full video link https://www.youtube.com/watch?v=SJNwC7fP0lM&t=433s
Mevalonate and cholesterol inhibit HMG-CoA reductase
STEROL REGULATORY ELEMENT BINDING PROTEINS[SREBPs]
• Three functional domains:
• N-terminal transcriptional regulatory domain
• DNA binding & gene regulatory functions
• Membrane anchoring domain
• 30 amino acid loop protruding into ER lumen
• C-terminal regulatory domain
• Interacts with cholesterol sensing protein embedded in ER membrane
• In case of low cholesterol SCAP escorts SREBP2 to the golgi for cleavage and activation
When cholesterol is high Precursor SREBPs remain anchored to the ER membrane in an inactive complex with sterol regulatory element binding protein (SREBP) and insulin-induced gene protein (INSIG). INSIG inhibits SCAP function. Cholesterol binding to SCAP or 25-hydroxycholesterol binding to INSIG results in formation of SREBP-SCAP-INSIG complex that maintains precursor SREBP in ER. Activating signals lead to disruption of inhibitory SCAP-INSIG complex, resulting in SCAP-mediated translocation of precursor SREBP to golgi apparatus. Sequential cleavage of SREBP by site 1 and site 2 proteases releases the N-terminal DNA binding domain which is translocated to the nucleus.
Increased intra cellular cholesterol is sensed by INSIG and as a consequence it ubiqutinilates HMG-CoA for degradation by proteasome
Effect of hormones:
• Increased activity:
• Insulin
• Thyroid hormone
• Decreased activity:
• Glucagon
• Glucocorticoids
• It is phosphorylated in presence of glucagon. Phosphorylation inactivates it. Dephosphorylated and activated by insulin
SCAP-INSIG complex retains SREBP in ER membrane when cholesterol is High
SCAP-INSIG complex dissociates and allows SREBP to move to golgi when cholesterol is low
Furanocoumarins in grape fruit juice inhibit cyt p450 leading to decreased metabolism of statins, so statins level will be high. Meaning cholesterol will be low inside cells, so SREBP will be freed of INSIG inhibition. SCAP will escort it to golgi for cleavage. Its DNA binding domain will move to nucleus and induce expression of LDL receptor gene.
• For a patient on regular lovastatin therapy there may be Low intra cellular cholesterol
• SCAP-INSIG complex likely to be active
• Loss of INSIG inhibition on translocation of SREBP to golgi
• LDL-receptor synthesis
Phytosterols bind cholesterol in enterocyte and are thrown back into intestinal lumen by ABCG5 and ABCG8.
For a person person on saturated fat enriched diet Saturated fatty acids will be delivered to adipose tissue and liver via chylomicrons. Saturated fatty acids will lead to formation of smaller VLDL particles that contain relatively more cholesterol. These are utilized by extrahepatic tissues at a slower rate compared to large particles. These tendencies may be regarded atherogenic
4. Prof. Dr. Jariya Kalsoom
Waiting room
• A middle aged man on statin therapy regularly
consumes grape fruit juice in breakfast
• Task:
• Comment on SREBP-SCAP-INSIG Complex
status in his cells
5. Prof. Dr. Jariya Kalsoom
WAITING ROOM
• A middle aged
manager at food outlet
regularly consumes
sizzling desi ghee
parathas with beef
nihari and fried eggs
tossed in butter
• Task:
• Comment on
biochemical ventures
towards atherogenesis
by his habits.
10/15/22 4
6. Prof. Dr. Jariya Kalsoom
Waiting room
• An old woman with
high blood cholesterol
levels is being treated
with lovastatin.
• Tasks:
• Comment on
SREBP-SCAP-INSIG
Complex in her cells
10/15/22 5
Jariya
Ja
riy
a
7. Prof. Dr. Jariya Kalsoom
Waiting room
• A man regularly
consumes whole
wheat cereals in
breakfast and
ispagulla husk at bed
time
• Task:
• Comment on his
SREBP-SCAP-INSIG
Complex in his cells
10/15/22 6
8. Prof. Dr. Jariya Kalsoom
Mortuary
10/15/22 7
Cause of death:
Cardiac arrest
Age:
18 years
Diagnosis:
Phytosterolemia/sitosterolemia
Task:
Comment on her SREBP during
her life time
9. Prof. Dr. Jariya Kalsoom
Waiting room
• A middle aged man
with high total
cholesterol is
prescribed statin
therapy
• Task:
• Comment on SREBP-
INSIG-SCAP complex
in his cells before start
of therapy
• Comment on SREBP in
him after 3 months of
regular statin therapy
10/15/22 8
LFTs
Jariya
10. Prof. Dr. Jariya Kalsoom
Waiting room:
• A medical student
regularly stops at drive
thru for double cheese
burger on his way to
college as his breakfast
• Task:
• Comment on his HMG-
CoA and LDL-Receptors
10/15/22 9
16. Prof. Dr. Jariya Kalsoom
Jariya
Jariya
Sterol regulatory element binding proteins
ER membrane
DNA
binding
domain
DNA
binding
domain
DNA
binding
domain
Regulatory
domain
Regulatory
domain
Regulatory
domain
N-terminal
C-terminal
Cleavage site
For
Proteolytic
enzymes in
Golgi
ER lumen
17. Prof. Dr. Jariya Kalsoom
Chromosome 22
Chromosome 17
SREPB 1a & SREBP 1c
Identical except for
length of N-terminal domain
due to
Alternative splicing
SREBP-1a
Rapidly dividing cells
Intestine
Spleen
SREBP-1c
Liver
Adipose tissue
Skeletal muscle
Induced by insulin
SREBP-2
Expressed
constitutively
in
all
cells
Two two major proteins
required for
Regulation of
lipid synthesis
Lipogenesis
Cholesterol synthesis
Regulates both
Lipogenesis
Cholesterol synthesis
18. Prof. Dr. Jariya Kalsoom
Chromosome 22
Chromosome 17
SREPB 1a & SREBP 1c SREBP-2
Increase expression of enzymes for NADPH
Synthesis
Malic enzyme [citrate shuttle]
Glucose-6-phosphate dehydrogenase & 6-phosphogluconolactone [HMP shunt]
19. Prof. Dr. Jariya Kalsoom
Active
SREBP
SRE
SRE
SRE
LDL Receptor gene HMG-CoA synthase
gene
HMG-CoA reductase
gene
Increased levels of enzymes for mevalonate synthesis
Increased flux through cholesterol biosynthetic pathway
Increased levels of intracellular cholesterol
Increased levels of LDL-receptor
proteins on cell surface
33. Prof. Dr. Jariya Kalsoom
Insulin
Protein
Phosphatase
Pi
Glucagon
AMP activated
Protein kinase
↝
P
Inactive
HMG-CoA
P
P
Inactive
HMG-CoA
P
34. Prof. Dr. Jariya Kalsoom
Jariya
V
V
V
V
V
V
V
V
V
V
V
V
V
Jariya
P
S
R
B
P
-
1
-
c
P
P
P
SRE
U
ACC
35. Prof. Dr. Jariya Kalsoom
MCQs
• SCAP-INSIG complex retains SREBP in ER
membrane when cholesterol is:
a. High
b. Low
c. Borderline
d. Absent
36. Prof. Dr. Jariya Kalsoom
• SCAP-INSIG complex dissociates and allows
SREBP to move to golgi when cholesterol is:
a. High
b. Low
c. Borderline
d. Absent
37. Prof. Dr. Jariya Kalsoom
Revisiting the
waiting room
10/15/22 36
38. Prof. Dr. Jariya Kalsoom
Waiting room
• A middle aged man on statin therapy regularly
consumes grape fruit juice in breakfast
• Task:
• Comment on SREBP in his cells
39. Prof. Dr. Jariya Kalsoom
Key:
• Furanocoumarins
Cyt P450 CYP3A4
Statin build up
Low intra cellular cholesterol
INSIG SCAP Complex will end their collaboration
40. Prof. Dr. Jariya Kalsoom
Waiting room
• An old granny with
high blood cholesterol
levels is being treated
with lovastatin.
• Tasks:
• Comment on INSIG-
SCAP complex in her
cells
10/15/22 39
Jariya
Ja
riy
a
41. Prof. Dr. Jariya Kalsoom
Key:
• Low intra cellular cholesterol
• SCAP-INSIG complex active
• Loss of INSIG inhibition on translocation of SREBP
to golgi
• LDL-receptor synthesis
10/15/22 40
42. Prof. Dr. Jariya Kalsoom
Low
cholesterol
Ap
o
B1
00
Ap
o
B1
00
A
p
o
B
1
0
0
Ap
o
B1
00
Ap
o
B1
00
Amino acids
Fatty acids
Cholesterol pool
Acetyl CoA
Mevalonate
HMG-CoA
Reductase
Statin
drugs
Cholesterol
biosynthesis
J
a
r
i
y
a
SREBP
activation
LDL-receptor protein
biosynthesis
Endoplasmic reticulum
Golgi
Clathrin coated pit with LDL-receptors
Clathrin
recycling
Key:
43. Prof. Dr. Jariya Kalsoom
Waiting room
• A man regularly
consumes whole
wheat cereals in
breakfast and
ispagulla husk at bed
time
• Task:
• Comment on his
SCAP-INSIG complex
10/15/22 42
45. Prof. Dr. Jariya Kalsoom
key
• Low cholesterol
• SREBP-INSIG-SCAP complex likely to be
active
10/15/22 44
46. Prof. Dr. Jariya Kalsoom
WAITING ROOM
• A middle aged
manager at food outlet
regularly consumes
sizzling desi ghee
parathas with beef
nihari and fried eggs
tossed in butter
• Task:
• Comment on
biochemical ventures
towards atherogenesis
by his habits.
10/15/22 45
47. Prof. Dr. Jariya Kalsoom
key
• Small VLDL with more cholesterol
• Slow utilization
10/15/22 46
48. Prof. Dr. Jariya Kalsoom
Mortuary
10/15/22 47
Cause of death:
Cardiac arrest
Age:
18 years
Diagnosis:
Phytosterolemia/sitosterolemia
Task:
Comment on her INSIG-SCAP
complex during her life time