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Medical Biochemistry Robert F. Waters, PhD. Lipid Overview. Medical Biochemistry II: Lipids. Fatty Acid Overview:. Fatty Acid Nomenclature. Delta System Omega System Saturated vs. Unsaturated Cis vs. Trans Carbon Numbering Alpha carbon, etc. Fatty Acid Structure.
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Medical BiochemistryRobert F. Waters, PhD Lipid Overview
Fatty Acid Nomenclature • Delta System • Omega System • Saturated vs. Unsaturated • Cis vs. Trans • Carbon Numbering • Alpha carbon, etc.
Fatty Acids and “Good and Bad Cholesterol” • Saturated FA • Raise Good and Bad Cholesterol • Monounsaturated FA • Raise HDLs and Lower LDLs • Polyunsaturated FA • Maintain HDLs and Lower LDLs • Trans fatty acids • Lower HDLs and Raise LDLs
Essential Fatty Acids • Linoleate (GLA) • Linolenate • Arachidonic Acid is essential and may be formed from dietary linoleic acid • Note: Essential FAs are because we do not have enzymes to produce double bonds beyond carbon 9 • Conjugated FA in “Organic Beef” • Cancer treatment?
Fat Storage Control Mechanism • Leptin System (Not well known yet) • Small molecular weight protein produced by white adipose tissue • Has numerous metabolic effects where one is in the hypothalamus---- • Leptin with its receptor molecule suppresses food consumption by increasing the release of corticotropin-releasing hormone and suppression of something called a neuropeptide Y
Lipid Peroxidation • Inhalation of high concentration of oxygen causes excessive peroxidation of unsaturated FAs • Polyunsaturated FA susceptible to spontaneous peroxidation (non-enzymatic) • Autocatalytic • Due to presence of oxygen and some metal ions like Fe++ • Daisy chain effect • Causes membrane damage and allows for greater cytotoxicity (less selective permeability)
Reducing Peroxidation • Antioxidants (Reduce oxidative damage) • Vitamin E (-tocopherol) • Functionally related to the status of— • Selenium • Vitamin C • Iron • -carotene • Sulfur containing amino acids • Overall anti-oxidant defense
Reducing Peroxidation-Selenium • The more the selenium, the less vitamin E is necessary • Selenium associated with glutathione peroxidase which is involved in free radical reduction
Reducing Peroxidation-Vitamin C • Water soluble free radical scavenger and reducing agent • Complements vitamin E function • Involved in the formation (rejuvenation) of reduced vitamin E
Reducing Peroxidation--carotene • Precursor to vitamin A • Free radical scavenger • Quencher of singlet oxygen
Reducing Peroxidation-Iron • Removal of transition metal ions especially Fe++ is important in prevention of hydroxyl radicals (OH)
Reducing Peroxidation-Sulfur Containing Amino Acids • Muscular dystrophy occurred in animal studies when fed a Vitamin E deficient diet along with lacking selenium and sulfur containing amino acids • Sulfur containing amino acids is necessary for the synthesis of reduced GSH • N-acetylcysteine • Methionine (SAMe)
Vitamin E • Lipid soluble • Collective term for all the tocopherols and tocotrienols • Difference in double bond location
Vitamin E Absorption/Transport • Lumen of intestine • Tocopherol ester hydrolyzed to free tocopherol by pancreatic lipases • Packaged in chylomicrons • Stored in liver and packaged in VLDLs • Transported to peripheral cells • Bound to a protein to facilitate transfer between membranes • -tocopherol transfer protein
Vitamin E Biological Function • Protects membranes from oxidative damage (Anti-oxidant)
Not All Vitamin E’s Are The Same • Biopotency based on pharmaceutical or synthetic form of vitamin E called all-rac--tocopheryl acetate
Foods Rich in Vitamin E • Nuts • Seeds • “Margarine” • Vitamin E and unsaturated fatty acids?
Vitamin A and Carotenoids • Fat soluble vitamin • Exhibit biological activity of retinol • Alcoholic form of Vitamin A • Over 530 carotenoids found in nature with less than 50 have Vitamin A activity • NOTE: The term “retinoids” describe retinol like compounds NOT necessarily biological activity
Structure of “Retinoids” • Three basic structural components • -ionone ring • Polyunsaturated chain • Polar end group • Vitamin A is stored as retinyl esters • Retinol esterified with long chain fatty acid • Loss of polar end group
Not All Vitamin A’s are the same • Synthetically the -ionone ring has been replaced • Varieties of aromatic rings are added
Vitamin A Absorption and Metabolism • Absorption of retinyl esters • Hydrolysis by retinyl ester hydrolase by a pancreatic and brush border membrane form of the enzyme • All trans form is preferred
Carotenoids • Absorbed at lower efficiency than retinol • May be broken down immediately • Or, stored in liver and adipose tissue • False child jaundice • Oxygen scavenger (Anti-oxidant itself)
Storage and Mobilization of Vit.A • Stored as retinyl esters • Esterification with long chain fatty acids that make retinol very hydrophobic and therefore accumulates into droplets • Esterification enzymes • ARAT-acyl CoA:retinol acyltransferase • LRAT-lecithin:retinol acyltransferase • Both ARAT and LRAT are membrane integrated enzymatic proteins
Synthesis of Retinal & Retinoic Acid • Retinol may be converted to retinal • Dehydrogenation of retinol with electron acceptors NAD+ and NADP+ • Retinoic acid is produced from further oxidation from retinal • Converted into other metabolites • Not known true nature of retinoic acid • Involved in genetic control • Oxidation may be involved with Cytochrome P450 (Microsomal)
Retinol Binding Proteins • RBP-retinol binding protein • Synthesized in liver • Mainly a carrier of retinol in plasma • RBP is bound to TTR (transthyretin) • TTR is a carrier of thyroid hormones in blood • Binding of RBP to TTR prevents plasma loss of small molecular weight RBP by glomeruli filtration
Food Sources of Vitamin A • Preformed retinol • Liver • Whole and fortified milk • Eggs • Carotenoids • Yellow-orange vegetables and fruits • Carrots, sweet potato • Dark-green leafy vegetables • Spinach, broccoli
Toxicity and Vitamin A • Toxicity associated with excessive intake • Retinoic acid
Vitamin A Deficiency • Rare in developed countries • Depressed immune function • Night blindness • Xerophthalmia (misshapen cornea) • Drying of conjunctiva and cornea • Xerosis • blindness