LIPIDS AND LIPOPROTEINS. BY: DR. A. P. ABOYEJI DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY UNIVERSITY OF ILORIN TEACHING HOSPITAL, ILORIN, KWARA STATE. AT PRIMARY REVISION COURSE AUGUST 2006 OF THE FACULTY OF OBSTETRICS AND GYNAECOLOGY (WACS). LIPIDS AND LIPOPROTEINS
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DR. A. P. ABOYEJI
DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY
UNIVERSITY OF ILORIN TEACHING HOSPITAL, ILORIN, KWARA STATE.
PRIMARY REVISION COURSE
FACULTY OF OBSTETRICS AND GYNAECOLOGY (WACS)
LIPIDS: Are heterogeneous group of compound.
Are related more by physical than chemical properties.
They are: Relatively insoluble in water
Soluble in non polar solvents such as ether, chloroform and benzene.
Lipid in general have high energy value and they contain fat soluble vitamins and essential fatty acids.
Serves as efficient source of energy when stored in adipose tissue.
Nerve tissue contains high content of fat.
Combination of fat and protein (lipoprotein) are important cellular constituent and serves as transporting lipids in the blood.
SIMPLE OR COMPLEX
SIMPLE LIPIDS: Esters of fatty acids with various alcohol.
Fats. Esters of fatty acids with glycerol.
Waxes –Ester of fatty acid with higher molecular WT monohydric alcohols.
COMPLEX LIPIDS: Esters of fatty acids containing groups in addition to an alcohol and a fatty acid.
Phospholipids: Lipids containing in addition to fatty acids and an alcohol a phosphoric acid residue I.e. glycerophospholipids.
SELECTED LIPID OF SIGNIFICANCE
FATTY ACIDS – They are aliphatic carboxylic acids.
Can also be divided into
The prostaglandins exist virtually in every mammalian tissues acting as local hormone.
Triacyglycerols (Triglycerides) are the main storage forms of fatty acids.
The main lipid constituents of membrane. They include: phosphatidic acid phosphatidylglycerol
Phosphatidylcholine * Phosphatidylethonolamine
Phosphatidylinositol * Phosphatidylserine
Plasmalogen * Sphingomyelins
They are all phosphoacyglycerols except sphingomyelins
Phosphatidylcholines (Lecithine) occur in cell membrane and they are the most abundant phospholpids of cell membrane and a large proportion of body’s store of choline.
Choline is important in nervous transmission as acetycholine and a major constituent of the surfactant preventing adherence due to surface tension of the inner surface of the lung.
It’s absence in preterm infant causes respiratory distress syndrome.
Lipid peroxidation (auto-oxidation) yield free radical which may cause cancer, inflammatory diseases artherosclerosis and aging. Is a chain reaction providing continous supply of free radical that initiate further peroxidation
Combination of lipids and proteins to effect transportation of lipid in aquous environment. Transfer lipids as chylomicrons from intestine and from the liver as very low density lipoproteins (VLDL) to most tissues for oxidation and to adipose tissue for storage.
4 major classes of lipids are present in lipoprotein, triacyglycerols, phospholipids, cholesterol and cholestery esters.
4 major groups of lipoprotein
Chylomicrons from intestinal absorption of triacyglycerol
Very low density lipoproteins (VLDL or pre -lipoproteins) derived from liver to export triacyglycerol.
Low density lipoprotein (LDL, or -lipoproteins) a final stage in the cartabolism of VLDL.
High density lipoproteins (HDL or -lipoprotein) involved in VLDL and chylomicron metabolism and cholesterol transport. Also derived from liver and intestine.
Tryacyglycerol is the predominant lipid in chylomicrons and VLDL. While cholesterol and phospholipid are the predominant lipids in LDL and HDL.
A typical lipoprotein I.e. VLDL consist of
Lipid core mainly of non polar triacyglycerol and cholesteryl ester.
A single surface layer of amphipathic phospholipid and cholesterol molecules.
Protein moiety known as apolipoprotein or apoprotein. Some of the apolipotroteins are integral and cannot be removed whereas other are free to transfer to other lipoproteins.
The distribution of the apolipoprotein characterizes the lipoprotein.
REGULATION OF METABOLISM
Chylomicrons and VLDL are rapidly catabolized by lipoprotein lipase in adipose tissue, heart, muscles and liver.
Chylomicron loses about 90% of the triacyglcerol resulting in chylomicron remnant. The liver is responsible for uptake of the remnant.
Similar changes occur VLDL resulting in the formation of VLDL remnants or IDL (Intermediate Density lipoprotein) which is finally converted to LDL.
LDL is metabolized via LDL receptor and is not rapidly catabolized as VLDL.
HDL is synthesized both from the intestine and liver and takes part in both lipoprotein, triacyclycerol and cholesterol metabolism.
Newly secreted, (Nascent) HDL from intestine does not contain apo C or E but only apo A.
Thus apo C and apo E are synthesized in liver and transferred to intestinal HDL.
A major function of HDL is therefore to act as repository for apo C and apo A required in the metabolism of chylomicron and VLDL.
HDL removes cholesterol from tissues to liver.
In the liver hepatic lipase release the HDL which reenters the cycle- (Reverse cholesterol transfer).
HDL Conc. Vary reciprocally with plasma triacyglycerol conc. And directly with activity of lipoprotein lipase.