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Always behave like a DUCK Keep calm and unruffled on the surface But Paddle with great vigor underneath

10 lipoprotein metabolism 2015

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Page 1: 10 lipoprotein metabolism 2015

Always behave like a DUCK

Keep calm and unruffled

on the surfaceBut

Paddle with great vigor underneath

Page 2: 10 lipoprotein metabolism 2015

Lipoprotein and

its Metabolism

Page 3: 10 lipoprotein metabolism 2015

What is lipoproteins?

• Lipoproteins are spherical, macromolecular complexes of lipids and specific protein called

Apo-protein.

Page 4: 10 lipoprotein metabolism 2015

What are the functions of lipoproteins?

• 1. They keep water insoluble lipids in solution of aqueous plasma.

• 2. Provide mechanism for transporting their lipid components to and from the tissue.

Page 5: 10 lipoprotein metabolism 2015

What is the general composition of plasma lipoproteins?

They contain neutral lipid core made of TG , Cholesteryl esters and shell of amphipathic phospholipids, Unesterified cholesterol and apoprotein.

Page 6: 10 lipoprotein metabolism 2015

HOW ARE THE LIPOPROTEINS CLASSIFIED?

Classified on the basis of

1.COMPOSITION

2.DENSITY and

3.ELECTRO PHORETIC MOBILITY

Page 7: 10 lipoprotein metabolism 2015

Name the classes of lipoproteins?

• 1. Chylomicron• 2. Very low density lipoproteins (VLDL).• 3. Low density lipoproteins (LDL).• 4. High density lipoproteins (HDL).• 5. Free fatty acids – Albumin complex

Page 8: 10 lipoprotein metabolism 2015

Arrangement of lipoprotein on their

Size and DensityLipoprotein class

Size Density

Chylomicrone 1000 to 10,000A Less than 0.96

VLDL 300 to 700A Upto 1.006

LDL 150 to 250A Upto 1.063

HDL 75 to 100A Above 1.063

Page 9: 10 lipoprotein metabolism 2015

Lipoprotein composition

TG C & CE

PL Apoprotein

Chylo-microne

90 % 5 % 3 % 2 %

VLDL 60 % 20 % 15 % 5 %

LDL 08 % 50 % 22 % 20 %

HDL 05 % 25 % 30 % 40 %

Page 10: 10 lipoprotein metabolism 2015

Electrophoretic mobilityDensity

Page 11: 10 lipoprotein metabolism 2015
Page 12: 10 lipoprotein metabolism 2015

Write the functions of apolipoproteins.

• 1. Provide recognition sites for cell surface receptors.

• 2. Serves as coenzymes• 3. Some are required as a structural part and

can not be replaced or removed.

Page 13: 10 lipoprotein metabolism 2015

Write the functions of CHYLOMICRONES.

• Transport mainly Exogenous Tri acyl glycerol from intestine to Liver, adipose tissue and muscle.

• TAG either absorbed from food or Synthesized in enterocytes )

Adipose

Muscle

Page 14: 10 lipoprotein metabolism 2015

Write the functions ofVery Low Density Lipoproteins ( VLDL ) • Transports mainly

endogenous Tri acyl glycerols from Liver to extra hepatic tissues

• Endogenous Tri acyl glycerols Synthesized in hepatocytes

Page 15: 10 lipoprotein metabolism 2015

Write the functions ofLow Density Lipoproteins (LDL)

• Transports mainly Cholesterol and cholesteryl esters from Liver to extra hepatic tissues

cholesterol

Page 16: 10 lipoprotein metabolism 2015

Write the functions ofHigh Density Lipoproteins (HDL)

• Transports mainly Cholesterol and Cholesteryl esters from extra hepatic tissues to Liver

• Serves to hold apo-c & apo-e for use

cholesterol

Page 17: 10 lipoprotein metabolism 2015

Write the functions ofFree fatty acid Albumin complex

• Transports mainly free fatty acids released from adipose tissue to Liver for oxidation

FFA

Adipose

Adipose

Adipose

FFA

FFA

FFA

Page 18: 10 lipoprotein metabolism 2015

Enzymes in lipoprotein metabolism

• Lecithin cholesterol acyl transferase• L CAT :

• Catalyses transfer of Sn2 FA of phospholipids to cholesterol.

• Converts polar cholesterol to non polar cholesteryl esters

• Shift of cholesterol form periphery to core

Page 19: 10 lipoprotein metabolism 2015

• Lipoprotein lipase• Heparin sensitive lipase

Catalyses hydrolysis of chylomicron and VLDL

Located on capillary surface Responsible for generating FA and

glycerol in tissue

Enzymes in lipoprotein metabolism

Page 20: 10 lipoprotein metabolism 2015

• Hepatic lipase

Catalyses hydrolysis of TAG and Phospholipids of HDL and IDL

Located in sinusoid s of liverResponsible for metabolic degradation

of HDL and IDL

Enzymes in lipoprotein metabolism

Page 21: 10 lipoprotein metabolism 2015

• Acid lipase• Intracellular lipase

Catalyses hydrolysis of TAG and cholesteryl esters in lysosomes

Located in lysosome , Optimum pH acidic Responsible for degradation of

lipoprotein taken up by receptor mediated endocytosis

Enzymes in lipoprotein metabolism

Page 22: 10 lipoprotein metabolism 2015

Lipoprotein Receptors

E

B100 E

Receptor for chylomicron remnants

Receptor for LDL and IDL

X unknown Receptor for

HDL

Receptor for LDL does not recognize VLDL due to presence of C ii

Apo C ac t as coenzyme for lipo protein lipase

Page 23: 10 lipoprotein metabolism 2015

METABOLISM OF CHYLOMICRONS

Lipoprotein metabolism

1

Page 24: 10 lipoprotein metabolism 2015

Type I Hyper LP

Lplipase def Apo Cii def

Page 25: 10 lipoprotein metabolism 2015

METABOLISM OF VLDL AND LDL

Lipoprotein metabolism

2

Page 26: 10 lipoprotein metabolism 2015

Type IIIHyper LP

Fatty liver

Type IIHyper LPLDL not

removed

Page 27: 10 lipoprotein metabolism 2015

CELLUAR UPTAKE

AND

DEGRADATION OF LDL

Lipoprotein metabolism

3

Page 28: 10 lipoprotein metabolism 2015
Page 29: 10 lipoprotein metabolism 2015

Receptor mediated Endocytosis

Page 30: 10 lipoprotein metabolism 2015

METABOLISM OF HDL

Lipoprotein metabolism

4

Page 31: 10 lipoprotein metabolism 2015

VLDL

VLDL LCAT

Page 32: 10 lipoprotein metabolism 2015

Apo – A1Apo – B

Bad cholesterolLDL

Good cholesterol HDL

Page 33: 10 lipoprotein metabolism 2015

Lipoproteins and Disease

• Hyperlipoproteinemias and

hypolipoproteinemias are due to

malfunctions in the synthesis and

catabolism of lipoproteins.

Page 34: 10 lipoprotein metabolism 2015

HYPERLIPOPROTEINEMIA TYPE -- I

Deficiency of enzyme lipoprotein lipase

VLDL and Chylomicrons are not utilized

High TAG level in the blood

Page 35: 10 lipoprotein metabolism 2015

HYPERLIPOPROTEINEMIA TYPE -- II

Lack of removal of LDL form the blood

Not recognising Apo B100 in LDL receptor

High Cholesterol level in the blood

High risk of CHD and Atherosclerosis

Page 36: 10 lipoprotein metabolism 2015

HYPERLIPOPROTEINEMIA TYPE -- III

Deficiency of enzyme mobilising VLDL and LDL from circulation

Apo E deficient, impairs uptake

IDL level increase in the blood

Page 37: 10 lipoprotein metabolism 2015

HYPERLIPOPROTEINEMIA TYPE -- IV

Due to imbalance between synthesis and clearance of VLDL in circulation

Page 38: 10 lipoprotein metabolism 2015

HYPERLIPOPROTEINEMIA TYPE -- V

Lipoprotein lipase deficient or utilisation of VLDL and Chylomicrons

Page 39: 10 lipoprotein metabolism 2015

HYPO LIPOPROTEINEMIA

A BETA LIPOPROTEINEMIA1. Serum LDL and VLDL level

decreased due to absence of Apo B

2. Lack of formation of Chylomicron after high fatty meal

3. Result malabsorption, steatorrhea and cholesterol deposition under skin as nodules

Page 40: 10 lipoprotein metabolism 2015

HYPO LIPOPROTEINEMIA –

II

Tangier disease1. Deficiency of Serum HDL due to absence of Apo A1

2. Result cholesterol ester deposition in skin , cornea and blood vessels.

3. Increased risk of premature CHD

Page 41: 10 lipoprotein metabolism 2015

Diseases Genetic defects Risk

LPL defect Reduced level of LPL Pancreatitis

Apo C-11 defect Inability to synthesize Apo C-11

Pancreatitis

A beta lipoproteinemia

Inability to synthesize Apo B

Neurological defect

An alpha lipoproteinemia

Inability to synthesize Apo A

Cholesteryl esters storage in abnormal sites

Diseases associated with lipoprotein metabolism

Page 42: 10 lipoprotein metabolism 2015

Apo B48Apo A

Intestinal mucosa

Liver

ChoesterolFatty acid

Apo AApo CApo E

E

Receptor for chylomicron remnants

B48

chylomicron remnants

B48E

AE

C II

HDL

ChPL

ChTAG

ChTAG

GlycerolFree FA

Lipoprotein lipase

C IIE

Nacent chylomicron

A

EC II

CM

ChPL

B48

A1

2

3

4