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Occurs in mitochondria
of extrahepatic cells
Succinyl-CoA
Acetoacetate
CoA transferase
-oxidation
Fatty Lipids
Lipids That
That DoDo NOT
NOT have
have
Fatty Acids
Acids && Lipids
Lipids
containing Esterified
Esterified Fatty
Fatty Acids
Acids
containing esterified
esterified
Fatty
Fatty Acids
Acids
Eicosanoids
Eicosanoids
Fatty
Fatty Acids
Acids && Cholesterol
Cholesterol
Triglycerides Membrane
Membrane Lipids
Lipids Bile
Triglycerides Bile salts
salts
(Polar)
(Polar) Steroids
Steroids
Phospholipids Glycolipids
Glycolipids
Phospholipids
Some
Some
Some
Some
Glycerophospholipids
Glycerophospholipids Sphingolipids
Sphingolipids
ihrevale LIPID META Sphingolipids
Sphingolipids 10
BOLISM
BIOSYNTHESIS OF COMPLEX LIPIDS
1.
1. LIPOPROTEINS-proteins
LIPOPROTEINS-proteins that that bind,
bind, transport
transport and
and
regulate
regulate lipids.
lipids.
2.
2. PLASMALOGENS-phosphoglycerolipids
PLASMALOGENS-phosphoglycerolipids found found in
in
membranes
membranes
3.
3. PLATELET
PLATELET ACTIVATING
ACTIVATING FACTOR
FACTOR aa lipid
lipid mediator
mediator
that
that modulates
modulates cellular
cellular response.
response.
Glycerophospholipid
• Phosphatidylinositol 4,5-
bisphosphate (PIP2) is a key
metabolite in signal
transduction.
IP phosphatase CDP-diglyceride
Phosphatidylinositol
Phosphatidylcholine &
phosphatidylethanolamine
use strategy 2
ethanolamine phosphate
CTP-ethanolamine
Isoexergonic
transferase
ethanolamine
CDP-ethanolamine
Exergonic
Phospho-
ethanolami transferase
ne
transferase
single enzyme
Phosphatidylethanolamine can be
converted to phosphatidylcholine (in
liver) by three successive methylation
reactions. The activated methyl donor is
S-adenosylmethionine (AdoMet). AdoMet
is synthesized from methionine and ATP.
The amino group of
phosphatidylethanolamine reacts
successively with three molecules of
AdoMet to form the mono-, di- and tri-
methyl (choline) ethanolamine
derivatives.
••Sphingolipids
Sphingolipids are
are in
in the
the plasma
plasma membrane
membrane of of virtually
virtually
all
all cells.
cells. They
They are
are abundant
abundant in in brain
brain &
& nerve
nerve tissue.
tissue.
•Choline from
phosphatidylcholine
is transferred to the
C1-hydroyl group of
ceramide.
•Conversion of
ceramide to
sphingomyelin is
isoergonic.
Cerebrosides
contain 1
saccharide.
Gangliosides
contain more than
one saccharide (2+).
•• The
The products
products include
include 5-
5-
phosphomevalonate
phosphomevalonate thenthen 5-
5-
pyrophosphomevalonate,
pyrophosphomevalonate,
then
then 3-phospho-5-
3-phospho-5-
pyrophosphomevalonate
pyrophosphomevalonate and and
33 ADP
ADP molecules.
molecules.
•• Subsequent
Subsequent
decarboxylation
decarboxylation andand yields
yields
isopentenyl
isopentenyl pyrophosphate
pyrophosphate
and
and further
further isomerization,
isomerization,
dimethlyallyl
dimethlyallyl pyrophosphate.
pyrophosphate.
ihrevale LIPID META 39
BOLISM
Condensation
Condensation of
of 22 dimethylallyl
dimethylallyl pyrophosphate
pyrophosphate
molecules
molecules (isoprenoid
(isoprenoid units)
units) yields
yields geranyl
geranyl
pyrophosphate
pyrophosphate which
which condenses
condenses withwith isopentenyl
isopentenyl
pyrophosphate
pyrophosphate to
to yield
yield farnesyl
farnesyl pyrophosphate.
pyrophosphate.
Familial Hypercholesterolemia
(Zocor)
Hydroxylation,
Acyltransfer
& hydrolysis.
Note that the
reactions are
irreversible.
Structural
Structural
Chylomicron formation
Structural
•In the liver the remnants are digested to yield cholesterol and fatty
acids.
ihrevale LIPID META 51
BOLISM
•The major function of VLDL is to
transport large amounts of triglyceride
and small amounts of cholesterol from
the liver to other tissues.
•They are transported from the liver to muscle and adipose tissue where
lipoprotein lipase causes the release of free fatty acids from triglycerols.
•~1/2 of LDL is taken up by the liver and the remainder by extrahepatic tissues.
•LDL contains most of the cholesterol in the plasma after an overnight fast and
75% is in the form of cholesteryl ester.
The cholesterol esters are hydrophobic & migrate to the core of the HDL
particle where they are taken up by the liver & the cholesterol is
unloaded.
LCAT
LCAT catalyzes
catalyzes the the transfer
transfer of
of the
the C-2
C-2 fatty
fatty acyl
acyl group
group of
of
phophatidylcholine
phophatidylcholine (lecithin
(lecithin is
is aa common
common name
name for
for
phophatidylcholine)
phophatidylcholine) to to cholesterol
cholesterol toto produce
produce cholesteryl
cholesteryl ester
ester and
and
lysolecithin.
ihrevale LIPIDThis
lysolecithin. META reaction
This reaction converts
converts cholesterol
cholesterol from
from aa polar
polar 57
BOLISM
molecule
molecule to to aa non-polar,
non-polar, very
very hydrophobic
hydrophobic ester.
ester.
LDL
LDL Receptor-Mediated
Receptor-Mediated Endocytosis
Endocytosis
1.
1. Binding
Binding
2.
2. Coated
Coated pitpit && vessicle
vessicle form
form 1
3.
3. Endocytosis
Endocytosis
4.
4. Vesicle
Vesicle fuses
fuses to to become
become
endosome.
endosome.
5.
5. Endosome
Endosome fuses fuses with
with
lysosome. 2
lysosome.
6.
6. Fatty
Fatty acids
acids andand cholesterol
cholesterol 7 3
are
are released
released into
into thethe
cytoplasm.
cytoplasm.
7.
7. The
The receptor
receptor protein
protein isis
recycled
recycled (endosome)
(endosome) or or 4
degraded
degraded (lysosome).
(lysosome).
8.
8. Intracellular
Intracellular cholesterol
cholesterol
causes
causes lower
lower levels
levels of
of LDL
LDL 5
receptor
receptor and and reduced
reduced
synthesis
synthesis of of HMG-CoA
HMG-CoA 6
reductase.
reductase. TheseThese leadlead to
to
reduced 8
reduced uptake
uptake and and synthesis
synthesis
of
of cholesterol.
cholesterol.
ihrevale LIPID META 58
BOLISM
ihrevale LIPID META 59
BOLISM
ihrevale LIPID META 60
BOLISM
This is a normal coronary artery
with no atherosclerosis and a
widely patent lumen that can
carry as much blood as the
myocardium requires.
Hydroxylation
Hydroxylation reactions
reactions play
play aa very
very
important
important role
role in
in the
the synthesis
synthesis of of
cholesterol
cholesterol from
from squalene
squalene and and in in the
the similar to fatty acid
conversion
conversion of of cholesterol
cholesterol intointo steroid
steroid desaturation
hormones
hormones and and bile
bile salts.
salts. All
All these
these
hydroxylations
hydroxylations require
require NADPH
NADPH and and O O22..
One
One oxygen
oxygen atom
atom from
from O O22 goes
goes to to the
the
substrate
substrate and
and the
the second
second is is reduced
reduced to to
HH220.
0. The
The enzymes
enzymes catalyzing
catalyzing these
these
reactions
reactions are
are monoxygenases.
monoxygenases. All All
hydroxylation
hydroxylation reactions
reactions during
during steroid
steroid
biosynthesis
biosynthesis areare catalyzed
catalyzed byby mixed-
mixed-
function
function oxidases
oxidases thatthat use
use NADPH,
NADPH, O O22,,
and
and mitochondrial
mitochondrial cytochrome
cytochrome P-450.P-450.
The
The second
ihrevale enzyme
second enzyme
LIPID step
METAstep is
is catalyzed
catalyzed by
by 63
aa different
BOLISM
different enzyme,
enzyme, desmolase.
desmolase.
Pregnenolone
Estradiol: 18 carbon atoms
and aromatic A ring.
Testosterone: 19 carbon
atoms
Progesterone, aldosterone,
and cortisol contain 21 carbon
atoms. Aldosterone contains
an aldehyde group on C18.
Glucocoricoids contain a
hydroxyl group on C11.
Synthesis of progesterone,
aldosterone and cortisol:
Progesterone- 2 steps: 1. a
3-alcohol dehydrogenase
catalyzed the NAD+-dependent
oxidation of alcohol to a
ketone& 2. double bond
migration (Fig. 12-31).
Aldosterone- 4 steps:
catalyzed by ER enzyme 21-
hydoxylase and mitochondrial
enzymes: 11-hydroxylase,
18-hydroxylase, and 18-
hydroxysteroid oxidase. All 4
reactions require NADPH, O 2,
and cytochrome P-450.
Cortisol- 3 steps: Catalyzed
by 17- and 21-hydoxylases
and a mitochondrial 11-
hydroxylase. All 3 reactions
require NADPH, O2, LIPID
ihrevale and META 64
cytochrome P-450.
BOLISM
Eicosanoid Synthesis
The Cyclooxygenase Pathway
The first step in the synthesis of 1
9 5 3
prostaglandins is the generation of 7
arachidonate from phospholipids. This is
13
catalyzed by phopholipase A2 and is the rate- 11 15 17 19
limiting reaction in the pathway of eicosanoid
biosynthesis. This hydrolysis is unidirectional
and exergonic.
9 7 1
3
Prostaglandin biosynthesis: In a reaction 5
•Leukotriene C4 undergoes
hydrolysis to form D4.
CH3
H H
HO OH Cholic acid
O CH3
C OH
CH3 CH3
CH3
H H H H
O HO
Progesterone Estradiol
ihrevale LIPID META 73
BOLISM
More cholesterol derivatives
OH Testosterone
CH3
CH3
H H
C O
O
O CH3
HO OH
HO
CH3 CH3
H H
H H
O
O
ihrevale LIPID META 74
BOLISM
And even more
7-dehydrocholesterol
H3C CH3
CH3
CH3
h* CH3 OH
CH3
HO
cholecalciferol
(vitamin D3)
CH2
1,25-Dihydroxy-
2 successive hydroxylations
HO OH cholecalciferol
ihrevale LIPID META 75
BOLISM
Overview of
cholesterol synthesis
Acetyl-CoA
(1)
HMG-CoA-
reductase
Ketone bodies HMG-CoA Mevalonate (C6)
3 ATP
3 ADP CO2
Squalene (linear C )
ihrevale LIPID META 30
Lanosterol (C30) Cholesterol
76
BOLISM
Overview of cholesterol synthesis
(2) 3-P-5-PP-
mevalonate
O CH3
Acetyl-CoA O C C C C O P P
H2 H2 H2
O
P
Acetoacetyl-CoA
3 ADP
3 ATP
O CH3 O O CH3
CoA S C C C C O CoA-SH O C C C C OH
H2 H2 H2 H2 H2
OH OH
HMG-CoA
Mevalonate
2 NADPH+H+ 2 NADP+
ihrevale LIPID META HMG-CoA-reductase 77
BOLISM
Overview of cholesterol synthesis
(3)
3-Phospho-5-pyrophospho-mevalonate
O CH3
O C C C C O P P
H2 H2 H2
Geranyl-PP O
P
CH3 CH3
H3C C C C C C O P P
H H2 H2 H H2 CO2 P
CH3
H2C C C O P P
H2 H2
P-P
CH3 Isopentenyl-PP
H3C C C O P P
H H2
H3C C C C C C O P P H2C C C O P P
H H2 H2 H H2 H2 H2
Overview of cholesterol
synthesis (4)
P P
CH3 CH3 CH3
H3C C C C C C C C C O P P
H H2 H2 H H2 H2 H H2
NADPH P P O C
H2
C
H
C
H2
C
H2
C
H
C
H2
C
H2
C
H
CH3
NADP+
+
2 P P
NADPH+H+
NADP+
O
O2 H2 O H
+
+
C
HO
HO
(LCAT)
CH3
O H CH3
H H
O O O
O O O
LCAT
SREBP
(sterol regulatory element binding protein)
ER membrane
ER ER
Low cholesterol:
Golgi
SCAP binds SREBP
membrane of nucleus
SRE
• Deposition of LDL in
vessel wall
• Release of cholesterol
• Inflammatory and
degenerative reaction
Risk factors:
1. High blood pressure – provides initial ‘micro’-
damage to endothelium
2. High LDL – yields cholesterol deposits
ihrevale LIPID META 89
BOLISM
Medical aspects of cholesterol metabolism (2)
Causes of Hypercholesterinemia:
1. Diet (not as important as you would think)
2. Genetic factors – e.g., LDL receptor defect
• homozygous: life expectancy ~30-40 yr, next to
intractable
• heterozygous: still serious, but tractable to some extent
Other, multigenic constellations do occur
(various degrees of severity)
Therapeutic approaches:
1. Limiting intake (diet)
2. Suppressing synthesis (HMG-CoA reductase
inhibitors)
3. Promotion of excretion (Cholestyramine)
ihrevale LIPID META 90
BOLISM
Lovastatin – a competitive antagonist
of HMG-CoA reductase
HO HO
COOH COOH
OH OH
O
Lovastatin Mevalonate
ihrevale LIPID META 91
BOLISM
O
‘enterohepatic cycle’
CH3
CH3
of bile acids H H
HO OH
+
+ + -+
+
+
-+ + -+
+