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A Summary on Lipids and Lipoproteins - Bishop's Clin. Chemistry

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This summary can be used by students who are studying Medical Technology/Medical Laboratory Science. This will help the students to make study easier as this note contains all the details about the different types of lipids and lipoproteins together with their associated disorders and laboratory determination.

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Lipids Cholesterol
• Unsaturated steroid alcohol
Fats
• Most complex
• Biochemical compounds medically referred to as lipids
• Contain 4 rings: A, B, C, D
• Mostly C-H bonds
• Amphipathic
• Calorie - unit of energy
o Only hydroxyl group in A ring is hydrophilic
o Present: Joles
• Found in surface of lipid layers
• Functions:
• Synthesized in liver
o Rich source of energy/storage of excess
• Precursor of 5 major classes of steroids
calories
 Progestin
o Hormone or hormone precursor
 Glucocorticoids
▪ Adrenal steroids are from cholesterol  Mineralocorticoids
o Structural cell component  Androgen
o Insulation • Can exist in an esterified form (cholesterol ester)
• Dyslipidemia = abnormal lipoprotein concentration • Not readily catabolized by the cell
• Plasma lipids = lipoproteins = atherosclerosis • Converted in the bile → bile acids → cholesterol,
o LDL = lechon de leche cholic acid
o Leading cause of death • Can be converted to Vitamin D3 (active form)
o From 7-dehydrocholesterol
Major Lipids
• Fatty Acid Lipoproteins
• TAG • Composed of lipids and proteins (apolipoproteins)
• Phospholipids • Class of proteins synthesized by the liver or intestines
• Cholesterol • There proteins form a "transport vesicle" with the
lipids to facilitate lipid circulation
Fatty Acid • 10-1200 nm
• Short-chained, 4-6 carbon chain • Size variation is attributed to TAG and cholesterol
• Medium chain 6-12 content
• Long chain 12-26 • The bigger the LP, the higher the lipid content
• Small amount is present in plasma in un-esterified o ↑ density = ↑ protein = ↑ lipid o ↑ lipid = ↑ size
form o ↑density = ↑ size
• Derived from the hydrolysis of TAG • Core
• Reference Value 9-15 mg/dL o Triglyceride
o Cholesteryl ester (esterified form)
Triglycerides • Surface
• 3 molecules of fatty acids, 1 molecule of glycerol o Free cholesterol
• Hydrophobic o Phospholipid
• Do not contain charges
o Apolipoproteins
• Main storage lipid of man (95%)
▪ Responsible for synthesis and
• Predominant form: glyceryl ester
breakdown of lipoproteins
• Allows the body to store long-carbon chain
▪ Activator and inhibitors of enzyme
• Used in fasting state
▪ Also called, Lipid exchange mediator
• Synthesize 60-130 g daily
• Fractions
• Resynthesized in intestine and combine with
o Chylomicrons
cholesterol and Apolipo-b-protein
• Fat found in food is is 1-2% o VLDL
• 2 kinds: o LDL
o HDL
Saturated Solid at RT
Unsaturated w/ bends and kinks Oil at RT Lipid Metabolism
1. Emulsification of fats
Phospholipid a. Food is ingested
• Contain 2 fatty acids b. Proteins and sugars are degraded by salivary
• Most abundant lipids derived from phosphatidic acid enzymes
• Originated in liver and intestines c. Fat cannot be digested in the mouth. Initial
• Formed by 2 conjugations digestion occurs in the stomach. Most digestion
o Fatty acid occurs in intestines.
o Phosphorylated glycerol d. Gallbladder contracts releasing bile acids.
• Amphoteric ▪ Large fat globule (bile acids) → micelles

, • Short →
• Lipid carrier protein →
• Liver
• Long →
• TAG →
• Chylomicrons →
• Lymph

▪ Monoglycerol
•TAG →
•Chylomicrons →
•Lymph

2. Exogenous Pathway
o Use of chylomicrons

Chylomicron
• Density: <0.93 g/mL
• High lipid content; larger
• Cholesterol poor
• Contains apo B-48
• Largest LP and least dense
• Presence of chyle (chylous sample)
• Rich in exogenous TAG (85-95%)
• Poor in cholesterol
• Packed with dietary lipids in the intestines VLDL / pre-beta lipoprotein
• Of dietary origin • Density: 0.93-1.006 g/mL
• Contribute to turbidity of specimen • Smaller than chylo
• Seen in postprandial plasma • Rich in endogenous TAG
• Fasting samples should not be chylous, but may be • Produced in the liver and has apo B-100, apo E, and
lipemic apo Cs
• Principal role: • Cause turbidity in fasting hyperlipidemic plasma
o Delivery of dietary lipids to the liver and • Not of dietary origin
peripheral cells • Lower L:P ratio compared to chylo
▪ Nascent chylomicrons - newly • Pathway
synthesized chylos o VLDL to IDL to LDL
▪ Apo E allows chylos to enter liver o LDL is one of the major cholesterol transporter
▪ Apo CII activates LPL
▪ Hydrolysed by lipoprotein lipase to form
chylomicron remnants




LDL / beta lipoprotein
• Density: 1.019-1.063 g/mL
• 50% of total LP's in plasma

• Contains apo B-100

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Chapter 14
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2019/2020
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