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Lipids and lipoproteins
Normal Kinetics
Dr. Ayman Abdelaziz, MD
Mansoura Faculty of Medicine
Lipids
 95% of dietary lipids are TGs; the rest are
phospholipids, free fatty acids (FFAs),
cholesterol (present in foods as esterified
cholesterol), and fat-soluble vitamins.
 The primary function of TGs is to store
energy in adipocytes and muscle cells
 cholesterol is a ubiquitous constituent of
cell membranes, steroids, bile acids, and
signaling molecules
Lipoproteins
 What happens to the cholesterol and other fatty
acids that we eat? How do they get into our
bloodstream?
 How can fatty acids (which are hydrophobic and thus
only slightly soluble in aqueous solution) be
transported in the blood (which is an aqueous
solution/suspension)?
 Some SIMPLE unesterified FAs are merely bound to
serum albumin and other serum proteins, and are
transported through the bloodstream by these
proteins.
 PHOSPHOLIPIDS, TGs, CHOLESTEROL and
Lipoproteins
 LP core
 Triglycerides
 Cholesterol esters
 LP surface
 Phospholipids
 Proteins
 Cholesterol
 Lipoproteins
function in the blood
plasma as transport
vehicles for TAGs
and cholesterol.
Lipoprotein Classification
 1) Chylomicrons: Transport
dietary TAGs and cholesterol
from the intestines to the liver
 2) VLDL: very low density
lipoprotein
 3) IDL: intermediate density
lipoprotein
 4) LDL: low density lipoprotein.
transport endogenous TAGs
and cholesterol from the liver to
the tissues.
 5) HDL: high density lipoprotein
Transport endogenous
cholesterol from the tissues to
the liver.
• Dietary TGs are digested in the stomach and
duodenum into monoglycerides (MGs) and FFAs by
gastric lipase, emulsification from vigorous stomach
peristalsis, and pancreatic lipase.
• Dietary cholesterol esters are de-esterified into free
cholesterol by the same mechanisms.
• MGs, FFAs, and free cholesterol are then solubilized in
the intestine by bile acid micelles, which shuttle them to
intestinal villi for absorption.
• Once absorbed into enterocytes, they are reassembled
into TGs and packaged with cholesterol into
chylomicrons, the largest lipoproteins.
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lipoproteins Basics

  • 1. Lipids and lipoproteins Normal Kinetics Dr. Ayman Abdelaziz, MD Mansoura Faculty of Medicine
  • 2. Lipids  95% of dietary lipids are TGs; the rest are phospholipids, free fatty acids (FFAs), cholesterol (present in foods as esterified cholesterol), and fat-soluble vitamins.  The primary function of TGs is to store energy in adipocytes and muscle cells  cholesterol is a ubiquitous constituent of cell membranes, steroids, bile acids, and signaling molecules
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  • 13. Lipoproteins  What happens to the cholesterol and other fatty acids that we eat? How do they get into our bloodstream?  How can fatty acids (which are hydrophobic and thus only slightly soluble in aqueous solution) be transported in the blood (which is an aqueous solution/suspension)?  Some SIMPLE unesterified FAs are merely bound to serum albumin and other serum proteins, and are transported through the bloodstream by these proteins.  PHOSPHOLIPIDS, TGs, CHOLESTEROL and
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  • 15. Lipoproteins  LP core  Triglycerides  Cholesterol esters  LP surface  Phospholipids  Proteins  Cholesterol  Lipoproteins function in the blood plasma as transport vehicles for TAGs and cholesterol.
  • 16. Lipoprotein Classification  1) Chylomicrons: Transport dietary TAGs and cholesterol from the intestines to the liver  2) VLDL: very low density lipoprotein  3) IDL: intermediate density lipoprotein  4) LDL: low density lipoprotein. transport endogenous TAGs and cholesterol from the liver to the tissues.  5) HDL: high density lipoprotein Transport endogenous cholesterol from the tissues to the liver.
  • 17. • Dietary TGs are digested in the stomach and duodenum into monoglycerides (MGs) and FFAs by gastric lipase, emulsification from vigorous stomach peristalsis, and pancreatic lipase. • Dietary cholesterol esters are de-esterified into free cholesterol by the same mechanisms. • MGs, FFAs, and free cholesterol are then solubilized in the intestine by bile acid micelles, which shuttle them to intestinal villi for absorption. • Once absorbed into enterocytes, they are reassembled into TGs and packaged with cholesterol into chylomicrons, the largest lipoproteins.