B1U3 Lipid Digestion and Transport

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Created by:

bphoward  on October 3, 2009

Subjects:

medicine

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B1U3 Lipid Digestion and Transport

Cholesterol esters
Storage form of cholesterol
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Definitions

Cholesterol esters Storage form of cholesterol
synthesized by non-hepatic cells (and utilized within the cell) 90% daily cholesterol input
synthesized in hepatic cells (50 -100%) and from diet (0-50%) 10% of daily cholesterol input
50 / 50 % of cholesterol excreted/absorbed
Gastric Lipase Secreted by glands in the stomach, acidic pH, responsible for 10-30% of overall lipolysis
Bile acids Synthesized from cholesterol in liver, stored in gallbladder, release stimulated by fat in duodenum, emulsify dietary lipids
colipase binds to surface of lipid emulsion, required for pancreatic lipase to work
orlistat obesity drug that blocks pancreatic lipase with side-effect of statorrhea
78 % of TG broken down to 2-monoacylglycerol and 2 FA by pancreatic lipase and cholesterol esterase
cholesterol esterase breaks cholesterol esters into cholesterol and FA
micelles transport Lipids digested in the small intestine into intestinal epithelial cells
chylomicrons Tranport dietary lipids from the intestinal epithelial cells to lymphatic system, the blood and tissues of the body
TG major core lipids transported in chylomicrons
B 48, C, E Apolipoprotein of chylomicrons
TG major core lipids transported in VLDL
B 100, C, E Apolipoproteins of VLDL
Short and medium chain FA (<11 Cs) don't need to be transported by chilomicrons, directly absorbed into intestinal mucosa and sent to liver via portal vein
addition of apoproteins E and C from HDL nascent chylomicron => mature
Apo-C II Binds chylomicron to lipoprotein lipase
lipoprotein lipase sequentially hydrolizes FA from TG in chylomicron, on capillary endothelium
adipose tissue target site for chylmicron delivery of TG
insulin facilitates synthesis of lipoprotein lipase and its translocation onto capillary endothelium
chylomocron remnant chylomicron which is cholesterol ester rich and has had Apo-A and Apo-C removed
hepatic lipase Hydrolizes remaining TG in chylomicron remnant (at liver)
Apo - E ligand for LDL and LRP receptors for remnant lipoprotein

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