chapter 8 metabolism of lipid cai danzhao. lipids are substances that are insoluble in water but...
TRANSCRIPT
Lipids are substances that are insoluble in water but soluble in organic solvents.
Including:
Fats (triglycerides , triacylglycerols , TAG)
Function: store and supply energy
phospholipids
Lipoids cholesterol and cholesterol ester
glycolipids
Function: as membrane compounds
Digestion of Lipids
Location: duodenum, small intestine
Condition:
1. bile salts (emulsification)
2. lipolytic enzymes
Pancreatic lipase
Phospholipase A2
Cholesterol esterase
Process bile salts
food lipids small particles
pancreatic lipase
triglyceride 2-monoacylglycerol + 2FFA phospholipase A2
phospholipid lysophosphatide + FFA cholesterol esterase
cholesterol ester cholesterol + FFA
Pancreatic colipasePancreatic colipse is the necessary cofactor of pancreatic lipase.
Excreted by pancreatic acinar cells as a proenzyme, which activated in the small intestine.
Can anchor the lipase to the surface of lipid micelles.
Assist lipase in two ways:
1.enhances the lipase activity
2.against the inhibitory effects of bile salts and surface denaturation.
Absorption of lipidsMedium and short chain fatty acid (10Cs or
less) TAG emulsification absorption intestine mucosal cells degradation FFA and glycerol transport portal vein
blood circulation
Long chain fatty acids (12-26C) + monoacylglycerol
absorbed synthesis
epithelial cells TAG
+ lipoproteins
lysophosphatide + FFA CM
absorbed synthesis (chylomicron)
epithelial cells PL
cholesterol + FFA lymphatic system
absorbed synthesis
epithelial cells CE blood circulation
CoA + CoA + RCOOH RCOOH RCORCOCoA CoA Acyl CoA synthetase
ATP ATP AMP PPiAMP PPi
CHCH22OH OH
CHCH22OH OH
CHOCHO--CC--RR1 1
O =
CHCH22OH OH
CHCH22OH OH
CHOCHO--CC--RR1 1
O =
CHCH22OH OH
CHCH22OO--CC--RR22
CHOCHO--CC--RR1 1
O=
O =CHCH22OH OH
CHCH22OO--CC--RR22
CHOCHO--CC--RR1 1
O=
O =CHCH22OO--CC--RR3 3
CHCH22OO--CC--RR2 2
CHOCHO--CC--RR1 1 O=
O=
O=
Acyl CoAtransferase
CoA R2COCoA R3COCoA CoA
Acyl CoAtransferase
TAG synthesis in epithelial cells: monoacylglycerol pathway
1,2-diacylglycerol TAGmonoacylglycerol
Lipolysis: also named fat mobilization, is a
process breaking down the fat (TAG) stored in adipose tissue and liberating the glycerol and FFAs from which into the blood circulation.Key enzyme:
TAG lipase (hormone sensitive lipase, HSL)
Lipolytic hormones: stimulate TAG hydrolysis
Glucagons, Adrenocorticotropic hormone (ATCH) epinephrine norepinephrine
Anti-lipolytic hormones: stimulate TAG formation
insulin
prostaglandin E2
nicotinic acid
H2O FA H2O FA H2O FA
TAG DAG MAG Glycerol
TAG lipase a DAG lipase MAG lipase
TAG lipase a ADP + Pi TAG lipase b ATP
cAMP dependent protein kinase
ATP cAMP 5’-AMP Adenylate cyclase Phosphodiesterase
lipolytic hormones (Epinephrine )
anti-lipolytic hormones (insulin)
FFA +plasma albumins fatty acid- transport albumin complexes all the body
glycerokinaseGlycerol glycerol-3-phosphate
dihydroxyacetone phosphate
glucose metabolism
Notation: adipose cells and skeletal muscles lack glycerokinase, can not use glycerol well
β-Oxidation of Fatty acids
FAs are the major energy source of human
the biologically available energy in TAGs:
~ 95 % in their 3 long-chain FAs
~ 5% in their glycerol
Oxidation location: in the cytoplasm and mitochondria of
most body cells (except those of the brain and intestine)
The process of FA degradation
Activation
Transport into mitochondria
β-oxidation
Acetyl CoA utilization
into citric acid cycle
change to ketone bodies
into other metabolic pathway
1.Activation of FA
Activation of FA takes place on the outer mitochondrial membrane (in cytoplasm)
Acyl CoA synthase
+ + CoA-SH CoA-SH
脂 肪 酸RCHRCH22CHCH22CC--OH OH
OO=OO=
脂 酰~SCoA
RCHRCH22CHCH22CC~SCoA ~SCoA OO=OO=
Fatty acid Acyl-CoA
ATP AMP+PPiATP AMP+PPi
3. β-oxidation of Acyl CoA
In mitochondrial matrix, successive 2-C units are removed from the carboxyl end of the fatty acyl chain in the form of acetyl-CoA by a repeated sequence of 4 reactions, and the oxidation process take place at the β-carbon.
C16 Acetyl -CoA
Acyl CoA (Cn-2) can now go through another set of β-oxidation reactions
1
2
3
4
5
6
7
1 molecule of palmitoyl-CoA will pass through the sequence 7 times, eventually be oxidized to: 8 Acetyl CoAs 7 NADHs 7 FADH2s
ATP produced during oxidation of palmitate
Activation of palmitate (C16) -2 ATP
β-oxidation:
8×10=80 ATP
7×2.5= 17.5ATP
7×1.5=10.5 ATP
8 Acetyl CoAs (enter TAC cycle)
7 NADHs
7 FADH2s
Total 106 ATP
2.67 Glucose (C16): 85.3 ATP
Alternative Oxidation Pathway of Fatty Acids
1.Unsaturated FA oleic acid (18:1, Δ9) :Can produce a cis-Δ3 C12 acyl CoA, but β-oxidation acts only on trans double bonds.
Enoyl-CoA isomerase: make a trans- Δ 2 C12 acyl CoA, then β-oxidation can continue
Acyl-CoA oxidase
( FAD )
2.Peroxisomal Fatty Acid Oxidationfor very long chain FA digestion.(C20、 C22)
No ATP produced.
FA reduced in length by this pathway will be transferred to mitochondria for further oxidation.
very long chain FA(C20 、 C22)
( peroxisomal )
chain
shorted FA
( mitochondri
a ) βOxidation
3.Propionyl CoA
β-oxidation of the odd-chain fatty acids, which are relatively rare in nature, produce a propionyl CoA in the final round.
CH3CH2CO~CoA Succinyl CoAcarboxylase
Citric acid cycle
Ketone Bodies Formation and Utilization
Ketone Bodies are
acetoacetate (30%)
β-hydroxybutyrate (70%)
acetone
Generated in liver cells (mitochondria), used by extrahepatic tissues (mitochondria also).
Precursor:
Acetyl CoA
CO2
CoASH
CoASH
NAD+ NADH+H+
HMGCoA synthase
CHCH33CSCoA CSCoA
==OOCHCH33CSCoA CSCoA
==OO==OO CHCH33CSCoA CSCoA
==OOCHCH33CSCoA CSCoA
==OO==OO
CHCH33CCHCCH22CSCoA CSCoA ((乙酰乙酰乙酰乙酰CoACoA))
==OO ==OOCHCH33CCHCCH22CSCoA CSCoA
((乙酰乙酰乙酰乙酰CoACoA))
==OO==OO ==OO==OO
HOCCHHOCCH22CCHCCH22CSCoACSCoA((HMGCoAHMGCoA) ) CHCH33
OHOH
羟甲基戊二酸单酰羟甲基戊二酸单酰CoACoA==OO ==OO
HOCCHHOCCH22CCHCCH22CSCoACSCoA((HMGCoAHMGCoA) ) CHCH33
OHOH
羟甲基戊二酸单酰羟甲基戊二酸单酰CoACoA==OO==OO ==OO==OO
CHCH33CHCHCHCH22COOH COOH D(D(--))--ββ --羟丁酸羟丁酸
OHOHCHCH33CHCHCHCH22COOH COOH
D(D(--))--ββ --羟丁酸羟丁酸CHCH33CHCHCHCH22COOH COOH
D(D(--))--ββ --羟丁酸羟丁酸
OHOH
CHCH33CCHCCH22COH COH 乙酰乙酸乙酰乙酸
==OO==OOCHCH33CCHCCH22COH COH
乙酰乙酸乙酰乙酸
==OOCHCH33CCHCCH22COH COH
乙酰乙酸乙酰乙酸CHCH33CCHCCH22COH COH
乙酰乙酸乙酰乙酸
==OO==OO==OO==OO
acetoacetateβ-hydroxybutyrate
3-hydroxy-3-methylglutaryl CoA
Acetoacetyl CoA
CHCH33CCHCCH3 3 丙酮丙酮
==OOCHCH33CCHCCH3 3
丙酮丙酮CHCH33CCHCCH3 3
丙酮丙酮
==OO==OO
acetone
Ketogenesis
Utilization of ketone bodies(cardiac, kidney, brain, skeletal muscles)
NAD+
NADH+H+
Succinyl CoA
succinate
CoASH+ATP
PPi+AMP
CoASH
CHCH33CHCHCHCH22COOH COOH D(D(--))--ββ --羟丁酸羟丁酸
OHOHCHCH33CHCHCHCH22COOH COOH
D(D(--))--ββ --羟丁酸羟丁酸CHCH33CHCHCHCH22COOH COOH
D(D(--))--ββ --羟丁酸羟丁酸
OHOH
CHCH33CCHCCH22COH COH 乙酰乙酸乙酰乙酸
==OO==OOCHCH33CCHCCH22COH COH
乙酰乙酸乙酰乙酸
==OOCHCH33CCHCCH22COH COH
乙酰乙酸乙酰乙酸CHCH33CCHCCH22COH COH
乙酰乙酸乙酰乙酸
==OO==OO==OO==OO
CHCH33CCHCCH22CSCoA CSCoA ((乙酰乙酰乙酰乙酰CoACoA))
==OO ==OOCHCH33CCHCCH22CSCoA CSCoA
((乙酰乙酰乙酰乙酰CoACoA))
==OO==OO ==OO==OO
CHCH33CSCoA CSCoA
==OO2 CHCH33CSCoA CSCoA
==OOCHCH33CSCoA CSCoA
==OO==OO2
β-hydroxybutyrate
acetoacetate
Acetoacetyl CoA
Physiological significance of ketogenesis
A way by which liver transfer fuel to extrahepatic tissues (prolonged starvation), ketone bodies can replace glucose as the major source of energy, especially for brain.
The normal concentration of ketone bodies in blood is very low.
﹤0.5mmol/L
Under starveling condition, ketogenesis is accelerated.
Under some pathological condition (such as diabetes), the synthesis is faster than utilization, so the concentration of ketone bodies in the blood is high, (up to 20mmol/L), which is called ketonemia ,
if the concentration is too high to be excreted in the urine, that is ketonuria.
Ketone bodies are acidic compounds, the accumulate of which in the blood will decrease the pH of blood , cause ketoacidosis.
FA oxidation ketogenesis
lipolysislipolytic hormones(glucagon)
Regulation of ketogenesis
1.Feeding status:
hungry state:
FFA FA oxidation
ketogenesis
Feeding state
insulin lipolysis FFA
2.Metabolism of glycogen in the hepatic cells
Sufficient glucose supply:
FFA triacylglycerols
Glucose deficiency:
FFA β- Oxidation ketogenesis
3.Malonyl CoA concentration
Malonyl CoA can inhibit carnitine acyltransferase Ⅰ.
malonyl CoA
transportion of fatty acids into mitochondria
β- Oxidation and ketogenesis
8.2.2 FA BiosynthesisFA synthesis is not the reverse of degradation:
different pathways, enzymes, location of cells
Location of FA synthesis:
cytoplasm of liver (major), adipose and other tissue cells.
First step: synthesis of palmitic acid
Palmitic Acid BiosynthesisMaterial:
acetyl CoA (come mostly from glucose)
NADPH (pentose phosphate pathway or produced by malate enzyme.)
ATP
HCO3-
Acetyl CoA must be transport to cytosol.
citrate citrate
oxaloacetate
malate
pyruvatepyruvate
oxaloacetate
Acetyl CoA ATP Acetyl CoA
MITOCHONDRIA CYTOSOL
Citrate synthase
ATP-citrate lyase
Inner membrane citrate pyruvate cycle
Formation of malonyl CoA
ATP + Acetyl CoA + HCO2- Malonyl CoA + ADP + Pi
acetyl CoA carboxylase
biotin act as CO2 carrier
Acetyl CoA carboxylase is the key enzyme of the FA synthesis.
Allosteric regulation:
up-regulate: citrate and isocitrate
down-regulate: palmitoyl CoA
Phosphorylation regulation
up-regulate: dephosphorylation
(insulin)
down-regulate: phosphorylation
(glucogen)
Repetivity steps catalyzed by Fatty Acid Synthase
The chain of FA grows 2-carbons per cycle.
The reactions are similar to the reversal of FA β-oxidation.
CH3COSCoA +7 HOOCH2COSCoA + 14NADPH+H+
CH3(CH2)14COOH +7 CO2 + 6H2O + 8HSCoA + 14NADP+
Fatty Acid Synthase
In mammalian:
Fatty acid synthase (Type synthaseⅠ ) is a single multifunctional polypeptide with 7 activities.
In E.coli (becteria): Fatty acid synthase system (Type Ⅱsystem) contain 7 enzymes organized into a cluster.
1
A. Addition of an activated acyl group with CH2-carbon of malonyl CoA,
3. 4 reactions add 2-cabon
B. Reduction of the β-keto group to an alcohol
1
C. Dehydration to create a double bond
D. Reduction of the double bond to create saturated fatty acyl group
K
S
S
O=C
CH3
A
C
P
S
C=O
CH2—COO-
K
S
S
O=C
CH2
CH2
CH2
CH2
CH3
A
C
P
S
C=O
CH2—COO-
K
S
S
O=C
CH2
CH2
CH2
CH2
CH2
CH2
CH3
A
C
P
S
C=O
CH2—COO-
O-
O=C
CH2
CH2
CH2
CH2
CH2
CH2
CH3
CH2
CH2
CH2
CH2
CH2
CH2
CH2
CH2
K
S
A
C
P
HS HS
+
4H++4e-
CO2
K
S
S
O=C
CH2
CH2
CH3
A
C
P
S
C=O
CH2—COO-
4H++4e-
CO2
4H++4e-
CO2
a new round of reactions begin, till a 16-C saturated palmitate synthesized.
Elongation of FA Carbon Chain
In endoplasmic reticulum
elongate the chain by 2-C each time, the reactions is similar to what happened in palmitic synthesis, but no ACP is involved.
Material: Acyl CoA, malonyl CoA, NADPH
Product: C18 stearate (main)—C24 FA
In mitochondria
the process here is the reversal of β-oxidation, add 2-C each time.
Material: Acyl CoA, Acetyl CoA, NADPH,
NADH
Product:
C18 stearate (main)—C24 or C26 FA
Synthesis of polyunsaturated FAHumans have Δ4 、 Δ5 、 Δ8 、 Δ9 desaturase, can produce palmitoleic acid (16:1 Δ9) and oleic acid (18:1 Δ9) from palmitate and stearate.
NAD+
e- + [Cyt b5-Fe2+]
+ NADH + H+
Essential Fatty Acids (EFA)
linoleic acid (18:2 Δ9,12),
linolenic acid (18:3 Δ9,12,15)
arachidonic acid (20:4 Δ5,8,11,14)
must be obtained from dietary sources, usually from plant, called essential fatty acids.
reasons: there are no desaturases in human can produce double bonds beyond 9-10 carbon position.
Biosynthesis of triacylglycerols
Location: all tissues, intestine and live are most
active tissues.Material:
glycerol 3-phosphate (in intestine, monoacylglycerol also be used.) FFA (acyl CoA)
Processes: Monoacylglycerol pathway (intestine) Diacylglycerol pathway (liver, adipose)
The origins of glycerolIn intestine, liver and adipose tissues:
In liver and intestine:
dihydroxyacetone phosphate
glycerol
3-phosphateglucose
glycolysis dehydrogenate
glycerol glycerol 3-phosphate
phosphorylation
glycerokinase
Diacylglycerol pathway Diacylglycerol pathway
Acyl CoA transferase
CoA R1COCoA
CoA R2COCoA
Pi
CoA R3COCoA
PiPiCHCH22OO--
CHCH22OH OH
CHOH CHOH
3 - 磷酸甘油
PiPiCHCH22OO--
CHCH22OH OH
CHOH CHOH
3 - 磷酸甘油
O=
PiCHCH22OO--
CHCH22OO--CC--RR1 1
CHOCHO--CC--RR2 2
O=
磷脂酸
O=
PiCHCH22OO--
CHCH22OO--CC--RR1 1
CHOCHO--CC--RR2 2
O=
磷脂酸CHCH22OH OH
CHCH22OO--CC--RR1 1
CHOCHO--CC--RR2 2
O=
O=
1,2-甘油二酯
CHCH22OO--CC--RR3 3
CHCH22OO--CC--RR1 1
CHOCHO--CC--RR2 2
O=
O=
O=
甘油三酯
CHCH22OO--CC--RR3 3
CHCH22OO--CC--RR1 1
CHOCHO--CC--RR2 2
O=
O=
O=
甘油三酯
O=
PiCHCH22OO--
CHCH22OO--CC--RR1 1
CHOH CHOH
1-酯酰-3 - 磷酸甘油
O=
PiCHCH22OO--
CHCH22OO--CC--RR1 1
CHOH CHOH
1-酯酰-3 - 磷酸甘油
PiCHCH22OO--
CHCH22OO--CC--RR1 1
CHOH CHOH
PiCHCH22OO--
CHCH22OO--CC--RR1 1
CHOH CHOH
1-酯酰-3 - 磷酸甘油
Acyl CoA transferase
phosphatidase Acyl CoA transferase
glycerol 3-phosphate lysophosphatidate
phosphatidate Diacylglycerol triacylglycerol
Regulation of TAG metabolism
Acetyl CoA carboxylase (ACC)
activation: citrate,
dephosphorylation (insulin)
inhibition: palmitoyl CoA
long chain acyl CoA
phosphorylation (glucagon)
Carnitine acyltransferase Ⅰ inhibition: malonyl CoA
Phospholipids are phosphorous-containing lipids.
Including:
Glycerophospholipids (phosphoglycerides)
Sphingolipids
Biosynthesis of glycerolphospholipids
Location:
endoplasmic reticulum and outermitochondrial membrane of all types of cells, mostly in liver, kidney, intestine.
Material:
FAs and glycerols (glucose, diet)
choline or serine, inositol (diet, synthesis)
ATP, CTP, Pi
Serine ethanolamine choline
3(S-adenosyl methionine)
CDP-ethanolamine CDP-choline
CHCH22OH OH
CHCH22OO--CC--RR1 1
CHOCHO--CC--RR2 2
O=
O=
1,2-甘油二酯DAG
CMP CMP
Phosphatidyl ethanolamine
Phosphatidyl choline
1.Diacylglycerol pathway
phosphoethanolamine phosphocholineCDP-choline
1
CDP-diacylglycerolPhosphatidyl glycerol inositol
1
1
1 1
cardiolipin
Phosphatidyl inositol
2. CDP-diacylglycerol pathway
Glycerol 3-phophate
Phosphotidic acid
2 acyl CoA 2CoA CTP ppi
serine
CMP
Phosphatidyl serine
Other methods
Phosphatidyl choline
3(S-adenosyl methionine)
Phosphatidyl ethanolamine
Phosphatidyl serine
change the head
Phosphatidyl ethanolamine
Degradation of glycerophospholipids
CH2O-C-R1
R2C-O-CH
CH2O-P-O—X
OH
OO
OO
OO
PLA1
PLA2
PLC
PLD
PLB2
PLB1
CH2OH
R2C-O-CH
CH2O-P-O—X
OH
OO
OO
CH2O-C-R1
HO-CH
CH2O-P-O—X
O
OH
O
Phopholipase
1
2
57
10
4
8
9
11
3
6
12
14
13
15
17
18
1916
21 22 24
25
26
27
20 23
Structure of cholesterolBase of the structure:
perhydrocyclopenano-phenanthrene
(four rings)
Total: 27 carbons
It is an alcohol found in animal
1.Cholesterol Biosynthesis
Amount:
synthesis: 1g/day
diet: 0.3g/day
Location:
cytoplasm and endoplasmic reticulum of liver(80%), intestine(10%) and other tissues.
Material:
To one cholesterol:
18 acetyl CoA (glucose, amino acid)
36 ATP
16 NADPH+H+ (pentose-phosphate pathway)
Process:Three stages:
Conversion of acetyl CoA to mevalonate
(C6)
Conversion of mevalonate to squalene
(C30)
Squalene cyclization and conversion to cholesterol
(C27)
CoASH
CoASH
CHCH33CSCoA CSCoA
==OOCHCH33CSCoA CSCoA
==OO==OO CHCH33CSCoA CSCoA
==OOCHCH33CSCoA CSCoA
==OO==OO
CHCH33CCHCCH22CSCoA CSCoA ((乙酰乙酰乙酰乙酰CoACoA))
==OO ==OOCHCH33CCHCCH22CSCoA CSCoA
((乙酰乙酰乙酰乙酰CoACoA))
==OO==OO ==OO==OO
HOCCHHOCCH22CCHCCH22CSCoACSCoA((HMGCoAHMGCoA) ) CHCH33
OHOH
羟甲基戊二酸单酰羟甲基戊二酸单酰CoACoA==OO ==OO
HOCCHHOCCH22CCHCCH22CSCoACSCoA((HMGCoAHMGCoA) ) CHCH33
OHOH
羟甲基戊二酸单酰羟甲基戊二酸单酰CoACoA==OO==OO ==OO==OO
Acetoacetyl CoA
3-hydroxy-3-methylglutaryl CoA
Mevalonate (MVA)
HMGCoA reductase
(key enzyme)
1. Form MVA
Regulation of cholesterol Biosynthesis
HMG CoA reductase:
1. phosphorylated (glucagon):
inactivation
dephosphorylated (insulin):
activation
2. feed back inhibition of cholesterol:
inhibit the formation of enzyme.
3. Feeding status: starvation: decrease the activation overeating: increase the activation
4. Feedback regulation of degradation : high sterol synthesis: high degradation low sterol synthesis: low degradation
Ch biotransformation and excretion
Conversion to Bile Acid (in liver)
1g ch is excreted as bile acid each day.
Conversion to cholesterol hormones (in adrenal cortex, testis, ovary)
pregnanes, androstanes, estranes, glucocorticoids, mineralocorticoids,
Conversion to 7-dehydrocholesterol (skin),
which can be change to Vit D3 by UV light.
Plasma lipids
Including:
FFAs, TAGs, cholesterols (CH), cholesterol esters (CE), phospholipids (PL),
Total lipids: 5 mmol/LTotal TAGs: 0.11 ~ 1.69 mmol/L Total PL: 48.44 ~ 80.73 mmol/L Total CH: 2.59 ~ 6.47 mmol/L FFA : 0.195 ~ 0.805 mmol/L
Plasma lipoproteins
Lipoproteins are globular, micelle-like particles consisting of a hydrophobic core of triacylglycerols and cholesterol esters surrounded by an amphipathic coat of protein, phospholipid and cholesterol, acting as the transport form of plasma lipids.
Classification:
Agarose gel electrophoresis:
♁ CM 1 前
Chylomicrons(CM)
Preβ lipoproteinsβ lipoproteins
α lipoproteins
Density gradient ultracentrifugation
Chylomicron, (CM)
Very low density lipoprotein, ( VLDL)
Low density lipoprotein, ( LDL)
High density lipoprotein, (HDL)
Apolipoproteins (apoproteins, apo):
Apolipoproteins are the proteins involved in the lipoproteins.
Classification:
Function:
-act as cofactors for lipid metabolism enzymes
-maintain the lipoprotein structure
apo A: AⅠ 、 AⅡ 、 A Ⅳapo B: B100 、 B48 apo C: CⅠ 、 CⅡ 、 C Ⅲapo D apo E
CM VLDL LDL HDL
electrophoresis CM Pre β β α
density < 0.95 0.95~1.006 1.006~1.063 1.063~1.210
Composition:
TAG
80~90%
apo
1%
TAG
50~70%apo 5~10%
Ch and CE
40~50%
apo
20~25%
Lipids
50%
apo
50%
origin intestine liver VLDL/liver Intestine, liver
apolipoproteins apoB48, E A , ⅠA AⅡ Ⅳ 、 C ⅠCⅡ 、 CⅢ
apoB100 、 CⅠ 、C CⅡ Ⅲ 、 E
apoB100 apo AⅠ 、 AⅡ
Functions Dietary TAGs and cholesterol transport
Endogenous TAGs and cholesterol transport
Endogenous cholesterol and CE transport (from liver to tissue)
Reverse transport of
cholesterol and CE (from tissue to liver)
Abnormal metabolism of lipoproteinHyperlipoproteinemia (hyperlipidemia)
refer to abnormally high levels of lipids of lipoproteins in blood. It can be divided into 6 types.
Genetic disease:
associated with the mutation of key enzyme or apo involved in lipoprotein metabolism, such as: apoCⅡ 、 B 、 E 、 AⅠ 、 CⅢ , LDL recepter.
Familial hypercholesterolemiainherited disorder of lipids.
Reason:
lack of functional LDL receptors
Characters:
elevated level of Ch in blood
cutaneous xanthoma in childhood
coronary artery disease ( atherosclerotic , thrombus )