Fat metabolism Common food composition: - carbohydrates: 45-50% - fats: 35-40% - proteins: 10-15% Fats 90% tryglycerides remaing

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Fat metabolism Common food composition: - carbohydrates: 45-50% - fats: 35-40% - proteins: 10-15% Fats: compounds can be solved in apolar solvents Average daily fat consumption: 50-150 g - 90% tryglycerides - remaing: cholesterin, cholesterin-esthers, phospholypids, fatty acids

tryglycerides phospholypids

Fatty acids

The digestion and absorption of fats The beginning: in the mouth by the lipases produced by the glands of tounge. They are still active in the stomach. Fats are not water soluble slow process bile acids Digestion in the gut (duodenum, jejunum) Ingestion (protein, fat) cholecystokinin, secretin lipase, esterases

Pancrteatic lipase Colipase Secretum of pancrease: phospholipase A 2 proenzyme active phospholipase A 2 Lisophospholipase: the hidrolysis of the other fatty acid széklet További bontás után felszívódik

Endproducts: 2-monoglycerid, fatty acids, cholesterol Micelle formation together with bile acids Triglycerid resynthesis Chylomicron formation

Transport of lipids, lipoproteins A táplálék lipidjeinek el kell jutni a felhsználó szövetekhez és a májhoz. A plazma vizes közegében nem oldódnak Most hydrofobic molecules: fatty acids, triglycerols, cholesterol, choleszterolesthers Diffetrens transport strategies: 1. Fatty acids: bind to albumin 2. triglycerols, cholesterol, cholesterol-esthers : transported by lipoproteins

Lipoproteins: hydrophilic shell hidrofób lipidek számára Apoproteins: protein components of the hydrophobic shell Phospholipids: the (amphiphatic) lipid components of the shell Cholesterol can be found in the shell too. The core of lipoproteins: triglycerols, cholesterol, cholesterol-esthers.

This stucture is a general feature of all lipoproteins However their contents are different: different protein, lipid content/ratio They have different density They can be separated by ultracentrifugation or by electrophoretic techniques

The roles of apoproteins - structural roles (skeleton of lipoproteins), - surface markers, LPs are recognized by the cells on the base of APs - They are activators and inhibitors of important enzymes in lipid metabolism

Chylomicron: - The transport of ingested lipids from the intestine - high lipid/protein ratio (98-99 % of dry weight) lowest density - It forms in the intestinal epithel from resynthesized triglycerols, cholesterol - apoproteins are added to the lipid micelles (apo B-48, A-I, A-IV) Lymph nodes circulation

Further apoproteins (apoe, CII, CIII) are added in the circulation Apoprotein C-II : the cofactor of the enzyme Adipose tissue, heart muscle, sceletal muscle, lactating breast: lipoprotein lipase (triglycerols are cleaved to glycerol, and fatty acid) Chylomicron remnant: higher density, lower triglicerol content It is taken up by liver cells on the base of apo E marker

Lipids from the liver are transported by Very Low Density Lipoprotein (VLDL). The sources of fatty acids in triglycerols: - Chylomicron remnant - Free fatty acids taken up by the liver - Fatty acids synthesized by the liver The sources of cholesterol meal, biosynthesis

Cholesterol/triglycerol ration in the VLDL: ¼ Cholesterol reach diet: 1/1 Typical apoprotein: B-100 VLDL is transported to the periferial tissues and its triglycerol content is cleaved by the lipoprotein-lipase IDL 50% Taken up by the liver cells (apo E) Remain in the circulation and IDL is converted to LDL

Low Density Lipoprotein: LDL Typical lipid component: cholestol-esther The 2/3 of LDL leave the circulation through B-100 receptors. Important organs: liver, intestine, adrenal glands, gonads Apoprotein: B-100

Familiar hypercholesterinaemia The number or the functional deficiency of B-100 receptors can be in the background. Due to mutations: 1. Deficiency in receptor synthesis 2. Deficiency in the posttranslational modification 3. Structural changes in the ligand binding domain Heterozygotic form: the number of (functional) receptors is the half of wild type Therapy: the inhibition of cholesterol biosynthesis by statins, or the application of bile acid binding resins Homozygotic form: total deficiency of receptors Therapy: liver transplantation

The inhibition of cholesterol biosynthesis via the inhibition of 3-hydroxy-3-methyl CoA reductase by Lovastatin.

High Density Lipoprotein (HDL) HDL transports cholesterol from the extrahepatic cells and from the artery walls to the liver. protective or good cholesterol ) Typical apoprotein: apo E. LCAT: lecithin:cholesterol acyltransferase. This enzyme is responsible for the formation of cholesterol-esthers.

Alternative way of LDL removal: Macrophags take up LDL by the mediation of (scavenger) receptors It has higher importance at higher LDL concentration Saturating by cholesterol-esthers Foam cell Typical componenet of atherosclerosis plaque

Summary of lipid transport metabolism Triglycerols from food chylomicron tissues (energy source, storage) cholesterol endogene triglycerol cholesterol chylomicron remnant liver HDL LCAT chylomicron remnant cholesterol esther

Lipolysis: the release of fatty acids from the adipose tissue lipase

The fate of glycerin: Back to the liver glycerin glycerin-kinase glycerin-3-phosphate tryglyceride synthesis dihydroxi-aceton-phosphate glycolysis gluconeogenesis

The fate of fatty acids: They are transported in the blood connected to albumin to the periferial tissues oxydation energy Fatty acid utilization - heart muscle - skelatal muscle It depends on the food intake too. Sated: carbohydrate utilization and storage no fatty acid oxidation No fatty acid utilization - nerve tissue Starvation, physical activity: fatty acid oxidation - red blood cells - medular cells of adrenal glands fatty acid synthesis

The b-oxidation of fatty acids 1. oxidation: FADH 2, double bond in trans position 2. Hydratation: b-hydroxi fatty acid in L-configuration 3. The oxidation of OH group on the b-carbon 4. tiolysis

Products of every cycle: shorter (2 carbon) fatty acids, 1 acetyl- CoA, 1 FADH 2, 1 NADH Citrate cycle FADH 2,NADH Terminal oxidation ENERGY Catabolism of 1 palmytic acid (16 C-atom): - 7 cycles - 8 acetyl-coa - 7 FADH2 Netto: 129 ATP - 7 NADH

Formation of ketone bodies The concentration of oxaloacetate is limited in the mitochondria. It also consumes in liver cells by the gluconeogenesis

Biosynthesis of fatty acids

Biosynthesis of cholesterol