LIPIDS PROFILE FOR MEDICAL STUDENTS KNOWLEDGE

vsmotivational1722 105 views 8 slides Sep 12, 2024
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About This Presentation

A lipoprotein disorder refers to conditions affecting the levels or function of lipoproteins, which are proteins that transport lipids (fats) in the blood. Common lipoprotein disorders include:

1. Hyperlipidemia: Elevated levels of low-density lipoprotein (LDL) cholesterol, triglycerides, or both.
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Slide Content

lipids By Vaibhav

INFO. ABOUT LIPIDS : ABOUT PHYSIOLOGY ~ CHOLESTROL AND TRIGLYCERIDES ~ LIPOPROTEINS ~ LIPOPROTEINS METABOLISM ~ ENZYME INVOLVES IN LIPID TRANSPORT CLASSIFICATION OF LIPOPROTEIN DISORDER LABORATORY TESTS FOR LIPOPROTEINS DISORDER

ABOUT : LIPIDS ARE ORGANIC COMPOUNDS SOLUBLE IN ORGANIC SOLVNTNTS, POORLY SOLUBLE IN WATER . LIPDS ARE INSOLUBLE IN PLASMA . LIPIDS ARE TRANSPORTED IN CIRCULATION IN ASSOCIATION WITH PROTEINS . THESE COMPLEXES OF LIPIDS AND PROTEIN ARE KNOWN AS LIPOPROTEINS . DISORDER OF LIPOPROTEIN METABOLISM ARE CALLED AS DYSLIPIDEMIAS .

PHYSIOLOGY :

Cholesterol and Triglycerides are not soluble in water . Lipoprotein : - a central core of lipids [fat soluble vitamins , triglycerides, cholesterol ester .] core is hydrophobic or non polar - a surface monolayer [composed of phospholipid, free cholesterol ,apoproteins.] surface of lipoprotein is water soluble. Five major lipoproteins: - Chylomicrons - very low density lipoprotein [VLDL] - intermediate density lipoprotein [IDL] - low density lipoprotein [LDL] - high density lipoproteins [HDL] Synthesis: - Lipoproteins are produced in the liver and intestines. Transport: - Lipoproteins are transported through the bloodstream to various tissues. - There are several types of lipoproteins, including: - Chylomicrons (CM): carry dietary triglycerides from intestines to liver. - Very-low-density lipoproteins (VLDL): carry endogenous triglycerides from liver to peripheral tissues. - Low-density lipoproteins (LDL): carry cholesterol from liver to peripheral tissues. - High-density lipoproteins (HDL): carry excess cholesterol from peripheral tissues to liver. Degradation: - Lipoproteins are broken down by enzymes, such as lipoprotein lipase (LPL), into their constituent parts (fatty acids, cholesterol, etc.). - The liver plays a central role in lipoprotein degradation and recycling..

ENZYME INVOLVED IN LIPID TRANSPORT: Enzymes relevant in lipid transport and their functions are er listed below: Lecithin cholesterol acyltransferase (LCAT): - Esterifies cholesterol molecules on the surface of HDL Lipoprotein lipase : - Removes triglycerides from chylomicrons and VLDL, leaving remnant particles Hepatic lipase : - Removes additional triglycerides from remnant particles in liver.

Hyperlipidemia : Elevated levels of low-density lipoprotein (LDL) cholesterol, triglycerides, or both. Hypolipidemia : Low levels of high-density lipoprotein (HDL) cholesterol or total cholesterol. Dyslipidemia : Abnormal levels of lipoproteins, including high LDL, low HDL, and high triglycerides. Familial hypercholesterolemia (FH): A genetic disorder causing very high LDL levels. Hypertriglyceridemia : Elevated triglyceride levels. Lipoprotein(a) disorders : Elevated levels of lipoprotein(a), a risk factor for cardiovascular disease. Causes: Genetics Diet (high saturated fat, cholesterol, and carbohydrate intake) Obesity Sedentary lifestyle Diabetes Kidney or liver disease

LABORATORY TESTS FOR LIPOPROTEIN DISORDER Laboratory tests for lipoprotein disorders include: Lipid Profile: - Total Cholesterol - Low-Density Lipoprotein (LDL) Cholesterol - High-Density Lipoprotein (HDL) Cholesterol - Triglycerides Lipoprotein Electrophoresis: - Separates and identifies lipoprotein fractions (e.g., LDL, HDL, VLDL) Apolipoprotein Testing: Lipid Ratios: Genetic Testing: - For familial hypercholesterolemia (FH) and other genetic disorders