16.4 - Transport of cholesterol in the body
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- FrontBig picture of cholesterol transportBackCholesterol does not travel freely in blood
- FrontHow is cholesterol transported in the blood?BackInside lipoproteins
- FrontMain cholesterol carriers in bloodBackChylomicrons for dietary lipids, VLDL, LDL, and HDL.
- FrontCore concept of cholesterol transportBackCholesterol moves in particles, not alone.
- FrontImportant apoprotein of chylomicronsBackApoB-48.
- FrontImportant apoprotein of LDLBackApoB-100.
- FrontImportant apoprotein of VLDLBackApoB-100.
- FrontCore concept of apoproteinsBackApo proteins act as labels that determine where lipoprotein particles go.
- FrontFunction of LDLBackDelivers cholesterol to cells.
- FrontStep 1 of LDL mechanismBackLDL carries cholesterol in blood.
- FrontStep 2 of LDL mechanismBackCells have LDL receptors.
- FrontStep 3 of LDL mechanismBackLDL receptor binds ApoB-100 of LDL.
- FrontStep 4 of LDL mechanismBackLDL is taken into the cell by endocytosis.
- FrontFraction of LDL that returns to liverBackAbout 60 percent.
- FrontCore concept of LDLBackLDL is the cholesterol delivery system.
- FrontEffect of high intracellular cholesterol on cholesterol synthesisBackIt INHIBITS HMG-CoA reductase and DECREASES cholesterol synthesis.
- FrontEffect of high intracellular cholesterol on cholesterol uptakeBackIt DECREASES LDL receptor production and DECREASES uptake.
- FrontStorage form of cholesterol in cellsBackCholesteryl ester.
- FrontEnzyme that stores cholesterol in cellsBackACAT - acyl-CoA cholesterol acyltransferase.
- FrontCore concept of cellular cholesterol regulationBackCells prevent cholesterol overload by DECREASING synthesis, DECREASING uptake, and INCREASING storage.
- FrontFunction of HDLBackRemoves cholesterol from tissues and returns it to the liver.
- FrontStep 1 of HDL reverse transportBackHDL picks up cholesterol from cells.
- FrontTransporter used for cholesterol efflux to HDLBackABCA1.
- FrontEnergy requirement of ABCA1BackATP-dependent.
- FrontStep 2 of HDL reverse transportBackHDL carries cholesterol back to the liver.
- FrontLiver receptor for HDLBackSR-B1.
- FrontStep 3 of HDL reverse transportBackHDL binds to SR-B1 receptor on liver and enters liver
- FrontCore concept of HDLBackHDL is the cholesterol cleanup system.
- FrontScavenger receptor involved in pathologyBackSR-A1.
- FrontWhat SR-A1 takes upBackModified LDL, especially oxidized LDL.
- FrontRegulation of SR-A1 uptakeBackThere is NO regulation!
- FrontCholesterol consequence of uncontrolled scavenger receptor uptakeBackExcess accumulation.
- FrontMacrophage content consequence of uncontrolled scavenger receptor uptakeBackThey fill with lipid.
- FrontMacrophage characteristic consequence of uncontrolled scavenger receptor uptakeBackThey become foam cells.
- FrontPathological structure consequence of uncontrolled scavenger receptor uptakeBackFoam cells (transformed macrophages) form atherosclerotic plaques.
- FrontCore concept of scavenger receptor pathologyBackUncontrolled LDL uptake leads to foam cell formation from macrophages and atherosclerotic plaque formation.
- FrontSource of cholesterol packaged by liverBackCholesterol comes from diet and synthesis and is packaged into VLDL.
- FrontConversion of VLDL to LDLBackLPL removes TAG from VLDL, producing cholesterol-rich LDL.
- FrontHow LDL delivers cholesterol to cellsBackThrough the LDL receptor binding ApoB-100 followed by endocytosis.
- FrontFate of cholesterol inside cellsBackCholesterol is either used for energy or stored via ACAT (Acetyl-CoA Cholesterol Acyltransferase).
- FrontFeedback effect of high intracellular cholesterolBackHigh cholesterol causes feedback inhibition - cholesterol synthesis/uptake is inhibited/decreased (↓HMG-CoA reductase/↓LDL receptor production)
- FrontRole of HDL in full pathwayBackHDL picks up excess cholesterol from cell (via ABCA1 transporter) and returns it to the liver (via binding to SR-B1 receptor on liver)).
- FrontFinal core idea of cholesterol transportBackLDL delivers cholesterol, HDL removes excess cholesterol, and cells tightly regulate cholesterol levels.
- FrontRole of VLDL in transportBackVLDL transports TAG.
- FrontRole of LDL in transportBackLDL delivers cholesterol.
- FrontRole of HDL in transportBackHDL removes cholesterol.
- FrontKey binding protein for LDL uptakeBackApoB-100.
- FrontKey transporter for cholesterol efflux to HDLBackABCA1.
- FrontKey receptor for HDL uptake in liverBackSR-B1.
- FrontKey enzyme for intracellular cholesterol storageBackACAT.
- FrontCellular response to high intracellular cholesterolBackHMG-CoA reductase decreases, LDL receptors decrease, and ACAT increases.
- FrontPathology concept of oxidized LDLBackOxidized LDL taken up by SR-A1 leads to macrophage → foam cell transformation and atherosclerotic plaque formation.
- FrontLipoprotein that delivers cholesterol to tissuesBackLDL.
- FrontEnzyme that stores cholesterol INSIDE cellsBackACAT.
- FrontTransporter that effluxes intracelleular cholesterol to HDLBackABCA1.
- FrontEffect of high intracellular cholesterol on LDL receptor levelsBackLDL receptor levels decrease → decreased LDL uptake.
- FrontWhy scavenger receptors (SR-A1) are dangerous in excessBackThey take up oxidized LDL with NO regulation, causing excess cholesterol accumulation, foam cell formation, and atherosclerotic plaque formation.
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