Lecture 10
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Cholesterol
A steroid alcohol critically important component of cell membranes Not digested into CO2 + H2O
Steroid hormones
derived from cholesterol Hormones derived from the same 4-ring structure as cholesterol
Triglycerides
Formed from one glycerol molecule with three fatty acid molecules attached via ester bonds
How are triglycerides transported?
through the body by chylomicrons and VLDL (very-low-density-lipoproteins)
Phospholipids
Composed of one glycerol molecule with a phosphate group and two fatty acid molecules attached via ester bonds Create phospholipid bilayer membrane
Chylomicrons
Has largest diameter, but lowest density enter the circulation and are metabolized into remnant particles for uptake and further modification by the liver
Chylomicron composition
68% triglycerides, 5% cholesterol, 7% phospholipid, and 2% apolipoprotein (B-48)
Very-low-density lipoproteins (VLDL)
secreted into the blood by the liver for metabolism in peripheral tissues
Very-low-density lipoproteins (VLDL) composition
55% triglycerides, 19% cholesterol, 18% phospholipid, 8% apolipoprotein (c-100)
Intermediate-density lipoproteins (IDL)
transitional form, it is made from VLDL and further modified in the liver to LDL
Low-density lipoprotein(LDL)
primary carrier of cholesterol brings cholesterol to peripheral cells for membrane synthesis and formation of adrenal and reproductive hormones
What is LDL known as?
Known as “bad” cholesterol,” easily taken up by cells high levels are associated with increased risk for atherosclerosis
LDL composition
50% cholesterol, 22% phospholipids, 6% triglycerides, and 22% protein and have apoprotein B-100
High-density lipoprotein (HDL)
synthesized in the intestines and liver cells Smallest Diameter, largest density
What is HDL known as?
Healthy cholesterol removes excess cholesterol from peripheral tissues and transports it to other catabolic sites This function has an anti-atherogenic effect
HDL composition
50% protein, 28% phospholipids, 19% cholesterol, and 3% triglycerides apolipoproteins A-I, mainly, and A-II
Lipids and Lipoproteins: Clinical significance
Abnormal lipid metabolism can be due to genetic defects, or it can be acquired associated with risk of coronary heart disease and other disorders
Ranges of Cholesterols
Total: Normal: <200, high >240 HDL: Normal: >60, Risk: >40 LDL: Normal <100, Risk: >190 Triglyceride: Normal: <150, Risk: >500
Type I hyperlipoproteinemia
Elevated chylomicrons Serum appearance: Creamy layer of chylomicrons Total cholesterol: Normal to moderately elevated Triglyceride: Extremely elevated Apo-B-48 increased, Apo A-IV increased
Type IIa hyperlipoproteinemia
Increased LDL Serum appearance: Clear Total cholesterol: Generally elevated Triglyceride: Normal Apo-B 100 increased
Type Iib hyperlipoproteinemia
Increased LDL and VLDL Serum appearance: Clear or slightly turbid Total cholesterol: Elevated Triglyceride: Elevated Apo B-100 increased
Type III hyperlipoproteinemia
Increased IDL Serum appearance: Creamy layer sometimes present over a turbid layer Total cholesterol: elevated Triglyceride: elevated Apo E-II increased, Apo E-III decreased, and Apo E-IV decreased
Type IV hyperlipoproteinemia
Increased VLDL Serum appearance: Turbid Total cholesterol: Normal to slightly elevated Triglyceride: Moderately to severely elevated Apo C-II either increased or decreased, and Apo B-100 increased
Type V hyperlipoproteinemia
Increased VLDL with chylomicrons Serum appearance: Turbid with creamy layer Total cholesterol: Slightly to moderately elevated Triglyceride: Severely elevated Apo C-II increased or decreased, Apo B-48 and Apo B-100 increased