by⁠ FirstRanker.com ---

FAD

oxidation

FADH2

--- Content provided by‍ FirstRanker.com ---




hydration

--- Content provided by​ FirstRanker.com ---

H2O

-Oxidation of

recycle

--- Content provided by FirstRanker.com ---


NAD+

Palmitoyl CoA

--- Content provided by‍ FirstRanker.com ---

oxidation

6 times

NADH

--- Content provided by​ FirstRanker.com ---


cleavage

CoA

--- Content provided by‌ FirstRanker.com ---

CH3-(CH)12-C-S-CoA + Acetyl CoA

Citric

O

--- Content provided by‍ FirstRanker.com ---


acid

cycle

--- Content provided by‌ FirstRanker.com ---

2 CO2

? Strategy of First 3 reactions of Beta

Oxidation proper is to

--- Content provided by‌ FirstRanker.com ---


? Create a Carbonyl group (C=O) on

the -Carbon atom (CH2) of a Fatty

--- Content provided by​ FirstRanker.com ---

acid.

? This weakens the bond between

and Carbon atoms of Fatty acid.

--- Content provided by‍ FirstRanker.com ---



? Fourth reaction cleaves the

"-Keto ester" in a reverse

--- Content provided by‍ FirstRanker.com ---


Claisen condensation

reaction.

--- Content provided by⁠ FirstRanker.com ---

? Products of Each turn/cycle of

beta oxidation proper are :

?Acetyl-CoA

--- Content provided by⁠ FirstRanker.com ---

?Acyl-CoA with two carbons

shorter


--- Content provided by​ FirstRanker.com ---


Step 1

Role Of

--- Content provided by‍ FirstRanker.com ---

Acyl-CoA Dehydrogenase

To Bring

Oxidation of the C-C bond

--- Content provided by​ FirstRanker.com ---


of Fatty acid

Acyl CoA Dehydrogenase is a

--- Content provided by FirstRanker.com ---

FAD linked Enzyme

(Flavoprotein)
? Acyl CoA Dehydrogenase catalyzes

--- Content provided by‍ FirstRanker.com ---

Oxidation reaction

? Where there is a removal of

Hydrogen from alpha and beta

--- Content provided by​ FirstRanker.com ---


carbon atoms of Acyl-CoA.

? There forms a double bond

--- Content provided by FirstRanker.com ---

between C -C / C2 and C3 of

Fatty Acid.

? The product of this oxidation

--- Content provided by⁠ FirstRanker.com ---


reaction is - Unsaturated Acyl

CoA /Trans Enoyl CoA.
? Coenzyme FAD is the temporary

--- Content provided by​ FirstRanker.com ---


hydrogen acceptor in this oxidation

reaction .

--- Content provided by FirstRanker.com ---

? The reduced FADH2 is generated by

oxidation reaction of Acyl CoA

Dehydrogenase.

--- Content provided by⁠ FirstRanker.com ---


? FADH2 is then reoxidized, after its enter

into Electron Transport Chain

--- Content provided by‍ FirstRanker.com ---

? Mechanism of Acyl CoA

Dehydrogenase involves :

?Proton Abstraction/Removes

--- Content provided by‍ FirstRanker.com ---


Hydrogen

?Double bond formation
?Hydride removal by FAD

--- Content provided by‍ FirstRanker.com ---

?Generation of reduced FADH2




--- Content provided by​ FirstRanker.com ---


? FADH2 is oxidized by entering into

ETC.

--- Content provided by FirstRanker.com ---

? Electrons from FADH2 are passed to

Electron transport chain

components,

--- Content provided by‌ FirstRanker.com ---


? Coupled with phosphorylation to

generate 1.5 ATP

--- Content provided by‍ FirstRanker.com ---

(By Oxidative Phosphorylation).

Acyl-CoA Dehydrogenase

? There are different Acyl-CoA

--- Content provided by FirstRanker.com ---


Dehydrogenases :

?Short Chain Fatty acids (4-6 C),
?Medium Chain Fatty Acids (6-10 C),

--- Content provided by⁠ FirstRanker.com ---

?Long (12-18 C) and very long (22 and

more)chain Fatty acids.
Inhibitor Of

--- Content provided by⁠ FirstRanker.com ---

Acyl CoA Dehydrogenase

?Acyl CoA Dehydrogenase is

inhibited by a Hypoglycin

--- Content provided by⁠ FirstRanker.com ---


(from Akee fruit)

Step 2

--- Content provided by‌ FirstRanker.com ---

Role Of

Enoyl CoA Hydratase

To add water across the double bond

--- Content provided by FirstRanker.com ---


C = C of Trans-Enoyl-CoA

Saturate the double bond of Enoyl-CoA

--- Content provided by‌ FirstRanker.com ---

Generate Hydroxyl group at beta carbon
?Enoyl-CoA Hydratase catalyzes

stereospecific hydration of the trans

--- Content provided by‌ FirstRanker.com ---

double bond

?It adds water across the double bond

at C2 and C3 of Trans Enoyl CoA

--- Content provided by‌ FirstRanker.com ---


?This hydration reaction generates

Hydroxyl (OH) group at beta

--- Content provided by​ FirstRanker.com ---

carbon atom of FA

?Converts Trans-Enoyl-CoA to
L -Hydroxyacyl-CoA

--- Content provided by‍ FirstRanker.com ---



Step 3

Role Of

--- Content provided by​ FirstRanker.com ---


Hydroxyacyl-CoA Dehydrogenase

To Oxidizes the -Hydroxyl Group of

--- Content provided by‌ FirstRanker.com ---

-Hydroxyacyl-CoA

And

Transform it into

--- Content provided by‍ FirstRanker.com ---


-Ketoacyl-CoA


? -Hydroxyacyl-CoA Dehydrogenase is

--- Content provided by FirstRanker.com ---


NAD+ dependent

? It catalyzes specific oxidation of the

--- Content provided by​ FirstRanker.com ---

Hydroxyl group in the b position (C3) to

form a ketone group.

? NAD+ is the temporary electron acceptor

--- Content provided by⁠ FirstRanker.com ---


for this step which generates reduced

form NADH+H+

--- Content provided by‍ FirstRanker.com ---

? The oxidation of
-Hydroxyacyl CoA produces a

product - Ketoacyl-CoA.

--- Content provided by‍ FirstRanker.com ---



Step 4

Role Of b- Ketothiolase

--- Content provided by‌ FirstRanker.com ---


/Thiolase

Catalyzes Thiolytic cleavage of the

--- Content provided by‌ FirstRanker.com ---

two carbon fragment

by splitting the

bond between and carbons

--- Content provided by⁠ FirstRanker.com ---



? An enzyme -Keto Thiolase attacks

the -carbonyl group of -Ketoacyl-

--- Content provided by‌ FirstRanker.com ---


CoA.

? This results in the cleavage of the
C-C bond.

--- Content provided by​ FirstRanker.com ---


? Releases Acetyl-CoA(2C) and an Acyl-

CoA (-2carbons shorter ).

--- Content provided by​ FirstRanker.com ---


Repetitions Of 4 Steps Of

Beta Oxidation Proper

--- Content provided by​ FirstRanker.com ---

? The b-oxidation proper pathway

is cyclic.

? 4 Steps of Beta Oxidation proper

--- Content provided by‍ FirstRanker.com ---


are repeated

? Til whole chain of Fatty acid is

--- Content provided by‍ FirstRanker.com ---

oxidized completely.

? The product, 2 carbons

shorter Acyl -CoA,

--- Content provided by‍ FirstRanker.com ---


? Is the input to another

round/turn of the beta

--- Content provided by⁠ FirstRanker.com ---

oxidation proper pathway.


? Acyl CoA molecule released at end of

--- Content provided by⁠ FirstRanker.com ---

Beta Oxidation

? Is the substrate for the next round of

oxidation starting with Acyl CoA

--- Content provided by​ FirstRanker.com ---


Dehydrogenase.

? Repetition continues until all the carbon

--- Content provided by​ FirstRanker.com ---

atoms of the original Fatty acyl CoA are

converted to Acetyl CoA.

The shortened Acyl

--- Content provided by‍ FirstRanker.com ---


CoA then undergoes

another cycle of beta

--- Content provided by‌ FirstRanker.com ---

oxidation

The number of beta

oxidation cycles:

--- Content provided by FirstRanker.com ---

n/2-1, where n ? the

number of carbon atoms
Products Of Each Turn

--- Content provided by‍ FirstRanker.com ---

Of

Beta Oxidation Proper

? Each turn/cycle of oxidation proper

--- Content provided by FirstRanker.com ---


generates one molecule each of:

?FADH2

--- Content provided by FirstRanker.com ---

?NADH+H+
?Acetyl CoA
?Fatty Acyl CoA ( with 2 carbons shorter each round)
Steps Of

--- Content provided by FirstRanker.com ---

-Oxidation Proper

of Fatty Acids Continues

With

--- Content provided by‍ FirstRanker.com ---


A Repeated Sequence

of 4 Reactions

--- Content provided by FirstRanker.com ---

Til

A Long Fatty Acyl Chain Is

Completely Oxidized

--- Content provided by FirstRanker.com ---


?For an oxidation of Palmitic

acid through beta oxidation

--- Content provided by‍ FirstRanker.com ---

? 7 turns/cycles of beta

oxidation proper steps occur.


--- Content provided by‌ FirstRanker.com ---

Beta Oxidation

Fates of the products

of

--- Content provided by‍ FirstRanker.com ---


-oxidation of Fatty Acid
? NADH+H+ and FADH2 - are

reoxidized in ETC to generate ATP

--- Content provided by‌ FirstRanker.com ---


? Acetyl CoA - Enters the Citric acid

cycle(TCA cycle) for its complete

--- Content provided by FirstRanker.com ---

oxidation.

? Acyl CoA ? Undergoes the next

turn/cycle of oxidation proper.

--- Content provided by​ FirstRanker.com ---


Complete Oxidation Of Fatty Acids
Fatty Acid

Oxidation

--- Content provided by FirstRanker.com ---




Acetyl CoA +ATP

--- Content provided by FirstRanker.com ---

TCA Cycle

CO2 +H2O and ATP

? Fatty acid is activated and oxidized via

--- Content provided by⁠ FirstRanker.com ---


Beta Oxidation in specific number of

cycles depending upon chain length.

--- Content provided by‌ FirstRanker.com ---

? Acetyl CoA an end product of Beta

oxidation of Fatty acid

? Is further completely oxidized via

--- Content provided by‌ FirstRanker.com ---


TCA cycle.


1

--- Content provided by​ FirstRanker.com ---


Palmitoylcarnitine

inner mitochondrial

--- Content provided by‍ FirstRanker.com ---

Carnitine

membrane

respiratory chain

--- Content provided by‌ FirstRanker.com ---


translocase

Palmitoylcarnitine

--- Content provided by FirstRanker.com ---

matrix side

1.5 ATP2.5 ATP

Palmitoyl-CoA

--- Content provided by⁠ FirstRanker.com ---


FAD

oxidation

--- Content provided by‍ FirstRanker.com ---

FADH2

Figure 4.

hydration

--- Content provided by‌ FirstRanker.com ---


H2O

Processing and

--- Content provided by‍ FirstRanker.com ---

NAD+

-oxidation of

recycle

--- Content provided by FirstRanker.com ---


oxidation

Palmitoyl CoA

--- Content provided by​ FirstRanker.com ---

6 times

NADH

cleavage

--- Content provided by‍ FirstRanker.com ---


CoA

CH3-(CH)12-C-S-CoA + Acetyl CoA

--- Content provided by‌ FirstRanker.com ---

Citric

O

acid

--- Content provided by‌ FirstRanker.com ---


cycle

2 CO2

--- Content provided by​ FirstRanker.com ---


-Oxidation

Overal Flow

--- Content provided by⁠ FirstRanker.com ---

CAPILLARY

Lipoproteins

(Chylomicrons

--- Content provided by‌ FirstRanker.com ---


L [2]

FABP

--- Content provided by‍ FirstRanker.com ---

MITOCHONDRION

P

or VLDL)

--- Content provided by‍ FirstRanker.com ---


FA

L

--- Content provided by‍ FirstRanker.com ---

acetyl-CoA

TCA

A

--- Content provided by FirstRanker.com ---


[7]

[3]

--- Content provided by​ FirstRanker.com ---

cycle

[4] C

FA

--- Content provided by​ FirstRanker.com ---


FA

-oxidation

--- Content provided by‍ FirstRanker.com ---

S

[6]

FA

--- Content provided by‍ FirstRanker.com ---


FA

albumin

--- Content provided by​ FirstRanker.com ---

acyl-CoA

acyl-CoA

FABP

--- Content provided by​ FirstRanker.com ---


FABP

FA

--- Content provided by​ FirstRanker.com ---

[5]

carnitine

CYTOPLASM

--- Content provided by‌ FirstRanker.com ---


transporter

[1]

--- Content provided by‌ FirstRanker.com ---

from

fat

cel membrane

--- Content provided by​ FirstRanker.com ---


cel

FA = fatty acid

--- Content provided by​ FirstRanker.com ---

LPL = lipoprotein lipase

FABP = fatty acid binding protein

ACS = acyl CoA synthetase

--- Content provided by‌ FirstRanker.com ---


Figure 2. Overview of fatty acid degradation
Energetics Of Beta oxidation

Of Palmitate

--- Content provided by​ FirstRanker.com ---


? Oxidation of Palmitic Acid C16

Number of turns of fatty acid

--- Content provided by‍ FirstRanker.com ---

spiral = 8-1 = 7 Cycles of beta

oxidation proper.

? Generates 8 Acetyl CoA

--- Content provided by‍ FirstRanker.com ---

During Electron Transport and

Oxidative Phosphorylation

Each FADH2 yield 1.5 ATP

--- Content provided by FirstRanker.com ---


and NADH 2.5 ATP

Energetics of Fatty Acid Beta Oxidation

--- Content provided by⁠ FirstRanker.com ---

e.g. Palmitic (16C):

1.-oxidation of Palmitic acid will be repeated in 7

cycles producing 8 molecules of Acetyl COA.

--- Content provided by​ FirstRanker.com ---


2.In each cycle 1 FADH2 and 1 NADH+H+ is produced

and will be transported to the respiratory chain/ETC.

--- Content provided by​ FirstRanker.com ---

? FADH2 1.5 ATP

? NADH + H+ 2.5 ATP

? Thus Each cycle of -oxidation 04 ATP

--- Content provided by FirstRanker.com ---


? So 7 cycles of -oxidation 4 x 7 = 28 ATP
1 Acetyl CoA yields 10

ATPs

--- Content provided by‌ FirstRanker.com ---


via

TCA Cycle

--- Content provided by‍ FirstRanker.com ---

? Review ATP Generation ?TCA/ Citric Acid

Cycle which start with Acetyl CoA

? Step

--- Content provided by​ FirstRanker.com ---


ATP produced

? Step 4 (NADH+H to ETC)

--- Content provided by‌ FirstRanker.com ---

2.5 ATP

? Step 6 (NADH+H to E.T.C.) 2.5 ATP

? Step 10 (NADH+H to ETC) 2.5 ATP

--- Content provided by FirstRanker.com ---


? Step 8 (FADH2 to E.T.C.)

1.5 ATP

--- Content provided by​ FirstRanker.com ---

? 1 GTP

01 ATP

? NET per turn of TCA Cycle 10 ATP

--- Content provided by‍ FirstRanker.com ---

1 ATP converted to AMP

during activation of

Palmitic acid to Palmitoyl-CoA

--- Content provided by​ FirstRanker.com ---


is equivalent to 2ATPs utilized

3. Each Acetyl COA which is oxidized

--- Content provided by​ FirstRanker.com ---

completely in citric cycle/TCA cycle gives 10

ATP

4. Hence 8 Acetyl CoA via TCA cycle (8 x 10 =

--- Content provided by​ FirstRanker.com ---


80 ATP)

5. 2 ATP are utilized in the activation of Fatty

--- Content provided by FirstRanker.com ---

acid

6. Energy gain = Energy produced - Energy

utilized

--- Content provided by‍ FirstRanker.com ---


7. 28 ATP + 80 ATP - 2 ATP = 106 ATP
Thus On Complete Oxidation of

One molecule of Palmitate

--- Content provided by​ FirstRanker.com ---


106 molecules of ATP

are generated

--- Content provided by‌ FirstRanker.com ---

ATP Generation from Palmitate Oxidation

Net yield of ATP per one oxidized Palmitate

Palmitate (C15H31COOH) - 7 cycles ? n/2-1

--- Content provided by‍ FirstRanker.com ---


Palmitoyl CoA + 7 HS-CoA + 7 FAD+ + 7 NAD+ + 7 H2O



--- Content provided by‌ FirstRanker.com ---

8 Acetyl CoA + 7FADH2 + 7 NADH + 7 H+
ATP generated

8 Acetyl CoA(TCA)

--- Content provided by FirstRanker.com ---

10x8=80

7 FADH2

7x1.5=10.5

--- Content provided by​ FirstRanker.com ---


7 NADH

7x2.5=17.5

--- Content provided by⁠ FirstRanker.com ---

108 ATP

ATP expended to activate Palmitate -2 ATP
Net yield of ATPs with Palmitate Oxidation: 106 ATP

--- Content provided by‌ FirstRanker.com ---

Total End Products

Of

Beta Oxidation

--- Content provided by FirstRanker.com ---


Of

1 molecule of a Palmitic Acid

--- Content provided by FirstRanker.com ---


Palmitic acid

With 7 Turns of

--- Content provided by‍ FirstRanker.com ---

Beta Oxidation Proper

Generates

8 Molecules Of Acetyl-CoA

--- Content provided by‍ FirstRanker.com ---


7 FADH2+7 NADH+H+


-Oxidation Proper of Acyl-CoA

--- Content provided by⁠ FirstRanker.com ---


Summary of one round/turn/cycle of the

b-oxidation pathway:

--- Content provided by‌ FirstRanker.com ---

Fatty Acyl-CoA + FAD + NAD+ + HS-CoA

+Acetyl-CoA

Fatty Acyl-CoA (2 C less) + FADH2 + NADH + H+

--- Content provided by⁠ FirstRanker.com ---





Stoichiometry for

--- Content provided by‌ FirstRanker.com ---


Palmitic Acid Oxidation

b F

--- Content provided by‌ FirstRanker.com ---

-O at

xi ty

da acyl

--- Content provided by​ FirstRanker.com ---


tion CoA

of

--- Content provided by‌ FirstRanker.com ---

Saturated fatty acids
Regulation Of Beta Oxidation

Of Fatty Acids

--- Content provided by FirstRanker.com ---

?The Lipolysis and
Oxidation of Fatty acids

are well regulated by

--- Content provided by​ FirstRanker.com ---

Hormonal influence.
Insulin In Wel Fed Condition

? Insulin inhibits Lipolysis of Adipose

--- Content provided by FirstRanker.com ---

Fat (TAG) and mobilization of Free

Fatty acids.

? Insulin decreases Oxidation of

--- Content provided by​ FirstRanker.com ---


Fatty acids.

Glucagon In Emergency Condition

--- Content provided by‌ FirstRanker.com ---

? When Cellular or Blood Glucose

lowers down there is secretion of

Glucagon.

--- Content provided by​ FirstRanker.com ---


? Glucagon and Epinephrine

stimulates Lipolysis in emergency

--- Content provided by‍ FirstRanker.com ---

condition.
? Glucagon stimulates the Enzyme

Hormone sensitive Lipase and

--- Content provided by⁠ FirstRanker.com ---

hydrolyzes depot Fat(TAG).

? Glucagon mobilizes Free fatty

acids out into blood circulation

--- Content provided by​ FirstRanker.com ---


? Increases Oxidation of Fatty

acids.

--- Content provided by​ FirstRanker.com ---

Regulation Of

Beta Oxidation Of Fatty Acid

At Two Levels

--- Content provided by​ FirstRanker.com ---


? Carnitine Shuttle
? Beta Oxidation Proper
Transport of Fatty Acyl CoA

--- Content provided by‌ FirstRanker.com ---

from

Cytosol

into Via Carnitine Shuttle

--- Content provided by‍ FirstRanker.com ---


Mitochondrial Matrix

Is a Rate-limiting step

--- Content provided by⁠ FirstRanker.com ---

Malonyl-CoA

Regulates Beta Oxidation

At Carnitine Transport

--- Content provided by‍ FirstRanker.com ---


Level

Malonyl-CoA Is an Inhibitor Of

--- Content provided by‌ FirstRanker.com ---

Carnitine Acyl Transferase I
Malonyl-CoA is produced from Acetyl-CoA by the enzyme

Acetyl-CoA Carboxylase during Fatty acid biosynthesis.
Malonyl-CoA (which is a precursor for fatty acid synthesis)

--- Content provided by​ FirstRanker.com ---


inhibits Carnitine Palmitoyl Transferase I.
This Control of Fatty acid oxidation is exerted mainly at the

step of Fatty acid entry into mitochondria.

--- Content provided by​ FirstRanker.com ---


Acyl-CoA Dehydrogenase is

Regulatory or key Enzyme

--- Content provided by​ FirstRanker.com ---

of

Beta Oxidation Of Fatty Acids
Significance Of Beta oxidation

--- Content provided by​ FirstRanker.com ---

of a Fatty acid

?Beta oxidation cycles

helps in cleaving and

--- Content provided by⁠ FirstRanker.com ---


shortening of a long

chain Fatty acid
? Oxidation of Beta carbon

--- Content provided by​ FirstRanker.com ---


atom of a Fatty acid

transforms the stronger

--- Content provided by⁠ FirstRanker.com ---

bond between alpha and

beta carbon atom to a

weaker bond.

--- Content provided by FirstRanker.com ---


? Transformation to a weaker bond

helps in easy cleavage between

--- Content provided by‌ FirstRanker.com ---

alpha and beta carbon

? During oxidation there is

dehydrogenation of beta carbon

--- Content provided by⁠ FirstRanker.com ---


atom (CH2 to C=O)
? The Hydrogen atoms removed during

beta oxidation are

--- Content provided by​ FirstRanker.com ---


? Temporarily accepted by the oxidized

coenzymes (FAD and NAD+) to form

--- Content provided by​ FirstRanker.com ---

reduced coenzymes

? Reduced coenzymes then final y enter

ETC and get reoxidized

--- Content provided by FirstRanker.com ---


? The byproduct of ETC is ATP

? Thus Beta oxidation of

--- Content provided by FirstRanker.com ---

Fatty acid

? Metabolizes a long chain

fatty acid with liberation of

--- Content provided by‌ FirstRanker.com ---


chemical form of energy

ATP for cel ular activities.
Summary of -Oxidation

--- Content provided by⁠ FirstRanker.com ---


Repetition of the -Oxidation Cycle yields a succession of

Acetate units

--- Content provided by​ FirstRanker.com ---

? Palmitic acid yields eight Acetyl-CoAs
? Complete -oxidation of one Palmitic acid yields

106 molecules of ATP

--- Content provided by​ FirstRanker.com ---

? Large energy yield is consequence of the highly

reduced state of the carbon in fatty acids

? This makes fatty acid the fuel of choice for

--- Content provided by‌ FirstRanker.com ---


migratory birds and many other animals

Disorders OF Beta Oxidation

--- Content provided by‌ FirstRanker.com ---

Of Fatty Acids
Deficiencies of Carnitine

OR

--- Content provided by⁠ FirstRanker.com ---

Carnitine Transferase

OR

Translocase Activity

--- Content provided by FirstRanker.com ---


Are

Related to Disease State

--- Content provided by‍ FirstRanker.com ---

Carnitine Shuttle Defects

?Affects the normal

function of Muscles,

--- Content provided by‍ FirstRanker.com ---


Kidney, and Heart.
? Symptoms include Muscle

cramping, during exercise, severe

--- Content provided by‌ FirstRanker.com ---


weakness and death.

? Muscle weakness occurs since

--- Content provided by⁠ FirstRanker.com ---

they are related with Fatty acid

oxidation for long term energy

source.

--- Content provided by‍ FirstRanker.com ---


? Note people with the Carnitine

Transporter Defect

--- Content provided by‍ FirstRanker.com ---

?Should be supplemented with a diet

with medium chain fatty acids

?Since the MCFAs do not require

--- Content provided by‌ FirstRanker.com ---


Carnitine shuttle to enter

Mitochondria.
Sudden Infant Death Syndrome

--- Content provided by‌ FirstRanker.com ---


(SIDS)

SIDS

--- Content provided by​ FirstRanker.com ---

? SIDS is a congenital rare disorder

with an incidence of 1 in 10,000

births.

--- Content provided by⁠ FirstRanker.com ---


? Cause: Due to the deficiency of

Enzyme Acyl-CoA Dehydrogenase a

--- Content provided by‍ FirstRanker.com ---

regulatory enzyme of Oxidation

of Fatty acid.
? Consequences Of SIDS

--- Content provided by‌ FirstRanker.com ---

? Deficiency of Acyl-CoA Dehydrogenase
? Blocks the Oxidation of Fatty acid.
? Stops liberation and supply of energy in

the form of ATPs in fasting condition

--- Content provided by‍ FirstRanker.com ---


? Leads to unexpected death of an infant.

Symptoms in defective Beta Oxidation of Fatty

--- Content provided by​ FirstRanker.com ---

acids include:

wHypoglycemia
wLow Ketone body production during

--- Content provided by FirstRanker.com ---

fasting

wFatty Liver
wHeart and/or Skeletal muscle defects
wComplications of pregnancy

--- Content provided by​ FirstRanker.com ---

wSudden infant death (SID).
? Hereditary deficiency of Medium

Chain Acyl-CoA Dehydrogenase

--- Content provided by‌ FirstRanker.com ---

(MCAD),

? The most common genetic

disease relating to fatty acid

--- Content provided by⁠ FirstRanker.com ---


catabolism, has been linked to

SIDS.

--- Content provided by⁠ FirstRanker.com ---

Jamaican Vomiting Sickness


? Jamaican Vomiting Syndrome

--- Content provided by FirstRanker.com ---

is due to ingestion of unripe

Ackee fruit by people in

Jamaica

--- Content provided by FirstRanker.com ---


(Jamaica-Country of Caribbean)

Ackee Fruit
? The Ackee fruit is rich in

--- Content provided by‌ FirstRanker.com ---


Hypoglycin ?A

? Hypoglycin is an inhibitor of

--- Content provided by‌ FirstRanker.com ---

regulatory Enzyme Oxidation

Proper Acyl-CoA Dehydrogenase.

? The Jamaican Vomiting Disease leads

--- Content provided by​ FirstRanker.com ---


to complications characterized by :

?Severe Vomiting
?Hypoglycemia

--- Content provided by FirstRanker.com ---

?Convulsions
?Coma
?Death
Beta Oxidation

--- Content provided by⁠ FirstRanker.com ---

Of

Odd Chain Saturated Fatty Acids

-OXIDATION

--- Content provided by⁠ FirstRanker.com ---


OF

ODD-CHAIN FATTY ACIDS
?Odd chain carbon Fatty

--- Content provided by FirstRanker.com ---


acids are less common in

human body.

--- Content provided by⁠ FirstRanker.com ---

?Formed by some bacteria

in the stomachs of

ruminants and the human

--- Content provided by​ FirstRanker.com ---


colon.

? -oxidation of odd chain Fatty

--- Content provided by‍ FirstRanker.com ---

acid occurs same as even

chain Fatty acid oxidation

? Until the final Thiolase

--- Content provided by⁠ FirstRanker.com ---


cleavage

? Which results in a 3 Carbon

--- Content provided by‌ FirstRanker.com ---

Acyl-CoA /Propionyl-CoA
? Odd-carbon Fatty acids are

metabolized same as even carbon

--- Content provided by‌ FirstRanker.com ---

chain Fatty acid via steps of

oxidation, releasing Acetyl CoA (2C)

in every turn.

--- Content provided by‌ FirstRanker.com ---


? In the last turn of oxidation

proper of odd chain fatty acid

--- Content provided by​ FirstRanker.com ---


? Releases last three-C fragment as

Propionyl-CoA (3 C).
End Products Of Odd Chain Fatty Acid

--- Content provided by‌ FirstRanker.com ---


Oxidation

? End products of b-oxidation of

--- Content provided by​ FirstRanker.com ---

an odd-number Fatty acid is :

?Acetyl-CoA(C2)
?Propionyl-CoA(C3)
Fate Of Acetyl-CoA

--- Content provided by‍ FirstRanker.com ---


? Acetyl CoA released from beta

oxidation of odd chain fatty

--- Content provided by⁠ FirstRanker.com ---

acid

? Enter in TCA cycle and get

completely oxidized.

--- Content provided by‌ FirstRanker.com ---


Fate Of Propionyl-CoA
Metabolism Of Propionyl CoA

Propionyl CoA

--- Content provided by​ FirstRanker.com ---


An End Product Of Odd Chain

Fatty Acid

--- Content provided by‌ FirstRanker.com ---

Is Converted into

Succinyl CoA

A TCA intermediate

--- Content provided by⁠ FirstRanker.com ---

? Metabolism of Propionyl-CoA

? The Propionyl-CoA is

converted to Succinyl-CoA.

--- Content provided by‍ FirstRanker.com ---


? Which is an intermediate of

TCA/Citric acid cycle
? Propionyl CoA metabolism is

--- Content provided by‍ FirstRanker.com ---


dependent on Vitamin B

complex members:

--- Content provided by​ FirstRanker.com ---

?Biotin
?Vitamin B12

? Special set of 3 Enzymes are

--- Content provided by‌ FirstRanker.com ---

required to further oxidize

Propionyl-CoA to Succinyl -CoA.

? Final Product Succinyl-CoA enters

--- Content provided by⁠ FirstRanker.com ---


TCA cycle and get metabolized.


? Three Enzymes convert Propionyl-

--- Content provided by FirstRanker.com ---


CoA to Succinyl-CoA:

1. Carboxylase
2. Racemase /Epimerase

--- Content provided by FirstRanker.com ---

3. Mutase


Step1

--- Content provided by‌ FirstRanker.com ---

? Propionyl CoA is Carboxylated to yield
D Methylmalonyl CoA.
? Enzyme: Propionyl CoA Carboxylase
? Coenzyme: Cyto Biotin
? An ATP is required

--- Content provided by​ FirstRanker.com ---



Step2

? The D Methylmalonyl CoA

--- Content provided by FirstRanker.com ---


is racemized to the

L Methylmalonyl CoA.

--- Content provided by FirstRanker.com ---

? Enzyme: Methylmalonyl-CoA

Racemase/ Epimerase


--- Content provided by⁠ FirstRanker.com ---

Step 3

? L Methylmalonyl CoA is converted

into Succinyl CoA by an

--- Content provided by⁠ FirstRanker.com ---


intramolecular rearrangement

? Enzyme: Methylmalonyl CoA

--- Content provided by FirstRanker.com ---

Mutase

? Coenzyme of Vitamin B12 :Deoxy

Adenosyl Cobalamin

--- Content provided by⁠ FirstRanker.com ---

Fates Of Succinyl CoA

? Succinyl CoA

? Enters TCA cycle and get metabolized

--- Content provided by​ FirstRanker.com ---

? Serve as Glucogenic precursor for Glucose

biosynthesis in emergency condition

? Used as a precursor for Heme biosynthesis

--- Content provided by FirstRanker.com ---

? Involves in Thiophorase reaction of Ketolysis.


Oxidation of Odd-chain Fatty Acids

--- Content provided by⁠ FirstRanker.com ---

Conversion of Propionyl-CoA to Succinyl-CoA

Defects In Propionyl CoA Metabolism
? Deficiency of Enzyme Propionyl-CoA

--- Content provided by⁠ FirstRanker.com ---

Carboxylase will block the

metabolism of Propionyl-CoA.

? Accumulates Propionyl-CoA in blood

--- Content provided by​ FirstRanker.com ---


leading to Propionicacidemia.

? Deficiency of Vitamin B Complex

--- Content provided by FirstRanker.com ---

members affects Propionyl CoA

metabolism to Succinyl ?CoA.

? Vitamin B12 deficiency blocks the

--- Content provided by‍ FirstRanker.com ---


Mutase reaction

? Accumulates L-Methyl Malonyl-

--- Content provided by‌ FirstRanker.com ---

CoA leading to Methyl

Malonylaciduria.
Alpha Oxidation Of Fatty Acid

--- Content provided by FirstRanker.com ---

OR

Oxidation Of

Branched-Chain Fatty Acid

--- Content provided by FirstRanker.com ---


OR

Phytanic Acid Oxidation

--- Content provided by FirstRanker.com ---

? The source of Phytanic acid in

human body is through

ingestion of green leafy

--- Content provided by⁠ FirstRanker.com ---


vegetables.

? Phytanic acid is a breakdown

--- Content provided by​ FirstRanker.com ---

product of plant chlorophyl .
Why Phytanic Acid

Does Not Initiate With

--- Content provided by‌ FirstRanker.com ---

Beta Oxidation Process?

? Phytanic acid is a Branched

chain FA.

--- Content provided by‌ FirstRanker.com ---


? Has Methyl branches at odd

-number carbons.

--- Content provided by​ FirstRanker.com ---

? They are not good

substrates for -oxidation.
? The branched chain Phytanic

--- Content provided by FirstRanker.com ---

acid contains Methyl (CH3)

group at Carbon atom.

? Hence it cannot get oxidized

--- Content provided by FirstRanker.com ---


initial y via oxidation

pathway

--- Content provided by‌ FirstRanker.com ---

?Thus initially Phytanic acid

fol ows Oxidation

?Modify Phytanic acid to

--- Content provided by‍ FirstRanker.com ---


Pristanic acid and

?Further present it for

--- Content provided by‌ FirstRanker.com ---

Beta Oxidation process.
Occurrence Of Alpha

Oxidation Of Phytanic Acid

--- Content provided by FirstRanker.com ---

Predominantly Alpha Oxidation

Of Phytanic Acid

Takes Place in

--- Content provided by⁠ FirstRanker.com ---


Endoplasmic Reticulum

of Brain Cel s

--- Content provided by⁠ FirstRanker.com ---

Also In Peroxisomes
Mechanism Of Alpha

Oxidation Of Phytanic Acid

--- Content provided by‍ FirstRanker.com ---

? Phytanic acid 3,7,11,15-

Tetramethyl Hexadecanoic

acid

--- Content provided by FirstRanker.com ---


? Alpha oxidation removes the

Methyl groups at beta carbon.

--- Content provided by⁠ FirstRanker.com ---

? Later making the Fatty acid

ready for beta oxidation

process.

--- Content provided by‍ FirstRanker.com ---



? During Oxidation there occurs:

? Hydroxylation at Carbon in

--- Content provided by‍ FirstRanker.com ---


presence of Enzyme Hydroxylase or

Monoxygenase .

--- Content provided by​ FirstRanker.com ---

? This reaction is Vitamin C dependent

forming Hydroxy Acyl-CoA.
? Hydroxy Acyl-CoA is then

--- Content provided by​ FirstRanker.com ---

oxidized to Keto Acyl-CoA.

? The Ketonic group at Carbon

atom is decarboxylated

--- Content provided by‌ FirstRanker.com ---


? Yielding CO2 molecule and a Fatty

acid with one Carbon atom less.

--- Content provided by‍ FirstRanker.com ---

? Phytanic acid on alpha oxidation is

converted to Pristanic acid

? Which is further metabolized via

--- Content provided by FirstRanker.com ---


beta oxidation process to

generate Propionyl-CoA.
Products of Phytanic Acid Oxidation

--- Content provided by​ FirstRanker.com ---


? Alpha oxidation of Phytanic acid

Generates

--- Content provided by FirstRanker.com ---

?Acetyl-CoA

?Propionyl-CoA

?Isobutryl-CoA

--- Content provided by‍ FirstRanker.com ---


Refsums Disease
Disorders Associated

With

--- Content provided by⁠ FirstRanker.com ---


Defective Oxidation

Of Phytanic Acid

--- Content provided by FirstRanker.com ---

?Refsums disease is a rare

but severe neurological

disorder.

--- Content provided by‍ FirstRanker.com ---


?Caused due to defect in

Oxidation of Phytanic

--- Content provided by⁠ FirstRanker.com ---

acid
The Enzyme Defects

? Deficiency of Enzyme Phytanic

--- Content provided by FirstRanker.com ---

acid Oxidase/ Phytanol-CoA

Dioxygenase leads to Refsum's

disease.

--- Content provided by​ FirstRanker.com ---


? Biochemical Consequence Of Refsums

disease Is:

--- Content provided by‌ FirstRanker.com ---

? No Oxidation of Phytanic acid
? Accumulation of Phytanic acid in

Brain cel s and Other Tissues

--- Content provided by‌ FirstRanker.com ---

? Dysfunction of Brain
? Manifesting Neurological disorder
? Management Of Refsums

disease is :

--- Content provided by​ FirstRanker.com ---


? Avoid eating diet containing

Phytol /Phytanic acid.

--- Content provided by​ FirstRanker.com ---

Omega Oxidation Of Fatty Acids
?Omega Oxidation of Fatty

acid is:

--- Content provided by‌ FirstRanker.com ---


?Oxidation of Omega Carbon

atom (CH3) of a Fatty acid.

--- Content provided by‌ FirstRanker.com ---

When Does Omega Oxidation

Of Fatty Acid Occurs?
? Omega Oxidation takes

--- Content provided by⁠ FirstRanker.com ---

place when there is defect

in Oxidation of fatty acid.

?During Oxidation of

--- Content provided by‌ FirstRanker.com ---


Fatty acid

? Carbon atom (CH3)

--- Content provided by⁠ FirstRanker.com ---

of a Fatty acid is

transformed to -COOH
? The omega oxidation forms

--- Content provided by‌ FirstRanker.com ---

Dicarboxylic acid

? Which further undergo oxidation
? Form more short Dicarboxylic

--- Content provided by FirstRanker.com ---

acids Adipic acid and Succinic acid

? Which are more polar excreted

out in Urine.

--- Content provided by⁠ FirstRanker.com ---


-Oxidation of Fatty acids

Occur in the

--- Content provided by​ FirstRanker.com ---

Endoplasmic Reticulum

of Liver Cells
Mechanism Of Oxidation

--- Content provided by‌ FirstRanker.com ---

? Oxidation of Fatty

acid is a minor

alternative oxidative

--- Content provided by⁠ FirstRanker.com ---


Pathway.

? Omega Oxidation of a Fatty

--- Content provided by‍ FirstRanker.com ---

acid takes place with:

?Hydroxylation Reaction
?Oxidation Reaction

--- Content provided by⁠ FirstRanker.com ---


=Omega,the
lastletterinthe
Greekalphabet
? In Oxidation of Fatty acid there occurs

--- Content provided by‌ FirstRanker.com ---


Hydroxylation at Carbon atom

? Converting into Primary terminal

--- Content provided by⁠ FirstRanker.com ---

Alcohol (-CH2OH) group.

? This reaction is catalyzed by NADPH+H+

dependent Cytochrome P450 system

--- Content provided by FirstRanker.com ---


? Next the primary terminal Alcohol group

is oxidized to form -COOH group .

--- Content provided by‌ FirstRanker.com ---

? Further the Dicarboxylic acid

generated through Omega

Oxidation undergoes beta

--- Content provided by​ FirstRanker.com ---


oxidation

? To produce short chain

--- Content provided by​ FirstRanker.com ---

Dicarboxylic acids as Adipic acid

and Succinic acid

? Which are polar and excreted

--- Content provided by‍ FirstRanker.com ---


out through Urine.
Significance Of Omega Oxidation

? Omega Oxidation transforms a

--- Content provided by⁠ FirstRanker.com ---


non polar Fatty acid to polar

Dicarboxylic fatty acid.

--- Content provided by​ FirstRanker.com ---

? Omega Oxidation of fatty acid

facilitates excretion of

accumulated fatty acids due to

--- Content provided by​ FirstRanker.com ---


defective normal Oxidation in

the cel s.

--- Content provided by⁠ FirstRanker.com ---

Peroxisomal Oxidation Of

Fatty Acids
OXIDATION OF FATTY ACIDS IN PEROXISOMES

--- Content provided by FirstRanker.com ---

? Peroxisomes ? Cell organelles

containing Enzymes Peroxidase and

Catalase

--- Content provided by​ FirstRanker.com ---


? These Enzymes catalyzes the

dismutation of Hydrogen peroxide

--- Content provided by⁠ FirstRanker.com ---

into water and molecular oxygen

When ? Why? How?

Does

--- Content provided by​ FirstRanker.com ---


Peroxisomal Oxidation

OF

--- Content provided by FirstRanker.com ---

Fatty Acid Occurs?
vb-Oxidation of very long-chain

fatty acids(>C22) occurs within

--- Content provided by‌ FirstRanker.com ---

Peroxisomes initial y

v Later undergoes

Mitochondrial Oxidation .

--- Content provided by‍ FirstRanker.com ---

? Carnitine is involved in transfer

of Very long Chain Fatty acids

(VLCFAS >C22) into and out of

--- Content provided by⁠ FirstRanker.com ---


Peroxisomes.

? Peroxisomal Fatty acid oxidation

--- Content provided by⁠ FirstRanker.com ---

is induced by a high Fat diet with

VLCFAs.

? To shortens the VLCFAs into

--- Content provided by‍ FirstRanker.com ---


LCFAs

? Which are further degraded by

--- Content provided by⁠ FirstRanker.com ---

Beta oxidation process.


Peroxisomal -Oxidation

--- Content provided by⁠ FirstRanker.com ---



? Similar to Mitochondrial -

oxidation,

--- Content provided by‌ FirstRanker.com ---


? Initial double bond formation

is catalyzed by Flavoprotein

--- Content provided by‌ FirstRanker.com ---

Acyl-CoA Oxidase


Acyl CoA Oxidase?FAD transfers electrons to

--- Content provided by FirstRanker.com ---

O2 to yield H2O2.

? Coenzyme FAD is e- acceptor

for Peroxisomal Acyl-CoA

--- Content provided by‍ FirstRanker.com ---


Oxidase, which catalyzes the

1st oxidative step of the

--- Content provided by FirstRanker.com ---

pathway.
? FADH2 generated at this step

instead of transferring the high-

--- Content provided by FirstRanker.com ---

energy electrons to ETC, as

occurs in Mitochondrial beta-

oxidation.

--- Content provided by‌ FirstRanker.com ---


? Electrons of FADH2 directly go

to O2 at reaction level to

--- Content provided by FirstRanker.com ---

generate H2O2 in Peroxisomes.

? Thus FADH2 generated in

Peroxisomes by Fatty acid oxidation

--- Content provided by​ FirstRanker.com ---


do not enter ETC to liberate ATPs.

? Instead the peroxisome, FADH2

--- Content provided by‌ FirstRanker.com ---

generated by fatty acid oxidation by

Acyl CoA Oxidase is reoxidized

producing Hydrogen peroxide.

--- Content provided by​ FirstRanker.com ---

FADH2 + O2 FAD + H2O2

The Peroxisomal enzyme Catalase

degrades H2O2:

--- Content provided by‍ FirstRanker.com ---


2 H2O2 2 H2O + O2
These reactions produce No ATP.

? Once Very Long Chain Fatty acids

--- Content provided by FirstRanker.com ---


are reduced in length within the

Peroxisomes

--- Content provided by​ FirstRanker.com ---

? They may shift to the

Mitochondrial beta oxidation for

further catabolism of fatty acids.

--- Content provided by⁠ FirstRanker.com ---

?Fewer ATPs result

from Peroxisomal

oxidation of VLCFAs.

--- Content provided by FirstRanker.com ---


?Steps of Peroxisomal

Oxidation of Fatty acid

--- Content provided by FirstRanker.com ---

does not generate ATPs

?Instead the energy

dissipated in the form of

--- Content provided by‌ FirstRanker.com ---


heat.
? Many drugs commercially available

in market for reducing obesity

--- Content provided by FirstRanker.com ---


? Stimulate Peroxisomal beta

oxidation

--- Content provided by⁠ FirstRanker.com ---

? Where the Fatty acids are oxidized

without much liberation of calories

(ATPs).

--- Content provided by​ FirstRanker.com ---


? Peroxisomal Oxidation of Fatty

acid efficiently takes place in:

--- Content provided by FirstRanker.com ---

?Obese persons
?Persons taking Hypolipidemic

drugs(Clofibrate).

--- Content provided by FirstRanker.com ---


Zel wegers Syndrome

OR

--- Content provided by​ FirstRanker.com ---

Cerebrohepatorenal Syndrome


Peroxisomal Disorder

--- Content provided by FirstRanker.com ---

? Zellweger

Syndrome

? Cerebro-Hepato-

--- Content provided by⁠ FirstRanker.com ---


Renal Syndrome

Biochemical Causes
?Rare genetic autosomal

--- Content provided by‌ FirstRanker.com ---


recessive disorder.

?Characterized by

--- Content provided by‍ FirstRanker.com ---

absence of functional

Peroxisomes.

?Gene mutations in

--- Content provided by⁠ FirstRanker.com ---


PEX Genes leads to

Zel wegers Syndrome.
Biochemical Alterations

--- Content provided by FirstRanker.com ---


? No oxidation of very long

chain Fatty acids and

--- Content provided by‌ FirstRanker.com ---

branched chain fatty acids

in Peroxisomes

?Accumulation of large

--- Content provided by⁠ FirstRanker.com ---


abnormal amounts of VLCFAs

in Peroxisomes of tissues.

--- Content provided by‍ FirstRanker.com ---

?No normal function of

Peroxisomes.
? Progressive degeneration of

--- Content provided by FirstRanker.com ---

Brain/Liver/Kidney, with

death ~6 month after onset.

Signs and Symptoms

--- Content provided by‍ FirstRanker.com ---


? Defect in normal function of multiple organ

system.

--- Content provided by‌ FirstRanker.com ---

? Impaired neuronal migration, positioning and

brain development.

? Hypomyelination affecting nerve impulse

--- Content provided by‍ FirstRanker.com ---


transmission.

? Hepatomegaly
? Renal Cysts

--- Content provided by⁠ FirstRanker.com ---

? Typical Dysmorphic facies.


Diagnosis

--- Content provided by FirstRanker.com ---

?Detection of Increased

levels of Serum Very

Long Chain Fatty Acids-

--- Content provided by FirstRanker.com ---


VLCFAs
Oxidation Of Unsaturated

Fatty Acids

--- Content provided by‌ FirstRanker.com ---


? PUFAs having double bonds in their

structure are unstable.

--- Content provided by⁠ FirstRanker.com ---

? The double bonds are hydrolyzed and

metabolized faster than saturated

bonds.

--- Content provided by⁠ FirstRanker.com ---


? Thus dietary intake of PUFA get

readily metabolized

--- Content provided by​ FirstRanker.com ---

? Which reduces risk of

Atherosclerosis.
Mechanism Of Oxidation

--- Content provided by​ FirstRanker.com ---

Of Unsaturated Fatty

Acids

? Initial and later the Oxidation

--- Content provided by‍ FirstRanker.com ---


of PUFAs is by

? Similar steps of Oxidation

--- Content provided by​ FirstRanker.com ---

in the parts, of saturated

bonds.
? The double bonds of UFAs are cleaved

--- Content provided by⁠ FirstRanker.com ---

by the action of Fol owing Enzymes:

? Isomerase (Enoyl CoA Isomerase)

(For even numbered double bonds MUFAs)

--- Content provided by‍ FirstRanker.com ---


?Reductase (2,4 Dienoyl CoA Reductase)

(For Odd numbered double bonds PUFAS)

--- Content provided by‌ FirstRanker.com ---

?Epimerase

(Converts D Isomer to L Isomer)

? Enoyl CoA Isomerase handles

--- Content provided by‍ FirstRanker.com ---


odd numbered double bonds

in MUFAs.

--- Content provided by‍ FirstRanker.com ---

? 2,4 Dienoyl CoA Reductase

handles even numbered

double bonds in PUFAs.

--- Content provided by FirstRanker.com ---

? Usually natural unsaturated fatty

acids have cis double bonds.

? Which is transformed to trans

--- Content provided by‍ FirstRanker.com ---


double bonds by the action of an

Isomerase .

--- Content provided by​ FirstRanker.com ---

? As the next enzyme to act is

Enoyl Hydratase ,which acts

only on trans double bonds.

--- Content provided by FirstRanker.com ---


? Enoyl-CoA Isomerase converts

Cis unsaturated Fatty acids to

--- Content provided by​ FirstRanker.com ---

Trans- 2 Enoyl-CoA

? Now the -oxidation can

continue on with the hydration

--- Content provided by​ FirstRanker.com ---


of the trans- 2-Enoyl-CoA by

Enoyl CoA Hydratase

--- Content provided by FirstRanker.com ---


Oxidation Of

Monounsaturated Fatty Acids

--- Content provided by⁠ FirstRanker.com ---

? Oleic acid, Palmitoleic acid
? Normal -oxidation for three cycles
? Cis-3 Acyl-CoA cannot be utilized by

Acyl-CoA dehydrogenase

--- Content provided by FirstRanker.com ---


? Enoyl-CoA Isomerase converts this to

trans- 2 Acyl CoA

--- Content provided by‌ FirstRanker.com ---

? -oxidation continues from this point


Oxidation Of

--- Content provided by‌ FirstRanker.com ---

Polyunsaturated Fatty Acids

Slightly more complicated

? Same as for Oleic acid, but only up to a point:

--- Content provided by​ FirstRanker.com ---


? 3 cycles of -oxidation

? Enoyl-CoA Isomerase

--- Content provided by‍ FirstRanker.com ---

? 1 more round of -oxidation

? trans- 2, cis- 4 structure is a problem.

? 2,4-Dienoyl-CoA Reductase transform it to odd numbered.

--- Content provided by FirstRanker.com ---




Oxidation of Unsaturated Fatty Acids (Remember they are cis!)

--- Content provided by​ FirstRanker.com ---


b-oxidation of fatty acids with even

numbered double bonds
? The Oxidation of PUFAs provide less

--- Content provided by‍ FirstRanker.com ---


energy than saturated Fatty acids as

they are less reduced compounds.

--- Content provided by FirstRanker.com ---

? At double bonds the Isomerase act

and convert it into Trans ?Enoyl

CoA.

--- Content provided by⁠ FirstRanker.com ---


? This bypasses the Acyl-CoA

Dehydrogenase ?FAD linked beta

--- Content provided by⁠ FirstRanker.com ---

oxidation reaction.

? 1.5 ATP less per double bond.

Ketone Body

--- Content provided by FirstRanker.com ---


Metabolism
Formation And Fates

Of

--- Content provided by FirstRanker.com ---


Ketone Bodies

In Human Body

--- Content provided by‍ FirstRanker.com ---

Ketogenesis And Ketolysis

OR

Formation And Breakdown

--- Content provided by FirstRanker.com ---


Of Ketone Bodies
What are Ketone Bodies ?

When ? Where? Why?

--- Content provided by⁠ FirstRanker.com ---


and How?

Ketone Bodies are Formed

--- Content provided by FirstRanker.com ---

In The Human Body?

Incomplete Oxidation

Of Fatty Acids And There Products

--- Content provided by FirstRanker.com ---

? Ketone body Metabolism Includes:

?Ketogenesis : Formation of Ketone

bodies

--- Content provided by⁠ FirstRanker.com ---


?Ketolysis: Breakdown and Utilization

of Ketone bodies

--- Content provided by‍ FirstRanker.com ---

?Ketosis: Imbalance in Ketogenesis and

Ketolysis.

Ketogenesis

--- Content provided by⁠ FirstRanker.com ---

What Is Ketogenesis?

? Ketogenesis is biosynthesis

of Ketone bodies

--- Content provided by‌ FirstRanker.com ---


? In emergency conditions at

Mitochondrial matrix of

--- Content provided by​ FirstRanker.com ---

Hepatocytes.

Condition In Which Ketogenesis Occurs

? Ketogenesis efficiently occur in

--- Content provided by​ FirstRanker.com ---


Emergency conditions

?Fasting/Starvation Phase
?Low Cel ular Glucose Metabolism

--- Content provided by FirstRanker.com ---

Site For Ketogenesis

OR

Where Does Ketogenesis

--- Content provided by‍ FirstRanker.com ---


Occurs ?

? Ketone bodies are biosynthesized

--- Content provided by FirstRanker.com ---

in the Liver/Hepatocytes at the

Mitochondrial Matrix

? Formed Ketone bodies come out of

--- Content provided by‌ FirstRanker.com ---


Mitochondria

? Later they are diffused into the

--- Content provided by⁠ FirstRanker.com ---

blood and are

? Transported to reach extrahepatic

/peripheral tissues

--- Content provided by⁠ FirstRanker.com ---

Who Is The

Precursor For Ketogenesis ?

?Acetyl CoA is the

--- Content provided by​ FirstRanker.com ---


precursor/starting

material for

--- Content provided by‍ FirstRanker.com ---

Ketogenesis.
Source Of Acetyl-CoA For Ketogenesis

? Ketone bodies are formed from

--- Content provided by⁠ FirstRanker.com ---

Acetyl CoA ,obtained through

increased beta oxidation of

Fatty acids.

--- Content provided by‌ FirstRanker.com ---


? Acetyl-CoA accumulated in

Mitochondrial matrix due to

--- Content provided by⁠ FirstRanker.com ---

underutilization via TCA

cycle.
Biochemical Basis for

--- Content provided by‍ FirstRanker.com ---

Ketogenesis

OR

What Favors Ketogenesis ?

--- Content provided by‍ FirstRanker.com ---


OR

Why Ketogenesis Occurs In

--- Content provided by⁠ FirstRanker.com ---

Emergency Condition ?

What Factors


--- Content provided by​ FirstRanker.com ---


Promotes/Triggers

Ketogenesis ?
Biochemical Causes for Ketogenesis

--- Content provided by‍ FirstRanker.com ---


? In Emergency Condition

?Due to Cel ular Glucose

--- Content provided by​ FirstRanker.com ---

deprivation and its metabolism

?Low Cel ular Oxaloacetate

?Low Operation of TCA cycle

--- Content provided by​ FirstRanker.com ---


? Normal Insulin activity do

not promote Ketogenesis.

--- Content provided by‍ FirstRanker.com ---

? Low Insulin activity

promotes Ketogenesis.
Remember

--- Content provided by​ FirstRanker.com ---

? Availability of Glucose in cel s, do

not promote Ketogenesis and

form Ketone bodies.

--- Content provided by‍ FirstRanker.com ---


? Unavailabity of Glucose in cel s

promote Ketogenesis and form

--- Content provided by​ FirstRanker.com ---

Ketone bodies

Way For KETOGENESIS
REVIEW!

--- Content provided by⁠ FirstRanker.com ---

?When the body cel s has

plenty of Carbohydrates

(Glucose) available as

--- Content provided by‌ FirstRanker.com ---


primary energy source,

?Glucose is completely

--- Content provided by​ FirstRanker.com ---

oxidized to CO2,H2O and

ATPs.
?When the body has excess

--- Content provided by⁠ FirstRanker.com ---

Glucose available it is utilized

as below:

? Required amount of Glucose

--- Content provided by‍ FirstRanker.com ---


is ful y oxidized

?Stored as Glycogen
?Transformed to fatty acids

--- Content provided by FirstRanker.com ---


and stored as TAG.

? When cell Glucose go below sub normal

--- Content provided by‌ FirstRanker.com ---

? Fatty acids undergo -oxidation to form

Acetyl-CoA.

? Normally, Acetyl-CoA is further oxidized via

--- Content provided by‌ FirstRanker.com ---


TCA cycle.


In Emergency

--- Content provided by‍ FirstRanker.com ---


How Acetyl-CoA Gets Accumulated

And Diverted For Ketogenesis ?
? In Emergency Condition

--- Content provided by​ FirstRanker.com ---

? When Cel ular Glucose is low

? In response to hormones Glucagon and

Epinephrine

--- Content provided by‌ FirstRanker.com ---


? There is increased Lipolysis and beta

oxidation Fatty acids.

--- Content provided by​ FirstRanker.com ---

? In emergency conditions
? Cellular Glucose levels decreases
? This decreases cel ular Oxalo acetate

(OAA).

--- Content provided by​ FirstRanker.com ---


?Since source of OAA is Glucose
(By Pyruvate Carboxylation Rxn).
?Also in emergency conditions OAA is

--- Content provided by‍ FirstRanker.com ---

used for Gluconeogenesis which

lowers cel ular OAA.
? OAA is the starting material required to

--- Content provided by‍ FirstRanker.com ---

initiate and operate TCA .

? Due to low levels of cel ular OAA, end

product of Fatty acid oxidation- Acetyl-

--- Content provided by‌ FirstRanker.com ---


CoA is not utilized via TCA cycle.

? The underutilized Acetyl-CoA in the

--- Content provided by⁠ FirstRanker.com ---

Mitochondrial matrix of Liver gets

accumulated.

What Are

--- Content provided by FirstRanker.com ---


The Steps Of Ketogenesis?


Precursor For Ketogenesis

--- Content provided by‍ FirstRanker.com ---


? Is Acetyl-CoA

? In Emergency condition
? Acetyl ?CoA obtained from increased beta

--- Content provided by‍ FirstRanker.com ---


oxidation of Fatty acids in cel ular Glucose

deprived conditions

--- Content provided by‌ FirstRanker.com ---

? Which accumulates Acetyl-CoA in

Mitochondrial matrix due to low/no

utilization of Acetyl-CoA via TCA cycle is

--- Content provided by‍ FirstRanker.com ---


diverted for Ketogenesis.



--- Content provided by⁠ FirstRanker.com ---



Decarboxylation

q Acetoacetate produces -Hydroxybutyrate

--- Content provided by‌ FirstRanker.com ---


in a reduction reaction catalyzed by -

Hydroxybutyrate Dehydrogenase in the

--- Content provided by‌ FirstRanker.com ---

presence of NADH+H+


Isoprenesand
Steroids

--- Content provided by‌ FirstRanker.com ---

Fatty acid

2 Acetyl CoA

oxidation to CO2

--- Content provided by‌ FirstRanker.com ---


Citric

-oxidation

--- Content provided by​ FirstRanker.com ---

acid

(excess

cycle

--- Content provided by‍ FirstRanker.com ---


Thiolase

acetyl CoA)

--- Content provided by​ FirstRanker.com ---

CoA

Acetoacetyl CoA

acetyl CoA

--- Content provided by⁠ FirstRanker.com ---


HMG-CoA synthase

CoA

--- Content provided by FirstRanker.com ---

MITOCHONDRIAL MATRIX

Hydroxymethylglutaryl CoA

HMG-CoA-lyase

--- Content provided by FirstRanker.com ---


acetyl CoA

Acetoacetate

--- Content provided by FirstRanker.com ---

NADH

(non-enzymatic)

-Hydroxybutyrate

--- Content provided by‌ FirstRanker.com ---


dehydrogenase

Acetone

--- Content provided by‍ FirstRanker.com ---

NAD+

-Hydroxybutyrate


--- Content provided by‍ FirstRanker.com ---

Formation of

ketone bodies

HMG, 3-hydroxy-3-methylglutaryl

--- Content provided by FirstRanker.com ---


Both enzymes

must be present in

--- Content provided by FirstRanker.com ---

mitochondria for

Ketogenesis to take

place.

--- Content provided by‌ FirstRanker.com ---


Pathways of ketogenesis in the liver
? Three molecules of Acetyl-

CoA are involved during

--- Content provided by‌ FirstRanker.com ---


the steps of Ketogenesis.

? Ketone bodies can be simply

--- Content provided by⁠ FirstRanker.com ---

referred as

? Condensed and modified

forms of Acetyl-CoA

--- Content provided by FirstRanker.com ---

?Ketone Bodies are partial y

oxidized products of Fatty

Acids (Half broken products

--- Content provided by‌ FirstRanker.com ---


of Fatty acids)

? Obtained through steps of

--- Content provided by⁠ FirstRanker.com ---

Ketogenesis.

?The end product of Beta oxidation

of Fatty acid - Acetyl-CoA, if not

--- Content provided by‌ FirstRanker.com ---


completely oxidized and utilized via

TCA cycle

--- Content provided by‍ FirstRanker.com ---

? The complex ,impermeable,

accumulated Acetyl-CoA is diverted

for Ketogenesis and transformed to

--- Content provided by​ FirstRanker.com ---


permeable Ketone bodies brought

out of Mitochondria and cel into

--- Content provided by⁠ FirstRanker.com ---

blood circulation.
Description Of Reaction Of

Ketogenesis

--- Content provided by⁠ FirstRanker.com ---

? Two molecules of Acetyl-CoA

formed as an end product of -

oxidation condenses with one

--- Content provided by FirstRanker.com ---


another to form Acetoacetyl ?

CoA

--- Content provided by FirstRanker.com ---

? This reaction is by a reversal of

the Thiolase reaction by an

enzyme Acetoacetyl-CoA Thiolase.

--- Content provided by‌ FirstRanker.com ---

nAcetoacetyl-CoA, which is the

starting material for

Ketogenesis,

--- Content provided by‍ FirstRanker.com ---


nMay also arises directly from

the terminal four carbons of a

--- Content provided by​ FirstRanker.com ---

fatty acid during -oxidation.

? The further steps of Ketogenesis

involves:

--- Content provided by⁠ FirstRanker.com ---


? Synthesis and breakdown of

Hydroxy Methyl Glutaryl-CoA/

--- Content provided by​ FirstRanker.com ---

3-Hydroxy-3-Methylglutaryl-CoA

(HMG CoA) from Acetoacetyl-CoA.
? By two key Enzymes:
? HMG-CoA Synthase

--- Content provided by‍ FirstRanker.com ---

? HMG-CoA Lyase
?Subsequently in the

second step a third

--- Content provided by‌ FirstRanker.com ---

molecule of Acetyl CoA

is added to Acetoacetyl

CoA.

--- Content provided by‍ FirstRanker.com ---


nCondensation of Acetoacetyl-

CoA with another molecule of

--- Content provided by​ FirstRanker.com ---

Acetyl-CoA to form 3-Hydroxy-

3-Methylglutaryl CoA (HMG

CoA)

--- Content provided by​ FirstRanker.com ---


nCatalyzed by HMG-CoA

Synthase.
? These two steps are identical

--- Content provided by FirstRanker.com ---


to the first two steps in the

Cholesterol biosynthesis

--- Content provided by‍ FirstRanker.com ---

pathway.

? In the third step 3-Hydroxy-3-

Methylglutaryl-CoA Lyase

--- Content provided by‌ FirstRanker.com ---


(HMG-CoA Lyase) split off

HMG-CoA

--- Content provided by‍ FirstRanker.com ---

? To release Acetyl-CoA and

Acetoacetate.
v Both Acetoacetate and -Hydroxybutyrate

--- Content provided by‍ FirstRanker.com ---

are permeable through mitochondrial

membrane.

v Can be transported across the mitochondrial

--- Content provided by FirstRanker.com ---


membrane and the plasma membrane of

the Liver cells,

--- Content provided by⁠ FirstRanker.com ---

Ketone bodies enter to the blood stream to

be used as a fuel by extrahepatocytes/other

cells of the body.

--- Content provided by⁠ FirstRanker.com ---


6. In the blood stream, small

amounts of Acetoacetate are

--- Content provided by⁠ FirstRanker.com ---

spontaneously (non-

enzymatically) Decarboxylated

to Acetone.

--- Content provided by FirstRanker.com ---


7. Acetone is a secondary

,volatile, Ketone body expired

--- Content provided by‍ FirstRanker.com ---

out by Lungs.
Acetone is soluble and volatile

and cannot be detected in the

--- Content provided by‌ FirstRanker.com ---

blood and expired out by Lungs.

The odor of Acetone may be

detected in the breath

--- Content provided by‍ FirstRanker.com ---


Also the urine of a person has high

level of ketone bodies in the blood

--- Content provided by⁠ FirstRanker.com ---

(Ketonuria)

Condition where more Acetone is

produced and expired out gives fruity

--- Content provided by FirstRanker.com ---


odor also termed as Acetone

Breath/Kussmauls Breathing.

--- Content provided by⁠ FirstRanker.com ---

Acetone Breath is noted in persons

with Prolonged Starvation and

Diabetic Ketoacidosis.

--- Content provided by‍ FirstRanker.com ---



? Hydroxy Butyrate is an acidic

compound.

--- Content provided by⁠ FirstRanker.com ---


? High levels of Hydroxy Butyrate in

blood

--- Content provided by​ FirstRanker.com ---

? May lower blood pH and leads to a

condition of Metabolic Acidosis.

? Acidosis due to increased Ketone

--- Content provided by⁠ FirstRanker.com ---


bodies is termed as Ketoacidosis.

?Ketone bodies formed by

--- Content provided by‍ FirstRanker.com ---

Liver are mobilized out


?Circulated in blood and

--- Content provided by FirstRanker.com ---

they may enter extra

hepatic tissues for its use.
What are Ketone Bodies?

--- Content provided by​ FirstRanker.com ---

Ketone bodies are

Ketone group containing compounds

Obtained from Acetyl-CoA

--- Content provided by‍ FirstRanker.com ---


By Steps of Ketogenesis

Permeable, Soluble

--- Content provided by‍ FirstRanker.com ---

Intermediate Products, of Incomplete

Oxidation of Fatty Acids

Produced in Emergency Conditions

--- Content provided by‍ FirstRanker.com ---


At Mitochondrial Matrix Of Hepatocytes

Due to Cel ular Glucose Deprivation

--- Content provided by FirstRanker.com ---




Name Three Ketone Bodies

--- Content provided by⁠ FirstRanker.com ---

? The Three Ketone bodies present

in human body are:

?Acetoacetate

--- Content provided by​ FirstRanker.com ---

?Acetone
?b- Hydroxybutyrate



--- Content provided by FirstRanker.com ---

Structures Of

Ketone Bodies
Acetoacetate

--- Content provided by⁠ FirstRanker.com ---

Is the First Ketone body

To Be Formed

Hence Termed As

--- Content provided by FirstRanker.com ---


Primary Ketone Body

1)Primary Ketone Body:(First Formed Ketone Body)

--- Content provided by‍ FirstRanker.com ---

CH3-CO-CH2-COOH Acetoacetic Acid

(Unstable Product)

2)Secondary Ketone bodies:(Derived From Primary Ketone Body)

--- Content provided by‌ FirstRanker.com ---


CH3-CHOH-CH2-COOH -Hydroxybutyric Acid

CH3-CO-CH3

--- Content provided by FirstRanker.com ---

Acetone

(Non-metabolized product)
? True Ketone Bodies:

--- Content provided by⁠ FirstRanker.com ---

(Possess Ketone group in their structure)
?Acetoacetate (Unstable)
?Acetone ( Volatile)

Significance Of

--- Content provided by FirstRanker.com ---


Ketogenesis
? Ketogenesis becomes of

great significant during

--- Content provided by‌ FirstRanker.com ---


starvation.

? It improves survival phase of

--- Content provided by​ FirstRanker.com ---

vital organs.

? Ketone bodies formed by

Ketogenesis serve as an

--- Content provided by⁠ FirstRanker.com ---


alternative source of energy

for extra Hepatocytes.
?Brain adapts utilizing

--- Content provided by⁠ FirstRanker.com ---


Ketone bodies in

starvation conditions

--- Content provided by‌ FirstRanker.com ---

where there is poor

availability of Glucose.

? After the diet has been

--- Content provided by⁠ FirstRanker.com ---


changed to lower blood

Glucose

--- Content provided by‌ FirstRanker.com ---

? After 3 days the Brain gets

25% of its energy from

Ketone bodies

--- Content provided by‍ FirstRanker.com ---


? After about 40 days, this

goes up to 70% energy

--- Content provided by‍ FirstRanker.com ---

source to Brain.
?Thus Ketogenesis provides

energy for vital organs and

--- Content provided by‍ FirstRanker.com ---


?Maintain there minimal

functions during prolonged

--- Content provided by‌ FirstRanker.com ---

starvation

Aim Of Steps Of Ketogenesis

OR

--- Content provided by⁠ FirstRanker.com ---


What Happens During The Steps

Of Ketogenesis?
? Ketogenesis takes place to transform

--- Content provided by​ FirstRanker.com ---


impermeable Acetyl CoA molecules ( which are

impermeable through mitochondrial

--- Content provided by⁠ FirstRanker.com ---

membranes) to permeable Ketone bodies.

? This is By:

? Condensation of Acetyl-CoA molecules

--- Content provided by‌ FirstRanker.com ---


? Removal of complex impermeable CoA from

Acetyl-CoA moieties.

--- Content provided by‌ FirstRanker.com ---

? Forming permeable Acetoacetate (Ketone body)

? The main aim to operate

Ketogenesis in Mitochondria

--- Content provided by​ FirstRanker.com ---


of Hepatocytes is:

?To remove the complex

--- Content provided by‍ FirstRanker.com ---

impermeable CoA from

carbon units of Acetyl?CoA

?Form permeable

--- Content provided by‍ FirstRanker.com ---


Acetoacetate(4C) to mobilize

out of Liver.
? Ketogenesis removes

--- Content provided by‍ FirstRanker.com ---


impermeable and accumulated

Acetyl-CoA out of Liver

--- Content provided by​ FirstRanker.com ---

Mitochondria .

? Thus steps of Ketogenesis

prevent accumulation of Acetyl-

--- Content provided by⁠ FirstRanker.com ---


CoA in matrix of mitochondria.

? Ketogenesis retains and recycle

--- Content provided by⁠ FirstRanker.com ---

the CoA pool of Mitochondrial

matrix .


--- Content provided by‍ FirstRanker.com ---

? And the carbon units of Acetyl-

CoA are removed as

Acetoacetate.

--- Content provided by FirstRanker.com ---

? Formation of permeable Ketone

body Acetoacetate

? Significantly removes the

--- Content provided by‍ FirstRanker.com ---


accumulated carbon units of

Acetyl-CoA

--- Content provided by​ FirstRanker.com ---

? In the form of Acetoacetate

(Ketone body) from Liver

Mitochondrial matrix.

--- Content provided by FirstRanker.com ---


Regulation of Ketogenesis
HMG COA Synthase

is the Regulatory Enzyme

--- Content provided by FirstRanker.com ---


of Ketogenesis

?HMG-CoA Synthase

--- Content provided by​ FirstRanker.com ---

activity is induced by

increased fatty

acids in the blood.

--- Content provided by⁠ FirstRanker.com ---

? CoA-SH levels regulate the

Ketogenesis to retain CoA

pool in Mitochondrial matrix.

--- Content provided by‌ FirstRanker.com ---


?Reduced CoA-SH levels

stimulates HMG CoA Synthase

--- Content provided by⁠ FirstRanker.com ---

?Increased CoA-SH levels

inhibits HMG CoA Synthase

qKetogenesis is regulated at three

--- Content provided by⁠ FirstRanker.com ---


crucial steps:

q Control of Free Fatty acid mobilization

--- Content provided by‌ FirstRanker.com ---

from Adipose tissue (Lipolysis)


q The activity of Carnitine

--- Content provided by⁠ FirstRanker.com ---

Palmitoyltransferase-I in Liver.

q Partition of Acetyl-CoA between the

pathway of Ketogenesis and the Citric

--- Content provided by FirstRanker.com ---


acid cycle by OAA levels.


Regulation of Ketogenesis

--- Content provided by‌ FirstRanker.com ---


Factors Responsible

For Increased Ketogenesis
? Normal y Ketogenesis takes place to

--- Content provided by‍ FirstRanker.com ---


smal extent.

? Ketone bodies are created at

--- Content provided by⁠ FirstRanker.com ---

moderate levels in our bodies,

? Such as during sleep and other times
? When no Carbohydrates/Glucose are

--- Content provided by⁠ FirstRanker.com ---

readily available in cells.

?The rate of Ketogenesis

and its efficiency directly

--- Content provided by​ FirstRanker.com ---


depends upon:

?The Insulin activity

--- Content provided by⁠ FirstRanker.com ---

?Levels of Cellular Glucose

?Levels of cellular OAA
?Increased and

--- Content provided by​ FirstRanker.com ---

incomplete oxidation of

Fatty acids increases

Ketogenesis.

--- Content provided by​ FirstRanker.com ---


? The condition where there

is more cellular Glucose

--- Content provided by⁠ FirstRanker.com ---

deprivation

? More is the efficiency of

Ketogenesis.

--- Content provided by‍ FirstRanker.com ---

?Thus conditions which

accumulates excess of

Acetyl ?CoA in

--- Content provided by​ FirstRanker.com ---


Mitochondrial matrix.

?Divert this Acetyl-CoA for

--- Content provided by⁠ FirstRanker.com ---

Ketogenesis.

Which are The Conditions

Which Deprives

--- Content provided by⁠ FirstRanker.com ---


Cellular Glucose And OAA

And

--- Content provided by‍ FirstRanker.com ---

Increases The

Rate Of Ketogenesis ?
?Prolonged Starvation
?Diabetes Mellitus

--- Content provided by FirstRanker.com ---


Uncontrolled Condition of

DM: Diabetic Ketoacidosis

--- Content provided by FirstRanker.com ---

?Severe Vomiting
?Toxemia of Pregnancy

? Deprivation of Cellular Glucose
? High rates of Fatty acid Oxidation

--- Content provided by FirstRanker.com ---

? Low levels of cellular Oxaloacetate
? Under utilization of Acetyl CoA in TCA cycle
? Large accumulated amounts of impermeable

Acetyl-CoA in mitochondrial matrix.

--- Content provided by​ FirstRanker.com ---


? Accumulated Acetyl-CoA diverted for

Ketogenesis and

--- Content provided by​ FirstRanker.com ---

? Formation of soluble and permeable Ketone

bodies which can be easily mobilized out of the

Mitochondrial matrix.

--- Content provided by FirstRanker.com ---

Inter Relationship

Of

Carbohydrates And Lipid

--- Content provided by‍ FirstRanker.com ---


Metabolism

?Thus low/non availability of

--- Content provided by​ FirstRanker.com ---

Oxaloacetate in cells in emergency

condition

?Does not oxidize Fatty acid Acetyl-

--- Content provided by FirstRanker.com ---


CoA completely via TCA cycle.

?This results in accumulation of Acetyl

--- Content provided by FirstRanker.com ---

-CoA in Mitochondrial matrix

?Which then activates and diverts

Acetyl-CoA for Ketogenesis.

--- Content provided by​ FirstRanker.com ---

Fats Burns

In The Flame Of Carbohydrates

MEANS

--- Content provided by⁠ FirstRanker.com ---


For Complete Oxidation

Of Fatty Acids

--- Content provided by‌ FirstRanker.com ---

There Needs Presence of

Sufficient Glucose In The Cells

? Fat burns under the flame of

--- Content provided by​ FirstRanker.com ---


Carbohydrates.

? Complete oxidation of Acetyl-CoA

--- Content provided by‌ FirstRanker.com ---

obtained through Fatty acid

oxidation

? Requires sufficient Oxaloacetate

--- Content provided by FirstRanker.com ---


which is a source from normal

Glucose metabolism.
? Sufficient cellular Glucose (Flame)

--- Content provided by‌ FirstRanker.com ---


keeps the availability of OAA

? To initiate and operate TCA cycle

--- Content provided by FirstRanker.com ---

and completely oxidize the end

product of beta oxidation of Fatty

acid Acetyl CoA to CO2 ,H2O and

--- Content provided by‌ FirstRanker.com ---


ATP.

? The entry of Acetyl CoA into the Citric

--- Content provided by FirstRanker.com ---

acid cycle depends on the availability

of Oxaloacetate.

? The concentration of Oxaloacetate is

--- Content provided by FirstRanker.com ---


lowered

? If Glucose is unavailable (Starvation) or

--- Content provided by‌ FirstRanker.com ---

improperly utilized (Diabetes mellitus).

? Oxaloacetate is normally formed from

pyruvate by Pyruvate Carboxylase (

--- Content provided by​ FirstRanker.com ---


Anaplerotic reaction).
? In Starvation or Diabetes mellitus

the Gluconeogenesis is activated

--- Content provided by​ FirstRanker.com ---


and Oxaloacetate is consumed in

this pathway.

--- Content provided by FirstRanker.com ---

? Fatty acids are oxidized

producing excess of Acetyl CoA

which is converted to Ketone

--- Content provided by​ FirstRanker.com ---


bodies:

?In deprivation of

--- Content provided by‍ FirstRanker.com ---

Glucose

?Acetyl CoA is under

utilized and incomplete

--- Content provided by‌ FirstRanker.com ---


oxidized via TCA cycle.

Why Ketogenesis Occur?

--- Content provided by‌ FirstRanker.com ---

The Main aim for the steps of

Ketogenesis to occur is:

? To remove the complex, impermeable

--- Content provided by​ FirstRanker.com ---


,accumulated Acetyl CoA in

Mitochondrial Matrix

--- Content provided by‍ FirstRanker.com ---

? By transforming Acetyl-CoA into

permeable Ketone bodies by removing

CoA moiety.

--- Content provided by⁠ FirstRanker.com ---


? Maintain the levels of free CoA pool of

Mitochondrial matrix
? During emergency conditions due to

--- Content provided by FirstRanker.com ---


low cellular Glucose.

? There is alternatively increased beta

--- Content provided by FirstRanker.com ---

oxidation of Fatty acids, producing

Acetyl-CoA.

? Deprivation of cellular Glucose also

--- Content provided by FirstRanker.com ---


depletes the levels of Oxalo Acetate

which is an initiator of TCA cycle.

--- Content provided by‍ FirstRanker.com ---

? Low levels of cellular OAA under

utilizes the Acetyl-CoA via TCA

cycle.

--- Content provided by FirstRanker.com ---


? Acetyl-CoA which is obtained by

Fatty acid oxidation is less

--- Content provided by​ FirstRanker.com ---

utilized via TCA cycle .
? This accumulates impermeable

Acetyl-CoA in the Mitochondrial

--- Content provided by FirstRanker.com ---

matrix.

? To remove the accumulated,

impermeable Acetyl-CoA out

--- Content provided by⁠ FirstRanker.com ---


from the Mitochondrial matrix,

there occurs Ketogenesis .

--- Content provided by⁠ FirstRanker.com ---

Why Fatty Acids

Are Not Completely Oxidized

In Emergency Conditions?

--- Content provided by‌ FirstRanker.com ---

? Fatty acids in emergency conditions

are not completely oxidized to

CO2,H2O and ATP.

--- Content provided by​ FirstRanker.com ---


? Fatty acids in emergency undergo

Beta oxidation and produce Acetyl-

--- Content provided by​ FirstRanker.com ---

CoA

? But the produced Acetyl CoA is not

further completely oxidized via TCA

--- Content provided by​ FirstRanker.com ---


cycle.

? The main facts to have

--- Content provided by‍ FirstRanker.com ---

incomplete oxidation of Fatty

acids in emergency condition

are :

--- Content provided by‌ FirstRanker.com ---


?Low levels of cel ular Glucose

and Oxaloacetate
What Makes

--- Content provided by⁠ FirstRanker.com ---


The Cellular Oxaloacetate

To Get Depleted

--- Content provided by‍ FirstRanker.com ---

In Emergency Conditions?

Remember

?In emergency conditions

--- Content provided by‍ FirstRanker.com ---


where the cellular Glucose is

low

--- Content provided by⁠ FirstRanker.com ---

?Oxaloacetate levels also gets

depleted
?Reasons for depletion of cel ular

--- Content provided by​ FirstRanker.com ---

OAA are:

?Glucose is the main source of

OAA

--- Content provided by FirstRanker.com ---


?OAA is, obtained by Pyruvate

Carboxylase reaction

--- Content provided by​ FirstRanker.com ---

?Thus low availability of cellular

Glucose brings low production of

OAA from Glucose in cells.

--- Content provided by‍ FirstRanker.com ---


?OAA is an emergency

condition is diverted for

--- Content provided by⁠ FirstRanker.com ---

Gluconeogenesis and

transformed to Glucose.

?Which reduces the actual

--- Content provided by​ FirstRanker.com ---


OAA levels in the cel s.
Remember

?OAA is an initiator of TCA

--- Content provided by​ FirstRanker.com ---


operation and

?OAA is required for

--- Content provided by‌ FirstRanker.com ---

complete oxidation for

Acetyl-CoA.

Fates Of Ketone Bodies

--- Content provided by‍ FirstRanker.com ---


OR

Ketolysis/Breakdown

--- Content provided by‍ FirstRanker.com ---

Of

Ketone Bodies

OR

--- Content provided by⁠ FirstRanker.com ---


Utilization Of Ketone bodies
Fates of Three Ketone bodies

Uses Of Ketone bodies

--- Content provided by⁠ FirstRanker.com ---


?Ketone bodies serves as a

special and major source of

--- Content provided by FirstRanker.com ---

fuel/energy

?For certain tissues in

prolonged starvation

--- Content provided by‍ FirstRanker.com ---


phase.
? In the starvation condition

where body has low

--- Content provided by⁠ FirstRanker.com ---


Glucose.

? Ketone bodies are used to

--- Content provided by FirstRanker.com ---

generate energy by several

extra hepatic tissues

Fate Of Acetoacetate

--- Content provided by‍ FirstRanker.com ---


?Acetoacetate may be oxidized and serve as

a source of energy to extrahepatocytes.

--- Content provided by FirstRanker.com ---

? If not oxidized to form usable energy,
it is converted to next two Ketone bodies

?Acetone and BHB

--- Content provided by‌ FirstRanker.com ---

?If it is not utilized Acetoacetate excreted

out through urine.
Fate of -Hydroxybutyrate

--- Content provided by⁠ FirstRanker.com ---

?It is not technically a Ketone

according to IUPAC

nomenclature.

--- Content provided by‍ FirstRanker.com ---


?It may be used up for energy

source or excreted out through

--- Content provided by‍ FirstRanker.com ---

urine if not used.

Fate Of Acetone

?Acetone is not used as

--- Content provided by‌ FirstRanker.com ---


an energy source,

?But it is instead exhaled

--- Content provided by​ FirstRanker.com ---

or excreted as waste

through expiration.
Acetone Do not Serve

--- Content provided by⁠ FirstRanker.com ---

as Energy Source

?Acetone being volatile ,

is not catabolized and

--- Content provided by‍ FirstRanker.com ---


oxidized

?To liberate energy in the

--- Content provided by‍ FirstRanker.com ---

extra hepatocytes.

Ketolysis
What Is Ketolysis ?

--- Content provided by‍ FirstRanker.com ---

? Ketolysis is breaking and

utilization of Ketone bodies as

energy source

--- Content provided by‌ FirstRanker.com ---


? In the Mitochondrial matrix of

Extra Hepatocytes.

--- Content provided by‍ FirstRanker.com ---

n Ketone bodies have less potential

metabolic energy than the fatty

acids from which they are derived.

--- Content provided by‍ FirstRanker.com ---


n They make up for this deficiency

by serving as "water-soluble lipid

--- Content provided by FirstRanker.com ---

derivatives" that can be more

readily transported in the blood

plasma.

--- Content provided by⁠ FirstRanker.com ---

n During Starvation and in the

bodies of uncontrolled Diabetes

mellitus, Ketone bodies are

--- Content provided by‍ FirstRanker.com ---


produced in large amounts

n They become substitutes for

--- Content provided by‍ FirstRanker.com ---

Glucose as the principal fuel for

Brain cells.

Site Of Ketolysis

--- Content provided by‌ FirstRanker.com ---


?Mitochondrial

Matrix of Extra

--- Content provided by​ FirstRanker.com ---

Hepatic Tissues.
? Thus primary tissues using Ketone

bodies when available are :

--- Content provided by​ FirstRanker.com ---

?Brain
?Muscle
?Kidney
?Intestine
?But NOT in the Liver

--- Content provided by‌ FirstRanker.com ---


? Ketolysis does not takes place in

Liver

--- Content provided by‍ FirstRanker.com ---

? Due to absence of enzyme

Thiophorase in Liver which is

required for Ketolysis.

--- Content provided by⁠ FirstRanker.com ---

n In early phase of starvation

Heart and skeletal muscles

primarily use Ketone bodies

--- Content provided by FirstRanker.com ---


for energy

n Thereby preserving the limited

--- Content provided by‌ FirstRanker.com ---

Glucose and supply it for use

by the Brain.

? Brain which normal y depends

--- Content provided by⁠ FirstRanker.com ---


on Glucose and do not have

capacity to use Fatty acids.

--- Content provided by⁠ FirstRanker.com ---

? during starvation condition

Brain adapts using Ketone

bodies as major energy source

--- Content provided by FirstRanker.com ---


for its survival



--- Content provided by FirstRanker.com ---

v Heart Muscle and the Renal cortex

use Acetoacetate in preference to

Glucose in physiological conditions.

--- Content provided by FirstRanker.com ---



v The Brain adapts to the utilization

of Acetoacetate during Starvation.

--- Content provided by FirstRanker.com ---


Steps Of Ketolysis


Remember

--- Content provided by⁠ FirstRanker.com ---


? Ketone bodies will be broken

and utilized in only those

--- Content provided by​ FirstRanker.com ---

organs/tissues/ cells

? Which possess at least some

content of Glucose and Oxalo

--- Content provided by FirstRanker.com ---


acetate.


? Ketolysis breaks the Ketone

--- Content provided by‌ FirstRanker.com ---


bodies and releases Acetyl ?

CoA

--- Content provided by⁠ FirstRanker.com ---

? The released Acetyl-CoA is

then final y oxidized via TCA

cycle to CO2,H2O and ATPs.

--- Content provided by⁠ FirstRanker.com ---





Conversion of Ketone

--- Content provided by FirstRanker.com ---


Bodies to Acetyl-CoA
n Ketone bodies as an energy source, b-

Hydroxybutyrate and Acetoacetate

--- Content provided by FirstRanker.com ---


n Enter mitochondrial matrix of extra

hepatocytes

--- Content provided by​ FirstRanker.com ---

n Where they are converted to Acetyl

CoA,

n Which is further completely oxidized

--- Content provided by FirstRanker.com ---


by the TCA/ Citric acid cycle.

n b-Hydroxybutyrate is oxidized to

--- Content provided by⁠ FirstRanker.com ---

Acetoacetate in a reversible reaction

catalyzed by an isozyme of b-

Hydroxybutyrate Dehydrogenase of

--- Content provided by‍ FirstRanker.com ---


extrahepatocytes.

n Remember that this reaction enzyme

--- Content provided by​ FirstRanker.com ---

is distinct from the Liver enzyme b-

Hydroxybutyrate Dehydrogenase.
Use Of Succinyl-CoA

--- Content provided by​ FirstRanker.com ---

For Thiophorase Reaction

In Ketolysis

? An Enzyme Thiophorase of

--- Content provided by‌ FirstRanker.com ---


Ketolysis requires Succinyl-

CoA for its reaction.

--- Content provided by‍ FirstRanker.com ---

? Succinyl-CoA in this step of

Ketolysis is a donor of

Coenzyme A (?CoASH).

--- Content provided by FirstRanker.com ---

Enzyme Thiophorase

Is Natural y

Absent In Liver

--- Content provided by‌ FirstRanker.com ---


nKetone bodies are broken

down only in non hepatic

--- Content provided by‌ FirstRanker.com ---

tissues

nBecause enzyme Thiophorase

is natural y present in al

--- Content provided by‌ FirstRanker.com ---


tissues except Liver.
nIn extrahepatic tissues,

Acetoacetate is activated to

--- Content provided by⁠ FirstRanker.com ---


Acetoacetyl-CoA by Succinyl-CoA-

by catalytic activity of Acetoacetate

--- Content provided by‍ FirstRanker.com ---

CoAtransferase/Thiophorase/Succi

nyl CoA Transferase.

nCoA is transferred from Succinyl-

--- Content provided by FirstRanker.com ---


CoA to form Acetoacetyl-CoA.

? Acetoacetate reacts with

--- Content provided by‍ FirstRanker.com ---

Succinyl CoA to form

Acetoacetyl CoA in a

reaction catalyzed by

--- Content provided by​ FirstRanker.com ---


Succinyl-CoA

Transferase/Thiophorase .

--- Content provided by​ FirstRanker.com ---


?The Acetoacetyl-CoA is

split to Acetyl-CoA by

--- Content provided by⁠ FirstRanker.com ---

Thiolase and oxidized

in the Citric acid cycle.

succinyl-CoA

--- Content provided by FirstRanker.com ---


transferase

Conversion of Acetoacetate to Acetyl CoA.
Significance Of Ketolysis

--- Content provided by​ FirstRanker.com ---


? Ketone Bodies Serve as a

Fuel for Extrahepatic

--- Content provided by‍ FirstRanker.com ---

Tissues on its oxidation in

extra hepatocytes in

Starvation condition.

--- Content provided by‌ FirstRanker.com ---


Calorific value of

Ketone bodies is

--- Content provided by⁠ FirstRanker.com ---

7 Cal/gram
Calculation

Of

--- Content provided by FirstRanker.com ---

Energetics From

Degradation of Ketone bodies

in Peripheral tissue

--- Content provided by‍ FirstRanker.com ---


1.Acetoacetate is oxidized into 2

Acety1 CoA, which enter the Citric

--- Content provided by⁠ FirstRanker.com ---

acid cycle.

?Activation of Acetoacetate

consumes 1 ATP , and the total

--- Content provided by⁠ FirstRanker.com ---


amount of ATP from metabolism of

2 Acety1 CoA via TCA cycle is 20 ? 1

--- Content provided by⁠ FirstRanker.com ---

= 19 ATP
2. Conversion of - Hydroxybutyrate

back into Acetoacetate generates 1

--- Content provided by⁠ FirstRanker.com ---

NADH ,

which produces an additional 2.5ATP

total ATP produce = 22ATP)

--- Content provided by​ FirstRanker.com ---


(19 +2.5) = 21.5 ATP

After entering the electron transport

--- Content provided by‍ FirstRanker.com ---

chain .

Balance and Imbalance

In

--- Content provided by‌ FirstRanker.com ---


Ketone Body Metabolism
? In normal physiological

conditions.

--- Content provided by‍ FirstRanker.com ---


? There occurs balance in

Ketogenesis and Ketolysis

--- Content provided by​ FirstRanker.com ---

? When the cel ular Carbohydrates and Lipids

are in proper proportionate.

? Then the formation and utilization of Ketone

--- Content provided by​ FirstRanker.com ---


bodies in the body is balanced and low.

? There is balance in Ketogenesis and Ketolysis
? A very low levels of blood Ketone bodies are

--- Content provided by‌ FirstRanker.com ---


present in normal physiological healthy

condition.

--- Content provided by‍ FirstRanker.com ---


?Normal blood levels of

Ketone bodies is approx.

--- Content provided by⁠ FirstRanker.com ---

less than 1 mg%.

Levels Of Ketone Bodies

Increases

--- Content provided by​ FirstRanker.com ---


As The

Starvation Phase Prolongs
?3 days starvation

--- Content provided by⁠ FirstRanker.com ---


[KB]=3mM

?3 weeks starvation

--- Content provided by⁠ FirstRanker.com ---

[KB]=7mM

Rate Of Ketolysis

? Rate of Ketolysis in extra

--- Content provided by FirstRanker.com ---


hepatocytes is dependent upon :

?The cel ular levels of Glucose

--- Content provided by‍ FirstRanker.com ---

and Oxaloacetate in extrahepatic

tissues .
?Rate of Ketolysis

--- Content provided by​ FirstRanker.com ---

decreases

?In more deprived

conditions of cellular

--- Content provided by FirstRanker.com ---


Glucose and OAA.

Imbalance In

--- Content provided by FirstRanker.com ---

Ketone Body Metabolism
? Imbalance in Ketone body

metabolism is

--- Content provided by​ FirstRanker.com ---

? Increased Ketogenesis and

decreased Ketolysis.

? No/Low Ketolysis in body cells

--- Content provided by​ FirstRanker.com ---

? Accumulates the Ketone

bodies in the body.

? Which leads to Ketonemia and

--- Content provided by‍ FirstRanker.com ---


Ketonuria.
Ketosis

Ketosis

--- Content provided by‌ FirstRanker.com ---


?Ketosis is a col ective term

used to refer Ketonemia

--- Content provided by‍ FirstRanker.com ---

and Ketonuria .
?Ketosis is a result of

imbalance in Ketone

--- Content provided by‍ FirstRanker.com ---

body metabolism.

?Ketosis is a condition

where there is increased

--- Content provided by‌ FirstRanker.com ---


Ketogenesis and

decreased Ketolysis.
Ketonemia

--- Content provided by‌ FirstRanker.com ---


? Ketonemia is an abnormal

increased levels of

--- Content provided by‌ FirstRanker.com ---

circulating Ketone Bodies in

Blood more than 1 mg%.

Ketonuria

--- Content provided by‍ FirstRanker.com ---


?Ketonuria is an

abnormal excretion of

--- Content provided by‌ FirstRanker.com ---

Ketone bodies in Urine.
? If the blood levels of Ketone

bodies crosses more than the

--- Content provided by⁠ FirstRanker.com ---

renal threshold levels of KB

(3mg%) it causes-Ketonuria.

Ketoacidosis

--- Content provided by​ FirstRanker.com ---


? Ketoacidosis is Acidosis caused due

to increased Ketone bodies.

--- Content provided by FirstRanker.com ---

? Ketoacidosis is a type of Metabolic

Acidosis .

? It is caused due to imbalance in

--- Content provided by⁠ FirstRanker.com ---


Ketone bodies metabolism.
? During KETOACIDOSIS

? Excessive build-up of Ketone

--- Content provided by‍ FirstRanker.com ---


bodies results in Ketosis

eventual y

--- Content provided by FirstRanker.com ---

? Leading to a fal in blood pH

due to the acidic Ketone

bodies.

--- Content provided by​ FirstRanker.com ---


Ketosis (Ketoacidosis)

Acetone odor in the breath

--- Content provided by‌ FirstRanker.com ---

Acetoacetate and Acetone in urine
Biochemical Basis Of Ketosis

?Cel ular Deprivation

--- Content provided by FirstRanker.com ---

Of Glucose

?Low Insulin Activity

Conditions Of Ketosis

--- Content provided by⁠ FirstRanker.com ---

Conditions Of Ketosis

? Prolonged Starvation
? Diabetic Ketoacidosis
(Uncontrol ed Diabetes Mel itus)

--- Content provided by‍ FirstRanker.com ---


? Hyperemesis gravidarum

(Severe Vomiting in first trimester )

--- Content provided by‌ FirstRanker.com ---

? Unbalanced diet i.e. high fat, low

carbohydrate diet

? Renal Glycosuria

--- Content provided by FirstRanker.com ---


? Alcoholics after binge drinking

and subsequent starvation
Consequences Of Ketosis

--- Content provided by⁠ FirstRanker.com ---


?Ketone bodies

accumulation in the

--- Content provided by‍ FirstRanker.com ---

body

?May result to negative

long term effects.

--- Content provided by‌ FirstRanker.com ---

?Ketosis create more load

on Lungs and Kidneys


--- Content provided by⁠ FirstRanker.com ---

?To expire and excrete

out the Ketone Bodies.

? Ketoacidosis lowers blood pH

--- Content provided by‌ FirstRanker.com ---


affects the Enzyme activities

? Deranges the Metabolism
? Affects Normal energy

--- Content provided by‍ FirstRanker.com ---


metabolism

? Affects Water and

--- Content provided by⁠ FirstRanker.com ---

Electrolytes Balance
? Increased Ketone bodies in

blood is neutralized by the

--- Content provided by​ FirstRanker.com ---

alkali reserve (blood buffers

HCO3-)

? Very excess of Ketone bodies in

--- Content provided by​ FirstRanker.com ---


blood exhaust HCO3- ,this leads

to Metabolic acidosis.

--- Content provided by​ FirstRanker.com ---

? If Ketone bodies are far high than

the capacity of alkali reserve to

neutralize them they will result in

--- Content provided by​ FirstRanker.com ---


acidemia ?

? Uncompensated acidosis with a

--- Content provided by​ FirstRanker.com ---

decrease in blood pH (Acid Base

Imbalance) which is a serious that

results in death if not treated.

--- Content provided by‌ FirstRanker.com ---

Clinical Features Of Ketosis

Acid Base Imbalance

? Metabolic Ketoacidosis

--- Content provided by FirstRanker.com ---

? Reduced Alkali reserve(HCO3_)
? Kussamaul's Respiration
(Acetone Breath)
Water and Electrolytes

--- Content provided by​ FirstRanker.com ---

Imbalance

? Osmotic Diuresis (Loss of water and

electrolytes along with Ketone bodies)

--- Content provided by⁠ FirstRanker.com ---


? Dehydration
? Sodium Loss (Hyponatremia)
? Coma
? Death

--- Content provided by‍ FirstRanker.com ---


Diagnosis Of Ketosis

Detection Of Ketone Bodies
? Volatile Ketone Body ,Acetone is

--- Content provided by‍ FirstRanker.com ---


expired out through Lungs,

? It can be smelled in Ketotic

--- Content provided by‍ FirstRanker.com ---

persons as Acetone breath (With

Fruity odor)

? Ketone bodies excreted in Urine

--- Content provided by FirstRanker.com ---


can be detected by carrying

Rothera's Test on Urine specimen.

--- Content provided by‌ FirstRanker.com ---

? Positive Rothera's Test with

Magenta color ring in the tube

confirms Ketonuria.

--- Content provided by​ FirstRanker.com ---

?Ketoacidosis is detected

by analyzing :

?The Blood pH,

--- Content provided by FirstRanker.com ---


Bicarbonates.

? A patient with Diabetic Ketoacidosis

--- Content provided by‍ FirstRanker.com ---

shows:

?Urine Benedicts Test- Positive

?Urine Rothera's Test- Positive

--- Content provided by FirstRanker.com ---


? A patient with prolonged Starvation

shows:

--- Content provided by‍ FirstRanker.com ---

?Urine Benedicts Test- Negative

?Urine Rothera's Test- Positive
Management Of Ketosis

--- Content provided by FirstRanker.com ---

?Increasing Cellular Glucose
?Manages condition of

Ketosis.
? In Starvation Oral or

--- Content provided by‍ FirstRanker.com ---


intravenous Glucose infusion

? In Diabetic Ketoacidosis

--- Content provided by​ FirstRanker.com ---

infuse Insulin dosage with

Check on Serum Potassium

levels.

--- Content provided by‍ FirstRanker.com ---


Prevention Of Ketosis
? Avoiding cel ular Glucose deprivation

prevents Ketosis.

--- Content provided by FirstRanker.com ---


? A Patient of Diabetes mellitus (Type I) to

prevent Ketosis should control his/her

--- Content provided by​ FirstRanker.com ---

blood Glucose.

? With proper dosage of Insulin and

maintaining cellular Glucose in cells.

--- Content provided by​ FirstRanker.com ---


Ketogenic Substances

? Substances Promoting Ketogenesis and

--- Content provided by⁠ FirstRanker.com ---

increases Ketone bodies are:

?Low Cel Glucose
?Excess Fatty acids
?Ketogenic Amino acids

--- Content provided by FirstRanker.com ---

?High Glucagon
?Low Insulin
Antiketogenic Substances

? Substances inhibiting Ketogenesis and

--- Content provided by FirstRanker.com ---


decreasing Ketone bodies:

?Sufficient Cel ular Glucose
?Glucogenic Amino acids

--- Content provided by​ FirstRanker.com ---

?Glycerol
?Normal Insulin

Diabetes and

--- Content provided by‌ FirstRanker.com ---

Ketoacidosis

Diabetic Ketoacidosis
? Diabetic Ketoacidosis is an

--- Content provided by⁠ FirstRanker.com ---

Immediate complication of severe

uncontrol ed cases of Diabetes

mel itus(Type I/IDDM)

--- Content provided by FirstRanker.com ---


KETOSIS In Diabetes Mellitus

The Absence of Insulin in Diabetes mellitus

--- Content provided by⁠ FirstRanker.com ---

? Liver Glucose Metabolism Altered

? inhibition of glycolysis

? activation of fatty acid

--- Content provided by⁠ FirstRanker.com ---


? activation of gluconeogenesis

mobilization by adipose tissue

--- Content provided by FirstRanker.com ---

? Deficit of oxaloacetate

? Large amounts of acetyl CoA which can not be

utilized in Krebs cycle

--- Content provided by​ FirstRanker.com ---


? Large amounts of ketone bodies (moderately strong acids)

? Severe Acidosis (ketosis)

--- Content provided by⁠ FirstRanker.com ---

Impairment of the tissue function, most importantly in the central

nervous system
In Diabetic patients events that can lead to ketosis are:

--- Content provided by‌ FirstRanker.com ---

? Relative or absolute deficiency of insulin

? Mobilization of free fatty acids (from adipose Lipolysis)

? Increased delivery of free fatty acids to the liver

--- Content provided by FirstRanker.com ---


? Increased uptake and oxidation of free fatty acids by the liver

? Accelerated production of ketone bodies by the liver

--- Content provided by‌ FirstRanker.com ---

? When there is not enough Insulin in the

blood in cases of IDDM

? Cellular Glucose deprivation affects its

--- Content provided by FirstRanker.com ---


efficient use to produce energy.

? Thus, the body utilizes the Lipids for its

--- Content provided by​ FirstRanker.com ---

energy.

? Excessive Lipid degradation with low

Glucose contents , leads to ketones build

--- Content provided by​ FirstRanker.com ---


up in the blood .
? Ketone bodies then spill over into the

urine so that the body can get rid of

--- Content provided by⁠ FirstRanker.com ---


them.

? Acetone can be exhaled through the

--- Content provided by​ FirstRanker.com ---

lungs. This gives the breath a fruity odor.

? Ketones that build up in the body for a

long time lead to serious illness and

--- Content provided by‌ FirstRanker.com ---


coma. (Diabetic Ketoacidosis)

? Ketone bodies Acetoacetate

--- Content provided by‍ FirstRanker.com ---

and Beta Hydroxy Butyrate

are acidic

? When produced in excess over

--- Content provided by⁠ FirstRanker.com ---


long periods in Diabetes,

causes Diabetic ketoacidosis.
? In a case of severe Diabetic

--- Content provided by‌ FirstRanker.com ---


Ketoacidosis

? The Ketone bodies in the

--- Content provided by​ FirstRanker.com ---

blood and urine may reach

Life threatening

concentrations.

--- Content provided by‌ FirstRanker.com ---


? Blood Ketone bodies may be

up to 100 mg%

--- Content provided by⁠ FirstRanker.com ---

(Normal1mg%)

? Urinary excretion of Ketone

bodies may be as high as 5 gm

--- Content provided by‌ FirstRanker.com ---


/day.

(Normal 125 mg/day)
Clinical Features OF DKA

--- Content provided by FirstRanker.com ---


Creates Medical Emergency

? Hyperglycemia
? Metabolic Ketoacidosis

--- Content provided by‌ FirstRanker.com ---

? Kussmaul's Respiration
? Severe Dehydration /Water

Imbalance

--- Content provided by‌ FirstRanker.com ---

? Electrolyte Imbalance
? Acid Base Imbalance
? Coma
? Death

--- Content provided by FirstRanker.com ---


Formation, Utilization, and Excretion of Ketone bodies

Lipogenesis
What Is Lipogenesis?

--- Content provided by​ FirstRanker.com ---


?Lipogenesis is the

biosynthesis of various

--- Content provided by‍ FirstRanker.com ---

forms of Lipids in

human body.

When Lipogenesis Occurs?

--- Content provided by⁠ FirstRanker.com ---

?Lipogenesis occurs in a

well fed condition at

Cytosol of body tissues.

--- Content provided by FirstRanker.com ---


Conditions Favoring Lipogenesis

vExcess of Free Excess Glucose

--- Content provided by⁠ FirstRanker.com ---

after heavy Carbohydrate

meals.

v Insulin promotes Lipogenesis

--- Content provided by FirstRanker.com ---

Forms Of Lipid

Biosynthesized In

Human Body Tissues

--- Content provided by‌ FirstRanker.com ---


LIPID BIOSYNTHESIS

? Fatty acid Biosynthesis
? Triacylglycerol Biosynthesis

--- Content provided by​ FirstRanker.com ---

? Cholesterol Biosynthesis
? Phospholipids Biosynthesis
? Glycolipids Biosynthesis
? Eicosanoids Biosynthesis
Where Does Lipogenesis Occur?

--- Content provided by FirstRanker.com ---


Site Of Lipogenesis

?Liver Cytoplasm is the

--- Content provided by‍ FirstRanker.com ---

predominant site for

Lipogenesis.
?Intestine ,Mammary

--- Content provided by‍ FirstRanker.com ---

glands are other tissues

for Lipogenesis

? The endogenously

--- Content provided by​ FirstRanker.com ---


biosynthesized Lipids in Liver are

? Gathered and mobilized out in

--- Content provided by‍ FirstRanker.com ---

the form of Lipoprotein VLDL to

extrahepatic tissues.
? VLDL carries endogenous

--- Content provided by FirstRanker.com ---

Lipids from Liver to extra

Hepatocytes.

? TAG is stored as reserve

--- Content provided by‌ FirstRanker.com ---


food material in Adipose

tissue in unlimited amount.
Precursors For Lipogenesis

--- Content provided by⁠ FirstRanker.com ---


Precursors For Lipogenesis

? Acetyl-CoA serve as a precursor

--- Content provided by​ FirstRanker.com ---

for Fatty acids and Cholesterol

biosynthesis.

? This Acetyl-CoA comes from

--- Content provided by‌ FirstRanker.com ---


excess and free Glucose Oxidation

in a wel fed condition.
?Phospholipid

--- Content provided by‍ FirstRanker.com ---


biosynthesis needs

Lipotropic factors.

--- Content provided by​ FirstRanker.com ---

Why Lipogenesis Takes Place?
Reasons For Lipogenesis

? Free excess Glucose cant be stored in

--- Content provided by‌ FirstRanker.com ---

body cells and tissues as it is .

? Free excess Glucose is first converted

and stored in the form of Glycogen

--- Content provided by‌ FirstRanker.com ---


? Storage of Glycogen is limited

? In a well fed condition after limited storage

--- Content provided by‍ FirstRanker.com ---

of Glycogen

? When stil there remains Free excess

Glucose

--- Content provided by​ FirstRanker.com ---


? This free excess Glucose is Oxidized to

Pyruvate via Glycolysis

--- Content provided by​ FirstRanker.com ---

? Further Pyruvate to Acetyl-CoA via PDH

complex reaction

? The formed Acetyl-CoA when excess is then

--- Content provided by‍ FirstRanker.com ---


diverted for Lipogenesis.
? Thus Lipogenesis occur in a wel

fed condition

--- Content provided by‌ FirstRanker.com ---


? To transform the free excess

Glucose/Acetyl-CoA in the body

--- Content provided by​ FirstRanker.com ---

tissues into

? Storage able form of Lipid (TAG).

? TAG in the Adiposecytes can be

--- Content provided by⁠ FirstRanker.com ---


stored in unlimited amounts.

Hormonal Influence

--- Content provided by FirstRanker.com ---

On Lipogenesis
? In a well fed condition

? Hormone Insulin stimulates

--- Content provided by‍ FirstRanker.com ---

Lipogenesis.

? Hormone Glucagon inhibits

Lipogenesis.

--- Content provided by‍ FirstRanker.com ---


De Novo Biosynthesis

Of Fatty Acids
?Fatty acid biosynthesis is a

--- Content provided by FirstRanker.com ---


reductive biosynthetic

mechanism.

--- Content provided by‌ FirstRanker.com ---

?To form reduced molecules

of Fatty acid (Palmitate).

? De novo biosynthesis of Fatty

--- Content provided by FirstRanker.com ---


acids is a new biosynthesis of

Fatty acids.

--- Content provided by FirstRanker.com ---

? Using simple carbon units

Acetyl-CoA and NADPH+H+ to

a long chain fatty acids.

--- Content provided by FirstRanker.com ---

? Palmitic acid (16:0) can

be further modified to

higher Fatty acids .

--- Content provided by⁠ FirstRanker.com ---


Site For Fatty Acid Biosynthesis

Organs Involved For

--- Content provided by FirstRanker.com ---

Fatty Acid Synthesis
? In humans, Fatty acids are

biosynthesized in Cytosol of:

--- Content provided by​ FirstRanker.com ---

?Liver (Predominantly)

?Adipose tissue

?Intestine

--- Content provided by‌ FirstRanker.com ---


?Lungs

?Brain

--- Content provided by‌ FirstRanker.com ---

?Renal Cortex

?Mammary glands during lactation

Reductive Biosynthesis

--- Content provided by⁠ FirstRanker.com ---


Of Fatty acids

Extra Mitochondrial/Cytosolic

--- Content provided by‍ FirstRanker.com ---

Biosynthesis of Fatty acids
? The biosynthetic pathway of Fatty acids

involves

--- Content provided by‍ FirstRanker.com ---

? The use of reducing equivalents

NADPH+H+ in the reduction steps.

? To form the reduced molecule of fatty

--- Content provided by‍ FirstRanker.com ---


acids,

? Hence it is termed as reductive

--- Content provided by​ FirstRanker.com ---

Synthesis of Fatty acids.

? Fatty acids biosynthesized are

used up for biosynthesis of :

--- Content provided by FirstRanker.com ---


?Triacylglycerol
?Phospholipid
?Glycolipid
?Cholesterol Ester

--- Content provided by​ FirstRanker.com ---

?Fatty acids are stored as

Triacylglycerol, especially

in Adipose tissue.

--- Content provided by‌ FirstRanker.com ---


Biosynthesis Of Palmitic Acid/Palmitate

(C16)
Requirements Of

--- Content provided by‌ FirstRanker.com ---


De novo Biosynthesis

Of Fatty acids

--- Content provided by‍ FirstRanker.com ---

? Precursor for Fatty acid

biosynthesis is Acetyl-CoA
Species comparison of fatty acid synthesis

--- Content provided by⁠ FirstRanker.com ---

Species

Principal Tissue Site

Carbon Source

--- Content provided by​ FirstRanker.com ---


Poultry

Liver

--- Content provided by​ FirstRanker.com ---

Glucose

Human

Liver

--- Content provided by‍ FirstRanker.com ---


Glucose

Pig

--- Content provided by FirstRanker.com ---

Adipose

Glucose

Mouse

--- Content provided by FirstRanker.com ---


Adipose

Glucose

--- Content provided by FirstRanker.com ---

Sheep

Adipose

Acetate

--- Content provided by⁠ FirstRanker.com ---


Cattle

Adipose

--- Content provided by​ FirstRanker.com ---

Acetate

? Requirement of HCO3-

(Bicarbonate Ions) : Provides

--- Content provided by‌ FirstRanker.com ---


CO2 for Acetyl-CoA

Carboxylation Reaction.
? Enzymes Involved:

--- Content provided by FirstRanker.com ---


?Acetyl-CoA Carboxylase
?FAS Multi Enzyme Complex

Coenzyme Required

--- Content provided by​ FirstRanker.com ---


? Reducing Equivalent :

?NADPH+H+

--- Content provided by FirstRanker.com ---

qThe main source of NADPH+H+ is

mainly by the Pentose Phosphate

Pathway.

--- Content provided by‌ FirstRanker.com ---



?The Malic enzyme activity

converts Malate to Pyruvate which

--- Content provided by​ FirstRanker.com ---


is another source of NADPH+H+

Production of NADPH+ H+
?NADPH+H+ serves as an

--- Content provided by​ FirstRanker.com ---


electron donor in the

two reactions

--- Content provided by‌ FirstRanker.com ---

?Involving substrate

reduction in De Novo

Fatty acid biosynthesis.

--- Content provided by‌ FirstRanker.com ---


Who Is The source

Of Acetyl-CoA for Fatty acid

--- Content provided by⁠ FirstRanker.com ---

Biosynthesis ?
?Free and Excess Glucose in

a wel fed condition

--- Content provided by‌ FirstRanker.com ---


?Is the major source of

carbon for the De novo

--- Content provided by‍ FirstRanker.com ---

fatty acid biosynthesis.

?Free and excess Glucose

remained after limited

--- Content provided by​ FirstRanker.com ---


Glycogen storage

?Is used for Acetyl-CoA

--- Content provided by⁠ FirstRanker.com ---

production and diverted for

the Fatty acid biosynthesis.
?Glucose is oxidized to

--- Content provided by FirstRanker.com ---

Pyruvate via Glycolysis.

?Pyruvate(3C) is then oxidatively

decarboxylated

--- Content provided by‌ FirstRanker.com ---


?To a high energy compound

Acetyl-CoA (2C)in Mitochondria

--- Content provided by‍ FirstRanker.com ---

by PDH Complex.
? The excess of Acetyl CoA formed

and present in Mitochondrial

--- Content provided by‍ FirstRanker.com ---

matrix


? Is diverted for Denovo

--- Content provided by⁠ FirstRanker.com ---

Biosynthesis of Fatty acids.

? 8 molecules of Acetyl-CoA (C2)

are required

--- Content provided by‍ FirstRanker.com ---


? For the biosynthesis of

1 molecule of even carbon

--- Content provided by‍ FirstRanker.com ---

Palmitate (C16).
?Eight Acetyl-CoA's are

involved.

--- Content provided by‌ FirstRanker.com ---

?To grow a Fatty acid

Chain of 16-carbons

Fatty Acyl Synthase (FAS)

--- Content provided by FirstRanker.com ---


Multi Enzyme Complex

For De Novo Biosynthesis

--- Content provided by‌ FirstRanker.com ---

Of Fatty Acids
Fatty Acyl Synthase (FAS) Complex

? FAS is a Multi Enzyme Complex

--- Content provided by‍ FirstRanker.com ---

Used in De Novo Biosynthesis of

Fatty acids.

? Structurally FAS is a Homodimer

--- Content provided by​ FirstRanker.com ---


? Two alike monomeric subunits

? Linked together in head to tail

--- Content provided by⁠ FirstRanker.com ---

fashion (Anti Paral el)
Structural Aspects Of FAS

? FAS is Composed of 8

--- Content provided by​ FirstRanker.com ---

Components

? 7 Enzymes and 1 Protein

Three Subunits/Domains

--- Content provided by‌ FirstRanker.com ---


Of FAS Complex
1.Condensation Unit

Has 3 Enzymes

--- Content provided by​ FirstRanker.com ---


? Acetyl Transacylase
? Malonyl Transacylase
? Beta Keto Acyl Synthase

--- Content provided by‍ FirstRanker.com ---

2. Reduction Unit

? ACP- (Acyl Carrier Protein)
? Beta Keto Acyl Reductase
? Dehydratase

--- Content provided by‍ FirstRanker.com ---

? Enoyl Reductase


3. Cleavage /Releasing Unit

--- Content provided by FirstRanker.com ---

? Thioesterase (Deacylase)
ACP Of FAS Complex

? Acyl Carrier Protein (ACP) of FAS

--- Content provided by FirstRanker.com ---

complex is a carrier of growing

Acyl chain

? During De novo biosynthesis of

--- Content provided by⁠ FirstRanker.com ---


fatty acids.

The Acyl Carrier Protein

--- Content provided by‌ FirstRanker.com ---

Carrier of Intermediates in Fatty acid synthesis

? Discovered by P. Roy Vagelos.
? ACP is a Conjugated

--- Content provided by FirstRanker.com ---

Protein component of FAS

complex.

? ACP is a part of Reduction

--- Content provided by⁠ FirstRanker.com ---


unit of FAS complex.

? 4- Phospho Pantethene serve as a

--- Content provided by​ FirstRanker.com ---

prosthetic group of ACP.

? 4-Phospho Pantethene is a

derivative of Vitamin B 5-

--- Content provided by FirstRanker.com ---


Pantothenic acid.



--- Content provided by FirstRanker.com ---


? 4 Phosphopantetheine (Pant)

is covalently linked to Serine

--- Content provided by⁠ FirstRanker.com ---

hydroxyl of Protein domain of

ACP via a phosphate ester

linkage .

--- Content provided by‍ FirstRanker.com ---


? ACP has ?SH group (Thiol) as

functional group.

--- Content provided by⁠ FirstRanker.com ---

? -SH group of ACP is an acceptor of

Acetyl-CoA and Malonyl-CoA

during De novo biosynthesis of a

--- Content provided by​ FirstRanker.com ---


Fatty acids.
? At the end of Denovo Fatty

acid biosynthesis

--- Content provided by FirstRanker.com ---


? The complete chain of Fatty

acid is linked to ACP of FAS

--- Content provided by‌ FirstRanker.com ---

complex.

?The long flexible arm of

Phosphopantetheine

--- Content provided by‌ FirstRanker.com ---


helps its Thiol

?To move from one active

--- Content provided by‌ FirstRanker.com ---

site to another within

the FAS complex.


--- Content provided by‍ FirstRanker.com ---

Key Player:

Acyl Carrier

Protein(ACP)

--- Content provided by FirstRanker.com ---


"Macro"

CoA, carries

--- Content provided by⁠ FirstRanker.com ---

growing fatty

acid chain

via Thioester

--- Content provided by‍ FirstRanker.com ---

ACP vs. Coenzyme A

?Intermediates in synthesis are linked to -SH groups of

Acyl Carrier Proteins (as compared to -SH groups of CoA)

--- Content provided by​ FirstRanker.com ---


?In terms of

function, ACP is a

--- Content provided by FirstRanker.com ---

large CoA.


Acyl Carrier Protein

--- Content provided by‌ FirstRanker.com ---

Phosphopantetheine

H

H HO CH3

--- Content provided by FirstRanker.com ---


O

HS-CH

--- Content provided by‌ FirstRanker.com ---

ACP

2-CH2-N-C-CH2-CH2-N-C-C-C-CH2-O-P-O-CH2-Ser-

Cysteamine

--- Content provided by​ FirstRanker.com ---


O

O H H

--- Content provided by FirstRanker.com ---

O

Acyl carrier protein

10 kDa

--- Content provided by FirstRanker.com ---


H

H HO CH3

--- Content provided by‌ FirstRanker.com ---

O

O

HS-CH2-CH2-N-C-CH2-CH2-N-C-C-C-CH2-O-P-O-P-O-CH2

--- Content provided by​ FirstRanker.com ---


O

Adenine

--- Content provided by​ FirstRanker.com ---

O

O H H

O

--- Content provided by​ FirstRanker.com ---


O

O

--- Content provided by‍ FirstRanker.com ---

H

Coenzyme A

O-P-O

--- Content provided by​ FirstRanker.com ---


OH

OH

--- Content provided by‍ FirstRanker.com ---

FAS Complex Is Coded

By Single Gene
Location Of FAS Complex

--- Content provided by FirstRanker.com ---

?Cytosol

?Extra mitochondrial

Hormones Regulating

--- Content provided by​ FirstRanker.com ---


FAS Complex

? Insulin- Stimulates FAS Complex

--- Content provided by‍ FirstRanker.com ---

? Glucagon-Inhibits FAS Complex
Functional Parts Of FAS Complex

? FAS complex being dimer has two

--- Content provided by⁠ FirstRanker.com ---

functional Units.

?-SH (Thiol) group of Cysteine of

condensation Enzyme Keto Acyl

--- Content provided by‌ FirstRanker.com ---


Synthase.

?-SH (Thiol) group of 4 Phospho

--- Content provided by‌ FirstRanker.com ---

Pantethene of ACP.


Thiol Cysteine residue

--- Content provided by​ FirstRanker.com ---

Thiol of Phosphopantetheine

? As there are two functional units

? When FAS complex operates at a

--- Content provided by FirstRanker.com ---


time

? There is biosynthesis of two Fatty

--- Content provided by FirstRanker.com ---

acids (Palmitate) molecule.
? Rate of Fatty acid

biosynthesis is high in the

--- Content provided by​ FirstRanker.com ---

well-fed state.

X-Ray crystal ographic analysis at 3.2 ? resolution

shows the Dimeric Fatty Acid Synthase to have an

--- Content provided by‌ FirstRanker.com ---


X-shape.


Fatty Acid Synthase Complex

--- Content provided by‌ FirstRanker.com ---


Fatty Acid Synthase Complex


Stages And Steps

--- Content provided by‌ FirstRanker.com ---


Of De Novo Biosynthesis

Of Fatty Acids
Three Stages

--- Content provided by‌ FirstRanker.com ---


Of

De novo Biosynthesis

--- Content provided by FirstRanker.com ---

Of Fatty acid

I. Translocation of Acetyl-CoA from

Mitochondria to Cytosol.

--- Content provided by​ FirstRanker.com ---


I . Carboxylation of Acetyl-CoA to

Malonyl-CoA

--- Content provided by⁠ FirstRanker.com ---

I I. Reactions of FAS Complex
Stage I

Translocation of Acetyl-CoA

--- Content provided by FirstRanker.com ---

from

Mitochondria to Cytosol

Transport Of

--- Content provided by FirstRanker.com ---


Mitochondrial Acetyl-CoA

To Cytosol
Since

--- Content provided by‍ FirstRanker.com ---


Fatty Acid Synthesis

Occurs in the Cytosol

--- Content provided by​ FirstRanker.com ---

Mitochondria Acetyl-CoA

Is to be translocated In Cytosol

Translocation Of Acetyl-CoA

--- Content provided by FirstRanker.com ---


Through

Citrate Shuttle

--- Content provided by‍ FirstRanker.com ---

Citrate Malate Pyruvate

Transport System


--- Content provided by⁠ FirstRanker.com ---

Citrate transport

system


--- Content provided by‍ FirstRanker.com ---

? The Mitochondrial Acetyl CoA

is impermeable due to the

complex CoA .

--- Content provided by‍ FirstRanker.com ---


? Impermeable Acetyl CoA is

transformed to permeable

--- Content provided by‌ FirstRanker.com ---

Citrate by Citrate Synthase.
? Citrate is translocated out

in the cytosol.

--- Content provided by‌ FirstRanker.com ---

? Citrate in cytosol is cleaved

by Citrate Lyase to liberate

Acetyl-CoA in cytosol.

--- Content provided by FirstRanker.com ---


?Thus Citrate-Malate-Pyruvate

shuttle provides:

--- Content provided by‍ FirstRanker.com ---

?Cytosolic Acetyl CoA

?Reducing equivalents

NADPH+H+

--- Content provided by​ FirstRanker.com ---


?For De novo Fatty acid

biosynthesis
?Acetyl CoA from catabolism of

--- Content provided by FirstRanker.com ---


Carbohydrates and Amino acids is

exported from Mitochondria via the

--- Content provided by‌ FirstRanker.com ---

Citrate transport system

?2 ATPs are required during work of

this system.

--- Content provided by⁠ FirstRanker.com ---


?Impermeable Acetyl-CoA is

translocated out

--- Content provided by‍ FirstRanker.com ---


?From Mitochondrial Matrix

into Cytosol in the form of

--- Content provided by⁠ FirstRanker.com ---

permeable Citrate.
?Acetyl-CoA(impermeable)

produced in the Mitochondria is

--- Content provided by FirstRanker.com ---

condensed with Oxaloacetate to

form Citrate(permeable) by Citrate

Synthase.

--- Content provided by​ FirstRanker.com ---


? Permeable Citrate is then

transported out into the Cytosol

--- Content provided by​ FirstRanker.com ---


? Citrate Lyase in Cytosol act upon

Citrate to regenerate Acetyl-CoA

--- Content provided by⁠ FirstRanker.com ---

and Oxaloacetate with

consumption of ATP
?Most Acetyl-CoA used

--- Content provided by​ FirstRanker.com ---

for FA synthesis comes

from Mitochondria.

Stage 2

--- Content provided by⁠ FirstRanker.com ---


Carboxylation of

Acetyl-CoA to Malonyl-CoA

--- Content provided by‍ FirstRanker.com ---

In Cytosol
Carboxylation of

Acetyl-CoA(2C)

--- Content provided by‍ FirstRanker.com ---

to

Malonyl-CoA(3C)

By

--- Content provided by⁠ FirstRanker.com ---


Acetyl CoA Carboxylase (ACC)

Acetyl-CoA Units

--- Content provided by FirstRanker.com ---

Are Activated To

Malonyl-CoA

For Transfer To Growing

--- Content provided by‍ FirstRanker.com ---


Fatty Acid Chain
Malonyl-CoA Is a High Energy

Compound

--- Content provided by‍ FirstRanker.com ---


With a High Energy Bond In Its

Structure

--- Content provided by‌ FirstRanker.com ---

B. Carboxylation of Acetyl CoA

Enzyme: Acetyl CoA Carboxylase

Prosthetic group - Biotin

--- Content provided by‍ FirstRanker.com ---

?During biosynthesis of 16 C

saturated Palmitic acid

?There requires total 8

--- Content provided by​ FirstRanker.com ---


molecules of Acetyl-CoA

? During FAS complex Fatty acid

--- Content provided by FirstRanker.com ---

synthetic steps


? Only one molecule of Acetyl-

--- Content provided by FirstRanker.com ---

CoA (C2) enters as it is in the

first step of Third Stage of

Fatty acid biosynthesis.

--- Content provided by⁠ FirstRanker.com ---

? Remaining 7 molecules of

Acetyl-CoA are entered in the

form of Malonyl-CoA (C3).

--- Content provided by​ FirstRanker.com ---


?Thus Seven Molecules of

Acetyl-CoA are

--- Content provided by⁠ FirstRanker.com ---

?Transformed to Seven

molecules of Malonyl-

CoA.

--- Content provided by‍ FirstRanker.com ---

? Malonyl-CoA is obtained from

carboxylation reaction of Acetyl-

CoA

--- Content provided by FirstRanker.com ---


? In presence of, enzyme Acetyl

Carboxylase and coenzyme

--- Content provided by‌ FirstRanker.com ---

Biotin and ATP.

vConversion of Acetyl-CoA to Malonyl

CoA , is by catalytic activity of Acetyl

--- Content provided by⁠ FirstRanker.com ---


CoA Carboxylase , Biotin and ATP.
vThis is an Carboxylation reaction

which provides energy input.

--- Content provided by‍ FirstRanker.com ---

vTo form still more high energy

compound Malonyl-CoA(C3).
? This carboxylation reaction

--- Content provided by​ FirstRanker.com ---

after use of high energy ATP

? Builds a high energy bond in

a high energy compound

--- Content provided by​ FirstRanker.com ---


Malonyl-CoA.

? The input of Acetyl-CoA,

--- Content provided by‍ FirstRanker.com ---

into Fatty acid biosynthesis is

by its Carboxylation to

Malonyl-CoA.

--- Content provided by​ FirstRanker.com ---

vLater this Malonyl CoA cleaves its high

energy bond and looses CO2 and energy

vThis released energy is used for the

--- Content provided by‌ FirstRanker.com ---


condensation reaction during third stage

of Fatty acid biosynthesis for the initation

--- Content provided by‍ FirstRanker.com ---

and growing of Fatty acid.
?Thus the spontaneous

Decarboxylation of

--- Content provided by‌ FirstRanker.com ---

Malonyl-CoA

?Drives the condensation

reaction of FAS complex.

--- Content provided by⁠ FirstRanker.com ---


HCO -

3 + ATP + Acetyl-CoA ADP + Pi + Malonyl-CoA

--- Content provided by‍ FirstRanker.com ---


Acetyl-CoA + HCO -3 + ATP Malonyl-CoA +ADP + Pi



--- Content provided by‌ FirstRanker.com ---

ACC-Biotin

Acetyl CoA Carboxylase (ACC)

ACC

--- Content provided by‌ FirstRanker.com ---



Formation of Malonyl-CoA

Acetyl-CoA Carboxylase

--- Content provided by‍ FirstRanker.com ---


has three activities:
?Biotin carrier Protein

?Biotin Carboxylase

--- Content provided by‌ FirstRanker.com ---


?Trans Carboxylase

Bicarbonate is

--- Content provided by FirstRanker.com ---

Phosphorylated, then picked

up by Biotin

Biotin swinging arm

--- Content provided by‍ FirstRanker.com ---


transfers CO2 to acetyl-CoA

Significance Of

--- Content provided by‍ FirstRanker.com ---

Formation of Malonyl-SCoA
Significance Of

Formation of Malonyl-SCoA

--- Content provided by⁠ FirstRanker.com ---

? This Carboxylation reaction is

considered as activation step.

? As the breaking of the CO2 bond of

--- Content provided by FirstRanker.com ---


Malonyl-SCoA releases lot of energy

? That "drives" the reaction forward

--- Content provided by​ FirstRanker.com ---

for condensation reaction of FAS

complex.

? The high energy bond of

--- Content provided by FirstRanker.com ---


Malonyl-CoA is hydrolyzed

later

--- Content provided by FirstRanker.com ---

? To liberate energy which is

used up for Condensation

reaction of FAS complex.

--- Content provided by‍ FirstRanker.com ---

?Malonyl-CoA serves as

activated donor of Acetyl

groups in FA synthesis.

--- Content provided by​ FirstRanker.com ---


? Fatty acid synthesis, from

Acetyl-CoA and Malonyl-

--- Content provided by FirstRanker.com ---

CoA,

? Occurs by a series of

reactions catalyzed by FAS

--- Content provided by⁠ FirstRanker.com ---


complex.
Stage 3

Reactions Of FAS Complex

--- Content provided by FirstRanker.com ---


During

De Novo Biosynthesis

--- Content provided by​ FirstRanker.com ---

Of a Fatty Acids /Palmitic Acid

? Initation To Form An Acyl Chain

I.

--- Content provided by FirstRanker.com ---


Loading of Precursors ?Acetyl-CoA at SH-ACP

I .

--- Content provided by​ FirstRanker.com ---

Translocation of Acetyl ?S-ACP to SH-Condensing Enzyme (SH-CE)

I I. Entry of Malonyl-CoA and Loading of Malonyl to SH-ACP
IV. Condensation of the Acetyl and Malonyl with decarboxylation
V. Reduction Reaction to transform beta Keto group to Hydroxyl

--- Content provided by​ FirstRanker.com ---

VI. Dehydration Reaction to transform Hydroxyl group to Enoyl
VII. Reduction Reaction to transform Enoyl
VII . Translocation of Butyryl From S-ACP to SH-CE

?Elongation and Growing of Acyl Chain

--- Content provided by FirstRanker.com ---


?By Six Time Repetitions of Steps II -VII
?Entry Of 6 Malonyl-CoA's at SH-ACP
?1 Malonyl-CoA in each cycle to ACP-SH

--- Content provided by​ FirstRanker.com ---

?Cleavage of Fatty acid/ Palmitate

?By Thioesterase activity to release Palmitate and FAS
Step I-Step I I

--- Content provided by​ FirstRanker.com ---

Loading Of Precursors

Acetyl CoA and Malonyl-CoA

On FAS Complex

--- Content provided by‌ FirstRanker.com ---


By

Acetyl and Malonyl Transacylases

--- Content provided by⁠ FirstRanker.com ---

? The Acetyl-CoA (2C) primer

molecule is first taken up by ?

SH group of ACP of FAS

--- Content provided by‍ FirstRanker.com ---


complex

? To form Acetyl-S-ACP catalyzed

--- Content provided by‌ FirstRanker.com ---

by Acetyl Transacylase.


? Acetyl group from ACP is shifted

--- Content provided by FirstRanker.com ---

to Cysteine-SH of enzyme Keto

Acyl Synthase of FAS complex.


--- Content provided by‍ FirstRanker.com ---

? To form Acetyl-S-Enzyme Keto

Acyl Synthase in presence of

Acetyl Transacylase.

--- Content provided by​ FirstRanker.com ---


Loading Of Precursor Acetyl CoA

Step 1:

--- Content provided by‍ FirstRanker.com ---

loading of

Acetyl-CoA

onto Fatty

--- Content provided by‍ FirstRanker.com ---


acid

Synthase

--- Content provided by‍ FirstRanker.com ---


? Malonyl-CoA (3Carbon unit)

enters and is taken up by

--- Content provided by⁠ FirstRanker.com ---

-SH of ACP of FAS complex

? To form Malonyl-S ACP catalyzed

by Malonyl Transacylase.

--- Content provided by‌ FirstRanker.com ---


Entry Of Malonyl-

CoA

--- Content provided by FirstRanker.com ---

Step 2: loading

of Malonyl-

CoA onto Fatty

--- Content provided by FirstRanker.com ---


acid Synthase


Step IV

--- Content provided by‍ FirstRanker.com ---


Condensation Reaction

Catalyzed By

--- Content provided by‍ FirstRanker.com ---

Beta Keto Acyl Synthase

To Generate

Keto group

--- Content provided by⁠ FirstRanker.com ---


At Beta Carbon Atom

Step 2: Condensation

--- Content provided by⁠ FirstRanker.com ---

v Reaction of Malonyl

group with Acetyl

group to form

--- Content provided by​ FirstRanker.com ---


Acetoacetyl- ACP

v Loss of CO2 and energy

--- Content provided by‌ FirstRanker.com ---

from decarboxylation

of Malonyl-CoA.
? The Malonyl Group is

--- Content provided by FirstRanker.com ---

decarboxylated releasing

CO2 and high energy

? Which is used for bond

--- Content provided by⁠ FirstRanker.com ---


building and condensation

reaction.

--- Content provided by​ FirstRanker.com ---

? During condensation reaction

there is linking of 2C units of

Acetyl and 2C units of

--- Content provided by​ FirstRanker.com ---


decarboxylated Malonyl carbon

units

--- Content provided by‍ FirstRanker.com ---

? To form a 4 C Beta Keto Butyryl

ACP/ Keto Acyl ACP.


--- Content provided by FirstRanker.com ---

Step V

Reduction Reaction

By

--- Content provided by FirstRanker.com ---


Keto Acyl Reductase

To

--- Content provided by‌ FirstRanker.com ---

Generate Beta Hydroxyl group

Step 3: Reduction of beta Keto

group to form beta Hydroxyl group

--- Content provided by‌ FirstRanker.com ---

Reduction Of Keto Acyl- ACP

? Keto Acyl- ACP is reduced to

Hydroxy Acyl- ACP

--- Content provided by​ FirstRanker.com ---


? In presence of reducing

equivalents NADPH+H+ and

--- Content provided by‍ FirstRanker.com ---

Enzyme Keto Acyl Reductase.

Step VI

Dehydration Reaction

--- Content provided by​ FirstRanker.com ---


By

Dehydratase

--- Content provided by FirstRanker.com ---

To

Develop Double Bond


--- Content provided by FirstRanker.com ---

Step 4: Dehydration Reaction

? Hydroxy Acyl- ACP is

dehydrated to Enoyl CoA/

--- Content provided by‍ FirstRanker.com ---


? Unsaturated Acyl ACP

by the catalytic action of

--- Content provided by‍ FirstRanker.com ---

Dehydratase.


Step VI

--- Content provided by​ FirstRanker.com ---

Reduction Reaction

By

Enoyl-CoA Reductase

--- Content provided by​ FirstRanker.com ---


To Generate

Saturated Bond

--- Content provided by FirstRanker.com ---

Step 5: Reduction of double bond to Single

bond


--- Content provided by FirstRanker.com ---

? ? Unsaturated Acyl ACP is

reduced to Butyryl ?S-ACP

? By NADPH+ H+ and enzyme

--- Content provided by‍ FirstRanker.com ---


Enoyl Reductase.

Overview of

--- Content provided by‌ FirstRanker.com ---

Assembly Stage

4 steps:

Condensation

--- Content provided by FirstRanker.com ---


Reduction


Overview of

--- Content provided by FirstRanker.com ---


Assembly Stage

Dehydration

--- Content provided by​ FirstRanker.com ---

Reduction

Step VI I

Translocation Of Butyryl-S CoA to

--- Content provided by FirstRanker.com ---


SH group of Condensing Enzyme

Beta Keto Acyl Synthase

--- Content provided by⁠ FirstRanker.com ---


Transfer of Butyryl Chain to SH group

of Beta Keto Acyl Synthase

--- Content provided by​ FirstRanker.com ---

Elongation and Growing

Of Fatty Acid Chain


--- Content provided by​ FirstRanker.com ---

To Elongate the Fatty Acid Chain

To 16 Carbon Palmitate

There Should Be Entry

--- Content provided by​ FirstRanker.com ---


Of

6 More Molecules of

--- Content provided by​ FirstRanker.com ---

Malonyl CoA

By Six Time Repetitions of

Steps I I-VI I

--- Content provided by⁠ FirstRanker.com ---


1 Malonyl-CoA entry each

Time

--- Content provided by‍ FirstRanker.com ---

Next cycle begins

?Another

Malonyl group is

--- Content provided by FirstRanker.com ---


linked to ACP
Repetitions Of

6 More Cycles

--- Content provided by​ FirstRanker.com ---


With 5 Steps

? Following transfer of the

--- Content provided by⁠ FirstRanker.com ---

growing fatty acid from

Phosphopantetheine to the

Condensing Enzyme's Cysteine

--- Content provided by​ FirstRanker.com ---


sulfhydryl.

? the cycle begins again, with

--- Content provided by FirstRanker.com ---

another Malonyl-CoA.
? Elongation of Fatty Acyl

chain occurs by addition of

--- Content provided by‍ FirstRanker.com ---

Malonyl-CoA after every

cycle.

? Every time a new Malonyl ?

--- Content provided by⁠ FirstRanker.com ---


CoA enters and taken up by

SH-ACP.

--- Content provided by‍ FirstRanker.com ---

? There are total 7 cycles to utilize
? 1 Acetyl-CoA and 7 molecules of

Malonyl-CoA and

--- Content provided by⁠ FirstRanker.com ---

? Elongate the Fatty Acid Chain to

16 Carbon Palmitate.
Remember

--- Content provided by⁠ FirstRanker.com ---

? At Each turn one Molecule of Malonyl

CoA enters

? Accepted by ACP-SH to form Malonyl ?

--- Content provided by‍ FirstRanker.com ---


SACP.

? Then the repetitions of Condensation

--- Content provided by‍ FirstRanker.com ---

,Reduction , Dehydration and

Reduction Reactions takes place.

? Decarboxylation of Malonyl-

--- Content provided by‌ FirstRanker.com ---


CoA and

? Reducing power of

--- Content provided by‍ FirstRanker.com ---

NADPH+H+ drive fatty chain

growth.
? Butyryl group (C4) is shifted to

--- Content provided by‍ FirstRanker.com ---

SH of Cysteine of Keto Acyl

Synthase.

? SH of ACP is free for accepting

--- Content provided by​ FirstRanker.com ---


the second molecule of

Malonyl CoA to form Malonyl-S

--- Content provided by‍ FirstRanker.com ---

-ACP.

? The steps of Condensation

,Reduction, Dehydration and

--- Content provided by‍ FirstRanker.com ---


Reduction repeats.

? The aim of these steps is to

--- Content provided by​ FirstRanker.com ---

convert a C=O group to CH2

group at carbon of growing

Acyl chain.

--- Content provided by FirstRanker.com ---

?After the completion of

total 7 cycles

?There is Palmitate

--- Content provided by⁠ FirstRanker.com ---


synthesized and is carried

by S-ACP of FAS

--- Content provided by⁠ FirstRanker.com ---

complex(Palmitoyl-S-ACP)

Cleavage Of Completely

Biosynthesized Palmitate

--- Content provided by​ FirstRanker.com ---


From ACP of FAS Complex

By Catalytic Activity Of Thioesterase

--- Content provided by⁠ FirstRanker.com ---

To Release

Free Palmitate and FAS Complex
? The Cleavage enzyme

--- Content provided by FirstRanker.com ---

Thioesterase cleaves the

Thioester linkage and

? Releases free Palmitic acid

--- Content provided by​ FirstRanker.com ---


carried by S-ACP of FAS complex.

? Since the FAS complex is a dimeric

--- Content provided by‌ FirstRanker.com ---

unit having two functional units.


? During its operation at a time two

--- Content provided by‌ FirstRanker.com ---

molecules of Palmitic acid are

biosynthesized and released.


--- Content provided by⁠ FirstRanker.com ---

Fatty Acyl Synthase

The Steps in the De Novo biosynthesis of fatty acid

Step 1: Loading Reactions

--- Content provided by‍ FirstRanker.com ---

Step 2: Condensation Rxn


Condensation reaction

--- Content provided by‌ FirstRanker.com ---

Step 3: Reduction


Reduction Reaction

--- Content provided by‌ FirstRanker.com ---

Step 4: Dehydration


Dehydration

--- Content provided by⁠ FirstRanker.com ---

Step 5: Reduction


Reduction

--- Content provided by‌ FirstRanker.com ---

Step 6: Next condensation
Repetitions Of 7

Cycles

--- Content provided by‍ FirstRanker.com ---

Termination of

Fatty Acid

Acyl-CoA

--- Content provided by‌ FirstRanker.com ---


Synthesis

synthetase

--- Content provided by FirstRanker.com ---


Final reaction of FA synthesis is Cleavage

? Palmitoyl-ACP is hydrolyzed by a Thioesterase

--- Content provided by‌ FirstRanker.com ---

Overal Reaction of Palmitate Synthesis from Acetyl

CoA and Malonyl CoA

Acetyl CoA + 7 Malonyl CoA + 14 NADPH + 14 H+

--- Content provided by​ FirstRanker.com ---


Palmitate + 7 CO2 + 14 NADP+ + 8 HS-CoA + 6 H2O


Summary based on Malonate as an input:

--- Content provided by​ FirstRanker.com ---

Acetyl-CoA + 7 Malonyl-CoA + 14 NADPH

Palmitate + 7 CO2 + 14 NADP+ + 8 CoA

Fatty acid synthesis occurs in the cytosol. Acetyl

--- Content provided by​ FirstRanker.com ---


-CoA generated in mitochondria is transported

to the cytosol via a shuttle mechanism involving

--- Content provided by‌ FirstRanker.com ---

Citrate.
Stoichiometry for Palmitic Acid Synthesis



--- Content provided by​ FirstRanker.com ---

Diagrammatic View of

Fatty Acid Biosynthesis
Energetics Of De Novo Synthesis

--- Content provided by​ FirstRanker.com ---

Of Fatty Acids

?De Novo Fatty acid

biosynthesis is an

--- Content provided by‌ FirstRanker.com ---


Anabolic process

involving use of ATPs.
? Total 23 ATPs are utilized

--- Content provided by⁠ FirstRanker.com ---


for the biosynthesis of one

molecule of Palmitate.

--- Content provided by‍ FirstRanker.com ---

?2 ATPs are used for 1 Acetyl-CoA translocation

through Citrate transport system

? For 8 Acetyl CoA translocation uses 16 ATPs

--- Content provided by‌ FirstRanker.com ---


?1 ATP each is used for Acetyl CoA Carboxylation

to Malonyl CoA.

--- Content provided by FirstRanker.com ---

? To form 7 Malonyl CoAs 7 ATPs are utilized.

? 16+7 =23 ATPs Net utilized
Regulation Of Fatty Acid Biosynthesis

--- Content provided by‍ FirstRanker.com ---

The Enzyme Acetyl Carboxylase

Is a

Regulatory ,Key Enzyme

--- Content provided by FirstRanker.com ---


Of

De Novo Fatty acid Synthesis.
? The Committed Step of Fatty Acid Synthesis

--- Content provided by​ FirstRanker.com ---


? Carboxylation of Acetyl CoA to Malonyl CoA
? By Acetyl CoA Carboxylase - Biotin

?Carboxylation of Acetyl-CoA

--- Content provided by‍ FirstRanker.com ---


to form Malonyl-CoA

?Is an Irreversible, committed

--- Content provided by​ FirstRanker.com ---

step in Fatty acid biosynthesis
Modes Of Regulation

Of Acetyl CoA Carboxylase

--- Content provided by‌ FirstRanker.com ---

of FA Biosynthesis

Acetyl-CoA Carboxylase is regulated

by 3 modes:

--- Content provided by‍ FirstRanker.com ---


1. Hormonal Influence
2. Al osteric Control
3. Covalent Modification
1. Hormonal Influence

--- Content provided by FirstRanker.com ---


? ACC is an Inducible Enzyme:

?Induced by Insulin

--- Content provided by‌ FirstRanker.com ---

?Insulin activates ACC

?Repressed by Glucagon

?Glucagon inhibits ACC

--- Content provided by‍ FirstRanker.com ---

2. Al osteric Modifiers



?Citrate Activates Acetyl-CoA

--- Content provided by⁠ FirstRanker.com ---


Carboxylase (Feed Forward)

?Fatty Acyl-CoAs inhibit Acetyl-

--- Content provided by‌ FirstRanker.com ---

CoA Carboxylase

Al osteric modification of

Acetyl-Co A Carboxylase

--- Content provided by⁠ FirstRanker.com ---


?Activated by: Citrate
?Inhibited by: Long Chain

Fatty Acid

--- Content provided by​ FirstRanker.com ---

? Body with high levels of cel ular

Citrate

? Stimulate De novo biosynthesis of

--- Content provided by FirstRanker.com ---


Fatty acids.

? Body on a high fat diet experience

--- Content provided by‍ FirstRanker.com ---

little if any de novo fatty acid

synthesis.

3. Covalent Modification Of

--- Content provided by​ FirstRanker.com ---


Acetyl-CoA Carboxylase

? ACC is Activated by :

--- Content provided by⁠ FirstRanker.com ---

Dephosphorylation

? ACC is Inhibited by:

Phosphorylation

--- Content provided by​ FirstRanker.com ---



Covalent Modification Of ACC

Covalent Regulation OF

--- Content provided by‌ FirstRanker.com ---


Acetyl CoA Carboxylase


? Activation of ACC

--- Content provided by FirstRanker.com ---


? In a wel Fed state

?Insulin induces Protein Phosphatase

--- Content provided by FirstRanker.com ---

?Activates ACC by De phosphorylation


? Inactivation of ACC

--- Content provided by‌ FirstRanker.com ---

? In a Starved state

?Glucagon increases cAMP

?Activates Protein kinase A

--- Content provided by‍ FirstRanker.com ---


?Inactivates ACC by Phosphorylation

Acetyl-CoA Carboxylase

--- Content provided by‌ FirstRanker.com ---


Control of Fatty Acid Synthesis

Biosynthesis and Degradation

--- Content provided by FirstRanker.com ---

of

Fatty Acid

are

--- Content provided by‌ FirstRanker.com ---


Reciprocal y Regulated
?During Starvation

?Epinephrine & Glucagon Stimulate

--- Content provided by FirstRanker.com ---


Lipolysis

?Brings degradation of FA

--- Content provided by⁠ FirstRanker.com ---


?Wel Fed state

v Insulin inhibits Lipolysis

--- Content provided by​ FirstRanker.com ---

vInsulin Stimulates Fatty acid

biosynthesis.

? ACC also influences degradation of Fatty

--- Content provided by⁠ FirstRanker.com ---


acids.

?Malonyl CoA inhibits Carnitine

--- Content provided by FirstRanker.com ---

Acyltransferase I activity.

?This limits Beta oxidation of Fatty acids

in Mitochondrial Matrix.

--- Content provided by‌ FirstRanker.com ---



Reciprocal Control


--- Content provided by FirstRanker.com ---

Overview of Fatty Acid Metabolism:

Insulin Effects

? Liver

--- Content provided by‌ FirstRanker.com ---


? Increased fatty acid

synthesis

--- Content provided by⁠ FirstRanker.com ---

? Glycolysis, PDH, FA

synthesis

? Increased TAG synthesis

--- Content provided by‍ FirstRanker.com ---


and transport as VLDL

? Adipose

--- Content provided by​ FirstRanker.com ---

? Increased VLDL

metabolism

? lipoprotein lipase

--- Content provided by‌ FirstRanker.com ---


? Increased storage of

lipid

--- Content provided by​ FirstRanker.com ---

? Glycolysis

Overview of Fatty Acid Metabolism:

Glucagon/Epinephrine Effects

--- Content provided by FirstRanker.com ---


? Adipose
? Hormone-sensitive

lipase Increased

--- Content provided by​ FirstRanker.com ---


? Increased TAG

mobilization

--- Content provided by FirstRanker.com ---

? Increased FA

oxidation

? All tissues Except

--- Content provided by⁠ FirstRanker.com ---


CNS and RBC


Post-Synthesis Modifications

--- Content provided by​ FirstRanker.com ---


Of

Biosynthesized Fatty Acids

--- Content provided by⁠ FirstRanker.com ---

? C16 Saturated fatty acid (Palmitate) is the

product which may undergo:

?Elongation

--- Content provided by FirstRanker.com ---


?Unsaturation

?Incorporation to form

--- Content provided by⁠ FirstRanker.com ---

Triacylglycerols

?Incorporation into Acylglycerol

phosphates to form

--- Content provided by​ FirstRanker.com ---


Phospholipids
Chain Elongation Of Fatty Acids

Occurs In

--- Content provided by‌ FirstRanker.com ---


Mitochondria

And

--- Content provided by‌ FirstRanker.com ---

Smooth Endoplasmic Reticulum

Elongation Of Fatty Acids

In Microsomes /Mitochondria

--- Content provided by⁠ FirstRanker.com ---


To

Synthesize Long Chain Fatty Acids
? Palmitate biosynthesized by De

--- Content provided by​ FirstRanker.com ---


Novo Biosynthesis in Cytosol by

the activity of FAS Complex

--- Content provided by​ FirstRanker.com ---

? Is further elongated to more higher

Fatty acid either in Mitochondria

/Endoplasmic reticulum.

--- Content provided by⁠ FirstRanker.com ---


Mitochondrial Chain Elongation

? Here Acetyl-CoA is successively

--- Content provided by‍ FirstRanker.com ---

added to Fatty acid chain lengthened

? In presence of reducing equivalents

NADPH+ H+

--- Content provided by FirstRanker.com ---


? The steps are almost reversal of Beta

Oxidation of Fatty acids.

--- Content provided by‌ FirstRanker.com ---


Microsomal Chain Elongation Of Fatty

Acid

--- Content provided by FirstRanker.com ---

? This is more predominant way of

Fatty acid Chain Elongation.

? It involves successive addition of

--- Content provided by‌ FirstRanker.com ---


Malonyl-CoA with the

participation of NADPH+ H+ and

--- Content provided by​ FirstRanker.com ---

enzyme Elongases.

Elongation of Chain (Two Systems)

R-CH2CH2CH2C~SCoA

--- Content provided by‍ FirstRanker.com ---


Malonyl-CoA*

O

--- Content provided by​ FirstRanker.com ---

(cytosol)

HS-CoA

OOC-CH2C~SCoA

--- Content provided by​ FirstRanker.com ---


CH3C~SCoA

O

--- Content provided by‌ FirstRanker.com ---

CO

O

2

--- Content provided by​ FirstRanker.com ---


Acetyl-CoA

R-CH

--- Content provided by⁠ FirstRanker.com ---

(mitochondria)

2CH2CH2CCH2C~SCoA

O

--- Content provided by‍ FirstRanker.com ---


O

1 NADPH

--- Content provided by FirstRanker.com ---

NADH

Elongation systems are

2 - H

--- Content provided by​ FirstRanker.com ---


found in smooth ER and

2O

--- Content provided by‍ FirstRanker.com ---

mitochondria

3 NADPH

R-CH2CH2CH2CH2CH2C~SCoA

--- Content provided by⁠ FirstRanker.com ---


O
Synthesis Of Unsaturated

Fatty Acids

--- Content provided by⁠ FirstRanker.com ---


Mammals can Biosynthesize

Long Chain And Unsaturated

--- Content provided by⁠ FirstRanker.com ---

Fatty acids

Using Elongation And

Desaturation

--- Content provided by‍ FirstRanker.com ---

Desaturation of Fatty Acid Chain In

Microsomes

? Enzyme Fatty Acyl-CoA Desaturase

--- Content provided by‌ FirstRanker.com ---


which is a Flavoprotein

? Helps in creating double bonds and

--- Content provided by FirstRanker.com ---

forming Mono Unsaturated Fatty

acids.

? Palmitic acid and Stearic acid

--- Content provided by⁠ FirstRanker.com ---


on Desaturation

? Forms corresponding MUFAS

--- Content provided by‌ FirstRanker.com ---

Palmitoleic and Oleic acid

respectively.
? Human body lack the ability to

--- Content provided by FirstRanker.com ---

introduce double bonds beyond

carbon 9 and 10 of Fatty acids.

? Hence body cannot biosynthesize

--- Content provided by‍ FirstRanker.com ---


Linoleic and Linolenic acid and

become dietary essential Fatty acids.

--- Content provided by FirstRanker.com ---

? However Linoleic Acid by

Chain Elongation and

Desaturation

--- Content provided by​ FirstRanker.com ---



? Forms Arachidonic acid in

Human body.

--- Content provided by​ FirstRanker.com ---



Palmitic acid

modifications

--- Content provided by‌ FirstRanker.com ---


Cell makes a pool of

palmitic acid that it can

--- Content provided by FirstRanker.com ---

elongate and/or

desaturate in the ER.

Elongation system is

--- Content provided by FirstRanker.com ---


very similar to synthesis:

2C units added from

--- Content provided by⁠ FirstRanker.com ---

malonyl-CoA.

Palmitate

Desaturase

--- Content provided by⁠ FirstRanker.com ---


16:0 Elongase

Palmitoleate

--- Content provided by⁠ FirstRanker.com ---

Stearate

16:1(9)

18:0 Desaturase Permitted

--- Content provided by⁠ FirstRanker.com ---


Oleate

transitions

--- Content provided by‌ FirstRanker.com ---

18:1(9)

in mammals

Essential

--- Content provided by FirstRanker.com ---


fatty acid

Desaturase

--- Content provided by​ FirstRanker.com ---

Linoleate

Desaturase

18:2(9,12)

--- Content provided by⁠ FirstRanker.com ---


-Linolenate

-Linolenate

--- Content provided by‌ FirstRanker.com ---

Desaturase

18:3(6,9,12)

18:3(9,12,15)

--- Content provided by‌ FirstRanker.com ---


ElongaseEicosatrienoate

Other lipids

--- Content provided by​ FirstRanker.com ---

Desaturase20:3(8,11,14)

Arachidonate

20:4(5,8,11,14)

--- Content provided by​ FirstRanker.com ---



Differences Between

Beta Oxidation Of Fatty Acid

--- Content provided by‍ FirstRanker.com ---


And

De Novo Biosynthesis Of Fatty Acids
The Biosynthesis and Degradation

--- Content provided by​ FirstRanker.com ---


Pathways are Different

?The major differences

--- Content provided by​ FirstRanker.com ---

between Fatty acid

breakdown and

biosynthesis are as:

--- Content provided by⁠ FirstRanker.com ---


Beta Oxidation

De Novo Biosynthesis

--- Content provided by​ FirstRanker.com ---

Palmitic acid Pathway Palmitic acid Pathway
Catabolic /Oxidative

Anabolic /Reductive

--- Content provided by​ FirstRanker.com ---

Occurs In Mitochondria Occurs In Cytosol
Acetyl CoA is an end

Acetyl CoA is a precursor

--- Content provided by⁠ FirstRanker.com ---

product
Beta Carbon CH2 is

Beta Carbon C=O is

--- Content provided by⁠ FirstRanker.com ---

transformed to C=O

converted to CH2

Generates 106 ATPs

--- Content provided by FirstRanker.com ---


Utilizes 23 ATPs

Coenzymes FAD and

--- Content provided by​ FirstRanker.com ---

Coenzymes NADPH +H+ is

NAD+ are involved

involved

--- Content provided by‍ FirstRanker.com ---


CoA is an Acyl Carrier ACP is an Acyl Carrier
Fatty Acid Synthesis

Fatty Acid Beta Oxidation

--- Content provided by​ FirstRanker.com ---




? C=O -CH2

--- Content provided by‌ FirstRanker.com ---

? CH2 C=O

Triacylglycerol (TAG) Biosynthesis
Site For TAG Biosynthesis

--- Content provided by⁠ FirstRanker.com ---

? TAG biosynthesis predominantly

occurs in Liver and Adipocytes
TAG Biosynthesis

--- Content provided by‌ FirstRanker.com ---

Takes Place In

Smooth Endoplasmic Reticulum

? TAG biosynthesis takes place after De

--- Content provided by‌ FirstRanker.com ---


Novo Biosynthesis of Fatty acids.

? Fatty acids and Glycerol are activated

--- Content provided by‍ FirstRanker.com ---

before TAG biosynthesis.

? Fatty acids are activated to Acyl CoA by

Thiokinase

--- Content provided by‌ FirstRanker.com ---


? Glycerol is activated to Glycerol-3-

Phosphate by Glycerol Kinase.

--- Content provided by​ FirstRanker.com ---


? An Acyl chain is transferred to

Glycerol by Acyl Transferase

--- Content provided by​ FirstRanker.com ---

producing Lysophosphatidic

acid.

? Lysophosphatidic acid is

--- Content provided by FirstRanker.com ---


transformed to Phosphatidic

acid on addition of one more

--- Content provided by​ FirstRanker.com ---

Acyl chain.
? Phosphate group is removed

from Phosphatidic acid to

--- Content provided by‌ FirstRanker.com ---

generate Diacylglycerol.

? The addition of third Acyl chain

to Diacylglycerol finally results

--- Content provided by‌ FirstRanker.com ---


in Triacylglycerol.

? Usually a mixed type of TAG is

--- Content provided by⁠ FirstRanker.com ---

synthesized in the body.

Triacylglycerol Synthesis
Phospholipid Biosynthesis

--- Content provided by​ FirstRanker.com ---

Glycerophospholipid Synthesis

? Glycerophospholipids are

biosynthesized from

--- Content provided by​ FirstRanker.com ---


Phosphatidic acid and

Diacylglycerol.

--- Content provided by⁠ FirstRanker.com ---

? These are also intermediates of

TAG biosynthesis.


--- Content provided by⁠ FirstRanker.com ---

Synthesis OF Lecithin and Cephalin

? Nitrogenous bases Choline and Ethanolamine

are activated by CTP

--- Content provided by‍ FirstRanker.com ---



? To form CDP-Choline and CDP-Ethanolamine.

? These then added to Phosphatidic acid to

--- Content provided by​ FirstRanker.com ---


form Lecithin and Cephalin respectively.


? Addition of Serine /Inositol to

--- Content provided by⁠ FirstRanker.com ---


Phosphatidic acid forms

Phosphatidyl Serine and

--- Content provided by FirstRanker.com ---

Phosphatidyl Inositol


Degradation Of Phospholipids

--- Content provided by​ FirstRanker.com ---

By Phospholipases

OR

Different Types Of Phospholipases

--- Content provided by⁠ FirstRanker.com ---

Cholesterol Metabolism

? Cholesterol is a C27

compound.

--- Content provided by⁠ FirstRanker.com ---


? Cholesterol has a parent

nucleus Cyclo Pentano

--- Content provided by‌ FirstRanker.com ---

Perhydro Phenantherene Ring.
Two Forms Of Body Cholesterol


?Free Cholesterol is a

--- Content provided by⁠ FirstRanker.com ---


derived Lipid(30%)

?Cholesterol Ester is a

--- Content provided by​ FirstRanker.com ---

simple Lipid and a body

Wax. (70%)

Cholesterol

--- Content provided by⁠ FirstRanker.com ---

? Cholesteryl Ester is a

storage and excretory
form of Cholesterol which
is found in most tissues.

--- Content provided by‍ FirstRanker.com ---


Functions Of Cholesterol
Body Cholesterol Is An Essential

? Component of Biomembranes

--- Content provided by​ FirstRanker.com ---

? Nerve Impulse Conduction
? Precursor for:

?Steroidal Hormone biosynthesis
?Bile acid/Bile Salts

--- Content provided by‍ FirstRanker.com ---

?Vitamin D

?Remember Cholesterol

is not an energy

--- Content provided by‌ FirstRanker.com ---


producing Lipid.



--- Content provided by FirstRanker.com ---






--- Content provided by FirstRanker.com ---






--- Content provided by‍ FirstRanker.com ---

Sources Of Body Cholesterol

Endogenous And Exogenous

Sources Of Body Cholesterol

--- Content provided by​ FirstRanker.com ---


? About 1 g/day originates by biosynthesis
? About 0.3 g/day extracted from food

?80% Endogenously produced by

--- Content provided by‌ FirstRanker.com ---


the Liver (0.8 gram/day)

?20% Exogenously comes from the

--- Content provided by⁠ FirstRanker.com ---

digestive tract(0.3 gm/day)


? Assume 400 mg is an intake of

--- Content provided by‌ FirstRanker.com ---

dietary Cholesterol per day

? It absorb about 50% Cholesterol
? 200 mg is absorbed from GIT
? 800 mg of Cholesterol is from de

--- Content provided by​ FirstRanker.com ---


novo synthesis

Dietary Cholesterol

--- Content provided by​ FirstRanker.com ---

(Animal Sterol)

? Animal products ? eggs
? Animal Brain
? Ghee

--- Content provided by‌ FirstRanker.com ---

? Cheese
Cholesterol Biosynthesis

Is

--- Content provided by‌ FirstRanker.com ---

Endogenous Source Of Body

Cholesterol

Amount Of Cholesterol Biosynthesis

--- Content provided by⁠ FirstRanker.com ---

? Endogenously about 1 gm/day

of Cholesterol is biosynthesized.

? Ingestion of excess of

--- Content provided by⁠ FirstRanker.com ---


Carbohydrates elevates

Cholesterol biosynthesis.

--- Content provided by‌ FirstRanker.com ---



Conditions Favoring

For

--- Content provided by‍ FirstRanker.com ---


Cholesterol Biosynthesis
? Biosynthesis of Cholesterol takes

place:

--- Content provided by​ FirstRanker.com ---


?In a wel fed condition
?In excess of free cel ular Glucose
?On stimulation of Insulin

--- Content provided by⁠ FirstRanker.com ---

qThe amount of Cholesterol

biosynthesis depends upon

qAvailability of Acetyl-CoA

--- Content provided by‌ FirstRanker.com ---


obtained from Glucose

metabolism in a well fed

--- Content provided by FirstRanker.com ---

state.
? Increased free and excess of

cellular Glucose

--- Content provided by​ FirstRanker.com ---

? Increases the rate of endogenous

Cholesterol biosynthesis

Cholesterol Synthesis

--- Content provided by​ FirstRanker.com ---


Simplicity to Complexity
? Al the C27 carbon units of

Cholesterol Structure are

--- Content provided by‍ FirstRanker.com ---


biosynthesized using

? The 2 carbon Acetyl-CoA

--- Content provided by FirstRanker.com ---

units ,obtained from

Glucose metabolism.

Site Of Cholesterol Biosynthesis

--- Content provided by‌ FirstRanker.com ---


Organs and Cel ular Site

For

--- Content provided by​ FirstRanker.com ---

Cholesterol Biosynthesis
Organs Involved For Cholesterol

Biosynthesis

--- Content provided by‍ FirstRanker.com ---

? Liver (80% )
? Intestine (10%)
? Skin (5%)
? Adrenal Cortex
? Ovaries , Testes , Placenta

--- Content provided by‌ FirstRanker.com ---

? Arterial walls (To some extent)

? Cholesterol Synthesizing Enzymes

are partly located in:

--- Content provided by⁠ FirstRanker.com ---


?Cytoplasm
?Endoplasmic Reticulum
Requirements For Cholesterol

--- Content provided by​ FirstRanker.com ---

Biosynthesis

Requirements For Cholesterol

Biosynthesis

--- Content provided by‍ FirstRanker.com ---


? Metabolic Precursor- Acetyl CoA

(Obtained from excess Glucose

--- Content provided by​ FirstRanker.com ---

metabolism)

? Enzymes ,Coenzymes and Cofactors
? 16 NADPH +H+ (Through HMP Shunt)
? 36 ATPs

--- Content provided by⁠ FirstRanker.com ---

Translocation Of Acetyl CoA

From

Mitochondrial Matrix

--- Content provided by FirstRanker.com ---


To

Cytosol

--- Content provided by​ FirstRanker.com ---

? Cholesterol is biosynthesized

from Cytosolic Acetyl CoA

? Which is transported from

--- Content provided by‍ FirstRanker.com ---


Mitochondria via the Citrate

transport system.
Stages Of Cholesterol Biosynthesis

--- Content provided by‍ FirstRanker.com ---


? Biosynthesis of Cholesterol is a

very complex process

--- Content provided by‍ FirstRanker.com ---

? To understand divided in 5 Stages
? Requires more than 25 steps.


? Stage 1.

--- Content provided by​ FirstRanker.com ---


? Acetyl-CoA forms HMG-CoA and Mevalonate.

? Stage 2.

--- Content provided by⁠ FirstRanker.com ---

? Mevalonate forms Active Isoprenoid units(C5)

? Stage 3.

? 6 Isoprenoid units form Squalene (C30)

--- Content provided by⁠ FirstRanker.com ---


? Stage 4.

? Squalene is converted to Lanosterol

--- Content provided by FirstRanker.com ---

? Stage 5.

? Lanosterol is converted to Cholesterol(C27)

Overview/Outline of Cholesterol Synthesis

--- Content provided by‍ FirstRanker.com ---



Initial Activation Steps in Cholesterol Synthesis
Formation of a C10 intermediate GPP

--- Content provided by​ FirstRanker.com ---

Formation of C15 and C30 intermediates

? Michael Palmer 2014


--- Content provided by‌ FirstRanker.com ---

Squalene cyclization yields the first sterol

intermediate

Demethylation, desaturation and saturation steps

--- Content provided by‌ FirstRanker.com ---


convert lanosterol to cholesterol
UV-dependent synthesis of Cholecalciferol

Stage I

--- Content provided by‍ FirstRanker.com ---


Synthesis Of HMG CoA

and

--- Content provided by​ FirstRanker.com ---

Mevalonate


It starts by the condensation of

--- Content provided by⁠ FirstRanker.com ---

three molecules of Acetyl

CoA(C2) with the formation of

HMG CoA (C6) by HMG CoA

--- Content provided by FirstRanker.com ---


Synthase (As like In Ketogenesis)


HMG CoA is Reduced to Mevalonic acid (C6)

--- Content provided by‌ FirstRanker.com ---


by reaction requiring NADPH+H+ and enzyme

HMG CoA Reductase.

--- Content provided by‌ FirstRanker.com ---

Two molecules of NADPH are consumed in

the reaction.

Stage 2

--- Content provided by‍ FirstRanker.com ---


Formation Of Isoprenoid Unit

Isopentenyl Pyrophosphate (IPP)

--- Content provided by‍ FirstRanker.com ---


? Mevalonate in three subsequent

steps is

--- Content provided by‌ FirstRanker.com ---

?Phosphorylated with ATPs

?Dehydrated and

?Decarboxylated

--- Content provided by FirstRanker.com ---



? To form Isoprenoid unit(C5)-

Isopentenyl pyrophosphate(IPP).

--- Content provided by⁠ FirstRanker.com ---



Isomerization Of IPP To DPP

? Isopentenyl Pyrophosphate

--- Content provided by‌ FirstRanker.com ---


(IPP-C5) is isomerized to

Dimethylal yl

--- Content provided by‌ FirstRanker.com ---

Pyrophosphate (DPP-C5)

with the Isomerase activity


--- Content provided by FirstRanker.com ---


Stage 3

Synthesis Of Squalene (C30)

--- Content provided by​ FirstRanker.com ---

Formation Of

Geranyl Pyrophosphate

(GPP-C10)

--- Content provided by‍ FirstRanker.com ---

?IPP (C5) and DPP (C5) get

condensed to form

Geranyl Pyrophosphate

--- Content provided by​ FirstRanker.com ---


(GPP-C10)

Formation OF

--- Content provided by​ FirstRanker.com ---

Farnesyl Pyrophospate

(FPP- C15)
? 1 molecule of GPP condenses with

--- Content provided by⁠ FirstRanker.com ---

1 molecule of IPP to form Farnesyl

Pyrophospahte (FPP-C15)

Conversion Of

--- Content provided by⁠ FirstRanker.com ---


FPP(C15) to Squalene (C30)
? Two molecules of FPP get

condensed to generate Squalene.

--- Content provided by‌ FirstRanker.com ---


? At smooth Endoplasmic

Reticulum with the catalytic

--- Content provided by‌ FirstRanker.com ---

activity of Squalene Synthase

Coenzyme NADPH+H+ and

Cofactors Mg , Mn and Co

--- Content provided by‍ FirstRanker.com ---


Sage 4

Conversion Of Squalene To Lanosterol

--- Content provided by‍ FirstRanker.com ---



Stage 5

Transformation Of

--- Content provided by‌ FirstRanker.com ---


Lanosterol To Cholesterol

? Lanosterol is converted to

--- Content provided by⁠ FirstRanker.com ---

Cholesterol with many

sequential steps


--- Content provided by‍ FirstRanker.com ---

? With an intermediates

Zymosterol and Desmosterol


--- Content provided by⁠ FirstRanker.com ---

Uses Of Body Cholesterol
? Cholesterol after its biosynthesis

may serve as precursor for:

--- Content provided by‌ FirstRanker.com ---

?Steroidal Hormones
?Bile Acids
?Vitamin D

Fates Of Body Cholesterol

--- Content provided by⁠ FirstRanker.com ---


? Cholesterol in human body is component of various

biomembranes of cells.

--- Content provided by FirstRanker.com ---

? Cholesterol helps in nerve impulse conduction
? Cholesterol is a precursor for
? Bile acids
? Vitamin D
? Steroidal Hormones-

--- Content provided by FirstRanker.com ---


? Aldosterone
? Estrogen
? Progesterone
? Testosterone

--- Content provided by‍ FirstRanker.com ---



Bile Acids Formed From Cholesterol

? Primary Bile Acids:

--- Content provided by⁠ FirstRanker.com ---


? Cholic Acid

? Cheno Deoxy Cholic Acid

--- Content provided by FirstRanker.com ---

? Secondary Bile Acids:

? Glycocholic Acid

? Taurocholic Acid

--- Content provided by⁠ FirstRanker.com ---


? De- Oxycholic Acid

? Lithocholic Acid

--- Content provided by⁠ FirstRanker.com ---

Bile acids are Derived from Cholesterol
? Bile acids synthesized from

Cholesterol in the Liver are

--- Content provided by​ FirstRanker.com ---

carried through bile

? Released into the intestine and

reabsorbed in the Jejunum and

--- Content provided by‌ FirstRanker.com ---


Ileum.

Bile Acids are Transformed

--- Content provided by​ FirstRanker.com ---

To

Bile Salts
Role Of Bile Salts

--- Content provided by FirstRanker.com ---

? Bile Salts are effective detergents
? They are biosynthesized in the Liver
? Stored & concentrated in the Gallbladder
? Bile salts in Intestine facilitates in

--- Content provided by​ FirstRanker.com ---

digestion and absorption of intraluminal

lipids

? Through formation of emulsions and

--- Content provided by FirstRanker.com ---


mixed micel es.

Fate of Bile Salts
Fates of Cholesterol

--- Content provided by‌ FirstRanker.com ---


Diet

De novo synthesis

--- Content provided by​ FirstRanker.com ---

Cholesterol synthesized

in extrahepatic tissues

Liver cholesterol

--- Content provided by FirstRanker.com ---


pool

Secretion of HDL

--- Content provided by FirstRanker.com ---

Free cholesterol

Conversion to bile salts/acids

and VLDL

--- Content provided by‍ FirstRanker.com ---


In bile

Regulation Of

--- Content provided by FirstRanker.com ---

Cholesterol Biosynthesis
HMG-CoA Reductase

? Is the regulatory/ key enzyme

--- Content provided by⁠ FirstRanker.com ---

of Cholesterol Biosynthesis.

? The enzyme is stimulated and

inhibited as per the

--- Content provided by FirstRanker.com ---


requirement of bodies need.

?The enzyme HMG-CoA

--- Content provided by⁠ FirstRanker.com ---

reductase has half-life of 3 hrs.

?Degradation of HMG-CoA

reductase depends on

--- Content provided by⁠ FirstRanker.com ---


Cholesterol levels.
Modes Of Cholesterol Regulation

?Hormonal Influence

--- Content provided by FirstRanker.com ---

?Covalent Modification
?Feedback Inhibition

Hormonal Regulation

--- Content provided by‍ FirstRanker.com ---

? Insulin In wel fed state:

?Stimulates and increases HMG

CoA Reductase

--- Content provided by​ FirstRanker.com ---


?Increases Cholesterol

Biosynthesis

--- Content provided by​ FirstRanker.com ---


? Glucagon and Glucocorticoids in

emergency states:

--- Content provided by FirstRanker.com ---

?Inhibits HMG CoA Reductase.
?Decreases Cholesterol

Biosynthesis.
Covalent Modification

--- Content provided by⁠ FirstRanker.com ---


Of

Regulatory Enzyme

--- Content provided by FirstRanker.com ---

HMG CoA Reductase

Phosphorylation

And

--- Content provided by​ FirstRanker.com ---


Dephosphorylation

Of

--- Content provided by‍ FirstRanker.com ---

HMG CoA Reductase
? Short-term regulation of

Cholesterol biosynthesis is by

--- Content provided by⁠ FirstRanker.com ---

? Phosphorylation &

dephosphorylation of Key

enzyme HMG CoA Reductase

--- Content provided by‍ FirstRanker.com ---


? Phosphorylated ?HMG CoA

Reductase- Inactive Form

--- Content provided by‍ FirstRanker.com ---

? Dephosphorylated-HMG CoA

Reductase- Active form
HMG CoA Reductase - Phosphorylation

--- Content provided by​ FirstRanker.com ---

HMG CoA Reductase ? OH

HMG CoA Reductase ? P

(active)

--- Content provided by​ FirstRanker.com ---


(inactive)

AMP-Activated

--- Content provided by⁠ FirstRanker.com ---

Protein Kinase (high activity)

(+)

phosphatase

--- Content provided by​ FirstRanker.com ---


AMP

kinase

--- Content provided by‌ FirstRanker.com ---

(+)

(+)

AMP-Activated

--- Content provided by‌ FirstRanker.com ---


increase cAMP

insulin

--- Content provided by⁠ FirstRanker.com ---

Protein Kinase

(low activity)

Glucagon/epi

--- Content provided by FirstRanker.com ---


?Under influence of Hormone Glucagon
?HMG CoA Reductase is Phosphorylated by

cAMP-dependent Protein Kinases.

--- Content provided by‍ FirstRanker.com ---


?Phosphorylation of the Enzyme

inactivates HMG-CoA Reductase

--- Content provided by‍ FirstRanker.com ---

?This inhibits Cholesterol Biosynthesis.
?Glucagon, Sterols,

Glucocorticoids & low

--- Content provided by​ FirstRanker.com ---

ATP levels

?Inactivate HMG-CoA

Reductase.

--- Content provided by⁠ FirstRanker.com ---


?Under influence of Hormone

Insulin

--- Content provided by​ FirstRanker.com ---

?HMG CoA Reductase is

Dephosphorylated

?Which activates HMG-CoA

--- Content provided by‌ FirstRanker.com ---


Reductase.

?This increases Cholesterol

--- Content provided by FirstRanker.com ---

Biosynthesis.
? Insulin, Thyroid hormone,

high ATP levels

--- Content provided by⁠ FirstRanker.com ---

? Activate the key enzyme

HMG-CoA Reductase.

Feed Back Inhibition

--- Content provided by FirstRanker.com ---


? Sufficient amounts of body

Cholesterol regulate its

--- Content provided by‌ FirstRanker.com ---

biosynthesis

? By feed back inhibition of

Enzyme HMG CoA Reductase.

--- Content provided by‍ FirstRanker.com ---

? Ingestion of Cholesterol inhibits

endogenous cholesterol synthesis

(control exerted at both transcriptional

--- Content provided by FirstRanker.com ---


and translational levels).

? Gene expression (mRNA production) is

--- Content provided by​ FirstRanker.com ---

control ed by Cholesterol levels

Cholesterol Synthesis

Transcription Control

--- Content provided by⁠ FirstRanker.com ---


? Rate of HMG-CoA Reductase

mRNA synthesis is control ed

--- Content provided by‍ FirstRanker.com ---

? By Sterol Regulatory Element

Binding Protein (SREBP)
Competitive Inhibitors Of

--- Content provided by‍ FirstRanker.com ---

Cholesterol Biosynthesis

? Drugs like Statins- Lovastatin ,Simvastatin

? Competitive inhibitors of key Enzyme HMG

--- Content provided by‌ FirstRanker.com ---


CoA Reductase of Cholesterol biosynthesis.

? Decreases Endogenous Cholesterol

--- Content provided by⁠ FirstRanker.com ---

Biosynthesis

Lovastatin Inhibits Cholesterol

Biosynthesis

--- Content provided by​ FirstRanker.com ---


? Lovastatin (Mevinolin) blocks HMG-CoA

Reductase activity and prevents biosynthesis

--- Content provided by FirstRanker.com ---

of Cholesterol.

? Lovastatin is an (inactive) Lactone

? In the body, the Lactone is hydrolyzed to

--- Content provided by‌ FirstRanker.com ---


Mevanolinic acid, which is a competitive

inhibitor of HMG CoA reductase.

--- Content provided by FirstRanker.com ---


Drugs Lowering Cholesterol

? Statins ?

--- Content provided by⁠ FirstRanker.com ---

decrease HMG

CoA Reductase

activity

--- Content provided by‍ FirstRanker.com ---


"Statins" Competitively Inhibit HMG-CoA Reductase
Effects Of "Statins"

(HMG-CoA Reductase Inhibitors)

--- Content provided by‌ FirstRanker.com ---


? Action: Competitively inhibits HMG-CoA reductase, the key enzyme for de

novo cholesterol biosynthesis.

--- Content provided by‍ FirstRanker.com ---

? Effects Of Statins in Human body:

? Cells express more LDL receptors

? Decreases serum LDL levels

--- Content provided by‍ FirstRanker.com ---


? Increased HDL levels

? Increased HDL/LDL ratio

--- Content provided by⁠ FirstRanker.com ---

? Suppresses production of VLDL in Liver

? Advantages: Specific; Effective; Well-tolerated.

? Disadvantages: Hepatotoxicity; myopathy; most expensive; contradicted

--- Content provided by FirstRanker.com ---


in pregnant and nursing women.

Bile salts inhibit the

--- Content provided by​ FirstRanker.com ---

intestinal HMG CoA

Reductase.


--- Content provided by⁠ FirstRanker.com ---

Drugs Inhibitors of Intestinal Cholesterol uptake

Cholesterol Transport
Lipoproteins Involved In Cholesterol

--- Content provided by⁠ FirstRanker.com ---

Transport In Blood

?Chylomicrons
?LDL
?HDL

--- Content provided by FirstRanker.com ---


? Chylomicrons transport the

dietary Cholesterol

--- Content provided by⁠ FirstRanker.com ---

? From intestine to Liver through

lymph and blood
?LDL transports

--- Content provided by‍ FirstRanker.com ---

Endogenous Cholesterol

?From Liver to Extrahepatic

tissues.

--- Content provided by‌ FirstRanker.com ---


? HDL transports, Cholesterol

for its excretion

--- Content provided by FirstRanker.com ---

? From Extrahepatic tissues to

Liver.
Cholesterol Esterification

--- Content provided by‌ FirstRanker.com ---

? In human body Cholesterol is present in

two forms:

?Free Cholesterol (30%)

--- Content provided by‌ FirstRanker.com ---

?Esterified Cholesterol (70%)

? Cholesterol esterification is by enzyme

ACAT and LCAT activity.

--- Content provided by‌ FirstRanker.com ---


? Cholesterol when has to get

excreted out of the body

--- Content provided by FirstRanker.com ---

? It gets esterified to Cholesterol

Ester and transported for its

excretion.

--- Content provided by‍ FirstRanker.com ---



Cholesterol Esterification

LCAT

--- Content provided by‌ FirstRanker.com ---


(Lecithin: Cholesterol Acyltransferase)

Formation of Cholesterol Esters in Lipoproteins
? Acyl-CoA: Cholesterol Acyl

--- Content provided by FirstRanker.com ---


Transferase (ACAT) is an ER

membrane protein

--- Content provided by​ FirstRanker.com ---

? ACAT transfers fatty acid of CoA to

C3 Hydroxyl group of Cholesterol

? Excess Cholesterol is stored as

--- Content provided by⁠ FirstRanker.com ---


Cholesterol esters in cytosolic lipid

droplets

--- Content provided by FirstRanker.com ---

? The LCAT activity is

associated to Lipoprotein

HDL.

--- Content provided by‌ FirstRanker.com ---


? HDL is responsible for

transporting of Cholesterol

--- Content provided by‌ FirstRanker.com ---

Ester from extra hepatocytes

to Liver for its excretion.
Cholesterol Degradation

--- Content provided by‌ FirstRanker.com ---

and Excretion

? About 1 gram of Cholesterol is

catabolized and excreted out

--- Content provided by⁠ FirstRanker.com ---


of body via Bile.

? Cholesterol is mostly converted

--- Content provided by⁠ FirstRanker.com ---

to Bile acids and Bile salts and

excreted.
?Thus Cholesterol is

--- Content provided by​ FirstRanker.com ---

excreted in the form of

Bile acids and Bile salts.

? Bile acids , Bile Salts and

--- Content provided by​ FirstRanker.com ---


Cholesterol are carried through

bile to intestine for its excretion.

--- Content provided by FirstRanker.com ---

? Thus half of the body Cholesterol

is degraded to Bile acids and

excreted through feces.

--- Content provided by⁠ FirstRanker.com ---

? Cholesterol is modified by

intestinal bacterial flora to

? Cholestenol and

--- Content provided by‍ FirstRanker.com ---


Coprostenol which are then

excreted out in feces.

--- Content provided by‌ FirstRanker.com ---

? A person is healthy when there is

a perfect balance between

?Cholesterol Biosynthesis

--- Content provided by⁠ FirstRanker.com ---

?Cholesterol Utilization
?Cholesterol Excretion

? This minimizes the chances of

--- Content provided by​ FirstRanker.com ---

Cholesterol deposition in blood

and tissues.
Note

--- Content provided by⁠ FirstRanker.com ---

vIncreased intake of dietary

Cholesterol

vDecreases absorption of

--- Content provided by FirstRanker.com ---


Cholesterol

Blood Cholesterol

--- Content provided by‌ FirstRanker.com ---

And Its

Clinical Significance


--- Content provided by⁠ FirstRanker.com ---

Adult Reference Ranges

For Lipid Profile

ANALYTE

--- Content provided by‍ FirstRanker.com ---


REFERENCE RANGE

Total cholesterol

--- Content provided by‍ FirstRanker.com ---

140-200 mg/dL

HDL cholesterol

40-75 mg/dL

--- Content provided by⁠ FirstRanker.com ---


LDL cholesterol

50-130 mg/dL

--- Content provided by‍ FirstRanker.com ---

Triglyceride

60-150 mg/dL

1131

--- Content provided by⁠ FirstRanker.com ---


OPTIMAL CHOLESTEROL LEVELS
Blood Cholesterol is associated to

Lipoproteins in 2 forms:

--- Content provided by‌ FirstRanker.com ---


v Free cholesterol (30%)
v Esterified Cholesterol (70%)


--- Content provided by⁠ FirstRanker.com ---


Classification of

Plasma Cholesterol Concentrations

--- Content provided by‍ FirstRanker.com ---

Total cholesterol

Classification

(mg/dl)

--- Content provided by FirstRanker.com ---


< 200

Desirable

--- Content provided by⁠ FirstRanker.com ---

200 - 239

Borderline

> 240

--- Content provided by‌ FirstRanker.com ---


High
HDL Cholesterol

Less than 40 mg/dl

--- Content provided by​ FirstRanker.com ---


Low level. A major risk factor for CAD

40 to 59 mg/dl

--- Content provided by‌ FirstRanker.com ---

The higher the level the better

60 mg/dl and above

High level. Considered protective against CAD

--- Content provided by‌ FirstRanker.com ---


LDL Cholesterol

? Less than 100 mg/dl Optimal

--- Content provided by FirstRanker.com ---

? 100 to 129 mg/dl Near or above optimal

? 130 to 159 mg/dl Borderline high

? 160 to 189 mg/dl High

--- Content provided by FirstRanker.com ---


? 190 mg/dl and above Very high/ BAD

Cholesterol

--- Content provided by‌ FirstRanker.com ---


Hypercholesterolemia

Causes, Conditions And

--- Content provided by‌ FirstRanker.com ---

Consequences
Hypercholesterolemia

?Abnormal high levels of

--- Content provided by​ FirstRanker.com ---

Cholesterol more than the

reference range in blood

circulation is termed as

--- Content provided by⁠ FirstRanker.com ---


Hypercholesterolemia.

Conditions Of Hypercholesterolemia

--- Content provided by‌ FirstRanker.com ---

? Diabetes mellitus

(Increased Intake /Biosynthesis )

? Nephrotic Syndrome

--- Content provided by​ FirstRanker.com ---


(Defective Lipoprotein metabolism which is not internalized)

? Obstructive Jaundice

--- Content provided by‌ FirstRanker.com ---

(Bile duct obstruction and regurgitation of Bile in Blood)

? Hypothyroidism

(Decreased Catabolism and Excretion)

--- Content provided by‌ FirstRanker.com ---

Inherited Hypercholesterolemia

? Inherited Hypercholesterolemia is a

genetic cause

--- Content provided by​ FirstRanker.com ---


? Caused due to defective LDL

receptors on tissues.

--- Content provided by‍ FirstRanker.com ---

? Increases LDL ?Cholesterol in blood

Consequences Of

Hypercholesterolemia

--- Content provided by⁠ FirstRanker.com ---


? Increased risk of Atherosclerosis
? Stimulates plaque/thrombus

formation

--- Content provided by⁠ FirstRanker.com ---


? May occlude arteries and
? Leads to tissue infarction
? Infarction is irreversible

--- Content provided by‍ FirstRanker.com ---

damage to tissues due to

absence of Oxygen and

Nutrient.

--- Content provided by FirstRanker.com ---


? Infarction of Brain is Stroke
? Infarction of Heart is MI

Hypocholesterolemia

--- Content provided by‍ FirstRanker.com ---


?Abnormal low levels of

Cholesterol in blood

--- Content provided by‍ FirstRanker.com ---

circulation is termed as

Hypocholesterolemia.
Conditions Of Hypocholesterolemia

--- Content provided by​ FirstRanker.com ---

?Malnutrition

?Malabsorption

?Hyperthyroidism

--- Content provided by​ FirstRanker.com ---


?Pernicious Anemia

?Hemolytic Anemia

--- Content provided by‍ FirstRanker.com ---

?Liver Disorders

Consequences of High Cholesterol
MORTALITY RELATED

--- Content provided by​ FirstRanker.com ---

DUE TO

HIGH CHOLESTEROL

? 1 cause of death: Cardio-vascular diseases

--- Content provided by‍ FirstRanker.com ---


? 3 cause of death: Cerebro-vascular



--- Content provided by​ FirstRanker.com ---

diseases

? 1 + 3 = ~ 40% of al deaths

(Higher risk for Alzheimer & Chronic Liver

--- Content provided by FirstRanker.com ---


disease)



--- Content provided by⁠ FirstRanker.com ---






--- Content provided by FirstRanker.com ---

FACTORS INFLUENCING CHOLESTEROL LEVELS

? Diseases :

?Hypothyroidism

--- Content provided by⁠ FirstRanker.com ---


?Diabetes mellitus

? Lifestyle (Exercise, Stress, Smoking)
? A Family History-Genetic

--- Content provided by​ FirstRanker.com ---


defects

? Diet- High Fat and Carb diet
?Age

--- Content provided by‍ FirstRanker.com ---

?Weight- Obese
?Gender (Men, Menopause)

HDL cholesterol levels lower than

--- Content provided by‍ FirstRanker.com ---

<40 mg/dl)

increase a person's risk of

developing coronary artery

--- Content provided by​ FirstRanker.com ---


disease, especially in people who

also have high total cholesterol

--- Content provided by​ FirstRanker.com ---

levels.
? HDL Cholesterol levels

greater than 100 mg/dl

--- Content provided by‍ FirstRanker.com ---

?Also increase the risk in

developing coronary artery

disease and Stroke.

--- Content provided by⁠ FirstRanker.com ---


CHOLESTEROL PROFILE

IMPROVEMENT STRATEGY
vIMPROVING DIET

--- Content provided by⁠ FirstRanker.com ---



vLIFE STYLE MODIFICATIONS

v REGULAR EXERCISE

--- Content provided by⁠ FirstRanker.com ---


vSMOKING, ALCOHILISM CESSATION

vSTRESS REDUCTION

--- Content provided by​ FirstRanker.com ---

v WEIGHT CONTROL


v BEHAVIOR CHANGE

--- Content provided by‍ FirstRanker.com ---



? When diet changes fail.

? Hypolipidemic drugs will

--- Content provided by FirstRanker.com ---


reduce serum Cholesterol and

Triacylglycerol.
Therapeutic Principle:

--- Content provided by​ FirstRanker.com ---


Lowering Blood Cholesterols

Inhibition of Cholesterol

--- Content provided by‌ FirstRanker.com ---

biosynthesis


Inhibition of Cholesterol

--- Content provided by FirstRanker.com ---

uptake from GIT

Inhibition of Bile acid reuptake


--- Content provided by⁠ FirstRanker.com ---

LDL apheresis (Taking away)

Inhibition of Cholesterol Ester

Transfer Protein (CETP) to some

--- Content provided by​ FirstRanker.com ---


extent increases HDL levels.
? Cholestyramine Resins:

Block reabsorption of bile acids.

--- Content provided by⁠ FirstRanker.com ---


? Sitosterols:

acts by blocking the absorption of

--- Content provided by‌ FirstRanker.com ---

Cholesterol from the

gastrointestinal tract.

? Mevocore or Lovastatin:

--- Content provided by FirstRanker.com ---


inhibitors of HMG-CoA Reductase

Lipoprotein Metabolism
Role Of Lipoproteins

--- Content provided by FirstRanker.com ---


In

Health And Disease

--- Content provided by​ FirstRanker.com ---

Transportation Of Lipids
Lipoprotein Metabolism

And

--- Content provided by‌ FirstRanker.com ---

Related Disorders

What are Lipoproteins ?
vLipid compounds: Relatively

--- Content provided by‍ FirstRanker.com ---

insoluble in water

vTherefore, they are transported

in plasma and Lymph (aqueous

--- Content provided by​ FirstRanker.com ---


phase) as Lipoproteins

?Lipoproteins are complex

--- Content provided by‌ FirstRanker.com ---

macromolecules

?Biosynthesized by

aggregation of Lipids and

--- Content provided by​ FirstRanker.com ---


Proteins.
? Lipoproteins are compound

Lipids/Conjugated Proteins.

--- Content provided by‍ FirstRanker.com ---


? Lipoproteins acquire charge and

made soluble in aqueous phase.

--- Content provided by‌ FirstRanker.com ---

Structure Of Lipoproteins

?Non polar Lipids are at

center

--- Content provided by‍ FirstRanker.com ---


?Polar Lipids and

Apoproteins are present

--- Content provided by⁠ FirstRanker.com ---

at periphery.


Hydrophobic lipids

--- Content provided by‍ FirstRanker.com ---

Amphiphilic lipids


Structure Of Lipoprotein

--- Content provided by‌ FirstRanker.com ---


Structure of lipoprotein



--- Content provided by⁠ FirstRanker.com ---

Hydrophobic lipids (TAG, CE) in the core

Amphiphilic lipids (C, PL) and proteins on the

surface

--- Content provided by FirstRanker.com ---


Plasma Lipoproteins (Structure)

? Non-covalent

--- Content provided by‍ FirstRanker.com ---

assemblies of lipids

and proteins

? LP core

--- Content provided by‍ FirstRanker.com ---


? Triglycerides
? Cholesterol esters

? LP surface

--- Content provided by⁠ FirstRanker.com ---


? Phospholipids
? Proteins

Function as transport vehicles

--- Content provided by​ FirstRanker.com ---


? Cholesterol

for triacylglycerols and

--- Content provided by FirstRanker.com ---

cholesterol in the blood
Function/Role Of Lipoproteins

?Lipoproteins function

--- Content provided by‌ FirstRanker.com ---

as transport vehicles

?For transportation of

insoluble form of

--- Content provided by FirstRanker.com ---


Lipids in blood plasma.


? Lipoproteins deliver the

--- Content provided by‍ FirstRanker.com ---


lipid components

(Cholesterol and TAG etc.)

--- Content provided by‌ FirstRanker.com ---

from one tissues to

various tissues for their

utilization.

--- Content provided by‍ FirstRanker.com ---


? Various Lipoproteins formed within

the body cells

--- Content provided by⁠ FirstRanker.com ---

? Serves in transportation of

exogenous (Dietary Source) and

endogenous (Those Lipids

--- Content provided by⁠ FirstRanker.com ---


biosynthesized)lipids

? From one organ to another

--- Content provided by‌ FirstRanker.com ---

through aqueous phase of Lymph

and blood.
Lipoproteins Role Facilitate

--- Content provided by FirstRanker.com ---

?Substrates for Energy Metabolism (TAG)
?Provide Essential components for cells

(PL, C)

--- Content provided by‍ FirstRanker.com ---

?Precursors for Hormones (Cholesterol)
?Carries Lipid soluble Vitamins
?Precursors for Bile acids and Bile salts (C)

Types Of Lipoproteins

--- Content provided by‌ FirstRanker.com ---

? There are different types of Lipoproteins

depending upon:

I. Site of Lipoprotein Biosynthesis

--- Content provided by FirstRanker.com ---

I . Lipid Contents
I I. Apoprotein Contents and Type
IV. Diameter /Size
V. Transport Destination
VI. Ultracentrifugation

--- Content provided by‍ FirstRanker.com ---

VI . Electrophoretic Pattern

Lipoproteins

Site Of

--- Content provided by FirstRanker.com ---


Destination

Major

--- Content provided by FirstRanker.com ---

Biochemical

Synthesis

Lipids

--- Content provided by FirstRanker.com ---


Functions

Chylomicrons Intestine Liver

--- Content provided by⁠ FirstRanker.com ---

Exogenous

Deliver lipids of

Triacylglycerol

--- Content provided by‍ FirstRanker.com ---


dietary origin to

Liver and

--- Content provided by‌ FirstRanker.com ---

Adiposecytes

VLDLs

Liver

--- Content provided by‌ FirstRanker.com ---


Extra Hepatic

Endogenous

--- Content provided by FirstRanker.com ---

Deliver

Tissues

Triacylglycerol

--- Content provided by‍ FirstRanker.com ---


endogenously

produced Lipids

--- Content provided by⁠ FirstRanker.com ---

to

Extrahepatocytes

LDLs

--- Content provided by⁠ FirstRanker.com ---


Intravascular Extra hepatic

Cholesterol

--- Content provided by​ FirstRanker.com ---

Deliver

removal of

Tissues

--- Content provided by⁠ FirstRanker.com ---


endogenously

Triacylglycerol

--- Content provided by​ FirstRanker.com ---

produced

from VLDL

cholesterol to

--- Content provided by FirstRanker.com ---


Extrahepatocytes

HDLs

--- Content provided by⁠ FirstRanker.com ---

Liver and

Liver and steroid-

Phospholipid

--- Content provided by⁠ FirstRanker.com ---


Remove and

intestine

--- Content provided by FirstRanker.com ---

hormone-

Cholesterol

degrade

--- Content provided by FirstRanker.com ---


producing glands

Cholesterol.

--- Content provided by​ FirstRanker.com ---


CM VLDL LDL HDL
Density (g/mL <0.96 0.96-1.006 1.006-1.063 1.063-1.21
Diameter (nm) 100-1000 30-90 20-25 10-20
Apolipoprotein A,C,E,B48 A,C,E,B100 B100 A,C,D,E

--- Content provided by⁠ FirstRanker.com ---

Composition (%)
Proteins 2 10 20 40
Lipids 98 90 80 60
Lipid composition (%)
TAG 88 55 12 12

--- Content provided by​ FirstRanker.com ---

CE+C 4 24 59 40
PL 8 20 28 47
Free fatty acid - 1 1 1

Chylomicrons

--- Content provided by​ FirstRanker.com ---


Very low density

Lipoprotein (VLDL)

--- Content provided by‌ FirstRanker.com ---

Low density

Lipoprotein (LDL)

High density

--- Content provided by‍ FirstRanker.com ---


Lipoprotein (HDL)
Lipoproteins


--- Content provided by‍ FirstRanker.com ---

Lipoprotein Nomenclature, Composition

and separation

CM

--- Content provided by⁠ FirstRanker.com ---


VLDL

LDL

--- Content provided by​ FirstRanker.com ---

HDL

Major ApoB 48 ApoB 100 ApoB 100 ApoA-I

Protein

--- Content provided by​ FirstRanker.com ---


Major TAG

TAG CE

--- Content provided by‍ FirstRanker.com ---

PL

and CE

Lipid

--- Content provided by​ FirstRanker.com ---



Ultracentrifugation

of

--- Content provided by​ FirstRanker.com ---


Lipoproteins

Lipoprotein

--- Content provided by​ FirstRanker.com ---

Particles with distinct densities


1.Electrophoresis

--- Content provided by‍ FirstRanker.com ---

2. Ultra centrifugation method

method:

CM (chylomicron )

--- Content provided by⁠ FirstRanker.com ---


CM (chylomicron)

Slow

--- Content provided by‍ FirstRanker.com ---

very low density lipoprotein (

Slow

VLDL)

--- Content provided by⁠ FirstRanker.com ---


-Lipoprotein

low density lipoprotein ( LDL)

--- Content provided by​ FirstRanker.com ---

pre -Lipoprotein

high density lipoprotein (HDL)

Fast

--- Content provided by FirstRanker.com ---






--- Content provided by‌ FirstRanker.com ---

High

- Lipoprotein

Lipoprotein Electrophoresis

--- Content provided by​ FirstRanker.com ---



Plasma Lipoproteins

For Triacylglycerol Transport (TAG-rich):

--- Content provided by‍ FirstRanker.com ---


- Chylomicrons: TAG of dietary origin

- VLDL:TAG of Endogenous (hepatic)

--- Content provided by​ FirstRanker.com ---

synthesis

For Cholesterol transport (cholesterol-rich):

LDL: Mainly Free Cholesterol

--- Content provided by FirstRanker.com ---


HDL: Mainly esterified Cholesterol
Important Enzymes and

Proteins

--- Content provided by FirstRanker.com ---


Involved in

Lipoprotein Metabolism

--- Content provided by​ FirstRanker.com ---

Lipoprotein Lipase

OR

A Clearing Factor

--- Content provided by‌ FirstRanker.com ---

Lipoprotein Lipase (LPL)

LPL is located in the

?

--- Content provided by‍ FirstRanker.com ---

endothelial lining of

blood vessels.

Lipoprotein Lipase (LPL)

--- Content provided by⁠ FirstRanker.com ---


? LPL is an extracel ular enzyme,

anchored by Heparan sulfate to the

--- Content provided by​ FirstRanker.com ---

capil ary wal s of most tissues

? It is predominantly present in

Adipose tissue, Cardiac & Skeletal

--- Content provided by FirstRanker.com ---


muscle
? LPL requires Apo C-II for its activation

? LPL degrades TAG into Glycerol and free

--- Content provided by‍ FirstRanker.com ---


fatty acids by its activity.

? Insulin stimulates its synthesis and

--- Content provided by​ FirstRanker.com ---

transfer to the luminal surface of the

capil ary.

Lipoprotein Lipases

--- Content provided by FirstRanker.com ---


? Lipoprotein Lipases in capil aries of

adipose and muscle tissues hydrolyze

--- Content provided by‌ FirstRanker.com ---

TAG in VLDLs.

? VLDLs become IDLs
? IDLs looses more TAG and become LDLs.
? LDLs are less in TAG and rich in

--- Content provided by⁠ FirstRanker.com ---


Cholesterol and Cholesterol-esters.
? Lipoprotein Lipase act upon TAG

of Lipoproteins and hydrolyze it

--- Content provided by‍ FirstRanker.com ---


? LPL Transforms the ?

?Chylomicron to Chylomicron

--- Content provided by​ FirstRanker.com ---

remnant

?VLDL to LDL

? LPL clear the circulating

--- Content provided by⁠ FirstRanker.com ---


Lipoproteins from blood

hence it is termed as

--- Content provided by FirstRanker.com ---

Clearing Factor.
? Type I Hypolipoproteinemia
? This is termed as Familial

Lipoprotein Lipase deficiency

--- Content provided by‍ FirstRanker.com ---


? Caused due to:

?LPL defect
?Apo C-I is defect

--- Content provided by FirstRanker.com ---


? LPL Hydrolyzes Triacylglycerol (TAG)

in the core of CM and VLDL to free

--- Content provided by‍ FirstRanker.com ---

Fatty acids and Glycerol.

? The released free fatty acids and

Glycerol

--- Content provided by​ FirstRanker.com ---


? Then enter into the tissue, mainly

adipose, heart, and muscle (80%),

--- Content provided by‌ FirstRanker.com ---

while about 20% goes indirectly to the

Liver.


--- Content provided by FirstRanker.com ---


LPL Mediated Fatty Acid Uptake



--- Content provided by‌ FirstRanker.com ---

Hepatic Lipase (HL)

? HL is bound to the surface of Liver

cells

--- Content provided by​ FirstRanker.com ---

? Hydrolyzes TAG to free fatty acids

and Glycerol
?HL is concerned with TAG hydrolysis

--- Content provided by​ FirstRanker.com ---

in Chylomicron remnants and HDL

coming to Liver.


--- Content provided by‌ FirstRanker.com ---

LCAT

(Lecithin Cholesterol Acyltransferase)

Formation of Cholesterol Esters in Lipoproteins

--- Content provided by‍ FirstRanker.com ---


? LCAT is associated with HDL

Lipoprotein.

--- Content provided by FirstRanker.com ---

? LCAT esterifies the Cholesterol

and to HDL.


--- Content provided by‌ FirstRanker.com ---

CETP

(Cholesteryl Ester Transfer Protein)

Cholesterol Ester Transfer Protein

--- Content provided by‌ FirstRanker.com ---


CETP

? CETP is also termed as plasma

--- Content provided by​ FirstRanker.com ---

lipid transfer protein.

? CETP exchanges Lipids from

one Lipoprotein to another.

--- Content provided by⁠ FirstRanker.com ---



CETP Activity

? CETP is a Plasma Protein that

--- Content provided by⁠ FirstRanker.com ---


facilitates the transport of


? Cholesteryl Esters and

--- Content provided by‌ FirstRanker.com ---


Triacylglycerol between the

Lipoproteins.
?By CETP activity

--- Content provided by‌ FirstRanker.com ---


Cholesteryl Ester May be

transferred from HDL to:

--- Content provided by‌ FirstRanker.com ---

? VLDL
? IDL
? LDL

? CETP transfers TAG from VLDL or LDL

--- Content provided by‌ FirstRanker.com ---


to HDL

? In exchange of Cholesteryl Esters

--- Content provided by‍ FirstRanker.com ---

from HDL to VLDL.
? HDL either transfers Cholesterol &

Cholesterol esters.

--- Content provided by‍ FirstRanker.com ---

? To Liver by means of CETP

CETP by its activity

Transforms HDL

--- Content provided by FirstRanker.com ---


HDL 3 to HDL 2
Sub fractions Of HDL

HDL2 and HDL3

--- Content provided by​ FirstRanker.com ---


?Prior to CETP activity HDL is

smaller particles termed as

--- Content provided by​ FirstRanker.com ---

HDL3

? Post CETP activity HDL3

become larger TAG rich and

--- Content provided by FirstRanker.com ---


termed as HDL2
?HDL 3 is Cholesteryl

Ester rich biomolecule.

--- Content provided by‍ FirstRanker.com ---


?HDL 2 is TAG and CE

containing.

--- Content provided by⁠ FirstRanker.com ---

? The receptors present on

Hepatocytes are for HDL 2.

? HDL 2 is internalized in the

--- Content provided by⁠ FirstRanker.com ---


hepatocytes and get

metabolized.
Significance Of CETP Activity

--- Content provided by⁠ FirstRanker.com ---


? Significance of CETP activity is to

transfer

--- Content provided by‍ FirstRanker.com ---

? The valuable functional compound

Cholesterol from HDL to VLDL and get

transported to extrahepatocytes when

--- Content provided by​ FirstRanker.com ---


it is required for its use.

? Hence CETP activity is induced when

--- Content provided by FirstRanker.com ---

there is need of Cholesterol to

Extrahepatocytes.
?CETP activity reduces the

--- Content provided by‍ FirstRanker.com ---

content of Cholesteryl

Ester of HDL.


--- Content provided by⁠ FirstRanker.com ---


? Low CE content of HDL after

CETP activity

--- Content provided by⁠ FirstRanker.com ---

? Increases the HDL associated

LCAT activity.


--- Content provided by⁠ FirstRanker.com ---



Inhibition Of CETP Activity

Causes High HDL levels In

--- Content provided by FirstRanker.com ---


Blood Circulation
? Inhibition of CETP will not transfer the HDL

Cholesteryl Ester to VLDL, for use in extra

--- Content provided by​ FirstRanker.com ---


hepatocytes.

? Not modify HDL3 to HDL2
? No internalization of HDL3 by hepatocytes.

--- Content provided by​ FirstRanker.com ---

? This may elevate the levels of HDL3 in blood.
? Defective Scavenging role of HDL
? This leading to its bad consequences of

Atherosclerosis.

--- Content provided by​ FirstRanker.com ---


? Inhibition of CETP increases HDL3

levels.

--- Content provided by‍ FirstRanker.com ---

? But highly reduced CETP activity

accelerates very high HDL3 levels.

? This abnormal high levels of HDL3

--- Content provided by‍ FirstRanker.com ---


evidenced showing development of

Atherosclerosis and Coronary Heart

--- Content provided by‍ FirstRanker.com ---

Diseases.


?Recent Studies have

--- Content provided by⁠ FirstRanker.com ---

evidenced

?The CETP inhibiting drugs
?Elevates the levels of HDL3

--- Content provided by‌ FirstRanker.com ---

and

?Increases the mortality

rate.

--- Content provided by‌ FirstRanker.com ---

Apolipoproteins

Functions of

Apolipoproteins

--- Content provided by⁠ FirstRanker.com ---

? Apoproteins are protein parts of

Lipoprotein structure
? Apoproteins act as structural

--- Content provided by‍ FirstRanker.com ---

components of Lipoproteins
?Apoproteins are polar moieties

which impart solubility to

--- Content provided by‍ FirstRanker.com ---

Lipoprotein structure.

? Apoproteins

? Recognizes the Lipoprotein

--- Content provided by FirstRanker.com ---


receptors on cell membrane

surface as ligand.

--- Content provided by FirstRanker.com ---

? Which further facilitates the

uptake of LP by specific

tissues.

--- Content provided by FirstRanker.com ---

Apoproteins Activate /Inhibit

Enzymes Involved

in Lipoprotein metabolism.

--- Content provided by‍ FirstRanker.com ---


v Apo A I: Activator LCAT

v Apo C-I : Activator of LCAT
v Apo A-IV: Activator of LCAT

--- Content provided by​ FirstRanker.com ---

? Apo C-II: Activator of LPL
? Apo C-III: Inhibitor of LPL

? Apo AII: Inhibitor of Hepatic Lipase (HL)

--- Content provided by FirstRanker.com ---


? Chylomicrons contain ApoB-48.

? VLDLs, IDLs and LDLs has ApoB-100.
HDL transfers

--- Content provided by⁠ FirstRanker.com ---


Apo E & Apo CII

to

--- Content provided by‍ FirstRanker.com ---

Chylomicrons & VLDL

Chylomicron

Metabolism

--- Content provided by FirstRanker.com ---






--- Content provided by FirstRanker.com ---


Metabolism of Chylomicrons

Surface Monolayer

--- Content provided by⁠ FirstRanker.com ---

Phospholipids

Free Cholesterol

Protein

--- Content provided by​ FirstRanker.com ---


Hydrophobic Core

Triglyceride

--- Content provided by​ FirstRanker.com ---

Cholesteryl Esters

Chylomicrons

? Assembled in intestinal mucosal

--- Content provided by‌ FirstRanker.com ---


cel s

? Has lowest density
? It has largest size

--- Content provided by‍ FirstRanker.com ---

? Highest % of lipids and lowest %

proteins
? Highest concentration of

--- Content provided by⁠ FirstRanker.com ---

Triacylglycerol (dietary origin)

? Chylomicrons carry dietary lipids

from intestine to Liver

--- Content provided by FirstRanker.com ---


? Responsible for physiological milky

appearance of plasma (up to 2

--- Content provided by‍ FirstRanker.com ---

hours after meal)

? Chylomicron is a type of

Lipoprotein

--- Content provided by⁠ FirstRanker.com ---


? Formed in the intestinal

mucosal cells

--- Content provided by FirstRanker.com ---

? Due to aggregation of

dietary digested and

absorbed Lipids.

--- Content provided by‌ FirstRanker.com ---

? The Chylomicrons has 99%

Lipids and 1% Proteins

? The predominant Lipid present

--- Content provided by​ FirstRanker.com ---


in Chylomicrons is

Triacylglycerol (TAG) of dietary

--- Content provided by FirstRanker.com ---

origin.

? The Apoprotein of Chylomicron is

B48

--- Content provided by‌ FirstRanker.com ---


? Significant role of Chylomicron is

to transport dietary Lipids from

--- Content provided by​ FirstRanker.com ---

intestinal mucosal cell to Liver via

Lymph and Blood.
? Chylomicrons formed in

--- Content provided by​ FirstRanker.com ---

intestinal mucosal cells are

? First released in lymphatic

system

--- Content provided by FirstRanker.com ---


? Which then enters systemic

blood circulation via thoracic

--- Content provided by⁠ FirstRanker.com ---

duct.

? Chylomicrons in blood circulation are not

moved inertly

--- Content provided by​ FirstRanker.com ---


? But receives Apo C I and Apo E from the

circulating HDL and gets mature.

--- Content provided by FirstRanker.com ---

? Apo C I then stimulates the enzyme

Lipoprotein Lipase present in endothelial

lining of blood vessels of Adipose tissue

--- Content provided by​ FirstRanker.com ---


and Cardiac tissue.
? The stimulated Lipoprotein Lipase acts

upon TAG of Chylomicrons ,

--- Content provided by FirstRanker.com ---


? Hydrolyze it into free fatty acids and

Glycerol ,which then enters to

--- Content provided by⁠ FirstRanker.com ---

adjacent adiposecytes.

? Entered Free fatty acids TAG and

stored as reserve food material.

--- Content provided by‌ FirstRanker.com ---


? The circulating Chylomicrons

are continuously acted upon by

--- Content provided by FirstRanker.com ---

Lipoprotein Lipase

? Most of the TAG is removed

from it and transformed to

--- Content provided by​ FirstRanker.com ---


Chylomicron remnant till they

reach Liver.
? The Liver has receptors for

--- Content provided by‌ FirstRanker.com ---


Chylomicron remnant.

? Chylomicron remnant linked to

--- Content provided by⁠ FirstRanker.com ---

receptors of hepatocytes are

internalized and metabolized in

Liver.

--- Content provided by​ FirstRanker.com ---




? Chylomicrons transport dietary TAG

--- Content provided by‌ FirstRanker.com ---

and Cholesterol from the intestine to

the peripheral tissues
? Lipoprotein lipase (LPL) is

--- Content provided by‍ FirstRanker.com ---

activated by Apo C-II

? After most of the TG is removed,

Chylomicrons become

--- Content provided by⁠ FirstRanker.com ---


Chylomicron remnants. During

the process, CM give ApoC and

--- Content provided by‌ FirstRanker.com ---

ApoA back to HDL

?CM remnants bind to specific

receptors on the surface of liver

--- Content provided by​ FirstRanker.com ---


cells through apo E and then the

complex is Endocytosed.

--- Content provided by‍ FirstRanker.com ---

?Remnant receptor or ApoE

receptor or LRP (LDL receptor-

related protein)

--- Content provided by‌ FirstRanker.com ---


? Chylomicron remnants deliver

dietary cholesterol and some

--- Content provided by⁠ FirstRanker.com ---

cellular cholesterol (via HDL)

to the liver.

? Half life of CM is short, less

--- Content provided by​ FirstRanker.com ---


than 1 hour.


Chylomicrons

--- Content provided by​ FirstRanker.com ---


Nascent Chylomicron are formed in the intestinal and

consists of rich in dietary TG + minimal amount of

--- Content provided by‌ FirstRanker.com ---

dietary cholesterol + Apo (B-48)

Mature Chylomicron after Nascent chylomicron

passage to blood, addition of Apo C II and Apo E from

--- Content provided by‌ FirstRanker.com ---


HDL

Lipoprotein lipase hydrolyzes TAG present in

--- Content provided by‍ FirstRanker.com ---

Chylomicrons

Chylomicron remnant taken up by the liver through

endocytosis.

--- Content provided by‌ FirstRanker.com ---


Apo C removed and returns back to HDL

Metabolic fate of chylomicrons. (A, apolipoprotein A; B-48, apolipoprotein B-48; , apolipoprotein C; E, apolipoprotein E;

--- Content provided by‌ FirstRanker.com ---

HDL, high-density lipoprotein; TG, triacylglycerol; C, cholesterol and cholesteryl ester; P, phospholipid; HL, hepatic lipase; LRP,

LDL receptor-related protein.) Only the predominant lipids are shown.


--- Content provided by​ FirstRanker.com ---

Metabolism of VLDL and LDL

Formation and Fate Of VLDL
? The Lipoprotein Very Low

--- Content provided by‍ FirstRanker.com ---

Density Lipoprotein (VLDL)

? Biosynthesized in

Hepatocytes and Intestinal

--- Content provided by‍ FirstRanker.com ---


Mucosal Cells.

?The endogenously

--- Content provided by‍ FirstRanker.com ---

biosynthesized Lipids are

aggregated

?Along with Apoprotein B-

--- Content provided by‌ FirstRanker.com ---


100 to form VLDL.
? VLDL predominantly

contains Triacylglycerol of

--- Content provided by‍ FirstRanker.com ---


endogenous origin.

Role Of VLDL

--- Content provided by⁠ FirstRanker.com ---

? VLDL facilitates in mobilizing out the

endogenously synthesized Lipids in

Hepatocytes and Intestinal mucosal cells.

--- Content provided by‍ FirstRanker.com ---


? VLDL transports endogenous Lipids

from Liver to Extra Hepatocytes via

--- Content provided by⁠ FirstRanker.com ---

blood.
?Nascent VLDL accepts Apo

CII and Apo E from HDL

--- Content provided by‌ FirstRanker.com ---

?This modify it to mature

VLDLs in blood.

? Nascent VLDL: contains Apo B-100

--- Content provided by‌ FirstRanker.com ---

? Mature VLDL: Apo B-100 plus

Apo C-II and Apo E

(from HDL)

--- Content provided by‌ FirstRanker.com ---

? Apo C-I is required for activation of

Lipoprotein lipase

? Lipoprotein lipase is required to

--- Content provided by​ FirstRanker.com ---


degrade VLDL TAG into Glycerol and

fatty acids

--- Content provided by‍ FirstRanker.com ---

?Circulating VLDL on

action by Lipoprotein

Lipase hydrolyzes most

--- Content provided by‌ FirstRanker.com ---


of its TAG.

?VLDL gets modified to

--- Content provided by FirstRanker.com ---

IDL and LDL.
? Thus intermediate product of

IDL and end product LDL are

--- Content provided by FirstRanker.com ---

formed from VLDL

? In blood circulation by action

of LPL on VLDL and removal of

--- Content provided by FirstRanker.com ---


TAG from it.

Normal VLDL Metabolism

--- Content provided by‍ FirstRanker.com ---

Prevents the person

to

Suffer from Fatty Liver

--- Content provided by⁠ FirstRanker.com ---

? VLDL help in mobilizing out the

endogenously biosynthesized Lipids

of Hepatocytes.

--- Content provided by FirstRanker.com ---


? Normal Formation and mobilization

of VLDL prevents from accumulation

--- Content provided by FirstRanker.com ---

of excess Fat in the Liver and

develop Fatty Liver.

Modifications of Circulating VLDLs

--- Content provided by‍ FirstRanker.com ---


VLDL IDL (returns Apo E to HDL) LDL


VLDL Metabolism

--- Content provided by​ FirstRanker.com ---


Dietary Carbohydrate Increases

VLDL Production

--- Content provided by‌ FirstRanker.com ---

Plasma

Triglyceride

Dietary

--- Content provided by‌ FirstRanker.com ---


(VLDL)

Carbohydrate

--- Content provided by⁠ FirstRanker.com ---


VLDL Remnants

IDL and LDL

--- Content provided by FirstRanker.com ---

? LDL results from loss of TAG in

VLDL

? LDL contains relatively more

--- Content provided by⁠ FirstRanker.com ---


Cholesterol esters

? LDL looses all Apo lipoproteins

--- Content provided by‍ FirstRanker.com ---

except ApoB100.


Very Low Density Lipoprotein (VLDL)

--- Content provided by​ FirstRanker.com ---

Nascent VLDLare formed in the liver and consists of

endogenous TG + 17 % cholesterol + Apo (B-100)

Mature VLDL after Nascent VLDL passage to

--- Content provided by‍ FirstRanker.com ---


blood, addition of ApoC II, ApoE and cholesterol

esters from HDL

--- Content provided by​ FirstRanker.com ---

Lipoprotein lipase (LPL) hydrolyzes TAG present

in VLDL

VLDL remnant containing less of TG and more of

--- Content provided by​ FirstRanker.com ---


cholesterol and taken up by the liver through

endocytosis.

--- Content provided by​ FirstRanker.com ---

Apo C removed and returns to HDL

LDL Metabolism

Most core lipid in LDL is Cholesterol ester.

--- Content provided by​ FirstRanker.com ---

ApoB100 is only Apolipoprotein in the surface.
Formation and Fate Of LDL

? Low Density Lipoprotein (LDL) is a

--- Content provided by FirstRanker.com ---

Lipoprotein formed from VLDL in

blood circulation.

? VLDL in blood circulation

--- Content provided by⁠ FirstRanker.com ---


receives Apo CII and Apo E from

the circulating HDL.
? Apo CI then stimulates the

--- Content provided by FirstRanker.com ---


Lipoprotein Lipase enzyme

present in the endothelial lining

--- Content provided by‍ FirstRanker.com ---

of blood vessels.

? Lipoprotein Lipase then acts upon

TAG present in VLDL ,hydrolyze it

--- Content provided by‍ FirstRanker.com ---


to Glycerol and free fatty acids
?LDL is the modified

form of VLDL formed

--- Content provided by⁠ FirstRanker.com ---


in blood circulation.

?LDL is remnant of

--- Content provided by⁠ FirstRanker.com ---

VLDL

?LDL is mostly associated

with Cholesterol and

--- Content provided by⁠ FirstRanker.com ---


Phospholipids with

minimal TAG

--- Content provided by⁠ FirstRanker.com ---

?Of endogenous origin

mobilized out from Liver.
? The major Apoproteins of LDL

--- Content provided by⁠ FirstRanker.com ---

is Apo B100

? Same as VLDL since LDL is

derived from VLDL

--- Content provided by‌ FirstRanker.com ---


? Function of LDL is to transport

endogenously biosynthesized

--- Content provided by‍ FirstRanker.com ---

Cholesterol from Liver to the

peripheral /extrahepatic tissues.
LDL Receptor

--- Content provided by​ FirstRanker.com ---

?LDL receptor is also named

as ApoB100/ApoE

receptors

--- Content provided by‍ FirstRanker.com ---


?Since ApoB-100 of LDL

binds to LDL receptor.

--- Content provided by‌ FirstRanker.com ---

?The complexes of LDL and

receptor are taken into the

cells by endocytosis,

--- Content provided by⁠ FirstRanker.com ---


?Where LDL is degraded but

the receptors are recycled
? LDL receptors are found on cel

--- Content provided by‍ FirstRanker.com ---


surface of many cel types of

extrahepatocytes.

--- Content provided by‌ FirstRanker.com ---

? LDL is internalized by the tissues

when LDL get fixed to the LDL

receptors.

--- Content provided by‌ FirstRanker.com ---


? LDL receptor mediates

delivery of Cholesterol

--- Content provided by⁠ FirstRanker.com ---

? By inducing endocytosis

and fusion with Lysosomes.


--- Content provided by⁠ FirstRanker.com ---

? Lysosomal lipases and

proteases degrade the LDL.


--- Content provided by‍ FirstRanker.com ---

? Cholesterol then incorporates

into cell membranes or is

stored as cholesterol-esters of

--- Content provided by FirstRanker.com ---


extrahepatocytes.

LDL Receptor

--- Content provided by FirstRanker.com ---


LDL Cholesterol levels

are

--- Content provided by​ FirstRanker.com ---

positively related to risk

of Cardiovascular

Disease.

--- Content provided by⁠ FirstRanker.com ---

?LDL values within

normal range is an

indication of healthy

--- Content provided by‍ FirstRanker.com ---


status.

?But the high LDL levels

--- Content provided by​ FirstRanker.com ---

are abnormal .

? The Cholesterol associated to

this high levels of LDL

--- Content provided by⁠ FirstRanker.com ---


molecules increases the risk of

Atherosclerosis and CVD.

--- Content provided by‌ FirstRanker.com ---


? Hence this LDL associated

Cholesterol is termed as "bad

--- Content provided by⁠ FirstRanker.com ---

Cholesterol"
Defect/Absence of

LDL Receptors

--- Content provided by‌ FirstRanker.com ---

Leads to Accumulation of LDL

in Blood Circulation

Causing

--- Content provided by‌ FirstRanker.com ---


Hypercholesteremia

and

--- Content provided by FirstRanker.com ---

Atherosclerosis

? Defect in LDL receptors on tissues

impairs LDL metabolism.

--- Content provided by‌ FirstRanker.com ---


? Decreases LDL internalization

within the tissues.

--- Content provided by‍ FirstRanker.com ---

? Increases abnormal levels of LDL in

blood (< 130 mg%).
? Increased LDL levels in

--- Content provided by​ FirstRanker.com ---

blood circulation due to

defect in LDL receptors is

termed as Type I a

--- Content provided by FirstRanker.com ---


Hyperlipoproteinemia.

? The major form of Lipid associated with LDL

--- Content provided by‌ FirstRanker.com ---

is Cholesterol .

? Hence increased LDL levels is characterized

by Hypercholesterolemia.

--- Content provided by‌ FirstRanker.com ---


? The Cholesterol associated with elevated

levels of LDL (more than its normal range) is

--- Content provided by‍ FirstRanker.com ---

termed as bad Cholesterol,

? Since it increases the risk of Atherosclerosis

and its complications .

--- Content provided by‌ FirstRanker.com ---

? Persons lacking the LDL

receptor suffer from Familial

Hypercholesteremia

--- Content provided by⁠ FirstRanker.com ---


? Due to result of a mutation in

a single autosomal gene

--- Content provided by⁠ FirstRanker.com ---

? Total plasma cholesterol and

LDL levels are elevated.

?Cholesterol Levels of:

--- Content provided by⁠ FirstRanker.com ---


?Healthy person = < 200 mg/dl

?Heterozygous individuals = 300 mg/dl

--- Content provided by⁠ FirstRanker.com ---



?Homozygous individuals = 680 mg/dl


--- Content provided by⁠ FirstRanker.com ---

High LDL levels can lead to

Cardiovascular Disease

Most Homozygous individuals

--- Content provided by FirstRanker.com ---


die of cardiovascular disease

in childhood
? LDL can be oxidized to form

--- Content provided by FirstRanker.com ---


oxidized LDL

? Oxidized LDL is taken up by

--- Content provided by‍ FirstRanker.com ---

immune cells cal ed

macrophages.

? Macrophages become

--- Content provided by‍ FirstRanker.com ---


engorged to form foam cells.

? Foam cel s become trapped in

--- Content provided by⁠ FirstRanker.com ---

the wal s of blood vessels and

contribute to the formation of

atherosclerotic plaques.

--- Content provided by⁠ FirstRanker.com ---


? Causes narrowing of the

arteries which can lead to

--- Content provided by‌ FirstRanker.com ---

MI/heart attacks.


Familial hypercholesterolemia is due to a gene

--- Content provided by‍ FirstRanker.com ---

defect in the LDL receptor

? Michael Palmer 2014
Role Of HDL

--- Content provided by​ FirstRanker.com ---

Reverse Transport Of

Cholesterol

?HDL is a high density

--- Content provided by​ FirstRanker.com ---


Lipoprotein.

?Nascent HDL is

--- Content provided by​ FirstRanker.com ---

biosynthesized in Liver.
? HDL is the Lipoprotein, with highest

density.

--- Content provided by⁠ FirstRanker.com ---

? Since it is associated with 40-50% of

Apoproteins.

? The Apoproteins of HDL are Apo A I,

--- Content provided by⁠ FirstRanker.com ---


Apo A I , Apo C I,C I , Apo D and Apo E.

? HDL serves as a reservoir of

--- Content provided by​ FirstRanker.com ---

Apoprotein during its circulation.

? HDL gives it Apo CII and Apo E to

circulating nascent Chylomicrons

--- Content provided by‌ FirstRanker.com ---


and VLDL .
? Nascent HDL of discoid shaped

(Empty Bag) biosynthesized in

--- Content provided by FirstRanker.com ---


Liver

? It is released in the blood

--- Content provided by​ FirstRanker.com ---

circulation for scavenging action.

The HDL has Scavenging Action

It serves as a

--- Content provided by FirstRanker.com ---


Scavenger For

Unwanted Body Lipids
? The Enzyme Lecithin Cholesterol Acyl

--- Content provided by FirstRanker.com ---


Transferase (LCAT) is associated with HDL

metabolism.

--- Content provided by‌ FirstRanker.com ---

? Apo A I,A IV and CI stimulates the LCAT

activity of HDL.

? LCAT by its activity help in esterification of

--- Content provided by‌ FirstRanker.com ---


free Cholesterol to Esterified

Cholesterol/Cholesterol Ester.

--- Content provided by‍ FirstRanker.com ---

? HDL by its scavenging action collects the extra

non functional Cholesterol lying in blood

vessels and peripheral tissues.

--- Content provided by‍ FirstRanker.com ---


? HDL esterifies Choleserol by its LCAT activity

and to HDL bag.

--- Content provided by⁠ FirstRanker.com ---

? The nascent HDL bags changes to spherical

shape .

? HDL is more associated with Phospholipids

--- Content provided by FirstRanker.com ---


and Cholesterol.
? The receptors for HDL are

present on Liver cells.

--- Content provided by​ FirstRanker.com ---


? HDL transports the excess,

unused Lipids from extra

--- Content provided by​ FirstRanker.com ---

hepatic tissues back to Liver for

its metabolism and excretion.

? The role of HDL is opposite to LDL.

--- Content provided by​ FirstRanker.com ---


? HDL transports Cholesterol From

extra hepatic tissues back to Liver.

--- Content provided by‍ FirstRanker.com ---

? Thus the role of HDL is termed as

reverse transport of Cholesterol.
? Normal serum HDL levels are 30-60

--- Content provided by⁠ FirstRanker.com ---

mg%.

? The efficient activity of HDL is good

to the body

--- Content provided by‌ FirstRanker.com ---


? As it prevents risk of Atherosclerosis

and their complications.

--- Content provided by⁠ FirstRanker.com ---

Reverse Cholesterol Transport (RCT)


High Density Lipoproteins (HDL ? Good)

--- Content provided by‍ FirstRanker.com ---

? CETP by its activity modifies HDL 3

to HDL 2.

? HDL2 is then get internalized in

--- Content provided by‍ FirstRanker.com ---


Hepatocytes for its final use.

? Cholesterol Ester carried by HDL to

--- Content provided by‌ FirstRanker.com ---

hepatocytes is degraded to Bile

acids and Bile salts and get excreted

out.

--- Content provided by‌ FirstRanker.com ---

Fate of HDL

HDL 2 binds SR-B1 receptor on Hepatocytes

Transfers Cholesterol &

--- Content provided by⁠ FirstRanker.com ---


Cholesterol ester to cell

Depleted HDL dissociates

--- Content provided by⁠ FirstRanker.com ---

& re-enters circulation

? HDL can bind to specific

hepatic receptors SR-B1

--- Content provided by FirstRanker.com ---


? But primary HDL clearance

occurs through uptake by

--- Content provided by‌ FirstRanker.com ---

scavenger receptor SR-B1.
? SR-B1 can be upregulated in cells

when Cholesterol levels are low in

--- Content provided by⁠ FirstRanker.com ---

hepatic cells.

? SR-B1 is down regulated when

cholesterol levels are high in cells.

--- Content provided by FirstRanker.com ---


? Defect in low HDL synthesis in Liver

lowers the HDL activity and increases

--- Content provided by⁠ FirstRanker.com ---

the risk of Atherosclerosis.

? Defect in HDL receptors on Liver may

abnormally increase the HDL levels in

--- Content provided by FirstRanker.com ---


blood circulation and also increases the

risk of Atherosclerosis.
The Lecithin-Cholesterol Acyltransferase (LCAT)

--- Content provided by‍ FirstRanker.com ---


reaction

Cholesterol esters can be stored inside lipoprotein

--- Content provided by⁠ FirstRanker.com ---

particles
HDL Interactions

with Other Particles

--- Content provided by‌ FirstRanker.com ---

Tangier Disease: Disruption of Cholesterol

Transfer to HDL

? Michael Palmer 2014

--- Content provided by FirstRanker.com ---



HDL and Reverse Cholesterol Transport

Tangier Disease

--- Content provided by​ FirstRanker.com ---






--- Content provided by​ FirstRanker.com ---





LDL-R

--- Content provided by⁠ FirstRanker.com ---





LDL-R

--- Content provided by FirstRanker.com ---


50% of HDL C may

Return to the liver

--- Content provided by⁠ FirstRanker.com ---

On LDL via CETP

LDL/HDL Ratio and Cardiovascular Disease

? LDL/HDL ratios are used as a

--- Content provided by‍ FirstRanker.com ---


diagnostic tool for signs of

Cardiovascular disease

--- Content provided by⁠ FirstRanker.com ---

? A good LDL/HDL ratio is 3.5
?LDL above normal range =
"Bad Cholesterol"

?HDL within normal range =

--- Content provided by FirstRanker.com ---

"Good Cholesterol"
-HDL above normal range =
"Bad Cholesterol"

? Protective role of HDL is not very

--- Content provided by‌ FirstRanker.com ---


clear.

?An esterase that breaks down

--- Content provided by⁠ FirstRanker.com ---

oxidized lipids is associated with

HDL.

?It is possible (but not proven) that

--- Content provided by⁠ FirstRanker.com ---


this enzyme helps to destroy

oxidized LDL

--- Content provided by⁠ FirstRanker.com ---


Lipoproteins Facilitate Lipid

Transport
Normal

--- Content provided by FirstRanker.com ---


Lipoprotein Metabolism

Normal LP Metabolism

--- Content provided by⁠ FirstRanker.com ---

? Maintains Normal levels of Lipoproteins

in the blood circulation by:

?Normal Formation of LP by specific tissues

--- Content provided by FirstRanker.com ---


?Normal Transformation and Transport of

LP in blood

--- Content provided by FirstRanker.com ---

?Normal Uptake of LP by specific tissues
? Normal Lipoprotein

Metabolism Reduces the risk

--- Content provided by⁠ FirstRanker.com ---

of:

?Atherosclerosis

?Myocardial Infarction

--- Content provided by‍ FirstRanker.com ---


?Stroke

Lipoprotein Population Distributions

--- Content provided by‌ FirstRanker.com ---

? Serum Lipoprotein

concentrations differ between

adult men and women.

--- Content provided by‍ FirstRanker.com ---


? Primarily as a result of

differences in sex hormone

--- Content provided by‍ FirstRanker.com ---

levels.
? Women having, on average, higher HDL

cholesterol levels and lower total

--- Content provided by‍ FirstRanker.com ---

Cholesterol and TAG levels than men.

? The difference in total cholesterol,

however, disappears in post

--- Content provided by⁠ FirstRanker.com ---


menopause as Estrogen decreases and

use of Cholesterol is reduced.

--- Content provided by‍ FirstRanker.com ---

Lipid Associated Disorders

OR

Lipid Related Clinical Problems

--- Content provided by‌ FirstRanker.com ---

? DysLipoproteinemias/Dyslipidemias

(Hypo and Hyperlipoproteinemias)

? Fatty Liver

--- Content provided by‍ FirstRanker.com ---


?Atherosclerosis

?Coronary Heart Diseases

--- Content provided by‌ FirstRanker.com ---

Causes of Lipid Associated Disorders

? Diseases associated with abnormal lipid

concentrations can be caused:

--- Content provided by⁠ FirstRanker.com ---


?Nutritional Imbalances

?Environmental Factors

--- Content provided by‌ FirstRanker.com ---

?Lifestyle Patterns

?Genetic abnormalities

?Develop secondarily, as a

--- Content provided by​ FirstRanker.com ---


consequence of other diseases.
Disorders Of Lipoproteins

Dyslipoproteinemias/ Dyslipidemias

--- Content provided by‍ FirstRanker.com ---


Hyperlipoproteinemias

And

--- Content provided by FirstRanker.com ---

Hypolipoproteinemias

Abnormal LP Metabolism

? Abnormal Synthesis of LP by specific

--- Content provided by​ FirstRanker.com ---


tissues

? Abnormal Transport of LP in blood
? Abnormal Uptake by specific tissues

--- Content provided by FirstRanker.com ---

? Leads to abnormal levels of Lipoproteins

in the blood circulation
? Thus conditions and factors

--- Content provided by‍ FirstRanker.com ---

which affects the

Lipoprotein synthesis,

transport and uptake

--- Content provided by⁠ FirstRanker.com ---


? May lead to Lipoprotein

disorders/Dyslipidemias.

--- Content provided by‌ FirstRanker.com ---

Dyslipidemias

? Dyslipidemias are due to Defect in

Lipoprotein metabolism

--- Content provided by‍ FirstRanker.com ---



? Include both the excess and

deficiency of Lipoproteins.

--- Content provided by​ FirstRanker.com ---

? Dyslipidemia can manifest as the

elevation of plasma Cholesterol,

Triacylglycerol, or both.

--- Content provided by‌ FirstRanker.com ---


? It can also be manifested by:

?The elevation of LDL Cholesterol
?The abnormal decrease/increase

--- Content provided by‍ FirstRanker.com ---


of HDL Cholesterol in the blood.

Causes Of Dyslipidemias/

--- Content provided by‌ FirstRanker.com ---

DysLipoproteinemias

? Dyslipedimias states are generally

caused by impaired Lipoprotein :

--- Content provided by‌ FirstRanker.com ---


?Biosynthesis (Increased)
?Transformation and Transport

(Improper )

--- Content provided by​ FirstRanker.com ---


?Uptake and Utilization (Decreased)
Dyslipidemias/Dyslipoproteinemias

? Dyslipidemias can be subdivided into two

--- Content provided by​ FirstRanker.com ---


major categories

1. Hyperlipoproteinemias

--- Content provided by‌ FirstRanker.com ---

? Hypercholesterolemia
? Hypertriglyceridemia
? Combined Hyperlipoproteinemia

2. Hypolipoproteinemias

--- Content provided by⁠ FirstRanker.com ---


Types Of Lipoprotein Disorders
Hyperlipoproteinemias

? Hyperlipoproteinemia are

--- Content provided by‌ FirstRanker.com ---


abnormal conditions

? With increased levels of

--- Content provided by‌ FirstRanker.com ---

circulating Lipoproteins in

the blood.

Causes of Hyperlipoproteinemia

--- Content provided by FirstRanker.com ---


? Increased formation of Lipoprotein
? Reduced clearance of LP from circulation

? Factors Causing These

--- Content provided by⁠ FirstRanker.com ---


? Excessive dietary intake of Carbs and Lipids
? Biochemical defects in LP metabolism
? Deficient Protein to form Apo proteins
? Defect in Enzymes and Protein Associated to LP

--- Content provided by‌ FirstRanker.com ---

? Defect in Receptors for LP
? Use of drugs that perturb LP formation or

catabolism
Types of

--- Content provided by‍ FirstRanker.com ---


Hyperlipoproteinemias

Fredrickson Classification

--- Content provided by‌ FirstRanker.com ---

of

Hyperlipoproteinemia
Type I

--- Content provided by FirstRanker.com ---

Lipoprotein Lipase Deficiency

Increased Chylomicrons and

Hyperlipoproteinemia VLDL

--- Content provided by‍ FirstRanker.com ---


Hypertriglyceridemia

Type II a Defect in LDL Receptors

--- Content provided by‌ FirstRanker.com ---

Increased LDL levels in blood

Hyperlipoproteinemia Hyperbetalipoproteinemia

Hypercholesterolemia

--- Content provided by FirstRanker.com ---


Type II b Increased production of Apo B

Increased production of

--- Content provided by FirstRanker.com ---

Hyperlipoproteinemia VLDL and impaired LDL

catabolism Increased VLDL and

LDL

--- Content provided by​ FirstRanker.com ---


Type I I

Defect in ApoE

--- Content provided by FirstRanker.com ---

Familial Dysbeta Broad Beta Disease

Lipoproteinemias Increased IDL

Type IV

--- Content provided by​ FirstRanker.com ---


Impaired VLDL metabolism.

Increased VLDL

--- Content provided by‍ FirstRanker.com ---

Hyper-pre-b-

Lipoproteinemia

Due to acquired conditions viz

--- Content provided by⁠ FirstRanker.com ---


q Obesity

q Alcoholism

--- Content provided by FirstRanker.com ---

q Diabetes mel itus


Increased VLDL and

--- Content provided by⁠ FirstRanker.com ---

Chylomicrons

Due to acquired

Type V conditions viz

--- Content provided by⁠ FirstRanker.com ---


q Obesity

Combined

--- Content provided by‌ FirstRanker.com ---

q Alcoholism

Hyperlipoproteinemia

q Diabetes mel itus

--- Content provided by FirstRanker.com ---

Conditions Of Hyperlipoproteinemias

? Increased endogenous/exogenous

availability of Lipids

--- Content provided by‍ FirstRanker.com ---


? Increased/Defective Apoprotein

synthesis

--- Content provided by‌ FirstRanker.com ---

? Decreased Lipoprotein Lipase activity

? Defective receptors on specific tissues

Deficiency Of Lipoprotein Lipase

--- Content provided by⁠ FirstRanker.com ---


Leads To

Familial Type I Hyperlipoproteinemia
? Defect in Lipoprotein Lipase activity

--- Content provided by FirstRanker.com ---

? Does not clear the circulating

Chylomicrons and VLDL;

? Increases the levels of circulating

--- Content provided by‌ FirstRanker.com ---


Chylomicrons and VLDL

? Associated Hypertriglyceridemia
? This is termed as Familial Type I

--- Content provided by FirstRanker.com ---


Hyperlipoproteinemia.

Type I Hyperlipoproteinemias

--- Content provided by‌ FirstRanker.com ---

? Shows a dramatic accumulation (1000

mg/dl) of Chylomicrons and VLDL in

plasma

--- Content provided by⁠ FirstRanker.com ---

? Usual y associated with

acute abdomen due to

acute pancreatitis

--- Content provided by FirstRanker.com ---


? plasma TAG even in the

fasted state

--- Content provided by​ FirstRanker.com ---

Type I I Hyperlipoproteinemia

? Familial dysbetalipoproteinemia
? Due to Apo E deficiency
? Associated with

--- Content provided by‌ FirstRanker.com ---


Hypercholesterolemia &

premature Atherosclerosis
Hypolipoproteinemias

--- Content provided by FirstRanker.com ---


Hypolipoproteinemias

? Hypolipoproteinemias are

--- Content provided by‌ FirstRanker.com ---

abnormal conditions

? With decreased levels of

circulating Lipoproteins in

--- Content provided by​ FirstRanker.com ---


the blood.
Conditions Of Hypolipoproteinemias

? Decreased synthesis of

--- Content provided by​ FirstRanker.com ---


Lipoproteins

? Deficiency of Lipotropic factors

--- Content provided by‌ FirstRanker.com ---

required for Lipoprotein

biosynthesis.

Types Of Hypolipoproteinemias

--- Content provided by‌ FirstRanker.com ---

Familial Hypobetalipoproteinemia

?Impairment in the

synthesis of Apo B

--- Content provided by​ FirstRanker.com ---


?Characterized with low

LDL levels.

--- Content provided by‌ FirstRanker.com ---

Abeta Lipoproteinemia

? Rare disorder

? No synthesis of Apo B (Total

--- Content provided by​ FirstRanker.com ---


Absence)

? Absence of LDL (Beta Lipoprotein) in

--- Content provided by‌ FirstRanker.com ---

blood circulation

? Defect in TAG-transfer protein

? Accumulation of TAG in liver

--- Content provided by⁠ FirstRanker.com ---

Familial Alpha Lipoprotein Deficiency

Tangiers Disease

? Absence of HDL (Alpha Lipoprotein)

--- Content provided by⁠ FirstRanker.com ---


in blood

? Affects severely Reverse transport

--- Content provided by‍ FirstRanker.com ---

of Cholesterol

? Hypercholesterolemia

? Increased risk of Atherosclerosis and

--- Content provided by​ FirstRanker.com ---


its Complications.

Classification Of

--- Content provided by​ FirstRanker.com ---

Dyslipidemias

Based On

Number Of Gene Involvement

--- Content provided by FirstRanker.com ---

Primary Hyperlipoproteinemia

?Monogenic defect
?Polygenic Defect

--- Content provided by⁠ FirstRanker.com ---

Monogenic Disorders

vFamilial Hypercholesterolemia

vHomozygous or Heterozygous

--- Content provided by FirstRanker.com ---

vDefect: inactive LDL receptor

vFamilial Lipoprotein Lipase deficiency

vDefect: inactive lipoprotein lipase

--- Content provided by​ FirstRanker.com ---


vFamilial combined Hyperlipidemia

vDefect: Unknown
Polygenic/Multifactorial

--- Content provided by‍ FirstRanker.com ---


? These are commonly

encountered

--- Content provided by‌ FirstRanker.com ---

vHypercholesterolemia
vHypertriglyceridemia

Secondary Hyperlipidemias

--- Content provided by FirstRanker.com ---

?Alcoholism
?Diabetes mellitus
?Uremia
?Drugs; b blockers, oral contraceptives,

--- Content provided by⁠ FirstRanker.com ---

thiazide diuretics

?Diseases: Hypothyroidism, Nephrotic

syndrome, Obstructive liver disease

--- Content provided by FirstRanker.com ---

Combined Hyperlipoproteinemia

? Presence of elevated levels of both serum

Total Cholesterol and Triacylglycerols.

--- Content provided by‍ FirstRanker.com ---


? Genetic form of this condition

?Familial Combined Hyperlipoproteinemia

--- Content provided by‍ FirstRanker.com ---

(FCH)

?Type V Hyperlipoproteinemia

? An accumulation of Cholesterol-rich VLDL

--- Content provided by⁠ FirstRanker.com ---


and Chylomicron remnants as a result of

defective catabolism of those particles

--- Content provided by⁠ FirstRanker.com ---

1389

Diagnosis And Therapeutic

Strategy Of Dyslipidemias

--- Content provided by​ FirstRanker.com ---

A. Identify patients at risk

1. Routine screening of Serum Lipid

profile

--- Content provided by‍ FirstRanker.com ---

2. Assessment of contributing risk factors

B. Non-Pharmacologic therapy

1. Diet modification

--- Content provided by FirstRanker.com ---

2. Lifestyle modification

C. Pharmacologic therapy

? Lipids and lipoproteins are

--- Content provided by FirstRanker.com ---


important indicators of CHD risk,


? This is the major reason for their

--- Content provided by‌ FirstRanker.com ---


measurement in research, as well

as in clinical practice.
Estimation Of Lipid Profile

--- Content provided by‍ FirstRanker.com ---


? Serum Triacylglycerol
? Serum Total Cholesterol
? Serum VLDL
? Serum LDL Cholesterol

--- Content provided by‍ FirstRanker.com ---

? Serum HDL Cholesterol

Hypertriglyceridemia

? Serum Triacylglycerol

--- Content provided by​ FirstRanker.com ---


? Borderline = 150-200 mg/ dl
? High 200-500 mg/dl
? Very High > 500 mg/dl

--- Content provided by‍ FirstRanker.com ---

? Familial Hypertriglyceridemia

? Genetic

? Secondary Hypertriglyceridemia

--- Content provided by​ FirstRanker.com ---


? Hormonal imbalances
? Imbalance between synthesis and clearance of VLDL

1394

--- Content provided by FirstRanker.com ---

Hypertriglyceridemia

? Generally caused by deficiency of LPL or

LPL cofactor.

--- Content provided by‍ FirstRanker.com ---


? LPL hydrolyzes TAG in Chylomicrons and

VLDL

--- Content provided by⁠ FirstRanker.com ---

? Deficiency of LPL prevents processing and

clearing of Lipoproteins.

? Elevated even with fasting condition.

--- Content provided by‌ FirstRanker.com ---


1395

Hypercholesterolemia

--- Content provided by‌ FirstRanker.com ---

? Familial Hypercholesterolemia (FH)

?Homozygous rare 1/million

?Total cholesterol 800-1000 mg/dl

--- Content provided by⁠ FirstRanker.com ---

?Heart attack as early as teenage years

?Heterozygous cholesterols 300-600

mg/dl

--- Content provided by‍ FirstRanker.com ---


?Heart attacks 20-50 years
Hypercholesterolemia

? Familial hypercholesterolemia (FH)

--- Content provided by‍ FirstRanker.com ---


?Primarily LDL elevations
?Synthesis is normal but decrease or lack

LDL receptors

--- Content provided by⁠ FirstRanker.com ---


?Therefore LDL builds-up in serum
?Since cells cannot acquire from LDL

increase internal synthesis

--- Content provided by FirstRanker.com ---


Lipid Profile and Lipoprotein Analyses
LDL Methods

? Friedewald Calculation

--- Content provided by‌ FirstRanker.com ---


? VLDL is estimated as TAG/5

LDL = Total Cholesterol ? HDL ? TAG/5

--- Content provided by FirstRanker.com ---

Lipoprotein Assay Methods

? Separate Lipoprotein Fractions By:

? Electrophoresis ? Agarose or Polyacrylamide

--- Content provided by‍ FirstRanker.com ---

? Chromatographic
? Precipitation
? Ultracentrifugation
? Immunochemical
Serum Triglycerides

--- Content provided by​ FirstRanker.com ---


Normal

? Less than 150 mg/dL

--- Content provided by‍ FirstRanker.com ---

Borderline High

? 150-199 mg/dL

High

--- Content provided by‍ FirstRanker.com ---


? 200-499 mg/dL

Very High

--- Content provided by‍ FirstRanker.com ---

? 500+ mg/dL

Serum Total Cholesterol

Normal

--- Content provided by‍ FirstRanker.com ---


?Less than 200 mg/dL

Borderline High

--- Content provided by​ FirstRanker.com ---

?200-239 mg/dL

High

?240 mg/dL or higher

--- Content provided by​ FirstRanker.com ---

HDL Cholesterol

Optimal:

?60+ mg/dL for both males and females

--- Content provided by⁠ FirstRanker.com ---


At Risk for Heart Disease:

?Women: less than 50 mg/dL

--- Content provided by‌ FirstRanker.com ---

?Men: less than 40 mg/dL

LDL Cholesterol

Optimal

--- Content provided by FirstRanker.com ---


? Less than 100 mg/dL

Near or above Optimal

--- Content provided by FirstRanker.com ---

? 100-129 mg/dL

Borderline High

?130-159 mg/dL

--- Content provided by‌ FirstRanker.com ---


High

?160-189 mg/dL

--- Content provided by⁠ FirstRanker.com ---

Very High

? 190+ mg/dL
Consequences Of

--- Content provided by‌ FirstRanker.com ---

Dyslipoprotein Metabolism

?Fatty Liver
?Atherosclerosis and

--- Content provided by FirstRanker.com ---

its Complications
Role Of Liver In Lipid Metabolism

? Liver is the Biochemical Factory of

--- Content provided by‍ FirstRanker.com ---

Human Body.

? Liver plays an important role in

Lipid metabolism.

--- Content provided by FirstRanker.com ---


? Major pathways of Lipid

metabolism are efficiently carried

--- Content provided by⁠ FirstRanker.com ---

out in Liver.
Lipid Metabolism

At Liver

--- Content provided by⁠ FirstRanker.com ---

In Well Fed Condition

? Liver in well fed condition efficiently carries

out various metabolic pathways of Lipid

--- Content provided by⁠ FirstRanker.com ---


Metabolism.

?De Novo biosynthesis of Fatty acids
?Triacylglycerol Biosynthesis

--- Content provided by⁠ FirstRanker.com ---

?Cholesterol Biosynthesis
?Phospholipid Biosynthesis
?Glycolipid Biosynthesis
?VLDL Biosynthesis
Lipid Metabolism

--- Content provided by‍ FirstRanker.com ---


At Liver

In Emergency Condition

--- Content provided by​ FirstRanker.com ---

? Liver in emergency condition carries

following metabolic pathways of

Lipid metabolism efficiently:

--- Content provided by‌ FirstRanker.com ---


?Beta Oxidation of Fatty acids
?Ketogenesis
?Bile Acid and Bile Salt Formation
Fatty Liver

--- Content provided by‍ FirstRanker.com ---


? Though Liver is the predominant

site for Lipid biosynthesis.

--- Content provided by‌ FirstRanker.com ---

? Liver is not the storage organ for

Lipids.
?Normally 3-5% of Lipids are

--- Content provided by FirstRanker.com ---

present in Hepatocytes.

? Endogenously biosynthesized

Lipids in Liver are

--- Content provided by‌ FirstRanker.com ---


? Mobilized out in the form of

VLDL molecule.
? Efficient formation of VLDL

--- Content provided by⁠ FirstRanker.com ---


in Liver

? Does not al ow the excess

--- Content provided by‌ FirstRanker.com ---

of Lipids to remain in Liver

tissue.

Fatty Liver/

--- Content provided by FirstRanker.com ---


Fatty Liver Disease/

Hepatosteatosis
What Is Fatty Liver?

--- Content provided by​ FirstRanker.com ---


? Fatty Liver is an abnormal

condition

--- Content provided by FirstRanker.com ---

? Where there is more than 5% of

Lipids retained in Hepatocytes.

What Is Fatty Liver Disease?

--- Content provided by‌ FirstRanker.com ---


? Fatty Liver disease (FLD), is a reversible

condition of Liver

--- Content provided by FirstRanker.com ---

? Wherein large vacuoles of Lipids

accumulate in Liver cel s

? Via the process of Steatosis (Abnormal

--- Content provided by‌ FirstRanker.com ---


retention of Lipids within a cell)
What Is Steatohepatitis ?

? Progressive inflammation of the

--- Content provided by‍ FirstRanker.com ---


Liver (Hepatitis),

? Due to abnormal accumulation of

--- Content provided by FirstRanker.com ---

Lipids(Steatosis) is termed as

Hepatosteatosis/Steatohepatitis

.

--- Content provided by‌ FirstRanker.com ---


Causes Of Fatty Liver
Clinical Conditions

Leading To Fatty Liver

--- Content provided by​ FirstRanker.com ---


OR

Risks For Developing Fatty Liver

--- Content provided by​ FirstRanker.com ---

?Defect in Hepatic

?Biosynthesis of Lipids

?No Mobilization of

--- Content provided by⁠ FirstRanker.com ---


Endogenously

biosynthesized Lipids in

--- Content provided by‌ FirstRanker.com ---

Liver

?Accumulates Lipids in Liver
? Increased biosynthesis of Lipids than

--- Content provided by FirstRanker.com ---

the mobilization capacity ,due to

increased Carbohydrates.

? Decreased mobilization of Lipids

--- Content provided by​ FirstRanker.com ---


from Liver cells due to decreased

VLDL formation.

--- Content provided by‌ FirstRanker.com ---

?Deficiency of Lipotropic

factors affects

?The VLDL formation and

--- Content provided by‌ FirstRanker.com ---


mobilization of Lipids

out of Hepatocytes.
Conditions Leading To Fatty Liver

--- Content provided by‍ FirstRanker.com ---


? Metabolic Syndrome

?Obesity
?Hypertension

--- Content provided by​ FirstRanker.com ---

?Dyslipidemias
?Diabetes mel itus

? Alcoholism
? Malnutrition

--- Content provided by⁠ FirstRanker.com ---

(Deficiency of Lipotropic Factors)
? Wilsons Disease
? Hepatitis A
? Hepatitis C

--- Content provided by​ FirstRanker.com ---

? Hepatotoxic Drugs : MTX, VA,

Acetaminophen, TC, Tamoxifen,

Nefidepine, Amiodarone, CCl4 etc

--- Content provided by‍ FirstRanker.com ---


Lipotropic Factors and Their Role
Adequate Presence of

Lipotropic factor

--- Content provided by FirstRanker.com ---


Prevents Retention of Lipids

in Liver

--- Content provided by FirstRanker.com ---

There by preventing Fatty Liver.

? Lipotropic Factors are chemical

substances which helps in

--- Content provided by‍ FirstRanker.com ---


formation of Phospholipids.

? This in turn helps in proper

--- Content provided by​ FirstRanker.com ---

formation and mobilization of

VLDL out from Liver.
Names Of Lipotropic Factors

--- Content provided by FirstRanker.com ---

? Lipotropic Factors are chemicals

involved in biosynthesis of

Phospholipids:

--- Content provided by⁠ FirstRanker.com ---


?Choline
?Betaine forms Choline
?Inositol

--- Content provided by‌ FirstRanker.com ---

Amino Acids As Lipotropic Agents

?Glycine
?Serine
?Methionine

--- Content provided by​ FirstRanker.com ---

Vitamins As Lipotropic Factors

?Vitamin B 12
?Folic Acid

--- Content provided by‍ FirstRanker.com ---

Types Of Fatty Liver
4 Types Of Fatty Liver

? Alcoholic Fatty Liver

--- Content provided by⁠ FirstRanker.com ---

? Non Alcoholic Fatty Liver Disease (NAFLD)

? Non Alcoholic Steatohepatitis (NASH)

? Acute Fatty Liver of Pregnancy

--- Content provided by⁠ FirstRanker.com ---


Consequences Of Fatty Liver
? Fatty liver is a reversible condition

and usual y goes away on its own.

--- Content provided by⁠ FirstRanker.com ---


? Generally Fatty liver often has no

symptoms and

--- Content provided by FirstRanker.com ---

? Does not cause any permanent

damage.

Consequences Of Fatty Liver

--- Content provided by​ FirstRanker.com ---

? Constant accumulation of

abnormal excess amount of

Lipids in Hepatocytes

--- Content provided by FirstRanker.com ---


? Affects the normal Liver

functions

--- Content provided by‌ FirstRanker.com ---

? Leads to Parenchymal damage

to Liver Tissues

? Causes Liver Cirrhosis.

--- Content provided by​ FirstRanker.com ---


? Excess of Lipids deposition in Hepatocytes
? Interferes the biochemical functions
? Brings inflammation of Liver (Hepatitis)
? Changes the cytological features

--- Content provided by​ FirstRanker.com ---

? Damages the cell components
? Causes Liver Fibrosis
? Leads to Liver Cirrhosis
? Liver Carcinoma
Natural History of Fatty Liver Disease

--- Content provided by​ FirstRanker.com ---


Fatty liver

Steatohepatitis

--- Content provided by​ FirstRanker.com ---

Steatohepatitis + Fibrosis (First Stage of Scar)



Steatohepatitis + Cirrhosis

--- Content provided by FirstRanker.com ---


Cryptogenic Cirrhosis

When there is repeated damage to

--- Content provided by FirstRanker.com ---

the Liver

Permanent scarring of Hepatocytes

takes place

--- Content provided by FirstRanker.com ---




This is cal ed Liver Cirrhosis
Diagnostic Features

--- Content provided by FirstRanker.com ---


OF

Fatty Liver Disease

--- Content provided by​ FirstRanker.com ---

Laboratory Abnormalities

In Fatty Liver Disease

? 2 - 4 fold ALT &

--- Content provided by⁠ FirstRanker.com ---


? Normal Albumin. PT

AST

--- Content provided by FirstRanker.com ---

? Low ANA + < 1 in 320

? AST: ALT Ratio < 1

? Serum Ferritin

--- Content provided by​ FirstRanker.com ---


? ALP slight in 1/3

? Iron saturation

--- Content provided by FirstRanker.com ---

? Dyslipidemia - TAG ? AST: ALT Ratio > 1

? FBG and PPBG

if Cirrhosis sets in

--- Content provided by⁠ FirstRanker.com ---


? BUN & Creatinine - N


Fatty liver Normal liver

--- Content provided by‍ FirstRanker.com ---

Features Of Normal Arterial Wal

? The lumen of healthy arterial wal is

lined by:

--- Content provided by​ FirstRanker.com ---


?Confluent layer of Endothelial cel s

Features of Normal Endothelium

--- Content provided by​ FirstRanker.com ---

Controls Important function Of

Arterial wal

vNormal healthy arterial endothelium,

--- Content provided by‌ FirstRanker.com ---


vRepels cells and inhibits blood clotting.

vHealthy arteries are soft and Elastic.

--- Content provided by FirstRanker.com ---

vNormal Endothelium- Regulates tissue and

organ blood flow.

vThe ability of blood vessels to dilate-

--- Content provided by‌ FirstRanker.com ---


vasodilatation

vThe ability of blood vessels to constrict-

--- Content provided by‍ FirstRanker.com ---

vasoconstriction
Arteriosclerosis

What Is Arteriosclerosis?

--- Content provided by​ FirstRanker.com ---

? Arteriosclerosis is non-specific term used

to describe hardening and thickening of

the wal of arterioles.

--- Content provided by FirstRanker.com ---


OR

? Arteriosclerosis is a general term

--- Content provided by​ FirstRanker.com ---

describing any hardening (and loss of

elasticity) of medium or large arteries.
What Is Atherosclerosis?

--- Content provided by FirstRanker.com ---

? The term Atherosclerosis, comes

from the Greek words

?Atheros- meaning "gruel" or

--- Content provided by‌ FirstRanker.com ---


"paste"

?Sclerosis- meaning "hardness".

--- Content provided by‌ FirstRanker.com ---

Atherosclerosis

is a form of

Arteriosclerosis

--- Content provided by FirstRanker.com ---

Terms For Atherosclerosis

? There are many terms associated

to Atherosclerosis including:

--- Content provided by FirstRanker.com ---


vAtheroma
v Fibrous Plaques
v Fibro Fatty Lesions
vAtherosclerotic Plaques

--- Content provided by FirstRanker.com ---


? Atherosclerosis are abnormal

Diseased/defective arteries.

--- Content provided by‌ FirstRanker.com ---

?Arteries becomes hard and non elastic

?Arteries are less or non Functional

?Arteries obstruct the normal blood

--- Content provided by‍ FirstRanker.com ---


flow to cells/tissues/organs.
Atherosclerosis is

Hardening of Blood Vessels

--- Content provided by‌ FirstRanker.com ---


due to formation of

Fibro Inflammatory Fatty Lesions/Plaques

--- Content provided by​ FirstRanker.com ---

? Atherosclerotic Plaque Results

From Accumulation of :

?Lipids

--- Content provided by FirstRanker.com ---


?Connective tissue

?Inflammatory cells

--- Content provided by‌ FirstRanker.com ---

?Smooth Muscle cells

? In the intima of blood vessels.
Causes Of Atherosclerosis

--- Content provided by​ FirstRanker.com ---

Risk Factors For Atherosclerosis

? Risk factors which accelerate the

progression of Atherosclerosis

--- Content provided by​ FirstRanker.com ---


and endothelial dysfunction are:

?Dyslipidemias/Dyslipoproteinemias
?Hypercholesterolemia

--- Content provided by‍ FirstRanker.com ---

?Other Cardiovascular risk factors
Unchangeable Risk factors of Atherosclerosis

? Age

--- Content provided by‌ FirstRanker.com ---

? Genetic Alterations

? Male gender

? Men are at grater risk than are premenopausal

--- Content provided by⁠ FirstRanker.com ---


women, because of the protective effects of natural

Estrogens.

--- Content provided by⁠ FirstRanker.com ---

? Family history of premature coronary heart disease

? Several genetically determined alterations in

lipoprotein and cholesterol metabolism have been

--- Content provided by FirstRanker.com ---


identified.

Changeable Risk Factors Of

--- Content provided by​ FirstRanker.com ---

Atherosclerosis

vHyperlipidemias:

vThe presence of Hyperlipidemia is

--- Content provided by​ FirstRanker.com ---


the strongest risk factor for

atherosclerosis in persons younger

--- Content provided by​ FirstRanker.com ---

than 45 years of age.


vBoth primary and secondary

--- Content provided by⁠ FirstRanker.com ---

hyperlipidemia increase the risk.
Dietary Habits

? Eating a Balanced Diet
? Excess of Refined Sugars

--- Content provided by​ FirstRanker.com ---

? Excess of Saturated fatty acids
? Use of Trans Fatty acids

Dyslipidemias

--- Content provided by⁠ FirstRanker.com ---

? Elevated LDL and Triacylglycerol ?

directly associated with increase

risk

--- Content provided by FirstRanker.com ---


? Increased Serum HDL levels
? Increased LDL and decreased HDL
v Smoking: dose related

--- Content provided by‌ FirstRanker.com ---

vDiabetes mel itus

vMetabolic Syndrome

vIncreasing age and

--- Content provided by‌ FirstRanker.com ---


male sex

vPhysical inactivity
vStressful life style

--- Content provided by​ FirstRanker.com ---

vHomocysteine is toxic

to endothelial cel s

vC-Reactive Protein

--- Content provided by⁠ FirstRanker.com ---

?A Stressful life style:
? Hormonal

Imbalances

--- Content provided by​ FirstRanker.com ---

?Oxidative Stress

? Improvement of diet and

drugs may regulate the

--- Content provided by​ FirstRanker.com ---


levels of blood Lipoproteins

and Lipids which may

--- Content provided by⁠ FirstRanker.com ---

reduce the risk of

Atherosclerosis and CVDs.
vHypertension

--- Content provided by‌ FirstRanker.com ---

vHigh blood pressure produces

mechanical stress on the vessel

endothelium.

--- Content provided by‌ FirstRanker.com ---


vIt is a major risk factor for

atherosclerosis in al age groups and

--- Content provided by⁠ FirstRanker.com ---

may be as important or more

important than hypercholesterolemia

after the age of 45 years.

--- Content provided by‌ FirstRanker.com ---


vBlood Pressure >160 mmHg

increase the risk for MI

--- Content provided by FirstRanker.com ---

?Regulation of Hypertension

may reduce the risk of

Atherosclerosis.

--- Content provided by‌ FirstRanker.com ---

Less Well Established Risk Factors

? There are a number of other less wel -established risk factors for

atherosclerosis, including:

--- Content provided by⁠ FirstRanker.com ---


? High Serum Homocysteine Levels

? Homocysteine is derived from the metabolism of dietary

--- Content provided by FirstRanker.com ---

Methionine

? Homocysteine inhibits elements of the anticoagulant cascade

and is associated with endothelial damage.

--- Content provided by⁠ FirstRanker.com ---


? Elevated serum C-Reactive Protein

? It may increase the likelihood of thrombus formation;

--- Content provided by⁠ FirstRanker.com ---

? Inflammation marker

? Infectious agents

? The presence of some organisms (Chlamydia pneumoniae,

--- Content provided by‌ FirstRanker.com ---


herpesvirus hominis, cytomegalovirus) in atheromatous lesions

has been demonstrated by immunocytochemistry,

--- Content provided by​ FirstRanker.com ---

? The organisms may play a role in atherosclerotic development

by initiating and enhancing the inflammatory response.

Reduction Of Atherosclerosis Risk

--- Content provided by FirstRanker.com ---


The risk of atherosclerotic event can

be decreased by:

--- Content provided by‍ FirstRanker.com ---

?Normal Carbohydrate diet

?Regular Exercise

?Smoking cessation

--- Content provided by‍ FirstRanker.com ---


?Control of high pressure

?Drugs Statins, Ezetimibe,

--- Content provided by⁠ FirstRanker.com ---

?Intake of Antioxidants
Common Arteries Atherosclerozied

?Aorta and its branches
?The Coronary arteries

--- Content provided by‌ FirstRanker.com ---

? Large vessels that

supply the Brain

3 Stages of Atherosclerosis:

--- Content provided by⁠ FirstRanker.com ---


1.Initiation and Formation Stage
2.Adaptation Stage
3.Clinical Stage
Pathogenesis Of Atherosclerosis

--- Content provided by‌ FirstRanker.com ---


?Pathogenesis of

Atherosclerosis includes:

--- Content provided by‍ FirstRanker.com ---

? Genetic Factors
? Environmental Factors

The Development of Atherosclerosis

--- Content provided by​ FirstRanker.com ---

? The key event is ? damage to the

endothelium.

? The damaged Endothelium

--- Content provided by‍ FirstRanker.com ---


becomes more permeable to

Lipoproteins.

--- Content provided by‍ FirstRanker.com ---

? Lipoproteins move below the

endothelial layer (to intima).
? Damaged Endothelium loses its cel -

--- Content provided by​ FirstRanker.com ---

repel ent quality.

?Inflammatory cel s move into the

vascular wal .

--- Content provided by‍ FirstRanker.com ---


?Further Endothelial injury occurs by

attachment of leukocyte

--- Content provided by‍ FirstRanker.com ---

(lymphocyte and monocyte) and

Platelet adherence

?Smooth muscle cel emigration and

--- Content provided by‌ FirstRanker.com ---


proliferation

?Activated

--- Content provided by⁠ FirstRanker.com ---

macrophages

releases free radicals

that oxidizes LDL.

--- Content provided by⁠ FirstRanker.com ---

vLipid Engulfment by

Macrophages

vOxidized LDL engulfed by

--- Content provided by‌ FirstRanker.com ---


Macrophages to form Foam cel s

vSubsequent development of an

--- Content provided by FirstRanker.com ---

atherosclerotic plaque with lipid

core

Effects Of Oxidized LDL

--- Content provided by⁠ FirstRanker.com ---

? Oxidized LDL is Toxic to the Endothelium:

? Causing Endothelial loss

? Exposure of the subendothelial tissue to blood

--- Content provided by⁠ FirstRanker.com ---


components

? Chemotactic effect on lymphocytes and Monocytes

--- Content provided by​ FirstRanker.com ---

? Chemotactic effect on smooth muscle cells from the

arterial media

? Stimulates production of MG-CSF, Cytokines,

--- Content provided by FirstRanker.com ---


adhesion molecules in the endothelium;

? Inhibits endothelium derived releasing factor

--- Content provided by‌ FirstRanker.com ---

(EDRF), favoring vasospasm;

? Stimulates specific immune system (production of

antibodies against oxidized LDL).

--- Content provided by‌ FirstRanker.com ---


? Activated Macrophages also ingest

oxidized LDL to become foam cells,

--- Content provided by​ FirstRanker.com ---


? Which are present in all stages of

atherosclerotic plaque formation.

--- Content provided by FirstRanker.com ---


? Lipids released from necrotic foam

cells accumulate to form the lipid

--- Content provided by‍ FirstRanker.com ---

core of unstable plaques/Fatty

streaks.
?Endothelial disruption

--- Content provided by FirstRanker.com ---

leads :

?Platelet adhesion and

aggregation

--- Content provided by​ FirstRanker.com ---


?Fibrin deposition

? Platelets and activated

--- Content provided by FirstRanker.com ---

macrophages release various

factors that are thought to

promote growth factors

--- Content provided by​ FirstRanker.com ---


? This modulate the proliferation

of smooth muscle cells and

--- Content provided by​ FirstRanker.com ---

deposition of extracel ular

matrix in the lesions: Elastin,

Col agen, Proteoglycans.

--- Content provided by FirstRanker.com ---



? Thus Connective tissue synthesis

and Calcium fixation

--- Content provided by‌ FirstRanker.com ---


determinates stiffness of blood

vessels.

--- Content provided by​ FirstRanker.com ---

? Which causes further ulceration

of Atheromatous plaque.

Arteriosclerosis

--- Content provided by⁠ FirstRanker.com ---

Summary Of Pathogenesis Of

Atherosclerosis

? Accumulation of Lipids in vessel wal

--- Content provided by‍ FirstRanker.com ---

? Source: Plasma Lipoproteins
? Most important: Low-density lipoproteins LDL
? LDL transported inside macrophages to vessel

wal s

--- Content provided by‍ FirstRanker.com ---


? Damage to Endothelium
? Adhesion of Macrophages
? Inflammation at the site

--- Content provided by‌ FirstRanker.com ---

?Fatty Streaks
?Foam cells
?Smal Thrombi
?Calcification
? Plaque formation

--- Content provided by⁠ FirstRanker.com ---

?Ulceration
?Stiffening and Hardening

of blood vessels
Lesions Associated with

--- Content provided by‌ FirstRanker.com ---


Atherosclerosis

? The lesions associated with

--- Content provided by⁠ FirstRanker.com ---

Atherosclerosis are of three types:

?The Fatty streak
?The Fibrous Atheromatous plaque
?Complicated Lesion

--- Content provided by​ FirstRanker.com ---


? The latter two are responsible for

the clinical y significant

--- Content provided by‌ FirstRanker.com ---

manifestations of the disease.
? The more advanced complicated

lesions are characterized by:

--- Content provided by​ FirstRanker.com ---

?Hemorrhage
?Ulceration
?Scar tissue deposits

? As a result of all pathogenic

--- Content provided by FirstRanker.com ---


mechanism

? Atherosclerosis can be defined

--- Content provided by⁠ FirstRanker.com ---

as vicious inflammatory process.
Modern Theory of Atherosclerosis

? Multifactor Theory:

--- Content provided by FirstRanker.com ---

?Structural and functional injury of vascular

endothelium

?The role of lipoproteins in initiation and

--- Content provided by‍ FirstRanker.com ---


progression of lesions;

?Response to injury of immune cel s and

--- Content provided by‌ FirstRanker.com ---

smooth muscle cel s

?The role of growth factors and cytokines in

inflammation

--- Content provided by⁠ FirstRanker.com ---


?The role of repeated thrombosis in lesions

progression.
Consequences Of Atherosclerosis

--- Content provided by‍ FirstRanker.com ---


OR

Effects/Complications

--- Content provided by‍ FirstRanker.com ---

Of Atherosclerosis

? Atherosclerosis is a chronic

process

--- Content provided by‌ FirstRanker.com ---


? Atherosclerosis affects almost

al people with variable

--- Content provided by​ FirstRanker.com ---

severity.
? Atherosclerosis develop over

several decades.

--- Content provided by FirstRanker.com ---

? If Congenital in origin It may

starts as early as infancy and

childhood,

--- Content provided by‌ FirstRanker.com ---


? Progress very slowly during

life.

--- Content provided by FirstRanker.com ---

? Atherosclerosis contributes

to more mortality and


--- Content provided by‌ FirstRanker.com ---

? More serious morbidity than

any other disorder in the

western world.

--- Content provided by‍ FirstRanker.com ---

? Atherosclerosis affects the

intimal lining of endothelium

of

--- Content provided by⁠ FirstRanker.com ---


? Large and Medium-sized

elastic and muscular arteries

--- Content provided by‌ FirstRanker.com ---

of body.

?Atherosclerotic plaque

formation

--- Content provided by FirstRanker.com ---


?Narrows the diameter of

blood vessel lumen.
? Atherosclerosis leads to the

--- Content provided by​ FirstRanker.com ---


narrowing or complete blockage of

arteries /Occlusion by:

--- Content provided by⁠ FirstRanker.com ---

?Endothelial Dysfunction

?Lipid deposition

?Inflammatory reaction in the vascular

--- Content provided by‌ FirstRanker.com ---


wal

?Ulcerative Lesions

--- Content provided by‍ FirstRanker.com ---

Atherosclerosis BringgsAlterations Of Arteries

:

? Aneurysm-Excessive localized swelling of

--- Content provided by​ FirstRanker.com ---


blood vessel

? Stenosis-Abnormal narrowing of vessel

--- Content provided by FirstRanker.com ---

? Occlusion-Closing of blood vessel

? Thrombosis-Local clotting of blood

? Embolism -blockage of vessel by lodging

--- Content provided by⁠ FirstRanker.com ---


of blood clot/fat globule

? Fissure-Small tear with bleeding

--- Content provided by​ FirstRanker.com ---

? Ulceration-Removal of top layer

? Calcification- Accumulation of Calcium

Salts

--- Content provided by‍ FirstRanker.com ---

? Atherosclerosis , can and does, occur

in almost any artery in the body.

? Atherosclerosis of coronary arteries is

--- Content provided by​ FirstRanker.com ---


very crucial

? This blocks, the blood circulation to

--- Content provided by‌ FirstRanker.com ---

Heart

? Which fails the cardiac muscle to

sustain.

--- Content provided by‌ FirstRanker.com ---


? Thus Atherosclerosis leads to

disease of cardiovascular

--- Content provided by​ FirstRanker.com ---

system affecting blood vessel

wal .

? Causing Ischemic Heart Disease

--- Content provided by FirstRanker.com ---


which is the leading cause of

death in developed countries.
Biochemical Alterations

--- Content provided by‍ FirstRanker.com ---


In Atherosclerosis

Biochemical Basis Of Atherosclerosis

--- Content provided by​ FirstRanker.com ---

? Low Blood supply to Cells/Tissues
? Low Nutrient and Oxygen Supply to cells
? Low Metabolism in cells
? Low Oxidative Phosphorylation
? Low ATP production in cells

--- Content provided by‍ FirstRanker.com ---

? Low Cellular Activity
? Cellular/Tissue/Organ Dysfunction
? Irreversible Damage of cells/tissues/organ/system
Diagnosis Of Atherosclerosis

--- Content provided by FirstRanker.com ---

? Checking Lipid Profile/Lipoproteins
? B.P
? ECG
? Angiography
? EEG

--- Content provided by‍ FirstRanker.com ---

? Color Doppler
? MRI
Management Of Atherosclerosis

? Reducing the risk factors

--- Content provided by‍ FirstRanker.com ---

? Correcting the underlying causes
? Angioplasty
? Other Surgeries

Complications of

--- Content provided by‍ FirstRanker.com ---


Atherosclerosis

? 1. Acute Occlusion:

--- Content provided by‌ FirstRanker.com ---

Thrombosis

Occlusion

Ischemia, Infarction

--- Content provided by⁠ FirstRanker.com ---


? 2. Chronic Stenosis:

Chronic ischemia

--- Content provided by FirstRanker.com ---

Atrophy

Eg. Renal atrophy in renal artery stenosis, ischemic

atrophy of skin in DM

--- Content provided by FirstRanker.com ---

? 3. Aneurysm Formation:

Extension to media
Aneurysm
Aneurysmal rupture eg. Abdominal

--- Content provided by‌ FirstRanker.com ---


aortic aneurysm

? 4. Embolism:

--- Content provided by FirstRanker.com ---

Of atherosclerotic plaque or of

thrombi

? Thrombosis is the most

--- Content provided by‍ FirstRanker.com ---


important complication of

Atherosclerosis.

--- Content provided by​ FirstRanker.com ---

? It is caused by slowing and

turbulence of blood flow in the

region of the plaque and

--- Content provided by​ FirstRanker.com ---


ulceration of the plaque.
PHYSIOPATHOLOGICAL

CONSEQUENCES OF THE PLAQUE

--- Content provided by FirstRanker.com ---



v Coronary Artery Disease (CAD) : Angina, MI

v Cerebro Vascular Disease (CVD)

--- Content provided by⁠ FirstRanker.com ---


v Peripheral Artery Disease (PAD)

v Ischemic Stroke (Brain infarct)

--- Content provided by‌ FirstRanker.com ---

v Secondary Erectile Disorder (ED)

v Chronic Renal Ischemia ( Renal failure)


--- Content provided by‍ FirstRanker.com ---


? Atherosclerosis commonly

leads to:

--- Content provided by​ FirstRanker.com ---

?Myocardial infarction

?Stroke

?Gangrene of extremities

--- Content provided by‌ FirstRanker.com ---



The Process of Atherogenesis

Progression of CHD

--- Content provided by​ FirstRanker.com ---


Damage to

endothelium and

--- Content provided by​ FirstRanker.com ---

invasion of

macrophages

Smooth muscle

--- Content provided by FirstRanker.com ---


migration

Cholesterol

--- Content provided by​ FirstRanker.com ---

accumulates

around

macrophage and

--- Content provided by‌ FirstRanker.com ---


muscle cel s

Collagen and

--- Content provided by‌ FirstRanker.com ---

elastic fibers

form a matrix

around the

--- Content provided by​ FirstRanker.com ---


cholesterol,

macrophages

--- Content provided by‌ FirstRanker.com ---

and muscle cel s


Pathogenesis of Coronary Heart Disease (CHD)

--- Content provided by FirstRanker.com ---


Plaque Build up in Artery

Overview of the Artery

--- Content provided by‍ FirstRanker.com ---


The Development of Atherosclerosis

Monocyte Recruitment

--- Content provided by FirstRanker.com ---

LDL

lumen

intima

--- Content provided by FirstRanker.com ---

Plaque Rupture and Thrombosis

Tissue Factor

Platelet Aggregation

--- Content provided by‌ FirstRanker.com ---


Lipid Core

NO Inactivation Due to Oxidative Stress

--- Content provided by FirstRanker.com ---

Sch?chinger V., Zeiher A.M.: Nephrol Dial Transplant (2002): 2055


Sch?chinger V., Zeiher A.M.: Nephrol Dial Transplant (2002): 2055

--- Content provided by​ FirstRanker.com ---

The Process of Atherogenesis ? an overview

Formation of Atherosclerotic Plaques

lumen

--- Content provided by FirstRanker.com ---


neointima

Lipid Core

--- Content provided by‍ FirstRanker.com ---




Cardio Vascular Disorders (CVD)

--- Content provided by FirstRanker.com ---

Coronary Artery Disease (CAD)

OR

Coronary Heart Disease(CHD)

--- Content provided by⁠ FirstRanker.com ---


OR

Ischemic Heart Disease(IHD)

--- Content provided by‌ FirstRanker.com ---

Coronary Heart Disease

? The term Coronary Heart Disease

(CHD) describes Heart disease

--- Content provided by⁠ FirstRanker.com ---


caused by impaired coronary

blood flow.

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? In most cases, it is caused by

Atherosclerosis of coronary

arteries which supply

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Myocardium.
Clinical Manifestations

?The clinical manifestations

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of Atherosclerosis depend

on:

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?The vessels involved

?The extent of vessel

obstruction

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? Atherosclerotic Lesions produce their

effects through:

?Narrowing of the blood vessel and

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production of Ischemia;

?Sudden vessel obstruction caused by

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Plaque hemorrhage or rupture;

?Thrombosis and formation of emboli

resulting from damage to the vessel

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endothelium;

Coronary Artery Diseases Can cause:

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?Angina/Chest Pain

?Myocardial Infarction /Heart attack

?Cardiac dysrhythmias

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?Conduction defects

?Heart failure

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?Sudden death
Myocardial Infarction

Myocardial Infarction

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? MI is an irreversible damage

to Myocardium(Heart tissue)

? Acute myocardial infarction

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(AMI), also known as a heart

attack
?AMI is caused due to

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associated

Atherosclerotic disease

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of the coronary arteries.

Risk Factors OF MI

Uncontrollable

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Control able

?Sex

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?High blood pressure
?High blood cholesterol

?Hereditary

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?Smoking

?Race

?Physical activity

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?Obesity

?Age

?Diabetes

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?Stress and Anger




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Screening and Diagnosis

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me

mea

a

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s

s

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u

sh

u

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re

ows

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r

s

es

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fic

eci

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s
e

blood

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sp

rical

Electro-

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Stress

Coronary

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ri
a
n

ect

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cardiogram

Test

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t

S

Angiography

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ro

el

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i

o

te

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c

s o

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su

f

p

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to hear

ulses

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ply

imp

Narrowing in

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Diagnosis Of MI

1. Pain

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? Severe and Crushing,

? Constricting, Suffocating.

? Usual y is Sub Sternal, radiating to the left

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arm, neck, or jaw

? Gastrointestinal Complaints

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?Sensation of Epigastric distress

?Nausea and Vomiting
ECG

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? Elevation of the ST segment

usually indicates acute myocardial

injury.

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? When the ST segment is elevated

without associated Q waves, it is

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called a Non?Q-wave Infarction.

Diagnostic Biochemical Markers Of MI

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Enzymes and Proteins

? Lipid Profile

? CK ?MB

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? AST

? LDH 1 and LDH2

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? Trop T and Trop I

? Myoglobin

? Homocysteine

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? hs CRP

? LP-PLA2
? Creatine kinase (CK), formerly called creatinine

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phosphokinase, is an intracellular enzyme found

in muscle cells. Muscles, including cardiac

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muscle, use ATP as their energy source.

? Creatine Phosphate, which serves as a storage

form of energy in muscle, uses CK to convert

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ADP to ATP.

? CK exceeds normal range within 4 to 8 hours of

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myocardial injury and declines to normal within

2 to 3 days.

? There are three isoenzymes of CK, with the MB

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isoenzyme (CK-MB) being highly specific for

injury to myocardial tissue.

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? Myoglobin is an Oxygen-Storing Protein, that is

normally present in cardiac and skeletal muscle.

? It is a small molecule that is released quickly from

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infarcted myocardial tissue and becomes

elevated within 1 hour after myocardial cell

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death, with peak levels reached within 4 to 8

hours.

? It rapidly eliminates through urine (low

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molecular weight).

? Because myoglobin is present in both cardiac and

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skeletal muscle, it is not cardiac specific.
? The Troponin complex consists of three

subunits

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? Troponin C

? Troponin I

? Troponin T

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? These subunits are released during myocardial

infarction.

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? Cardiac muscle forms of both troponin T and

troponin I are used in diagnosis of myocardial

infarction.

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? Troponin I (and Troponin T) rises more

slowly than myoglobin

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? This may be useful for diagnosis of

infarction, even up to 3 to 4 days after the

event.

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? It is thought that cardiac Troponin assays

are more capable of detecting episodes of

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myocardial infarction in which cel damage

is below that detected by CK-MB level.
Effects of Acute Myocardial

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Infarction (AMI)

? The principal biochemical

consequence of AMI is

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? The conversion from aerobic to

anaerobic metabolism

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? With inadequate production of

energy(ATP) to sustain normal

Myocardial function.

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? The ischemic area ceases to

function within a matter of

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minutes, and

? Irreversible Myocardial cell

damage occurs after 20 to 40

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minutes of severe ischemia.
Treatment

? Reperfusion

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? (Re-establishment of blood flow)
? Thrombolytic therapy

?Streptokinase/ Urokinase

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? Revascularization procedures


?Early Reperfusion (within 15 to

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20 minutes) after onset of

ischemia can prevent necrosis.

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?Reperfusion after a longer

interval can salvage some of the

myocardial cells that would have

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died because of longer periods of

ischemia.

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Treatment 1) Stenting

? A Stent (narrow expandable tube) is introduced into a blood vessel on

a bal oon catheter and advanced into the blocked area of the artery

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? The bal oon is then inflated and causes the stent to expand until it fits

the inner wal of the vessel, conforming to contours as needed
? The bal oon is then deflated and drawn back
?The stent stays in place permanently, holding the vessel open and

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improving the flow of blood.



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Treatment 2) Angioplasty

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?Bal oon catheter is passed through the guiding catheter to the area

near the narrowing. A guide wire inside the balloon catheter is then

advanced through the artery until the tip is beyond the narrowing.

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? The angioplasty catheter is moved over the guide wire until the

balloon is within the narrowed segment.
? Balloon is inflated, compressing the plaque against the artery wall
? Once plaque has been compressed and the artery has been

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sufficiently opened, the balloon catheter will be deflated and removed.


Treatment

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3) Bypass surgery

? healthy blood vessel is removed from leg, arm or chest
? blood vessel is used to create new blood flow path in your heart

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? the "bypass graft" enables blood to reach your heart by flowing

around (bypassing)

the blocked portion of

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the diseased artery.

The increased blood

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flow reduces angina

and the risk of heart

attack.

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Peripheral Arterial Disease (PAD)
Peripheral Arterial Disease (PAD)

? PAD refers to the obstruction of

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large arteries in lower extremities

of leg

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? It possess, inflammatory

processes leading to stenosis, an

embolism, or thrombus formation.

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Risk of PAD

? Risk of PAD also increases in

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individuals who are:

?Over the age of 50
?Male Obese
?With a family history of vascular

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disease, heart attack, or stroke.
Symptoms OF PAD

? About 20% of patients with mild PAD may be

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asymptomatic;

? Symptoms of PAD include:

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? Pain, weakness, numbness, or cramping in muscles

due to decreased blood flow

? Sores, wounds, or ulcers that heal slowly or not at all

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? Noticeable change in color (blueness or paleness) or

temperature (coolness) when compared to the other

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limb

? Diminished hair and nail growth on affected limb and

digits.

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Prevention Of Dyslipidemias

And Its

Consequences And Complications

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?Get regular medical checkups
?Eat a Heart-Balanced healthy diet
?Control your blood pressure
?Check your Blood Cholesterol

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?Don't smoke and drink Alcohol
?Exercise regularly
?Maintain a healthy weight
?Manage stress

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THE HEALTHY PLATE



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FOODS THAT LOWER LDL

CHOLESTEROL

1. Oats

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2. Barley and Whole grains

3. Beans

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4. Eggplant and okra

5. Nuts

6. Vegetable oils (canola, sunflower, safflower)

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7. Apples, grapes, strawberries, citrus fruits

8. Soy

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9. Fatty Fish

10. Fiber supplements


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qEat meat sparingly

qAdd Fish to your diet

qGo for Nuts

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qEat Fruits and Vegetables

qIncrease Complex Carbohydrates and fiber

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qOpt for low-Fat dairy products

qCut down on Saturated fat in cooking

qAvoid Palm and Coconut oils ( Rich in SFAs)

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qAvoid Trans Fats

qReduce Dietary Cholesterol

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qReduce Salt intake

qWatch the Snacks

Blood Cholesterol levels increase

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by eating these products

? Refined Sugars
? Beef

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? Poultry
? Fish
? Milk
? Eggs
? Cheese

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? Yogurt
EXERCISE



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qAerobic exercise (jogging, swimming, brisk walking,

bicycling, etc)

STRESS REDUCTION STEPS

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? Be Spiritual

? Balance All Actions

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? Make and Fol ow Right protocols

? Be Planned and Organized

? Manage works based on priority

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? Involve In work which you are chosen for

? Be Obedient and Have Patience

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? Be Happy with what get

? Not expect too much in life

? Repent, Accept But Do Not Repeat

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? Ventilate And Communicate


Summary To Prevent

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? Eat right

? Watch your weight -even a modest drop in

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weight can make a difference

? Be Active - start a program of light exercise

for at least 30-45 minutes every day

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? Lower your stress levels. Practice stress

reduction techniques

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? Stop smoking and drinking alcohol

? Be Spiritual

Avoid

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Promote

Unhealthy eating

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Healthy eating




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Visit your doctor

Relaxation

regularly

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Check your weight

Balance intake with output

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Exercise regularly

Inborn Errors Of Lipid Metabolism
Inborn Error Of Enzyme

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Abnormal

Lipid

Deficient/

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Accumulation

Metabolism

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Defect

Of

Sudden Infant

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Acyl CoA

Acyl CoAs

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Death Syndrome

Dehydrogenase

(SIDS)

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Refsums Disease

-Phytanic Acid Phytanic Acid

--- Content provided by FirstRanker.com ---

Oxidase

Zellwegers

Peroxisomal

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VLCFAs in

Syndrome

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Oxidation

Peroxisomes

Inborn Error

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Enzyme Defect

Abnormal

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Lipid Storage

Accumulation Of

Disorders

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Niemann Picks

Sphingomyelinase Sphingomyelin in

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Disease

Liver and Spleen

Tay Sachs Disease Hexoseaminidase Gangliosides in

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Defect

Tissues

--- Content provided by‍ FirstRanker.com ---

Gaucher's Disease eta Glucosidase Glucosides in Tissues
Inborn Enzyme

Abnormal

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Error

Defect

Accumulation Of

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Krabbe's Beta

Disease Galactosidase Galactocerebroside

--- Content provided by FirstRanker.com ---

Farbers Ceramidase

Ceramides

Disease

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Role Of Insulin In Lipid Metabolism

? Insulin

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? Stimulates LPL

? increased uptake of FA

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from Chylomicrons and

VLDL

? Stimulates Glycolysis

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? increased glycerol

phosphate synthesis

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? increases esterification

? Induces HSL-phosphatase

? inactivates HSL

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? Inhibits Lipolysis

? Net effect: TG storage

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? Lack of Insulin

?Free Fatty acids build up in

blood

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?Can lead to excess Acetoacetic

acid production and buildup of

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acetone (acidosis, which can

lead to blindness and coma)
Insulin

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Most Cel s

amino

Control

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Protein synthesis

acids

--- Content provided by​ FirstRanker.com ---

Muscle

Glucose uptake

Glycogen synthesis

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Gastrointestinal

hormones

--- Content provided by​ FirstRanker.com ---

triglycerides

Adipose

Glucose uptake

--- Content provided by FirstRanker.com ---


Glycerol production

Triglyceride breakdown

--- Content provided by‍ FirstRanker.com ---

Amino

Pancreas Insulin

Triglyceride synthesis

--- Content provided by‌ FirstRanker.com ---


acids

Beta cells

--- Content provided by​ FirstRanker.com ---

Liver

Blood

Glucose uptake

--- Content provided by​ FirstRanker.com ---


glucose

glucose

--- Content provided by​ FirstRanker.com ---

Glycogen synthesis

Fatty acid synthesis

Glucose synthesis

--- Content provided by⁠ FirstRanker.com ---


Brain

No effect

--- Content provided by‌ FirstRanker.com ---

Feedback

Glucagon

Control

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Adipose

Triglyceride breakdown

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Fatty acids

? Triglyceride storage

Exercise

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Amino acids

Pancreas

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Alpha cells

Liver

Glycogen breakdown

--- Content provided by‌ FirstRanker.com ---


Glucose synthesis

Blood glucose

--- Content provided by⁠ FirstRanker.com ---

Epinephrine

Glucose release

(stress)

--- Content provided by‍ FirstRanker.com ---


Brain

No effect

--- Content provided by​ FirstRanker.com ---


Types Of Lipases
S.

Type Of Lipase

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Location

No

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Action Upon

1

Lingual Lipase

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Mouth

Dietary TAG

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(Insignificant Action)

2

Gastric Lipase

--- Content provided by‌ FirstRanker.com ---


Stomach

Dietary TAG

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(Insignificant Action)

3

Pancreatic Lipase

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Smal Intestine

Dietary TAG

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(Significant Action)

S. Type Of Lipase

Location

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No

Action

--- Content provided by‌ FirstRanker.com ---

4

Lipoprotein Lipase

Endothelial Lining

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Of Blood Vessels

Lipoprotein TAG

--- Content provided by‍ FirstRanker.com ---

5

Hormone Sensitive

Adiposecytes

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Lipase

Hydrolyzes

--- Content provided by FirstRanker.com ---

Stored TAG

6

Hepatic Lipase

--- Content provided by⁠ FirstRanker.com ---


Liver

TAG

--- Content provided by FirstRanker.com ---

7

Phopshpholipase A2 Small Intestine

Phospholipids

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Questions

Q.1. Describe in details the digestion

& absorption of dietary form of lipids

--- Content provided by FirstRanker.com ---


& add a note on Steatorrhoea


OR

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Q.1.What are different forms of

dietary lipids? How the dietary lipids

--- Content provided by FirstRanker.com ---

are digested & absorbed in G.I.T ?
Q.2. What are the different modes of oxidation of

fatty acids in the body? Give -oxidation of even

--- Content provided by⁠ FirstRanker.com ---

chain fatty acid.

OR

Q.2. Define -oxidation of fatty acid. Explain the

--- Content provided by​ FirstRanker.com ---


oxidation of Palmitate and calculate its

energetics./Fate of fatty acids in human body?

--- Content provided by FirstRanker.com ---

OR

Q.2. Explain -oxidation of odd chain fatty acids.

Q.3. What is Lipogenesis? Describe in

--- Content provided by⁠ FirstRanker.com ---


details the De-novo synthesis of fatty

acid.

--- Content provided by‍ FirstRanker.com ---

OR

Q.3. Explain the Extra mitochondrial

synthesis of Palmitate.

--- Content provided by‍ FirstRanker.com ---

Q.4. What is ketoacidosis? Give fate &

formation ketone bodies.
? Short Notes

--- Content provided by‍ FirstRanker.com ---

? Transport & storage of lipids / Role

lipoproteins.

? Emulsification & its significance / Role of

--- Content provided by​ FirstRanker.com ---


Bile salts in digestion & absorption of lipid.

? Lipolysis / Role of Hormone Sensitive

--- Content provided by FirstRanker.com ---

Lipase/Adipose tissue metabolism.

? Clearing factor / Lipoprotein

lipase.

--- Content provided by FirstRanker.com ---


? Multi-enzyme complex of Fatty

acid biosynthesis / Fatty acid

--- Content provided by⁠ FirstRanker.com ---

synthesis complex.

? Microsomal synthesis of fatty acid.
? Fatty liver /Lipotropic factors.
? Cholesterol-outline of Biosynthesis.

--- Content provided by⁠ FirstRanker.com ---


? Hypercholesterolemia ? causes &

consequences

--- Content provided by​ FirstRanker.com ---

? Atherosclerosis

? Myocardial Infarction

? Enumerate the Inborn errors related to

--- Content provided by​ FirstRanker.com ---


lipid metabolism.

? Transport & Excretion of Cholesterol/

--- Content provided by‍ FirstRanker.com ---

Reverse transport of cholesterol.

? Fate & formation of Acetyl?CoA
? Fate of Propionyl-CoA
? Role of Carnitine in Lipid metabolism

--- Content provided by⁠ FirstRanker.com ---

? Role of Liver in Lipid metabolism.
? TAG metabolism.
? Ketonemia & Ketonuria
? Represent the schematic structure of

--- Content provided by FirstRanker.com ---

lipoprotein.

? Role of Citrate in lipid metabolism.
? Role of Carnitine in lipid metabolism.
? Hormonal Influence in Lipid

--- Content provided by‍ FirstRanker.com ---


Metabolism

? Catabolism of Cholesterol.
? CETP activity

--- Content provided by‌ FirstRanker.com ---

? HDL2 and HDL 3
? Zellweger & Refsum's disease.
? Mixed Micelle
? Four types of Lipoproteins & their role
? Hyperlipoproteinemias

--- Content provided by‍ FirstRanker.com ---

? Hypolipoproteinemia's
? Different types of Lipases & their action.
Biochemistry Department