metabolism of dietary lipids in relation to medical biochemistry
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Added: Jul 16, 2024
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Biochemistry
Metabolism of dietary lipids
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Overview:
-Water-insoluble molecules (hydrophobic).
-Some contain fatty acids.
-Fatty acids major source of energy.
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Overview
-Membrane-associated.
-Droplets of triacylglycerols in adipose tissues.
-Prostaglandins.
-Steroid hormones.
-Fat-soluble vitamins.
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Digestion
Normal diet 60 to 150 g/day.
90% of dietary lipids is triacylglycerol.
Also as dietary lipid
Cholesterol.
Cholesterol esters.
Phospholipids.
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Mouth & Stomach
Lingual lipase.
Gastric lipase.
Two above enzymes important for triacylglycerol
degradation in
high intake of dietary lipids (milk) in neonates
cystic fibrosis patients
Degradation at lipid/water interface.
Adults –dietary lipids are not digested in mouth and
stomach.
Emulsification of lipids via bile salts.
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Hormonal Control of Lipid Digestion
Hormonal control
Cholecystokinin (CCK)
Decreases gastric motility –reduces gastric emptying
Increases secretion of pancreatic fluids containing enzymes
Increases release of bile from gallbladder
Secretin
Causes secretion of watery alkaline fluid (bicarbonate) from
pancreas
Raises pH
Optimum pH for activity enzymes in lumen of intestine
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Lipids
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Triacylglycerol Degradation
Pancreatic lipase
Cleaves FA’s from carbons 1 & 3. IT CANNOT CLEAVE C 2.
Monoacylglycerol and free FA’s are products
Cystic fibrosis results in deficiency of pancreatic lipase secretion
Colipase
Binds pancreatic lipase and anchors it to lipid-water interface
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Hydrolysis of FA’s from Triacylglycerols
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Orlistat
Inhibits lipases
Reduces fat digestion
Antiobesity drug
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Cholesterol Ester & Esterase
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Phospholipid Degradation
Phospholipase A
2
Removes one FA from C-atom number 2
Product is lysophospholipid
Trypsin
Activates phospholipase A
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Lysophospholipase
Degrades lysophospholipid
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Digestion of Dietary Phospholipids
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Absorption
Mixed micelles
Are composed of
Free long chained FA’s
Free cholesterol
2-monoacylglycerols
Bile salts
Glycerol, Short & medium chain FA’s (carbons less
than 14) do not require micelles for absorption.
They are directly absorbed from the intestinal lumen, enter
the portal vein and hence the liver.
They can be part of diet in malabsorptionsyndromes.
eg, due to reduced bile release (gall stones, cholecystectomy).
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Diagram of Non-Absorbable Fat
Triacylglycerol
esterified at all
carbon atoms is
non-absorbable
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Resynthesis of Triacylglycerol
(TAG’s)
Within enterocytes
Fatty acyl CoA synthesis
Triacylglycerol synthesis
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Fatty acid acyl CoA synthetase
(Thiokinase)
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Resynthesis of Triacylglycerol
2-Monoacylglycerol + 2 Fatty acyl CoA→
Triacylglycerol + 2 Co A
Enzyme-Triacylglycerol synthetase
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TAG Synthesis
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Chyle vs Chyme
Chyle–lymph fluid
Milky appearance due to presence of
triacylglycerolsand cholesterol esters
Unlike chyme–which is mass of semi-fluid secreted from
stomach to duodenum
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Chylomicron
There are three stages in the chylomicron's
"lifecycle":
•Nascent chylomicron
•Mature chylomicron
•Chylomicron remnant
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Lipoproteins and Apolipoprotein
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Nascent chylomicrons
The re-esterifiedtriacylglyceroliscombined
withphospholipids, cholesterolester, and
apolipoproteinB-48 forma nascent
chylomicrons.
Theseare thenreleased
byexocytosisfromenterocytesintolacteals,then
are secretedintothebloodstreamat thethoracic
duct'sconnectionwiththe leftsubclavianvein.
Nascentchylomicronsare composedprimarilyof
triglycerides(85%).
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Mature chylomicron
While circulating in blood, HDL
donatesapolipoprotein C-II(APOC2)
andapolipoprotein E(APOE) to the nascent
chylomicron and, thus, converts it to a mature
chylomicron. APOC2 is the cofactor
forlipoprotein lipase(LPL) activity.
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Chylomicron remnant
Once triglyceride stores are distributed, the
chylomicron returns APOC2 to theHDL(but
keeps APOE), and, thus, becomes a chylomicron
remnant, now only 30–50nm.
APOB48 and APOE are important to identify the
chylomicron remnant in the liver for endocytosis
and breakdown.
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Use of Dietary Lipids by Tissues
Triacylglycerol utilization
Adipose, skeletal muscle, heart, lung
Degraded to free fatty acids (FFA’s) & glycerol by
lipoprotein lipase (LPL).
Lipoprotein lipase present on endothelial cells of capillary bed
and hydrolyze fatty acids attached to triacylglycerols in plasma
Fate of FFA’s
Enters adipocytes and muscle
Source of ATP
Produces acetyl CoA
Transported bounded to plasma albumin to tissues
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Triacylglycerol Degradation –
Lipase
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Fate of Glycerol
Converted to glycerol 3-P in liver
Glycerol 3-P enters glycolysis or
gluconeogenesisvia dihydroxyacetone
phosphate
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Glycerol Metabolism
Enzyme 1 is
glycerol kinase
Enzyme 2 is
glycerol
phosphate
dehydrogenase
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Fate of Chylomicrons
Diameter of chylomicron particles range from 180 to 500 nm
Fate of remaining chylomicrons remnants
Binds to hepatocytes and endocytosed
Choline, ethanolamine released and re-utilized
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Deficiencies
Type 1 hyperlipoproteinemia
Lipoprotein lipase deficiency
Type 111 hyperlipoproteinemia
Defective endocytosis of chylomicron remnants
They accumulate in plasma
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