Quick Revision Series

Biosynthesis of cholesterol- a quick revision

Biosynthesis of cholesterol The biosynthesis of cholesterol may be divided into five steps: (1) Synthesis of Mevalonate from acetyl-CoA. (2) Formation of Isoprenoid units from Mevalonate by loss of CO2. (3) Condensation of six isoprenoid units forms Squalene. (4) The cyclization of Squalene gives rise to the parent steroid, Lanosterol. (5)Formation of cholesterol from lanosterol.

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Regulatory Mechanisms- Lipid Metabolism (summary Chart)

  Enzyme and pathway Effect of substrate concentration Allosteric Modification/ Feedback Inhibition/Covalent modification Induction/ Repression Clinical Significance Acetyl co A Carboxylase (Fatty acid synthesis) Activity increases during the well-fed state Activity decreases during fasting Activator- Citrate, ATP Acetyl co A Insulin- activates the enzyme by covalent modification of the enzyme (dephosphorylation through stimulating protein phosphatase enzyme) Inhibitors–

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Lipid metabolism- animations

Fatty acid metabolism- Animations http://www.wiley.com/legacy/college/boyer/0470003790/animations/fatty_acid_metabolism/fatty_acid_metabolism.htm http://www.brookscole.com/chemistry_d/templates/student_resources/shared_resources/animations/carnitine/carnitine1.html http://nutrition.jbpub.com/resources/animations.cfm?id=23&debug=0 Cholesterol metabolism- Animations http://www.google.mu/url?sa=t&rct=j&q=cholesterol%20metabolism&source=web&cd=6&ved=0CEgQFjAF&url=http%3A%2F%2Fwww.wiley.com%2Fcollege%2Fboyer%2F0470003790%2Fanimations%2Fcholesterol%2Fcholesterol.htm&ei=Y1u_To6eLpS3hAfBl5yqBA&usg=AFQjCNEnz6PRIRPbutRUAAO5FS-aqAxguQ&cad=rja Lipoprotein metabolism http://www.wiley.com/college/pratt/0471393878/student/animations/lipoproteins/index.html https://www.youtube.com/watch?v=97uiV4RiSAY Atherosclerosis https://www.youtube.com/watch?v=OHE1ig4k64M LDL and HDL cholesterol https://www.youtube.com/watch?v=0U7YHRW5dyc

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Metabolic disorders- Carbohydrate metabolism

S.N. Process/Pathway affected Disease Major Manifestation 1) Digestion Lactose intolerance Sucrase/Isomaltase deficiency Inability to digest dairy products, bloating, pain- abdomen, diarrhea or constipation, etc. 2) Absorption (SGLT-1or SGLT-2 deficiency) Glucose/Galactose malabsorption   Impaired dietary glucose/galactose absorption (SGLT-1), or Renal glycosuria (SGLT-2) 3) Glycolysis Hexokinase or Pyruvate kinase deficiency (   Hemolytic anemia 4) PDH Complex

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