Transcript

LIPIDS OF PHYSIOLOGICAL SIGNIFICANCE

amp

ITS ROLE IN HEALTH AND DISEASES

Presented by

Shruti Sharma

(DPhil Scholar)

Why lipids are important-Why lipids are important-

Lipids are important to the body because-

1) Important constituent of the cell membranes

2) Helps in the absorption of fat soluble vitamins

3) Maintains membrane fluidity

4) Acts as a thermal insulator and cellular metabolic regulator

5) Hormone synthesis

6) Organ padding

bull

Major lipids of physiological significance-Major lipids of physiological significance-

Fatty acids Fatty acids -- basic units of fat composed of chains of basic units of fat composed of chains of carbon atoms with an acid group at one end and hydrogen carbon atoms with an acid group at one end and hydrogen atoms attached all along their lengthatoms attached all along their length

Present as either esterified or unesterified form in fats and oilsPresent as either esterified or unesterified form in fats and oils

Classification of fatty acids-Classification of fatty acids-

Fatty acids

Saturated FA Unsaturated FA

Saturated fatty acids-Saturated fatty acids-

bull bull

Saturated fatty contains no double bonds (having no points of Saturated fatty contains no double bonds (having no points of

unsaturationunsaturation)) Saturated fats- considered as harmful It increases totalSaturated fats- considered as harmful It increases total

cholesterol level and TGs levelcholesterol level and TGs level

Hypercholestrolemic SFAs are-Myristic acid amp Lauric acidHypercholestrolemic SFAs are-Myristic acid amp Lauric acid

Unsaturated fatty acids-Unsaturated fatty acids-

Unsaturated fatty acid a fatty acid with one or more points of unsaturation Unsaturated fats are found in foods from both plant and animal sources Unsaturated fatty acids are further divided into monounsaturated fatty acids and polyunsaturated fatty acids

Divisions of unsaturated fatty acids-Divisions of unsaturated fatty acids-

UnsaturatedFatty acids

MUFA PUFA Eicosanoids

Monounsaturated fatty acidsMonounsaturated fatty acids-- Monounsaturated fatty acid Monounsaturated fatty acid a fatty acid containing a fatty acid containing

one point of unsaturation found mostly in vegetable oils one point of unsaturation found mostly in vegetable oils

such as olive canola and peanutsuch as olive canola and peanut

They are considered as They are considered as beneficialbeneficial for human health for human health

MUFAMUFA

Cis FA Trans FA

Cis- unsaturated fatty acids-Cis- unsaturated fatty acids- In In ciscis bonds bonds the two pieces of the carbon chain on either side the two pieces of the carbon chain on either side

of the double bond are either both ldquouprdquo or both ldquodownrdquo such of the double bond are either both ldquouprdquo or both ldquodownrdquo such that both are on the same side of the moleculethat both are on the same side of the molecule

Significance ndash Significance ndash Decreases total cholesterol and TGs levelDecreases total cholesterol and TGs level Increases HDL levelIncreases HDL level

Trans unsaturated fatty acids-Trans unsaturated fatty acids- Trans fatty acids are produced by hydrogenation processTrans fatty acids are produced by hydrogenation process Hydrogen atoms are on the opposite sides of the moleculeHydrogen atoms are on the opposite sides of the molecule Egcis-oleic acid trans-elaidic acidEgcis-oleic acid trans-elaidic acid

PHYSIOLOGICAL EFFECTS OF TRANS FATTY ACIDS

- SERUM LIPIDS-SYSTEMIC INFLAMMATION -ENDOTHELIAL-CELL FUNCTION

SERUM LIPIDSmdash

gtraises levels of low-density lipoprotein (LDL) cholesterol reduces levels of high-density lipoprotein (HDL) cholesterol

gtincreases the ratio of total cholesterol to HDL cholesterol a powerful predictor of the risk of CHD

gtincrease the blood levels of triglycerides of Lp(a) lipoprotein and reduce the particle size of LDL cholesterol further raise the risk of CHD gttrans fatty acids have markedly adverse effects on serum lipids

Physiological effects of trans fatty acids continuedhellip

Systemic inflammationmdash

inflammation an independent risk factor for atherosclerosis sudden death from cardiac causes diabetes and heart failurethe inflammatory effects of trans fats may account in part for their effects on cardiovascular health

For example the difference in C-reactive protein levels 21 percent vs 09 percent intake an increase in cardiovascular risk of approximately 30 percent

Physiological effects of trans fatty acids continuedhellip

ENDOTHELIAL-CELL FUNCTION--ENDOTHELIAL-CELL FUNCTION--

increased levels of several markers of endothelial dysfunction for eg-soluble intercellular adhesion molecule soluble vascular-cell adhesion molecule and E-selectin

Physiological effects of trans fatty acids continuedhellip

Polyunsaturated fatty acids-Polyunsaturated fatty acids-

Polyunsaturated fatty acids (sometimes abbreviated PUFA) are those fatty acids where unsaturation occur more than two points found in nuts and vegetable oils such as safflower sunflower and soybean and in fatty fish

They possess protective role on human healthconsidered as beneficial for consumpmtion

Increase esterification process of cholesterol amp prevents its Increase esterification process of cholesterol amp prevents its absorptionabsorption

By increasing the synthesis of eicosanoidsBy increasing the synthesis of eicosanoids Acts as an anti platelet aggregating factor so decreases the Acts as an anti platelet aggregating factor so decreases the

chances of clot formationchances of clot formation Decreases the synthesis of the precursor of VLDL AND TGsDecreases the synthesis of the precursor of VLDL AND TGs Increases clearance of LDL cholesterolIncreases clearance of LDL cholesterol

PUFA continued-

Omega-3-fatty acids-

Benefits-

gtLower PGE2s levelgtAnti-inflammatorygtLower triglyceride and cholesterol levelsgtBenefits vision and gtbrain functiongtDecrease Skin gtinflammationgtInhibit platelet adhesion gtIncrease insulin sensitivity

Omega-6 fatty acids-Omega-6 fatty acids-

Linoleic fatty acid

Arachidonic acid

Benefits-Platelet aggregation cardiovascular diseases and inflammationReduce the symptoms of eczema and psoriasisClear up different types of acne

Eicosanoids-Eicosanoids- These compounds are derived from long chain polyenoic fatty These compounds are derived from long chain polyenoic fatty

acids (20-carbon)acids (20-carbon) Examples of eicosanoidsExamples of eicosanoids-- ProstaglandinsProstaglandins ProstacyclinesProstacyclines ThromboxanesThromboxanes LeukotrienesLeukotrienes lipoxinslipoxins

They have roles inInflammationFeverRegulation of blood pressureBlood viscosityMale fertilityFemale conceptionMuscle cotractionBlood clottingTissue growthRegulation of sleepwake cycleBronchocostrictionAsthma

Triglycerides-Triglycerides-

StructureGlycerol + 3 fatty acids

FunctionsEnergy source--9 kcals per gramForm of stored energy in adipose tissueInsulation and protectionCarrier of fat-soluble vitaminsSensory properties in food

Phospholipids- Phospholipids- main lipid constituent of cell main lipid constituent of cell membranemembrane

StructureGlycerol + 2 fatty acids + phosphate groupalso considered as derivative of lsquophosphatidic acidrsquo

FunctionsMain lipid constituent of cell membranesLipid transport as part of lipoproteinsEmulsifiersCell signalling process phospholipids

Phoscholine phosinositol cardiolipin lysophospholipid plasmalogens sphingomy

SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

glycolipidsglycolipids

Lipoproteins-Lipoproteins-

Lipoproteins are th macromolecular complex of lipids and proteins

Transportation of lipids in the blood

Structure of lipoproteins-

Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

Classes of lipoproteinsClasses of lipoproteins--

ChylomicronsChylomicronsVLDLVLDL

LDLLDL HDL

gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

Dlt1006 gml D=1019-1063gml D=1063-121 gml

Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

ApolipoproteinsmdashApolipoproteinsmdash

Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

(LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

Apoprotein continuedhellipApoprotein continuedhellip

Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

Apoprotein continuedhellipApoprotein continuedhellip

Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

uptakeuptake Apo C-II (liver)Apo C-II (liver)

Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

uptakeuptake

ChylomicronsChylomicrons- TG rich- TG rich

Synthesized in intestine

Transports endogenous TGs

Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

LDL-LDL- cholesterol rich cholesterol rich

Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

Synthesized from VLDL in blood circulation

Transports cholesterol from liver and delivers to other tissues

High density lipoprotein-High density lipoprotein-

Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

Promotes re-esterification process of cholesterol

HDL SubpopulationsHDL Subpopulations

Rye et al Atherosclerosis 1999145227-238

Apolipoprotein CompositionApolipoprotein Composition

A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

Particle ShapeParticle Shape

DiscoidalDiscoidal

SphericalSpherical

Lipid CompositionLipid Composition

TG CE and PLTG CE and PL

Particle SizeParticle Size

HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

The Effects of Various Types of Fat on Blood Lipid Levels

bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

Arachidonic acid and the brain--

One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

Prevention of cancer-Prevention of cancer-

Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

Common disorders

Hypercholetrolemia

Hypertriglyceridemia

Hyperlipoproteinemia

ketosis

CVD

Fatty liver

Obesity

cancer

Uncommon disorders

Metabolic disorders of cerebrosides

Lipidoses lipid storage diseases

Multiple sclerosis

Infant respiratory distress syndrome

Xanthomatosis

Retinitis pigmentosa

Phrynoderma Toad skin

Disorders of EFAs deficiency

Zwellwegerrsquos disease

ATHEROSCLEROSIS

As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

bull These foam cells are then deposited into the

lining of the artery wall

bull This process known as atherosclerosis causes

plaque deposits to enlarge artery walls to lose

elasticity and the passage through the artery to narrow

Diagrammatic representation of the disease (atherosclerosis)-

Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

diseasesdiseases Enzyme Enzyme deficiencydeficiency

Lipid Lipid accumulatingaccumulating

symptomssymptoms

Tay ndashsachs Tay ndashsachs diseasedisease

hexosaminihexosaminidasedase

gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

Fabryrsquos Fabryrsquos diseasedisease

A-A-galactosidasegalactosidase

galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

Krabbersquos Krabbersquos diseasedisease

B-B-galactosidasgalactosidasee

galactosylceramidgalactosylceramidee

Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

Gaucherrsquos Gaucherrsquos diseasedisease

B-B-glucosidaseglucosidase

glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

Niemann-Niemann-pick diseasepick disease

sphingomyesphingomyelinaselinase

sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

Farberrsquos Farberrsquos diseasedisease

ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

Hy Hy LipotypesLipotypes

Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

Risk of athersclerosisRisk of athersclerosis

ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

chylomicronschylomicrons increaseincrease

llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

cholesterolcholesterol Very highVery high

llbllb Overproduction of Overproduction of apo-bapo-b

TGs and cholesterolTGs and cholesterol highhigh

llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

lvlv Overproduction of Overproduction of TGsTGs

TGsTGs Maymay not increaseMaymay not increase

vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

--do----do--

Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

Infant repiratory distress syndrome-

Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

It prevents collapsing of the alveoli and also decreases the surface tension

Deficiency is common in young infants

Xanthomatosis-

Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

Usually related with severe hypercholesterolemia and hyperlipidemia

Phrynoderma or Toad skin-

Caused due to the deficiency of essential fatty acids

Horny eruptions occurs on posterior and lateral limbspoor wound healing

Multiple sclerosis-

It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

Defects in the metabolism of essential fatty acids -

Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

Zwellwegerrsquos disease-

Rare disorder

occurs due to the accumulation of long chain polyenoic fatty acids in the brain

Causes loss of functions and neural degeneration

Dicarboxylic aciduria-

It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

Common Atherogenic dyslipidemias)

1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

Fatty liver-Fatty liver-

When lipids accumulates excessively in liver then it causes fatty liver

Dropletes of TGs are found in the entire hepatic cytoplasm

this causes impairment in liver function

Fatty liver may occur due to two main reason-

1) Increased synthesis of TGs

2) Impairment in lipoprotein synthesis

Fatty liver is associated with the fibrotic changes and cirrhosis

Tangier Disease

gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

References--

1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

  • Slide 1
  • Why lipids are important-
  • Major lipids of physiological significance-
  • Classification of fatty acids-
  • Saturated fatty acids-
  • Unsaturated fatty acids-
  • Divisions of unsaturated fatty acids-
  • Monounsaturated fatty acids-
  • Cis- unsaturated fatty acids-
  • Trans unsaturated fatty acids-
  • Slide 11
  • Slide 12
  • ENDOTHELIAL-CELL FUNCTION--
  • Polyunsaturated fatty acids-
  • Slide 15
  • Slide 16
  • Omega-6 fatty acids-
  • Eicosanoids-
  • Triglycerides-
  • Phospholipids- main lipid constituent of cell membrane
  • Sterols-
  • Glycolipids-
  • Lipoproteins-
  • Classes of lipoproteins-
  • Slide 25
  • Slide 26
  • Apoprotein continuedhellip
  • Chylomicrons- TG rich
  • VLDL- rich in CE and TGs-
  • LDL- cholesterol rich
  • High density lipoprotein-
  • HDL Subpopulations
  • Slide 33
  • Slide 34
  • Role of lipids in health and diseases ndash omega-3 FAs
  • Arachidonic acid and the brain--
  • Prevention of cancer-
  • Lipids related disorders-
  • Slide 39
  • Slide 40
  • Metabolic disorders of cerebrosides
  • Lipoprotein disorders- Hyperlipoproteinemias-
  • Slide 43
  • Slide 44
  • Common Atherogenic dyslipidemias
  • Fatty liver-
  • Tangier Disease
  • Slide 48
  • Slide 49

    Why lipids are important-Why lipids are important-

    Lipids are important to the body because-

    1) Important constituent of the cell membranes

    2) Helps in the absorption of fat soluble vitamins

    3) Maintains membrane fluidity

    4) Acts as a thermal insulator and cellular metabolic regulator

    5) Hormone synthesis

    6) Organ padding

    bull

    Major lipids of physiological significance-Major lipids of physiological significance-

    Fatty acids Fatty acids -- basic units of fat composed of chains of basic units of fat composed of chains of carbon atoms with an acid group at one end and hydrogen carbon atoms with an acid group at one end and hydrogen atoms attached all along their lengthatoms attached all along their length

    Present as either esterified or unesterified form in fats and oilsPresent as either esterified or unesterified form in fats and oils

    Classification of fatty acids-Classification of fatty acids-

    Fatty acids

    Saturated FA Unsaturated FA

    Saturated fatty acids-Saturated fatty acids-

    bull bull

    Saturated fatty contains no double bonds (having no points of Saturated fatty contains no double bonds (having no points of

    unsaturationunsaturation)) Saturated fats- considered as harmful It increases totalSaturated fats- considered as harmful It increases total

    cholesterol level and TGs levelcholesterol level and TGs level

    Hypercholestrolemic SFAs are-Myristic acid amp Lauric acidHypercholestrolemic SFAs are-Myristic acid amp Lauric acid

    Unsaturated fatty acids-Unsaturated fatty acids-

    Unsaturated fatty acid a fatty acid with one or more points of unsaturation Unsaturated fats are found in foods from both plant and animal sources Unsaturated fatty acids are further divided into monounsaturated fatty acids and polyunsaturated fatty acids

    Divisions of unsaturated fatty acids-Divisions of unsaturated fatty acids-

    UnsaturatedFatty acids

    MUFA PUFA Eicosanoids

    Monounsaturated fatty acidsMonounsaturated fatty acids-- Monounsaturated fatty acid Monounsaturated fatty acid a fatty acid containing a fatty acid containing

    one point of unsaturation found mostly in vegetable oils one point of unsaturation found mostly in vegetable oils

    such as olive canola and peanutsuch as olive canola and peanut

    They are considered as They are considered as beneficialbeneficial for human health for human health

    MUFAMUFA

    Cis FA Trans FA

    Cis- unsaturated fatty acids-Cis- unsaturated fatty acids- In In ciscis bonds bonds the two pieces of the carbon chain on either side the two pieces of the carbon chain on either side

    of the double bond are either both ldquouprdquo or both ldquodownrdquo such of the double bond are either both ldquouprdquo or both ldquodownrdquo such that both are on the same side of the moleculethat both are on the same side of the molecule

    Significance ndash Significance ndash Decreases total cholesterol and TGs levelDecreases total cholesterol and TGs level Increases HDL levelIncreases HDL level

    Trans unsaturated fatty acids-Trans unsaturated fatty acids- Trans fatty acids are produced by hydrogenation processTrans fatty acids are produced by hydrogenation process Hydrogen atoms are on the opposite sides of the moleculeHydrogen atoms are on the opposite sides of the molecule Egcis-oleic acid trans-elaidic acidEgcis-oleic acid trans-elaidic acid

    PHYSIOLOGICAL EFFECTS OF TRANS FATTY ACIDS

    - SERUM LIPIDS-SYSTEMIC INFLAMMATION -ENDOTHELIAL-CELL FUNCTION

    SERUM LIPIDSmdash

    gtraises levels of low-density lipoprotein (LDL) cholesterol reduces levels of high-density lipoprotein (HDL) cholesterol

    gtincreases the ratio of total cholesterol to HDL cholesterol a powerful predictor of the risk of CHD

    gtincrease the blood levels of triglycerides of Lp(a) lipoprotein and reduce the particle size of LDL cholesterol further raise the risk of CHD gttrans fatty acids have markedly adverse effects on serum lipids

    Physiological effects of trans fatty acids continuedhellip

    Systemic inflammationmdash

    inflammation an independent risk factor for atherosclerosis sudden death from cardiac causes diabetes and heart failurethe inflammatory effects of trans fats may account in part for their effects on cardiovascular health

    For example the difference in C-reactive protein levels 21 percent vs 09 percent intake an increase in cardiovascular risk of approximately 30 percent

    Physiological effects of trans fatty acids continuedhellip

    ENDOTHELIAL-CELL FUNCTION--ENDOTHELIAL-CELL FUNCTION--

    increased levels of several markers of endothelial dysfunction for eg-soluble intercellular adhesion molecule soluble vascular-cell adhesion molecule and E-selectin

    Physiological effects of trans fatty acids continuedhellip

    Polyunsaturated fatty acids-Polyunsaturated fatty acids-

    Polyunsaturated fatty acids (sometimes abbreviated PUFA) are those fatty acids where unsaturation occur more than two points found in nuts and vegetable oils such as safflower sunflower and soybean and in fatty fish

    They possess protective role on human healthconsidered as beneficial for consumpmtion

    Increase esterification process of cholesterol amp prevents its Increase esterification process of cholesterol amp prevents its absorptionabsorption

    By increasing the synthesis of eicosanoidsBy increasing the synthesis of eicosanoids Acts as an anti platelet aggregating factor so decreases the Acts as an anti platelet aggregating factor so decreases the

    chances of clot formationchances of clot formation Decreases the synthesis of the precursor of VLDL AND TGsDecreases the synthesis of the precursor of VLDL AND TGs Increases clearance of LDL cholesterolIncreases clearance of LDL cholesterol

    PUFA continued-

    Omega-3-fatty acids-

    Benefits-

    gtLower PGE2s levelgtAnti-inflammatorygtLower triglyceride and cholesterol levelsgtBenefits vision and gtbrain functiongtDecrease Skin gtinflammationgtInhibit platelet adhesion gtIncrease insulin sensitivity

    Omega-6 fatty acids-Omega-6 fatty acids-

    Linoleic fatty acid

    Arachidonic acid

    Benefits-Platelet aggregation cardiovascular diseases and inflammationReduce the symptoms of eczema and psoriasisClear up different types of acne

    Eicosanoids-Eicosanoids- These compounds are derived from long chain polyenoic fatty These compounds are derived from long chain polyenoic fatty

    acids (20-carbon)acids (20-carbon) Examples of eicosanoidsExamples of eicosanoids-- ProstaglandinsProstaglandins ProstacyclinesProstacyclines ThromboxanesThromboxanes LeukotrienesLeukotrienes lipoxinslipoxins

    They have roles inInflammationFeverRegulation of blood pressureBlood viscosityMale fertilityFemale conceptionMuscle cotractionBlood clottingTissue growthRegulation of sleepwake cycleBronchocostrictionAsthma

    Triglycerides-Triglycerides-

    StructureGlycerol + 3 fatty acids

    FunctionsEnergy source--9 kcals per gramForm of stored energy in adipose tissueInsulation and protectionCarrier of fat-soluble vitaminsSensory properties in food

    Phospholipids- Phospholipids- main lipid constituent of cell main lipid constituent of cell membranemembrane

    StructureGlycerol + 2 fatty acids + phosphate groupalso considered as derivative of lsquophosphatidic acidrsquo

    FunctionsMain lipid constituent of cell membranesLipid transport as part of lipoproteinsEmulsifiersCell signalling process phospholipids

    Phoscholine phosinositol cardiolipin lysophospholipid plasmalogens sphingomy

    SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

    Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

    Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

    Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

    glycolipidsglycolipids

    Lipoproteins-Lipoproteins-

    Lipoproteins are th macromolecular complex of lipids and proteins

    Transportation of lipids in the blood

    Structure of lipoproteins-

    Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

    Classes of lipoproteinsClasses of lipoproteins--

    ChylomicronsChylomicronsVLDLVLDL

    LDLLDL HDL

    gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

    Dlt1006 gml D=1019-1063gml D=1063-121 gml

    Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

    ApolipoproteinsmdashApolipoproteinsmdash

    Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

    (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

    Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

    Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

    Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

    Apoprotein continuedhellipApoprotein continuedhellip

    Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

    Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

    100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

    Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

    Apoprotein continuedhellipApoprotein continuedhellip

    Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

    uptakeuptake Apo C-II (liver)Apo C-II (liver)

    Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

    Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

    uptakeuptake

    ChylomicronsChylomicrons- TG rich- TG rich

    Synthesized in intestine

    Transports endogenous TGs

    Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

    VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

    Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

    Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

    LDL-LDL- cholesterol rich cholesterol rich

    Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

    Synthesized from VLDL in blood circulation

    Transports cholesterol from liver and delivers to other tissues

    High density lipoprotein-High density lipoprotein-

    Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

    Promotes re-esterification process of cholesterol

    HDL SubpopulationsHDL Subpopulations

    Rye et al Atherosclerosis 1999145227-238

    Apolipoprotein CompositionApolipoprotein Composition

    A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

    Particle ShapeParticle Shape

    DiscoidalDiscoidal

    SphericalSpherical

    Lipid CompositionLipid Composition

    TG CE and PLTG CE and PL

    Particle SizeParticle Size

    HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

    The Effects of Various Types of Fat on Blood Lipid Levels

    bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

    Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

    Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

    Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

    bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

    Arachidonic acid and the brain--

    One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

    Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

    Prevention of cancer-Prevention of cancer-

    Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

    Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

    Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

    Common disorders

    Hypercholetrolemia

    Hypertriglyceridemia

    Hyperlipoproteinemia

    ketosis

    CVD

    Fatty liver

    Obesity

    cancer

    Uncommon disorders

    Metabolic disorders of cerebrosides

    Lipidoses lipid storage diseases

    Multiple sclerosis

    Infant respiratory distress syndrome

    Xanthomatosis

    Retinitis pigmentosa

    Phrynoderma Toad skin

    Disorders of EFAs deficiency

    Zwellwegerrsquos disease

    ATHEROSCLEROSIS

    As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

    bull These foam cells are then deposited into the

    lining of the artery wall

    bull This process known as atherosclerosis causes

    plaque deposits to enlarge artery walls to lose

    elasticity and the passage through the artery to narrow

    Diagrammatic representation of the disease (atherosclerosis)-

    Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

    diseasesdiseases Enzyme Enzyme deficiencydeficiency

    Lipid Lipid accumulatingaccumulating

    symptomssymptoms

    Tay ndashsachs Tay ndashsachs diseasedisease

    hexosaminihexosaminidasedase

    gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

    Fabryrsquos Fabryrsquos diseasedisease

    A-A-galactosidasegalactosidase

    galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

    Krabbersquos Krabbersquos diseasedisease

    B-B-galactosidasgalactosidasee

    galactosylceramidgalactosylceramidee

    Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

    Gaucherrsquos Gaucherrsquos diseasedisease

    B-B-glucosidaseglucosidase

    glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

    Niemann-Niemann-pick diseasepick disease

    sphingomyesphingomyelinaselinase

    sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

    Farberrsquos Farberrsquos diseasedisease

    ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

    Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

    Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

    Hy Hy LipotypesLipotypes

    Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

    Risk of athersclerosisRisk of athersclerosis

    ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

    chylomicronschylomicrons increaseincrease

    llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

    cholesterolcholesterol Very highVery high

    llbllb Overproduction of Overproduction of apo-bapo-b

    TGs and cholesterolTGs and cholesterol highhigh

    llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

    lvlv Overproduction of Overproduction of TGsTGs

    TGsTGs Maymay not increaseMaymay not increase

    vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

    --do----do--

    Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

    Infant repiratory distress syndrome-

    Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

    It prevents collapsing of the alveoli and also decreases the surface tension

    Deficiency is common in young infants

    Xanthomatosis-

    Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

    Usually related with severe hypercholesterolemia and hyperlipidemia

    Phrynoderma or Toad skin-

    Caused due to the deficiency of essential fatty acids

    Horny eruptions occurs on posterior and lateral limbspoor wound healing

    Multiple sclerosis-

    It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

    Defects in the metabolism of essential fatty acids -

    Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

    Zwellwegerrsquos disease-

    Rare disorder

    occurs due to the accumulation of long chain polyenoic fatty acids in the brain

    Causes loss of functions and neural degeneration

    Dicarboxylic aciduria-

    It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

    Common Atherogenic dyslipidemias)

    1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

    Fatty liver-Fatty liver-

    When lipids accumulates excessively in liver then it causes fatty liver

    Dropletes of TGs are found in the entire hepatic cytoplasm

    this causes impairment in liver function

    Fatty liver may occur due to two main reason-

    1) Increased synthesis of TGs

    2) Impairment in lipoprotein synthesis

    Fatty liver is associated with the fibrotic changes and cirrhosis

    Tangier Disease

    gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

    References--

    1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

    2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

    3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

    4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

    • Slide 1
    • Why lipids are important-
    • Major lipids of physiological significance-
    • Classification of fatty acids-
    • Saturated fatty acids-
    • Unsaturated fatty acids-
    • Divisions of unsaturated fatty acids-
    • Monounsaturated fatty acids-
    • Cis- unsaturated fatty acids-
    • Trans unsaturated fatty acids-
    • Slide 11
    • Slide 12
    • ENDOTHELIAL-CELL FUNCTION--
    • Polyunsaturated fatty acids-
    • Slide 15
    • Slide 16
    • Omega-6 fatty acids-
    • Eicosanoids-
    • Triglycerides-
    • Phospholipids- main lipid constituent of cell membrane
    • Sterols-
    • Glycolipids-
    • Lipoproteins-
    • Classes of lipoproteins-
    • Slide 25
    • Slide 26
    • Apoprotein continuedhellip
    • Chylomicrons- TG rich
    • VLDL- rich in CE and TGs-
    • LDL- cholesterol rich
    • High density lipoprotein-
    • HDL Subpopulations
    • Slide 33
    • Slide 34
    • Role of lipids in health and diseases ndash omega-3 FAs
    • Arachidonic acid and the brain--
    • Prevention of cancer-
    • Lipids related disorders-
    • Slide 39
    • Slide 40
    • Metabolic disorders of cerebrosides
    • Lipoprotein disorders- Hyperlipoproteinemias-
    • Slide 43
    • Slide 44
    • Common Atherogenic dyslipidemias
    • Fatty liver-
    • Tangier Disease
    • Slide 48
    • Slide 49

      Major lipids of physiological significance-Major lipids of physiological significance-

      Fatty acids Fatty acids -- basic units of fat composed of chains of basic units of fat composed of chains of carbon atoms with an acid group at one end and hydrogen carbon atoms with an acid group at one end and hydrogen atoms attached all along their lengthatoms attached all along their length

      Present as either esterified or unesterified form in fats and oilsPresent as either esterified or unesterified form in fats and oils

      Classification of fatty acids-Classification of fatty acids-

      Fatty acids

      Saturated FA Unsaturated FA

      Saturated fatty acids-Saturated fatty acids-

      bull bull

      Saturated fatty contains no double bonds (having no points of Saturated fatty contains no double bonds (having no points of

      unsaturationunsaturation)) Saturated fats- considered as harmful It increases totalSaturated fats- considered as harmful It increases total

      cholesterol level and TGs levelcholesterol level and TGs level

      Hypercholestrolemic SFAs are-Myristic acid amp Lauric acidHypercholestrolemic SFAs are-Myristic acid amp Lauric acid

      Unsaturated fatty acids-Unsaturated fatty acids-

      Unsaturated fatty acid a fatty acid with one or more points of unsaturation Unsaturated fats are found in foods from both plant and animal sources Unsaturated fatty acids are further divided into monounsaturated fatty acids and polyunsaturated fatty acids

      Divisions of unsaturated fatty acids-Divisions of unsaturated fatty acids-

      UnsaturatedFatty acids

      MUFA PUFA Eicosanoids

      Monounsaturated fatty acidsMonounsaturated fatty acids-- Monounsaturated fatty acid Monounsaturated fatty acid a fatty acid containing a fatty acid containing

      one point of unsaturation found mostly in vegetable oils one point of unsaturation found mostly in vegetable oils

      such as olive canola and peanutsuch as olive canola and peanut

      They are considered as They are considered as beneficialbeneficial for human health for human health

      MUFAMUFA

      Cis FA Trans FA

      Cis- unsaturated fatty acids-Cis- unsaturated fatty acids- In In ciscis bonds bonds the two pieces of the carbon chain on either side the two pieces of the carbon chain on either side

      of the double bond are either both ldquouprdquo or both ldquodownrdquo such of the double bond are either both ldquouprdquo or both ldquodownrdquo such that both are on the same side of the moleculethat both are on the same side of the molecule

      Significance ndash Significance ndash Decreases total cholesterol and TGs levelDecreases total cholesterol and TGs level Increases HDL levelIncreases HDL level

      Trans unsaturated fatty acids-Trans unsaturated fatty acids- Trans fatty acids are produced by hydrogenation processTrans fatty acids are produced by hydrogenation process Hydrogen atoms are on the opposite sides of the moleculeHydrogen atoms are on the opposite sides of the molecule Egcis-oleic acid trans-elaidic acidEgcis-oleic acid trans-elaidic acid

      PHYSIOLOGICAL EFFECTS OF TRANS FATTY ACIDS

      - SERUM LIPIDS-SYSTEMIC INFLAMMATION -ENDOTHELIAL-CELL FUNCTION

      SERUM LIPIDSmdash

      gtraises levels of low-density lipoprotein (LDL) cholesterol reduces levels of high-density lipoprotein (HDL) cholesterol

      gtincreases the ratio of total cholesterol to HDL cholesterol a powerful predictor of the risk of CHD

      gtincrease the blood levels of triglycerides of Lp(a) lipoprotein and reduce the particle size of LDL cholesterol further raise the risk of CHD gttrans fatty acids have markedly adverse effects on serum lipids

      Physiological effects of trans fatty acids continuedhellip

      Systemic inflammationmdash

      inflammation an independent risk factor for atherosclerosis sudden death from cardiac causes diabetes and heart failurethe inflammatory effects of trans fats may account in part for their effects on cardiovascular health

      For example the difference in C-reactive protein levels 21 percent vs 09 percent intake an increase in cardiovascular risk of approximately 30 percent

      Physiological effects of trans fatty acids continuedhellip

      ENDOTHELIAL-CELL FUNCTION--ENDOTHELIAL-CELL FUNCTION--

      increased levels of several markers of endothelial dysfunction for eg-soluble intercellular adhesion molecule soluble vascular-cell adhesion molecule and E-selectin

      Physiological effects of trans fatty acids continuedhellip

      Polyunsaturated fatty acids-Polyunsaturated fatty acids-

      Polyunsaturated fatty acids (sometimes abbreviated PUFA) are those fatty acids where unsaturation occur more than two points found in nuts and vegetable oils such as safflower sunflower and soybean and in fatty fish

      They possess protective role on human healthconsidered as beneficial for consumpmtion

      Increase esterification process of cholesterol amp prevents its Increase esterification process of cholesterol amp prevents its absorptionabsorption

      By increasing the synthesis of eicosanoidsBy increasing the synthesis of eicosanoids Acts as an anti platelet aggregating factor so decreases the Acts as an anti platelet aggregating factor so decreases the

      chances of clot formationchances of clot formation Decreases the synthesis of the precursor of VLDL AND TGsDecreases the synthesis of the precursor of VLDL AND TGs Increases clearance of LDL cholesterolIncreases clearance of LDL cholesterol

      PUFA continued-

      Omega-3-fatty acids-

      Benefits-

      gtLower PGE2s levelgtAnti-inflammatorygtLower triglyceride and cholesterol levelsgtBenefits vision and gtbrain functiongtDecrease Skin gtinflammationgtInhibit platelet adhesion gtIncrease insulin sensitivity

      Omega-6 fatty acids-Omega-6 fatty acids-

      Linoleic fatty acid

      Arachidonic acid

      Benefits-Platelet aggregation cardiovascular diseases and inflammationReduce the symptoms of eczema and psoriasisClear up different types of acne

      Eicosanoids-Eicosanoids- These compounds are derived from long chain polyenoic fatty These compounds are derived from long chain polyenoic fatty

      acids (20-carbon)acids (20-carbon) Examples of eicosanoidsExamples of eicosanoids-- ProstaglandinsProstaglandins ProstacyclinesProstacyclines ThromboxanesThromboxanes LeukotrienesLeukotrienes lipoxinslipoxins

      They have roles inInflammationFeverRegulation of blood pressureBlood viscosityMale fertilityFemale conceptionMuscle cotractionBlood clottingTissue growthRegulation of sleepwake cycleBronchocostrictionAsthma

      Triglycerides-Triglycerides-

      StructureGlycerol + 3 fatty acids

      FunctionsEnergy source--9 kcals per gramForm of stored energy in adipose tissueInsulation and protectionCarrier of fat-soluble vitaminsSensory properties in food

      Phospholipids- Phospholipids- main lipid constituent of cell main lipid constituent of cell membranemembrane

      StructureGlycerol + 2 fatty acids + phosphate groupalso considered as derivative of lsquophosphatidic acidrsquo

      FunctionsMain lipid constituent of cell membranesLipid transport as part of lipoproteinsEmulsifiersCell signalling process phospholipids

      Phoscholine phosinositol cardiolipin lysophospholipid plasmalogens sphingomy

      SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

      Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

      Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

      Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

      glycolipidsglycolipids

      Lipoproteins-Lipoproteins-

      Lipoproteins are th macromolecular complex of lipids and proteins

      Transportation of lipids in the blood

      Structure of lipoproteins-

      Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

      Classes of lipoproteinsClasses of lipoproteins--

      ChylomicronsChylomicronsVLDLVLDL

      LDLLDL HDL

      gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

      Dlt1006 gml D=1019-1063gml D=1063-121 gml

      Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

      ApolipoproteinsmdashApolipoproteinsmdash

      Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

      (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

      Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

      Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

      Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

      Apoprotein continuedhellipApoprotein continuedhellip

      Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

      Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

      100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

      Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

      Apoprotein continuedhellipApoprotein continuedhellip

      Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

      uptakeuptake Apo C-II (liver)Apo C-II (liver)

      Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

      Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

      uptakeuptake

      ChylomicronsChylomicrons- TG rich- TG rich

      Synthesized in intestine

      Transports endogenous TGs

      Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

      VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

      Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

      Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

      LDL-LDL- cholesterol rich cholesterol rich

      Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

      Synthesized from VLDL in blood circulation

      Transports cholesterol from liver and delivers to other tissues

      High density lipoprotein-High density lipoprotein-

      Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

      Promotes re-esterification process of cholesterol

      HDL SubpopulationsHDL Subpopulations

      Rye et al Atherosclerosis 1999145227-238

      Apolipoprotein CompositionApolipoprotein Composition

      A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

      Particle ShapeParticle Shape

      DiscoidalDiscoidal

      SphericalSpherical

      Lipid CompositionLipid Composition

      TG CE and PLTG CE and PL

      Particle SizeParticle Size

      HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

      The Effects of Various Types of Fat on Blood Lipid Levels

      bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

      Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

      Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

      Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

      bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

      Arachidonic acid and the brain--

      One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

      Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

      Prevention of cancer-Prevention of cancer-

      Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

      Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

      Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

      Common disorders

      Hypercholetrolemia

      Hypertriglyceridemia

      Hyperlipoproteinemia

      ketosis

      CVD

      Fatty liver

      Obesity

      cancer

      Uncommon disorders

      Metabolic disorders of cerebrosides

      Lipidoses lipid storage diseases

      Multiple sclerosis

      Infant respiratory distress syndrome

      Xanthomatosis

      Retinitis pigmentosa

      Phrynoderma Toad skin

      Disorders of EFAs deficiency

      Zwellwegerrsquos disease

      ATHEROSCLEROSIS

      As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

      bull These foam cells are then deposited into the

      lining of the artery wall

      bull This process known as atherosclerosis causes

      plaque deposits to enlarge artery walls to lose

      elasticity and the passage through the artery to narrow

      Diagrammatic representation of the disease (atherosclerosis)-

      Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

      diseasesdiseases Enzyme Enzyme deficiencydeficiency

      Lipid Lipid accumulatingaccumulating

      symptomssymptoms

      Tay ndashsachs Tay ndashsachs diseasedisease

      hexosaminihexosaminidasedase

      gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

      Fabryrsquos Fabryrsquos diseasedisease

      A-A-galactosidasegalactosidase

      galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

      Krabbersquos Krabbersquos diseasedisease

      B-B-galactosidasgalactosidasee

      galactosylceramidgalactosylceramidee

      Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

      Gaucherrsquos Gaucherrsquos diseasedisease

      B-B-glucosidaseglucosidase

      glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

      Niemann-Niemann-pick diseasepick disease

      sphingomyesphingomyelinaselinase

      sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

      Farberrsquos Farberrsquos diseasedisease

      ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

      Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

      Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

      Hy Hy LipotypesLipotypes

      Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

      Risk of athersclerosisRisk of athersclerosis

      ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

      chylomicronschylomicrons increaseincrease

      llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

      cholesterolcholesterol Very highVery high

      llbllb Overproduction of Overproduction of apo-bapo-b

      TGs and cholesterolTGs and cholesterol highhigh

      llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

      lvlv Overproduction of Overproduction of TGsTGs

      TGsTGs Maymay not increaseMaymay not increase

      vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

      --do----do--

      Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

      Infant repiratory distress syndrome-

      Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

      It prevents collapsing of the alveoli and also decreases the surface tension

      Deficiency is common in young infants

      Xanthomatosis-

      Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

      Usually related with severe hypercholesterolemia and hyperlipidemia

      Phrynoderma or Toad skin-

      Caused due to the deficiency of essential fatty acids

      Horny eruptions occurs on posterior and lateral limbspoor wound healing

      Multiple sclerosis-

      It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

      Defects in the metabolism of essential fatty acids -

      Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

      Zwellwegerrsquos disease-

      Rare disorder

      occurs due to the accumulation of long chain polyenoic fatty acids in the brain

      Causes loss of functions and neural degeneration

      Dicarboxylic aciduria-

      It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

      Common Atherogenic dyslipidemias)

      1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

      Fatty liver-Fatty liver-

      When lipids accumulates excessively in liver then it causes fatty liver

      Dropletes of TGs are found in the entire hepatic cytoplasm

      this causes impairment in liver function

      Fatty liver may occur due to two main reason-

      1) Increased synthesis of TGs

      2) Impairment in lipoprotein synthesis

      Fatty liver is associated with the fibrotic changes and cirrhosis

      Tangier Disease

      gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

      References--

      1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

      2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

      3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

      4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

      • Slide 1
      • Why lipids are important-
      • Major lipids of physiological significance-
      • Classification of fatty acids-
      • Saturated fatty acids-
      • Unsaturated fatty acids-
      • Divisions of unsaturated fatty acids-
      • Monounsaturated fatty acids-
      • Cis- unsaturated fatty acids-
      • Trans unsaturated fatty acids-
      • Slide 11
      • Slide 12
      • ENDOTHELIAL-CELL FUNCTION--
      • Polyunsaturated fatty acids-
      • Slide 15
      • Slide 16
      • Omega-6 fatty acids-
      • Eicosanoids-
      • Triglycerides-
      • Phospholipids- main lipid constituent of cell membrane
      • Sterols-
      • Glycolipids-
      • Lipoproteins-
      • Classes of lipoproteins-
      • Slide 25
      • Slide 26
      • Apoprotein continuedhellip
      • Chylomicrons- TG rich
      • VLDL- rich in CE and TGs-
      • LDL- cholesterol rich
      • High density lipoprotein-
      • HDL Subpopulations
      • Slide 33
      • Slide 34
      • Role of lipids in health and diseases ndash omega-3 FAs
      • Arachidonic acid and the brain--
      • Prevention of cancer-
      • Lipids related disorders-
      • Slide 39
      • Slide 40
      • Metabolic disorders of cerebrosides
      • Lipoprotein disorders- Hyperlipoproteinemias-
      • Slide 43
      • Slide 44
      • Common Atherogenic dyslipidemias
      • Fatty liver-
      • Tangier Disease
      • Slide 48
      • Slide 49

        Classification of fatty acids-Classification of fatty acids-

        Fatty acids

        Saturated FA Unsaturated FA

        Saturated fatty acids-Saturated fatty acids-

        bull bull

        Saturated fatty contains no double bonds (having no points of Saturated fatty contains no double bonds (having no points of

        unsaturationunsaturation)) Saturated fats- considered as harmful It increases totalSaturated fats- considered as harmful It increases total

        cholesterol level and TGs levelcholesterol level and TGs level

        Hypercholestrolemic SFAs are-Myristic acid amp Lauric acidHypercholestrolemic SFAs are-Myristic acid amp Lauric acid

        Unsaturated fatty acids-Unsaturated fatty acids-

        Unsaturated fatty acid a fatty acid with one or more points of unsaturation Unsaturated fats are found in foods from both plant and animal sources Unsaturated fatty acids are further divided into monounsaturated fatty acids and polyunsaturated fatty acids

        Divisions of unsaturated fatty acids-Divisions of unsaturated fatty acids-

        UnsaturatedFatty acids

        MUFA PUFA Eicosanoids

        Monounsaturated fatty acidsMonounsaturated fatty acids-- Monounsaturated fatty acid Monounsaturated fatty acid a fatty acid containing a fatty acid containing

        one point of unsaturation found mostly in vegetable oils one point of unsaturation found mostly in vegetable oils

        such as olive canola and peanutsuch as olive canola and peanut

        They are considered as They are considered as beneficialbeneficial for human health for human health

        MUFAMUFA

        Cis FA Trans FA

        Cis- unsaturated fatty acids-Cis- unsaturated fatty acids- In In ciscis bonds bonds the two pieces of the carbon chain on either side the two pieces of the carbon chain on either side

        of the double bond are either both ldquouprdquo or both ldquodownrdquo such of the double bond are either both ldquouprdquo or both ldquodownrdquo such that both are on the same side of the moleculethat both are on the same side of the molecule

        Significance ndash Significance ndash Decreases total cholesterol and TGs levelDecreases total cholesterol and TGs level Increases HDL levelIncreases HDL level

        Trans unsaturated fatty acids-Trans unsaturated fatty acids- Trans fatty acids are produced by hydrogenation processTrans fatty acids are produced by hydrogenation process Hydrogen atoms are on the opposite sides of the moleculeHydrogen atoms are on the opposite sides of the molecule Egcis-oleic acid trans-elaidic acidEgcis-oleic acid trans-elaidic acid

        PHYSIOLOGICAL EFFECTS OF TRANS FATTY ACIDS

        - SERUM LIPIDS-SYSTEMIC INFLAMMATION -ENDOTHELIAL-CELL FUNCTION

        SERUM LIPIDSmdash

        gtraises levels of low-density lipoprotein (LDL) cholesterol reduces levels of high-density lipoprotein (HDL) cholesterol

        gtincreases the ratio of total cholesterol to HDL cholesterol a powerful predictor of the risk of CHD

        gtincrease the blood levels of triglycerides of Lp(a) lipoprotein and reduce the particle size of LDL cholesterol further raise the risk of CHD gttrans fatty acids have markedly adverse effects on serum lipids

        Physiological effects of trans fatty acids continuedhellip

        Systemic inflammationmdash

        inflammation an independent risk factor for atherosclerosis sudden death from cardiac causes diabetes and heart failurethe inflammatory effects of trans fats may account in part for their effects on cardiovascular health

        For example the difference in C-reactive protein levels 21 percent vs 09 percent intake an increase in cardiovascular risk of approximately 30 percent

        Physiological effects of trans fatty acids continuedhellip

        ENDOTHELIAL-CELL FUNCTION--ENDOTHELIAL-CELL FUNCTION--

        increased levels of several markers of endothelial dysfunction for eg-soluble intercellular adhesion molecule soluble vascular-cell adhesion molecule and E-selectin

        Physiological effects of trans fatty acids continuedhellip

        Polyunsaturated fatty acids-Polyunsaturated fatty acids-

        Polyunsaturated fatty acids (sometimes abbreviated PUFA) are those fatty acids where unsaturation occur more than two points found in nuts and vegetable oils such as safflower sunflower and soybean and in fatty fish

        They possess protective role on human healthconsidered as beneficial for consumpmtion

        Increase esterification process of cholesterol amp prevents its Increase esterification process of cholesterol amp prevents its absorptionabsorption

        By increasing the synthesis of eicosanoidsBy increasing the synthesis of eicosanoids Acts as an anti platelet aggregating factor so decreases the Acts as an anti platelet aggregating factor so decreases the

        chances of clot formationchances of clot formation Decreases the synthesis of the precursor of VLDL AND TGsDecreases the synthesis of the precursor of VLDL AND TGs Increases clearance of LDL cholesterolIncreases clearance of LDL cholesterol

        PUFA continued-

        Omega-3-fatty acids-

        Benefits-

        gtLower PGE2s levelgtAnti-inflammatorygtLower triglyceride and cholesterol levelsgtBenefits vision and gtbrain functiongtDecrease Skin gtinflammationgtInhibit platelet adhesion gtIncrease insulin sensitivity

        Omega-6 fatty acids-Omega-6 fatty acids-

        Linoleic fatty acid

        Arachidonic acid

        Benefits-Platelet aggregation cardiovascular diseases and inflammationReduce the symptoms of eczema and psoriasisClear up different types of acne

        Eicosanoids-Eicosanoids- These compounds are derived from long chain polyenoic fatty These compounds are derived from long chain polyenoic fatty

        acids (20-carbon)acids (20-carbon) Examples of eicosanoidsExamples of eicosanoids-- ProstaglandinsProstaglandins ProstacyclinesProstacyclines ThromboxanesThromboxanes LeukotrienesLeukotrienes lipoxinslipoxins

        They have roles inInflammationFeverRegulation of blood pressureBlood viscosityMale fertilityFemale conceptionMuscle cotractionBlood clottingTissue growthRegulation of sleepwake cycleBronchocostrictionAsthma

        Triglycerides-Triglycerides-

        StructureGlycerol + 3 fatty acids

        FunctionsEnergy source--9 kcals per gramForm of stored energy in adipose tissueInsulation and protectionCarrier of fat-soluble vitaminsSensory properties in food

        Phospholipids- Phospholipids- main lipid constituent of cell main lipid constituent of cell membranemembrane

        StructureGlycerol + 2 fatty acids + phosphate groupalso considered as derivative of lsquophosphatidic acidrsquo

        FunctionsMain lipid constituent of cell membranesLipid transport as part of lipoproteinsEmulsifiersCell signalling process phospholipids

        Phoscholine phosinositol cardiolipin lysophospholipid plasmalogens sphingomy

        SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

        Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

        Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

        Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

        glycolipidsglycolipids

        Lipoproteins-Lipoproteins-

        Lipoproteins are th macromolecular complex of lipids and proteins

        Transportation of lipids in the blood

        Structure of lipoproteins-

        Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

        Classes of lipoproteinsClasses of lipoproteins--

        ChylomicronsChylomicronsVLDLVLDL

        LDLLDL HDL

        gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

        Dlt1006 gml D=1019-1063gml D=1063-121 gml

        Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

        ApolipoproteinsmdashApolipoproteinsmdash

        Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

        (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

        Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

        Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

        Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

        Apoprotein continuedhellipApoprotein continuedhellip

        Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

        Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

        100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

        Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

        Apoprotein continuedhellipApoprotein continuedhellip

        Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

        uptakeuptake Apo C-II (liver)Apo C-II (liver)

        Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

        Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

        uptakeuptake

        ChylomicronsChylomicrons- TG rich- TG rich

        Synthesized in intestine

        Transports endogenous TGs

        Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

        VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

        Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

        Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

        LDL-LDL- cholesterol rich cholesterol rich

        Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

        Synthesized from VLDL in blood circulation

        Transports cholesterol from liver and delivers to other tissues

        High density lipoprotein-High density lipoprotein-

        Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

        Promotes re-esterification process of cholesterol

        HDL SubpopulationsHDL Subpopulations

        Rye et al Atherosclerosis 1999145227-238

        Apolipoprotein CompositionApolipoprotein Composition

        A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

        Particle ShapeParticle Shape

        DiscoidalDiscoidal

        SphericalSpherical

        Lipid CompositionLipid Composition

        TG CE and PLTG CE and PL

        Particle SizeParticle Size

        HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

        The Effects of Various Types of Fat on Blood Lipid Levels

        bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

        Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

        Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

        Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

        bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

        Arachidonic acid and the brain--

        One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

        Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

        Prevention of cancer-Prevention of cancer-

        Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

        Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

        Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

        Common disorders

        Hypercholetrolemia

        Hypertriglyceridemia

        Hyperlipoproteinemia

        ketosis

        CVD

        Fatty liver

        Obesity

        cancer

        Uncommon disorders

        Metabolic disorders of cerebrosides

        Lipidoses lipid storage diseases

        Multiple sclerosis

        Infant respiratory distress syndrome

        Xanthomatosis

        Retinitis pigmentosa

        Phrynoderma Toad skin

        Disorders of EFAs deficiency

        Zwellwegerrsquos disease

        ATHEROSCLEROSIS

        As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

        bull These foam cells are then deposited into the

        lining of the artery wall

        bull This process known as atherosclerosis causes

        plaque deposits to enlarge artery walls to lose

        elasticity and the passage through the artery to narrow

        Diagrammatic representation of the disease (atherosclerosis)-

        Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

        diseasesdiseases Enzyme Enzyme deficiencydeficiency

        Lipid Lipid accumulatingaccumulating

        symptomssymptoms

        Tay ndashsachs Tay ndashsachs diseasedisease

        hexosaminihexosaminidasedase

        gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

        Fabryrsquos Fabryrsquos diseasedisease

        A-A-galactosidasegalactosidase

        galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

        Krabbersquos Krabbersquos diseasedisease

        B-B-galactosidasgalactosidasee

        galactosylceramidgalactosylceramidee

        Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

        Gaucherrsquos Gaucherrsquos diseasedisease

        B-B-glucosidaseglucosidase

        glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

        Niemann-Niemann-pick diseasepick disease

        sphingomyesphingomyelinaselinase

        sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

        Farberrsquos Farberrsquos diseasedisease

        ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

        Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

        Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

        Hy Hy LipotypesLipotypes

        Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

        Risk of athersclerosisRisk of athersclerosis

        ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

        chylomicronschylomicrons increaseincrease

        llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

        cholesterolcholesterol Very highVery high

        llbllb Overproduction of Overproduction of apo-bapo-b

        TGs and cholesterolTGs and cholesterol highhigh

        llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

        lvlv Overproduction of Overproduction of TGsTGs

        TGsTGs Maymay not increaseMaymay not increase

        vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

        --do----do--

        Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

        Infant repiratory distress syndrome-

        Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

        It prevents collapsing of the alveoli and also decreases the surface tension

        Deficiency is common in young infants

        Xanthomatosis-

        Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

        Usually related with severe hypercholesterolemia and hyperlipidemia

        Phrynoderma or Toad skin-

        Caused due to the deficiency of essential fatty acids

        Horny eruptions occurs on posterior and lateral limbspoor wound healing

        Multiple sclerosis-

        It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

        Defects in the metabolism of essential fatty acids -

        Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

        Zwellwegerrsquos disease-

        Rare disorder

        occurs due to the accumulation of long chain polyenoic fatty acids in the brain

        Causes loss of functions and neural degeneration

        Dicarboxylic aciduria-

        It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

        Common Atherogenic dyslipidemias)

        1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

        Fatty liver-Fatty liver-

        When lipids accumulates excessively in liver then it causes fatty liver

        Dropletes of TGs are found in the entire hepatic cytoplasm

        this causes impairment in liver function

        Fatty liver may occur due to two main reason-

        1) Increased synthesis of TGs

        2) Impairment in lipoprotein synthesis

        Fatty liver is associated with the fibrotic changes and cirrhosis

        Tangier Disease

        gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

        References--

        1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

        2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

        3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

        4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

        • Slide 1
        • Why lipids are important-
        • Major lipids of physiological significance-
        • Classification of fatty acids-
        • Saturated fatty acids-
        • Unsaturated fatty acids-
        • Divisions of unsaturated fatty acids-
        • Monounsaturated fatty acids-
        • Cis- unsaturated fatty acids-
        • Trans unsaturated fatty acids-
        • Slide 11
        • Slide 12
        • ENDOTHELIAL-CELL FUNCTION--
        • Polyunsaturated fatty acids-
        • Slide 15
        • Slide 16
        • Omega-6 fatty acids-
        • Eicosanoids-
        • Triglycerides-
        • Phospholipids- main lipid constituent of cell membrane
        • Sterols-
        • Glycolipids-
        • Lipoproteins-
        • Classes of lipoproteins-
        • Slide 25
        • Slide 26
        • Apoprotein continuedhellip
        • Chylomicrons- TG rich
        • VLDL- rich in CE and TGs-
        • LDL- cholesterol rich
        • High density lipoprotein-
        • HDL Subpopulations
        • Slide 33
        • Slide 34
        • Role of lipids in health and diseases ndash omega-3 FAs
        • Arachidonic acid and the brain--
        • Prevention of cancer-
        • Lipids related disorders-
        • Slide 39
        • Slide 40
        • Metabolic disorders of cerebrosides
        • Lipoprotein disorders- Hyperlipoproteinemias-
        • Slide 43
        • Slide 44
        • Common Atherogenic dyslipidemias
        • Fatty liver-
        • Tangier Disease
        • Slide 48
        • Slide 49

          Saturated fatty acids-Saturated fatty acids-

          bull bull

          Saturated fatty contains no double bonds (having no points of Saturated fatty contains no double bonds (having no points of

          unsaturationunsaturation)) Saturated fats- considered as harmful It increases totalSaturated fats- considered as harmful It increases total

          cholesterol level and TGs levelcholesterol level and TGs level

          Hypercholestrolemic SFAs are-Myristic acid amp Lauric acidHypercholestrolemic SFAs are-Myristic acid amp Lauric acid

          Unsaturated fatty acids-Unsaturated fatty acids-

          Unsaturated fatty acid a fatty acid with one or more points of unsaturation Unsaturated fats are found in foods from both plant and animal sources Unsaturated fatty acids are further divided into monounsaturated fatty acids and polyunsaturated fatty acids

          Divisions of unsaturated fatty acids-Divisions of unsaturated fatty acids-

          UnsaturatedFatty acids

          MUFA PUFA Eicosanoids

          Monounsaturated fatty acidsMonounsaturated fatty acids-- Monounsaturated fatty acid Monounsaturated fatty acid a fatty acid containing a fatty acid containing

          one point of unsaturation found mostly in vegetable oils one point of unsaturation found mostly in vegetable oils

          such as olive canola and peanutsuch as olive canola and peanut

          They are considered as They are considered as beneficialbeneficial for human health for human health

          MUFAMUFA

          Cis FA Trans FA

          Cis- unsaturated fatty acids-Cis- unsaturated fatty acids- In In ciscis bonds bonds the two pieces of the carbon chain on either side the two pieces of the carbon chain on either side

          of the double bond are either both ldquouprdquo or both ldquodownrdquo such of the double bond are either both ldquouprdquo or both ldquodownrdquo such that both are on the same side of the moleculethat both are on the same side of the molecule

          Significance ndash Significance ndash Decreases total cholesterol and TGs levelDecreases total cholesterol and TGs level Increases HDL levelIncreases HDL level

          Trans unsaturated fatty acids-Trans unsaturated fatty acids- Trans fatty acids are produced by hydrogenation processTrans fatty acids are produced by hydrogenation process Hydrogen atoms are on the opposite sides of the moleculeHydrogen atoms are on the opposite sides of the molecule Egcis-oleic acid trans-elaidic acidEgcis-oleic acid trans-elaidic acid

          PHYSIOLOGICAL EFFECTS OF TRANS FATTY ACIDS

          - SERUM LIPIDS-SYSTEMIC INFLAMMATION -ENDOTHELIAL-CELL FUNCTION

          SERUM LIPIDSmdash

          gtraises levels of low-density lipoprotein (LDL) cholesterol reduces levels of high-density lipoprotein (HDL) cholesterol

          gtincreases the ratio of total cholesterol to HDL cholesterol a powerful predictor of the risk of CHD

          gtincrease the blood levels of triglycerides of Lp(a) lipoprotein and reduce the particle size of LDL cholesterol further raise the risk of CHD gttrans fatty acids have markedly adverse effects on serum lipids

          Physiological effects of trans fatty acids continuedhellip

          Systemic inflammationmdash

          inflammation an independent risk factor for atherosclerosis sudden death from cardiac causes diabetes and heart failurethe inflammatory effects of trans fats may account in part for their effects on cardiovascular health

          For example the difference in C-reactive protein levels 21 percent vs 09 percent intake an increase in cardiovascular risk of approximately 30 percent

          Physiological effects of trans fatty acids continuedhellip

          ENDOTHELIAL-CELL FUNCTION--ENDOTHELIAL-CELL FUNCTION--

          increased levels of several markers of endothelial dysfunction for eg-soluble intercellular adhesion molecule soluble vascular-cell adhesion molecule and E-selectin

          Physiological effects of trans fatty acids continuedhellip

          Polyunsaturated fatty acids-Polyunsaturated fatty acids-

          Polyunsaturated fatty acids (sometimes abbreviated PUFA) are those fatty acids where unsaturation occur more than two points found in nuts and vegetable oils such as safflower sunflower and soybean and in fatty fish

          They possess protective role on human healthconsidered as beneficial for consumpmtion

          Increase esterification process of cholesterol amp prevents its Increase esterification process of cholesterol amp prevents its absorptionabsorption

          By increasing the synthesis of eicosanoidsBy increasing the synthesis of eicosanoids Acts as an anti platelet aggregating factor so decreases the Acts as an anti platelet aggregating factor so decreases the

          chances of clot formationchances of clot formation Decreases the synthesis of the precursor of VLDL AND TGsDecreases the synthesis of the precursor of VLDL AND TGs Increases clearance of LDL cholesterolIncreases clearance of LDL cholesterol

          PUFA continued-

          Omega-3-fatty acids-

          Benefits-

          gtLower PGE2s levelgtAnti-inflammatorygtLower triglyceride and cholesterol levelsgtBenefits vision and gtbrain functiongtDecrease Skin gtinflammationgtInhibit platelet adhesion gtIncrease insulin sensitivity

          Omega-6 fatty acids-Omega-6 fatty acids-

          Linoleic fatty acid

          Arachidonic acid

          Benefits-Platelet aggregation cardiovascular diseases and inflammationReduce the symptoms of eczema and psoriasisClear up different types of acne

          Eicosanoids-Eicosanoids- These compounds are derived from long chain polyenoic fatty These compounds are derived from long chain polyenoic fatty

          acids (20-carbon)acids (20-carbon) Examples of eicosanoidsExamples of eicosanoids-- ProstaglandinsProstaglandins ProstacyclinesProstacyclines ThromboxanesThromboxanes LeukotrienesLeukotrienes lipoxinslipoxins

          They have roles inInflammationFeverRegulation of blood pressureBlood viscosityMale fertilityFemale conceptionMuscle cotractionBlood clottingTissue growthRegulation of sleepwake cycleBronchocostrictionAsthma

          Triglycerides-Triglycerides-

          StructureGlycerol + 3 fatty acids

          FunctionsEnergy source--9 kcals per gramForm of stored energy in adipose tissueInsulation and protectionCarrier of fat-soluble vitaminsSensory properties in food

          Phospholipids- Phospholipids- main lipid constituent of cell main lipid constituent of cell membranemembrane

          StructureGlycerol + 2 fatty acids + phosphate groupalso considered as derivative of lsquophosphatidic acidrsquo

          FunctionsMain lipid constituent of cell membranesLipid transport as part of lipoproteinsEmulsifiersCell signalling process phospholipids

          Phoscholine phosinositol cardiolipin lysophospholipid plasmalogens sphingomy

          SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

          Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

          Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

          Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

          glycolipidsglycolipids

          Lipoproteins-Lipoproteins-

          Lipoproteins are th macromolecular complex of lipids and proteins

          Transportation of lipids in the blood

          Structure of lipoproteins-

          Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

          Classes of lipoproteinsClasses of lipoproteins--

          ChylomicronsChylomicronsVLDLVLDL

          LDLLDL HDL

          gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

          Dlt1006 gml D=1019-1063gml D=1063-121 gml

          Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

          ApolipoproteinsmdashApolipoproteinsmdash

          Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

          (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

          Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

          Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

          Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

          Apoprotein continuedhellipApoprotein continuedhellip

          Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

          Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

          100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

          Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

          Apoprotein continuedhellipApoprotein continuedhellip

          Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

          uptakeuptake Apo C-II (liver)Apo C-II (liver)

          Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

          Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

          uptakeuptake

          ChylomicronsChylomicrons- TG rich- TG rich

          Synthesized in intestine

          Transports endogenous TGs

          Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

          VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

          Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

          Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

          LDL-LDL- cholesterol rich cholesterol rich

          Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

          Synthesized from VLDL in blood circulation

          Transports cholesterol from liver and delivers to other tissues

          High density lipoprotein-High density lipoprotein-

          Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

          Promotes re-esterification process of cholesterol

          HDL SubpopulationsHDL Subpopulations

          Rye et al Atherosclerosis 1999145227-238

          Apolipoprotein CompositionApolipoprotein Composition

          A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

          Particle ShapeParticle Shape

          DiscoidalDiscoidal

          SphericalSpherical

          Lipid CompositionLipid Composition

          TG CE and PLTG CE and PL

          Particle SizeParticle Size

          HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

          The Effects of Various Types of Fat on Blood Lipid Levels

          bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

          Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

          Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

          Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

          bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

          Arachidonic acid and the brain--

          One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

          Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

          Prevention of cancer-Prevention of cancer-

          Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

          Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

          Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

          Common disorders

          Hypercholetrolemia

          Hypertriglyceridemia

          Hyperlipoproteinemia

          ketosis

          CVD

          Fatty liver

          Obesity

          cancer

          Uncommon disorders

          Metabolic disorders of cerebrosides

          Lipidoses lipid storage diseases

          Multiple sclerosis

          Infant respiratory distress syndrome

          Xanthomatosis

          Retinitis pigmentosa

          Phrynoderma Toad skin

          Disorders of EFAs deficiency

          Zwellwegerrsquos disease

          ATHEROSCLEROSIS

          As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

          bull These foam cells are then deposited into the

          lining of the artery wall

          bull This process known as atherosclerosis causes

          plaque deposits to enlarge artery walls to lose

          elasticity and the passage through the artery to narrow

          Diagrammatic representation of the disease (atherosclerosis)-

          Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

          diseasesdiseases Enzyme Enzyme deficiencydeficiency

          Lipid Lipid accumulatingaccumulating

          symptomssymptoms

          Tay ndashsachs Tay ndashsachs diseasedisease

          hexosaminihexosaminidasedase

          gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

          Fabryrsquos Fabryrsquos diseasedisease

          A-A-galactosidasegalactosidase

          galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

          Krabbersquos Krabbersquos diseasedisease

          B-B-galactosidasgalactosidasee

          galactosylceramidgalactosylceramidee

          Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

          Gaucherrsquos Gaucherrsquos diseasedisease

          B-B-glucosidaseglucosidase

          glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

          Niemann-Niemann-pick diseasepick disease

          sphingomyesphingomyelinaselinase

          sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

          Farberrsquos Farberrsquos diseasedisease

          ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

          Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

          Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

          Hy Hy LipotypesLipotypes

          Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

          Risk of athersclerosisRisk of athersclerosis

          ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

          chylomicronschylomicrons increaseincrease

          llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

          cholesterolcholesterol Very highVery high

          llbllb Overproduction of Overproduction of apo-bapo-b

          TGs and cholesterolTGs and cholesterol highhigh

          llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

          lvlv Overproduction of Overproduction of TGsTGs

          TGsTGs Maymay not increaseMaymay not increase

          vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

          --do----do--

          Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

          Infant repiratory distress syndrome-

          Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

          It prevents collapsing of the alveoli and also decreases the surface tension

          Deficiency is common in young infants

          Xanthomatosis-

          Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

          Usually related with severe hypercholesterolemia and hyperlipidemia

          Phrynoderma or Toad skin-

          Caused due to the deficiency of essential fatty acids

          Horny eruptions occurs on posterior and lateral limbspoor wound healing

          Multiple sclerosis-

          It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

          Defects in the metabolism of essential fatty acids -

          Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

          Zwellwegerrsquos disease-

          Rare disorder

          occurs due to the accumulation of long chain polyenoic fatty acids in the brain

          Causes loss of functions and neural degeneration

          Dicarboxylic aciduria-

          It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

          Common Atherogenic dyslipidemias)

          1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

          Fatty liver-Fatty liver-

          When lipids accumulates excessively in liver then it causes fatty liver

          Dropletes of TGs are found in the entire hepatic cytoplasm

          this causes impairment in liver function

          Fatty liver may occur due to two main reason-

          1) Increased synthesis of TGs

          2) Impairment in lipoprotein synthesis

          Fatty liver is associated with the fibrotic changes and cirrhosis

          Tangier Disease

          gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

          References--

          1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

          2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

          3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

          4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

          • Slide 1
          • Why lipids are important-
          • Major lipids of physiological significance-
          • Classification of fatty acids-
          • Saturated fatty acids-
          • Unsaturated fatty acids-
          • Divisions of unsaturated fatty acids-
          • Monounsaturated fatty acids-
          • Cis- unsaturated fatty acids-
          • Trans unsaturated fatty acids-
          • Slide 11
          • Slide 12
          • ENDOTHELIAL-CELL FUNCTION--
          • Polyunsaturated fatty acids-
          • Slide 15
          • Slide 16
          • Omega-6 fatty acids-
          • Eicosanoids-
          • Triglycerides-
          • Phospholipids- main lipid constituent of cell membrane
          • Sterols-
          • Glycolipids-
          • Lipoproteins-
          • Classes of lipoproteins-
          • Slide 25
          • Slide 26
          • Apoprotein continuedhellip
          • Chylomicrons- TG rich
          • VLDL- rich in CE and TGs-
          • LDL- cholesterol rich
          • High density lipoprotein-
          • HDL Subpopulations
          • Slide 33
          • Slide 34
          • Role of lipids in health and diseases ndash omega-3 FAs
          • Arachidonic acid and the brain--
          • Prevention of cancer-
          • Lipids related disorders-
          • Slide 39
          • Slide 40
          • Metabolic disorders of cerebrosides
          • Lipoprotein disorders- Hyperlipoproteinemias-
          • Slide 43
          • Slide 44
          • Common Atherogenic dyslipidemias
          • Fatty liver-
          • Tangier Disease
          • Slide 48
          • Slide 49

            Unsaturated fatty acids-Unsaturated fatty acids-

            Unsaturated fatty acid a fatty acid with one or more points of unsaturation Unsaturated fats are found in foods from both plant and animal sources Unsaturated fatty acids are further divided into monounsaturated fatty acids and polyunsaturated fatty acids

            Divisions of unsaturated fatty acids-Divisions of unsaturated fatty acids-

            UnsaturatedFatty acids

            MUFA PUFA Eicosanoids

            Monounsaturated fatty acidsMonounsaturated fatty acids-- Monounsaturated fatty acid Monounsaturated fatty acid a fatty acid containing a fatty acid containing

            one point of unsaturation found mostly in vegetable oils one point of unsaturation found mostly in vegetable oils

            such as olive canola and peanutsuch as olive canola and peanut

            They are considered as They are considered as beneficialbeneficial for human health for human health

            MUFAMUFA

            Cis FA Trans FA

            Cis- unsaturated fatty acids-Cis- unsaturated fatty acids- In In ciscis bonds bonds the two pieces of the carbon chain on either side the two pieces of the carbon chain on either side

            of the double bond are either both ldquouprdquo or both ldquodownrdquo such of the double bond are either both ldquouprdquo or both ldquodownrdquo such that both are on the same side of the moleculethat both are on the same side of the molecule

            Significance ndash Significance ndash Decreases total cholesterol and TGs levelDecreases total cholesterol and TGs level Increases HDL levelIncreases HDL level

            Trans unsaturated fatty acids-Trans unsaturated fatty acids- Trans fatty acids are produced by hydrogenation processTrans fatty acids are produced by hydrogenation process Hydrogen atoms are on the opposite sides of the moleculeHydrogen atoms are on the opposite sides of the molecule Egcis-oleic acid trans-elaidic acidEgcis-oleic acid trans-elaidic acid

            PHYSIOLOGICAL EFFECTS OF TRANS FATTY ACIDS

            - SERUM LIPIDS-SYSTEMIC INFLAMMATION -ENDOTHELIAL-CELL FUNCTION

            SERUM LIPIDSmdash

            gtraises levels of low-density lipoprotein (LDL) cholesterol reduces levels of high-density lipoprotein (HDL) cholesterol

            gtincreases the ratio of total cholesterol to HDL cholesterol a powerful predictor of the risk of CHD

            gtincrease the blood levels of triglycerides of Lp(a) lipoprotein and reduce the particle size of LDL cholesterol further raise the risk of CHD gttrans fatty acids have markedly adverse effects on serum lipids

            Physiological effects of trans fatty acids continuedhellip

            Systemic inflammationmdash

            inflammation an independent risk factor for atherosclerosis sudden death from cardiac causes diabetes and heart failurethe inflammatory effects of trans fats may account in part for their effects on cardiovascular health

            For example the difference in C-reactive protein levels 21 percent vs 09 percent intake an increase in cardiovascular risk of approximately 30 percent

            Physiological effects of trans fatty acids continuedhellip

            ENDOTHELIAL-CELL FUNCTION--ENDOTHELIAL-CELL FUNCTION--

            increased levels of several markers of endothelial dysfunction for eg-soluble intercellular adhesion molecule soluble vascular-cell adhesion molecule and E-selectin

            Physiological effects of trans fatty acids continuedhellip

            Polyunsaturated fatty acids-Polyunsaturated fatty acids-

            Polyunsaturated fatty acids (sometimes abbreviated PUFA) are those fatty acids where unsaturation occur more than two points found in nuts and vegetable oils such as safflower sunflower and soybean and in fatty fish

            They possess protective role on human healthconsidered as beneficial for consumpmtion

            Increase esterification process of cholesterol amp prevents its Increase esterification process of cholesterol amp prevents its absorptionabsorption

            By increasing the synthesis of eicosanoidsBy increasing the synthesis of eicosanoids Acts as an anti platelet aggregating factor so decreases the Acts as an anti platelet aggregating factor so decreases the

            chances of clot formationchances of clot formation Decreases the synthesis of the precursor of VLDL AND TGsDecreases the synthesis of the precursor of VLDL AND TGs Increases clearance of LDL cholesterolIncreases clearance of LDL cholesterol

            PUFA continued-

            Omega-3-fatty acids-

            Benefits-

            gtLower PGE2s levelgtAnti-inflammatorygtLower triglyceride and cholesterol levelsgtBenefits vision and gtbrain functiongtDecrease Skin gtinflammationgtInhibit platelet adhesion gtIncrease insulin sensitivity

            Omega-6 fatty acids-Omega-6 fatty acids-

            Linoleic fatty acid

            Arachidonic acid

            Benefits-Platelet aggregation cardiovascular diseases and inflammationReduce the symptoms of eczema and psoriasisClear up different types of acne

            Eicosanoids-Eicosanoids- These compounds are derived from long chain polyenoic fatty These compounds are derived from long chain polyenoic fatty

            acids (20-carbon)acids (20-carbon) Examples of eicosanoidsExamples of eicosanoids-- ProstaglandinsProstaglandins ProstacyclinesProstacyclines ThromboxanesThromboxanes LeukotrienesLeukotrienes lipoxinslipoxins

            They have roles inInflammationFeverRegulation of blood pressureBlood viscosityMale fertilityFemale conceptionMuscle cotractionBlood clottingTissue growthRegulation of sleepwake cycleBronchocostrictionAsthma

            Triglycerides-Triglycerides-

            StructureGlycerol + 3 fatty acids

            FunctionsEnergy source--9 kcals per gramForm of stored energy in adipose tissueInsulation and protectionCarrier of fat-soluble vitaminsSensory properties in food

            Phospholipids- Phospholipids- main lipid constituent of cell main lipid constituent of cell membranemembrane

            StructureGlycerol + 2 fatty acids + phosphate groupalso considered as derivative of lsquophosphatidic acidrsquo

            FunctionsMain lipid constituent of cell membranesLipid transport as part of lipoproteinsEmulsifiersCell signalling process phospholipids

            Phoscholine phosinositol cardiolipin lysophospholipid plasmalogens sphingomy

            SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

            Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

            Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

            Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

            glycolipidsglycolipids

            Lipoproteins-Lipoproteins-

            Lipoproteins are th macromolecular complex of lipids and proteins

            Transportation of lipids in the blood

            Structure of lipoproteins-

            Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

            Classes of lipoproteinsClasses of lipoproteins--

            ChylomicronsChylomicronsVLDLVLDL

            LDLLDL HDL

            gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

            Dlt1006 gml D=1019-1063gml D=1063-121 gml

            Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

            ApolipoproteinsmdashApolipoproteinsmdash

            Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

            (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

            Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

            Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

            Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

            Apoprotein continuedhellipApoprotein continuedhellip

            Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

            Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

            100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

            Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

            Apoprotein continuedhellipApoprotein continuedhellip

            Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

            uptakeuptake Apo C-II (liver)Apo C-II (liver)

            Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

            Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

            uptakeuptake

            ChylomicronsChylomicrons- TG rich- TG rich

            Synthesized in intestine

            Transports endogenous TGs

            Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

            VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

            Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

            Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

            LDL-LDL- cholesterol rich cholesterol rich

            Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

            Synthesized from VLDL in blood circulation

            Transports cholesterol from liver and delivers to other tissues

            High density lipoprotein-High density lipoprotein-

            Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

            Promotes re-esterification process of cholesterol

            HDL SubpopulationsHDL Subpopulations

            Rye et al Atherosclerosis 1999145227-238

            Apolipoprotein CompositionApolipoprotein Composition

            A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

            Particle ShapeParticle Shape

            DiscoidalDiscoidal

            SphericalSpherical

            Lipid CompositionLipid Composition

            TG CE and PLTG CE and PL

            Particle SizeParticle Size

            HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

            The Effects of Various Types of Fat on Blood Lipid Levels

            bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

            Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

            Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

            Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

            bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

            Arachidonic acid and the brain--

            One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

            Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

            Prevention of cancer-Prevention of cancer-

            Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

            Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

            Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

            Common disorders

            Hypercholetrolemia

            Hypertriglyceridemia

            Hyperlipoproteinemia

            ketosis

            CVD

            Fatty liver

            Obesity

            cancer

            Uncommon disorders

            Metabolic disorders of cerebrosides

            Lipidoses lipid storage diseases

            Multiple sclerosis

            Infant respiratory distress syndrome

            Xanthomatosis

            Retinitis pigmentosa

            Phrynoderma Toad skin

            Disorders of EFAs deficiency

            Zwellwegerrsquos disease

            ATHEROSCLEROSIS

            As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

            bull These foam cells are then deposited into the

            lining of the artery wall

            bull This process known as atherosclerosis causes

            plaque deposits to enlarge artery walls to lose

            elasticity and the passage through the artery to narrow

            Diagrammatic representation of the disease (atherosclerosis)-

            Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

            diseasesdiseases Enzyme Enzyme deficiencydeficiency

            Lipid Lipid accumulatingaccumulating

            symptomssymptoms

            Tay ndashsachs Tay ndashsachs diseasedisease

            hexosaminihexosaminidasedase

            gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

            Fabryrsquos Fabryrsquos diseasedisease

            A-A-galactosidasegalactosidase

            galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

            Krabbersquos Krabbersquos diseasedisease

            B-B-galactosidasgalactosidasee

            galactosylceramidgalactosylceramidee

            Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

            Gaucherrsquos Gaucherrsquos diseasedisease

            B-B-glucosidaseglucosidase

            glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

            Niemann-Niemann-pick diseasepick disease

            sphingomyesphingomyelinaselinase

            sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

            Farberrsquos Farberrsquos diseasedisease

            ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

            Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

            Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

            Hy Hy LipotypesLipotypes

            Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

            Risk of athersclerosisRisk of athersclerosis

            ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

            chylomicronschylomicrons increaseincrease

            llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

            cholesterolcholesterol Very highVery high

            llbllb Overproduction of Overproduction of apo-bapo-b

            TGs and cholesterolTGs and cholesterol highhigh

            llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

            lvlv Overproduction of Overproduction of TGsTGs

            TGsTGs Maymay not increaseMaymay not increase

            vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

            --do----do--

            Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

            Infant repiratory distress syndrome-

            Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

            It prevents collapsing of the alveoli and also decreases the surface tension

            Deficiency is common in young infants

            Xanthomatosis-

            Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

            Usually related with severe hypercholesterolemia and hyperlipidemia

            Phrynoderma or Toad skin-

            Caused due to the deficiency of essential fatty acids

            Horny eruptions occurs on posterior and lateral limbspoor wound healing

            Multiple sclerosis-

            It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

            Defects in the metabolism of essential fatty acids -

            Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

            Zwellwegerrsquos disease-

            Rare disorder

            occurs due to the accumulation of long chain polyenoic fatty acids in the brain

            Causes loss of functions and neural degeneration

            Dicarboxylic aciduria-

            It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

            Common Atherogenic dyslipidemias)

            1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

            Fatty liver-Fatty liver-

            When lipids accumulates excessively in liver then it causes fatty liver

            Dropletes of TGs are found in the entire hepatic cytoplasm

            this causes impairment in liver function

            Fatty liver may occur due to two main reason-

            1) Increased synthesis of TGs

            2) Impairment in lipoprotein synthesis

            Fatty liver is associated with the fibrotic changes and cirrhosis

            Tangier Disease

            gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

            References--

            1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

            2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

            3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

            4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

            • Slide 1
            • Why lipids are important-
            • Major lipids of physiological significance-
            • Classification of fatty acids-
            • Saturated fatty acids-
            • Unsaturated fatty acids-
            • Divisions of unsaturated fatty acids-
            • Monounsaturated fatty acids-
            • Cis- unsaturated fatty acids-
            • Trans unsaturated fatty acids-
            • Slide 11
            • Slide 12
            • ENDOTHELIAL-CELL FUNCTION--
            • Polyunsaturated fatty acids-
            • Slide 15
            • Slide 16
            • Omega-6 fatty acids-
            • Eicosanoids-
            • Triglycerides-
            • Phospholipids- main lipid constituent of cell membrane
            • Sterols-
            • Glycolipids-
            • Lipoproteins-
            • Classes of lipoproteins-
            • Slide 25
            • Slide 26
            • Apoprotein continuedhellip
            • Chylomicrons- TG rich
            • VLDL- rich in CE and TGs-
            • LDL- cholesterol rich
            • High density lipoprotein-
            • HDL Subpopulations
            • Slide 33
            • Slide 34
            • Role of lipids in health and diseases ndash omega-3 FAs
            • Arachidonic acid and the brain--
            • Prevention of cancer-
            • Lipids related disorders-
            • Slide 39
            • Slide 40
            • Metabolic disorders of cerebrosides
            • Lipoprotein disorders- Hyperlipoproteinemias-
            • Slide 43
            • Slide 44
            • Common Atherogenic dyslipidemias
            • Fatty liver-
            • Tangier Disease
            • Slide 48
            • Slide 49

              Divisions of unsaturated fatty acids-Divisions of unsaturated fatty acids-

              UnsaturatedFatty acids

              MUFA PUFA Eicosanoids

              Monounsaturated fatty acidsMonounsaturated fatty acids-- Monounsaturated fatty acid Monounsaturated fatty acid a fatty acid containing a fatty acid containing

              one point of unsaturation found mostly in vegetable oils one point of unsaturation found mostly in vegetable oils

              such as olive canola and peanutsuch as olive canola and peanut

              They are considered as They are considered as beneficialbeneficial for human health for human health

              MUFAMUFA

              Cis FA Trans FA

              Cis- unsaturated fatty acids-Cis- unsaturated fatty acids- In In ciscis bonds bonds the two pieces of the carbon chain on either side the two pieces of the carbon chain on either side

              of the double bond are either both ldquouprdquo or both ldquodownrdquo such of the double bond are either both ldquouprdquo or both ldquodownrdquo such that both are on the same side of the moleculethat both are on the same side of the molecule

              Significance ndash Significance ndash Decreases total cholesterol and TGs levelDecreases total cholesterol and TGs level Increases HDL levelIncreases HDL level

              Trans unsaturated fatty acids-Trans unsaturated fatty acids- Trans fatty acids are produced by hydrogenation processTrans fatty acids are produced by hydrogenation process Hydrogen atoms are on the opposite sides of the moleculeHydrogen atoms are on the opposite sides of the molecule Egcis-oleic acid trans-elaidic acidEgcis-oleic acid trans-elaidic acid

              PHYSIOLOGICAL EFFECTS OF TRANS FATTY ACIDS

              - SERUM LIPIDS-SYSTEMIC INFLAMMATION -ENDOTHELIAL-CELL FUNCTION

              SERUM LIPIDSmdash

              gtraises levels of low-density lipoprotein (LDL) cholesterol reduces levels of high-density lipoprotein (HDL) cholesterol

              gtincreases the ratio of total cholesterol to HDL cholesterol a powerful predictor of the risk of CHD

              gtincrease the blood levels of triglycerides of Lp(a) lipoprotein and reduce the particle size of LDL cholesterol further raise the risk of CHD gttrans fatty acids have markedly adverse effects on serum lipids

              Physiological effects of trans fatty acids continuedhellip

              Systemic inflammationmdash

              inflammation an independent risk factor for atherosclerosis sudden death from cardiac causes diabetes and heart failurethe inflammatory effects of trans fats may account in part for their effects on cardiovascular health

              For example the difference in C-reactive protein levels 21 percent vs 09 percent intake an increase in cardiovascular risk of approximately 30 percent

              Physiological effects of trans fatty acids continuedhellip

              ENDOTHELIAL-CELL FUNCTION--ENDOTHELIAL-CELL FUNCTION--

              increased levels of several markers of endothelial dysfunction for eg-soluble intercellular adhesion molecule soluble vascular-cell adhesion molecule and E-selectin

              Physiological effects of trans fatty acids continuedhellip

              Polyunsaturated fatty acids-Polyunsaturated fatty acids-

              Polyunsaturated fatty acids (sometimes abbreviated PUFA) are those fatty acids where unsaturation occur more than two points found in nuts and vegetable oils such as safflower sunflower and soybean and in fatty fish

              They possess protective role on human healthconsidered as beneficial for consumpmtion

              Increase esterification process of cholesterol amp prevents its Increase esterification process of cholesterol amp prevents its absorptionabsorption

              By increasing the synthesis of eicosanoidsBy increasing the synthesis of eicosanoids Acts as an anti platelet aggregating factor so decreases the Acts as an anti platelet aggregating factor so decreases the

              chances of clot formationchances of clot formation Decreases the synthesis of the precursor of VLDL AND TGsDecreases the synthesis of the precursor of VLDL AND TGs Increases clearance of LDL cholesterolIncreases clearance of LDL cholesterol

              PUFA continued-

              Omega-3-fatty acids-

              Benefits-

              gtLower PGE2s levelgtAnti-inflammatorygtLower triglyceride and cholesterol levelsgtBenefits vision and gtbrain functiongtDecrease Skin gtinflammationgtInhibit platelet adhesion gtIncrease insulin sensitivity

              Omega-6 fatty acids-Omega-6 fatty acids-

              Linoleic fatty acid

              Arachidonic acid

              Benefits-Platelet aggregation cardiovascular diseases and inflammationReduce the symptoms of eczema and psoriasisClear up different types of acne

              Eicosanoids-Eicosanoids- These compounds are derived from long chain polyenoic fatty These compounds are derived from long chain polyenoic fatty

              acids (20-carbon)acids (20-carbon) Examples of eicosanoidsExamples of eicosanoids-- ProstaglandinsProstaglandins ProstacyclinesProstacyclines ThromboxanesThromboxanes LeukotrienesLeukotrienes lipoxinslipoxins

              They have roles inInflammationFeverRegulation of blood pressureBlood viscosityMale fertilityFemale conceptionMuscle cotractionBlood clottingTissue growthRegulation of sleepwake cycleBronchocostrictionAsthma

              Triglycerides-Triglycerides-

              StructureGlycerol + 3 fatty acids

              FunctionsEnergy source--9 kcals per gramForm of stored energy in adipose tissueInsulation and protectionCarrier of fat-soluble vitaminsSensory properties in food

              Phospholipids- Phospholipids- main lipid constituent of cell main lipid constituent of cell membranemembrane

              StructureGlycerol + 2 fatty acids + phosphate groupalso considered as derivative of lsquophosphatidic acidrsquo

              FunctionsMain lipid constituent of cell membranesLipid transport as part of lipoproteinsEmulsifiersCell signalling process phospholipids

              Phoscholine phosinositol cardiolipin lysophospholipid plasmalogens sphingomy

              SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

              Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

              Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

              Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

              glycolipidsglycolipids

              Lipoproteins-Lipoproteins-

              Lipoproteins are th macromolecular complex of lipids and proteins

              Transportation of lipids in the blood

              Structure of lipoproteins-

              Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

              Classes of lipoproteinsClasses of lipoproteins--

              ChylomicronsChylomicronsVLDLVLDL

              LDLLDL HDL

              gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

              Dlt1006 gml D=1019-1063gml D=1063-121 gml

              Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

              ApolipoproteinsmdashApolipoproteinsmdash

              Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

              (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

              Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

              Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

              Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

              Apoprotein continuedhellipApoprotein continuedhellip

              Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

              Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

              100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

              Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

              Apoprotein continuedhellipApoprotein continuedhellip

              Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

              uptakeuptake Apo C-II (liver)Apo C-II (liver)

              Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

              Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

              uptakeuptake

              ChylomicronsChylomicrons- TG rich- TG rich

              Synthesized in intestine

              Transports endogenous TGs

              Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

              VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

              Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

              Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

              LDL-LDL- cholesterol rich cholesterol rich

              Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

              Synthesized from VLDL in blood circulation

              Transports cholesterol from liver and delivers to other tissues

              High density lipoprotein-High density lipoprotein-

              Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

              Promotes re-esterification process of cholesterol

              HDL SubpopulationsHDL Subpopulations

              Rye et al Atherosclerosis 1999145227-238

              Apolipoprotein CompositionApolipoprotein Composition

              A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

              Particle ShapeParticle Shape

              DiscoidalDiscoidal

              SphericalSpherical

              Lipid CompositionLipid Composition

              TG CE and PLTG CE and PL

              Particle SizeParticle Size

              HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

              The Effects of Various Types of Fat on Blood Lipid Levels

              bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

              Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

              Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

              Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

              bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

              Arachidonic acid and the brain--

              One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

              Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

              Prevention of cancer-Prevention of cancer-

              Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

              Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

              Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

              Common disorders

              Hypercholetrolemia

              Hypertriglyceridemia

              Hyperlipoproteinemia

              ketosis

              CVD

              Fatty liver

              Obesity

              cancer

              Uncommon disorders

              Metabolic disorders of cerebrosides

              Lipidoses lipid storage diseases

              Multiple sclerosis

              Infant respiratory distress syndrome

              Xanthomatosis

              Retinitis pigmentosa

              Phrynoderma Toad skin

              Disorders of EFAs deficiency

              Zwellwegerrsquos disease

              ATHEROSCLEROSIS

              As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

              bull These foam cells are then deposited into the

              lining of the artery wall

              bull This process known as atherosclerosis causes

              plaque deposits to enlarge artery walls to lose

              elasticity and the passage through the artery to narrow

              Diagrammatic representation of the disease (atherosclerosis)-

              Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

              diseasesdiseases Enzyme Enzyme deficiencydeficiency

              Lipid Lipid accumulatingaccumulating

              symptomssymptoms

              Tay ndashsachs Tay ndashsachs diseasedisease

              hexosaminihexosaminidasedase

              gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

              Fabryrsquos Fabryrsquos diseasedisease

              A-A-galactosidasegalactosidase

              galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

              Krabbersquos Krabbersquos diseasedisease

              B-B-galactosidasgalactosidasee

              galactosylceramidgalactosylceramidee

              Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

              Gaucherrsquos Gaucherrsquos diseasedisease

              B-B-glucosidaseglucosidase

              glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

              Niemann-Niemann-pick diseasepick disease

              sphingomyesphingomyelinaselinase

              sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

              Farberrsquos Farberrsquos diseasedisease

              ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

              Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

              Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

              Hy Hy LipotypesLipotypes

              Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

              Risk of athersclerosisRisk of athersclerosis

              ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

              chylomicronschylomicrons increaseincrease

              llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

              cholesterolcholesterol Very highVery high

              llbllb Overproduction of Overproduction of apo-bapo-b

              TGs and cholesterolTGs and cholesterol highhigh

              llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

              lvlv Overproduction of Overproduction of TGsTGs

              TGsTGs Maymay not increaseMaymay not increase

              vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

              --do----do--

              Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

              Infant repiratory distress syndrome-

              Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

              It prevents collapsing of the alveoli and also decreases the surface tension

              Deficiency is common in young infants

              Xanthomatosis-

              Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

              Usually related with severe hypercholesterolemia and hyperlipidemia

              Phrynoderma or Toad skin-

              Caused due to the deficiency of essential fatty acids

              Horny eruptions occurs on posterior and lateral limbspoor wound healing

              Multiple sclerosis-

              It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

              Defects in the metabolism of essential fatty acids -

              Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

              Zwellwegerrsquos disease-

              Rare disorder

              occurs due to the accumulation of long chain polyenoic fatty acids in the brain

              Causes loss of functions and neural degeneration

              Dicarboxylic aciduria-

              It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

              Common Atherogenic dyslipidemias)

              1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

              Fatty liver-Fatty liver-

              When lipids accumulates excessively in liver then it causes fatty liver

              Dropletes of TGs are found in the entire hepatic cytoplasm

              this causes impairment in liver function

              Fatty liver may occur due to two main reason-

              1) Increased synthesis of TGs

              2) Impairment in lipoprotein synthesis

              Fatty liver is associated with the fibrotic changes and cirrhosis

              Tangier Disease

              gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

              References--

              1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

              2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

              3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

              4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

              • Slide 1
              • Why lipids are important-
              • Major lipids of physiological significance-
              • Classification of fatty acids-
              • Saturated fatty acids-
              • Unsaturated fatty acids-
              • Divisions of unsaturated fatty acids-
              • Monounsaturated fatty acids-
              • Cis- unsaturated fatty acids-
              • Trans unsaturated fatty acids-
              • Slide 11
              • Slide 12
              • ENDOTHELIAL-CELL FUNCTION--
              • Polyunsaturated fatty acids-
              • Slide 15
              • Slide 16
              • Omega-6 fatty acids-
              • Eicosanoids-
              • Triglycerides-
              • Phospholipids- main lipid constituent of cell membrane
              • Sterols-
              • Glycolipids-
              • Lipoproteins-
              • Classes of lipoproteins-
              • Slide 25
              • Slide 26
              • Apoprotein continuedhellip
              • Chylomicrons- TG rich
              • VLDL- rich in CE and TGs-
              • LDL- cholesterol rich
              • High density lipoprotein-
              • HDL Subpopulations
              • Slide 33
              • Slide 34
              • Role of lipids in health and diseases ndash omega-3 FAs
              • Arachidonic acid and the brain--
              • Prevention of cancer-
              • Lipids related disorders-
              • Slide 39
              • Slide 40
              • Metabolic disorders of cerebrosides
              • Lipoprotein disorders- Hyperlipoproteinemias-
              • Slide 43
              • Slide 44
              • Common Atherogenic dyslipidemias
              • Fatty liver-
              • Tangier Disease
              • Slide 48
              • Slide 49

                Monounsaturated fatty acidsMonounsaturated fatty acids-- Monounsaturated fatty acid Monounsaturated fatty acid a fatty acid containing a fatty acid containing

                one point of unsaturation found mostly in vegetable oils one point of unsaturation found mostly in vegetable oils

                such as olive canola and peanutsuch as olive canola and peanut

                They are considered as They are considered as beneficialbeneficial for human health for human health

                MUFAMUFA

                Cis FA Trans FA

                Cis- unsaturated fatty acids-Cis- unsaturated fatty acids- In In ciscis bonds bonds the two pieces of the carbon chain on either side the two pieces of the carbon chain on either side

                of the double bond are either both ldquouprdquo or both ldquodownrdquo such of the double bond are either both ldquouprdquo or both ldquodownrdquo such that both are on the same side of the moleculethat both are on the same side of the molecule

                Significance ndash Significance ndash Decreases total cholesterol and TGs levelDecreases total cholesterol and TGs level Increases HDL levelIncreases HDL level

                Trans unsaturated fatty acids-Trans unsaturated fatty acids- Trans fatty acids are produced by hydrogenation processTrans fatty acids are produced by hydrogenation process Hydrogen atoms are on the opposite sides of the moleculeHydrogen atoms are on the opposite sides of the molecule Egcis-oleic acid trans-elaidic acidEgcis-oleic acid trans-elaidic acid

                PHYSIOLOGICAL EFFECTS OF TRANS FATTY ACIDS

                - SERUM LIPIDS-SYSTEMIC INFLAMMATION -ENDOTHELIAL-CELL FUNCTION

                SERUM LIPIDSmdash

                gtraises levels of low-density lipoprotein (LDL) cholesterol reduces levels of high-density lipoprotein (HDL) cholesterol

                gtincreases the ratio of total cholesterol to HDL cholesterol a powerful predictor of the risk of CHD

                gtincrease the blood levels of triglycerides of Lp(a) lipoprotein and reduce the particle size of LDL cholesterol further raise the risk of CHD gttrans fatty acids have markedly adverse effects on serum lipids

                Physiological effects of trans fatty acids continuedhellip

                Systemic inflammationmdash

                inflammation an independent risk factor for atherosclerosis sudden death from cardiac causes diabetes and heart failurethe inflammatory effects of trans fats may account in part for their effects on cardiovascular health

                For example the difference in C-reactive protein levels 21 percent vs 09 percent intake an increase in cardiovascular risk of approximately 30 percent

                Physiological effects of trans fatty acids continuedhellip

                ENDOTHELIAL-CELL FUNCTION--ENDOTHELIAL-CELL FUNCTION--

                increased levels of several markers of endothelial dysfunction for eg-soluble intercellular adhesion molecule soluble vascular-cell adhesion molecule and E-selectin

                Physiological effects of trans fatty acids continuedhellip

                Polyunsaturated fatty acids-Polyunsaturated fatty acids-

                Polyunsaturated fatty acids (sometimes abbreviated PUFA) are those fatty acids where unsaturation occur more than two points found in nuts and vegetable oils such as safflower sunflower and soybean and in fatty fish

                They possess protective role on human healthconsidered as beneficial for consumpmtion

                Increase esterification process of cholesterol amp prevents its Increase esterification process of cholesterol amp prevents its absorptionabsorption

                By increasing the synthesis of eicosanoidsBy increasing the synthesis of eicosanoids Acts as an anti platelet aggregating factor so decreases the Acts as an anti platelet aggregating factor so decreases the

                chances of clot formationchances of clot formation Decreases the synthesis of the precursor of VLDL AND TGsDecreases the synthesis of the precursor of VLDL AND TGs Increases clearance of LDL cholesterolIncreases clearance of LDL cholesterol

                PUFA continued-

                Omega-3-fatty acids-

                Benefits-

                gtLower PGE2s levelgtAnti-inflammatorygtLower triglyceride and cholesterol levelsgtBenefits vision and gtbrain functiongtDecrease Skin gtinflammationgtInhibit platelet adhesion gtIncrease insulin sensitivity

                Omega-6 fatty acids-Omega-6 fatty acids-

                Linoleic fatty acid

                Arachidonic acid

                Benefits-Platelet aggregation cardiovascular diseases and inflammationReduce the symptoms of eczema and psoriasisClear up different types of acne

                Eicosanoids-Eicosanoids- These compounds are derived from long chain polyenoic fatty These compounds are derived from long chain polyenoic fatty

                acids (20-carbon)acids (20-carbon) Examples of eicosanoidsExamples of eicosanoids-- ProstaglandinsProstaglandins ProstacyclinesProstacyclines ThromboxanesThromboxanes LeukotrienesLeukotrienes lipoxinslipoxins

                They have roles inInflammationFeverRegulation of blood pressureBlood viscosityMale fertilityFemale conceptionMuscle cotractionBlood clottingTissue growthRegulation of sleepwake cycleBronchocostrictionAsthma

                Triglycerides-Triglycerides-

                StructureGlycerol + 3 fatty acids

                FunctionsEnergy source--9 kcals per gramForm of stored energy in adipose tissueInsulation and protectionCarrier of fat-soluble vitaminsSensory properties in food

                Phospholipids- Phospholipids- main lipid constituent of cell main lipid constituent of cell membranemembrane

                StructureGlycerol + 2 fatty acids + phosphate groupalso considered as derivative of lsquophosphatidic acidrsquo

                FunctionsMain lipid constituent of cell membranesLipid transport as part of lipoproteinsEmulsifiersCell signalling process phospholipids

                Phoscholine phosinositol cardiolipin lysophospholipid plasmalogens sphingomy

                SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

                Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

                Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

                Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

                glycolipidsglycolipids

                Lipoproteins-Lipoproteins-

                Lipoproteins are th macromolecular complex of lipids and proteins

                Transportation of lipids in the blood

                Structure of lipoproteins-

                Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

                Classes of lipoproteinsClasses of lipoproteins--

                ChylomicronsChylomicronsVLDLVLDL

                LDLLDL HDL

                gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

                Dlt1006 gml D=1019-1063gml D=1063-121 gml

                Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

                ApolipoproteinsmdashApolipoproteinsmdash

                Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

                (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

                Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

                Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

                Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

                Apoprotein continuedhellipApoprotein continuedhellip

                Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

                Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

                100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

                Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

                Apoprotein continuedhellipApoprotein continuedhellip

                Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

                uptakeuptake Apo C-II (liver)Apo C-II (liver)

                Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

                Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

                uptakeuptake

                ChylomicronsChylomicrons- TG rich- TG rich

                Synthesized in intestine

                Transports endogenous TGs

                Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                LDL-LDL- cholesterol rich cholesterol rich

                Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                Synthesized from VLDL in blood circulation

                Transports cholesterol from liver and delivers to other tissues

                High density lipoprotein-High density lipoprotein-

                Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                Promotes re-esterification process of cholesterol

                HDL SubpopulationsHDL Subpopulations

                Rye et al Atherosclerosis 1999145227-238

                Apolipoprotein CompositionApolipoprotein Composition

                A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                Particle ShapeParticle Shape

                DiscoidalDiscoidal

                SphericalSpherical

                Lipid CompositionLipid Composition

                TG CE and PLTG CE and PL

                Particle SizeParticle Size

                HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                The Effects of Various Types of Fat on Blood Lipid Levels

                bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                Arachidonic acid and the brain--

                One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                Prevention of cancer-Prevention of cancer-

                Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                Common disorders

                Hypercholetrolemia

                Hypertriglyceridemia

                Hyperlipoproteinemia

                ketosis

                CVD

                Fatty liver

                Obesity

                cancer

                Uncommon disorders

                Metabolic disorders of cerebrosides

                Lipidoses lipid storage diseases

                Multiple sclerosis

                Infant respiratory distress syndrome

                Xanthomatosis

                Retinitis pigmentosa

                Phrynoderma Toad skin

                Disorders of EFAs deficiency

                Zwellwegerrsquos disease

                ATHEROSCLEROSIS

                As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                bull These foam cells are then deposited into the

                lining of the artery wall

                bull This process known as atherosclerosis causes

                plaque deposits to enlarge artery walls to lose

                elasticity and the passage through the artery to narrow

                Diagrammatic representation of the disease (atherosclerosis)-

                Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                diseasesdiseases Enzyme Enzyme deficiencydeficiency

                Lipid Lipid accumulatingaccumulating

                symptomssymptoms

                Tay ndashsachs Tay ndashsachs diseasedisease

                hexosaminihexosaminidasedase

                gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                Fabryrsquos Fabryrsquos diseasedisease

                A-A-galactosidasegalactosidase

                galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                Krabbersquos Krabbersquos diseasedisease

                B-B-galactosidasgalactosidasee

                galactosylceramidgalactosylceramidee

                Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                Gaucherrsquos Gaucherrsquos diseasedisease

                B-B-glucosidaseglucosidase

                glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                Niemann-Niemann-pick diseasepick disease

                sphingomyesphingomyelinaselinase

                sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                Farberrsquos Farberrsquos diseasedisease

                ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                Hy Hy LipotypesLipotypes

                Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                Risk of athersclerosisRisk of athersclerosis

                ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                chylomicronschylomicrons increaseincrease

                llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                cholesterolcholesterol Very highVery high

                llbllb Overproduction of Overproduction of apo-bapo-b

                TGs and cholesterolTGs and cholesterol highhigh

                llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                lvlv Overproduction of Overproduction of TGsTGs

                TGsTGs Maymay not increaseMaymay not increase

                vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                --do----do--

                Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                Infant repiratory distress syndrome-

                Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                It prevents collapsing of the alveoli and also decreases the surface tension

                Deficiency is common in young infants

                Xanthomatosis-

                Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                Usually related with severe hypercholesterolemia and hyperlipidemia

                Phrynoderma or Toad skin-

                Caused due to the deficiency of essential fatty acids

                Horny eruptions occurs on posterior and lateral limbspoor wound healing

                Multiple sclerosis-

                It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                Defects in the metabolism of essential fatty acids -

                Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                Zwellwegerrsquos disease-

                Rare disorder

                occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                Causes loss of functions and neural degeneration

                Dicarboxylic aciduria-

                It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                Common Atherogenic dyslipidemias)

                1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                Fatty liver-Fatty liver-

                When lipids accumulates excessively in liver then it causes fatty liver

                Dropletes of TGs are found in the entire hepatic cytoplasm

                this causes impairment in liver function

                Fatty liver may occur due to two main reason-

                1) Increased synthesis of TGs

                2) Impairment in lipoprotein synthesis

                Fatty liver is associated with the fibrotic changes and cirrhosis

                Tangier Disease

                gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                References--

                1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                • Slide 1
                • Why lipids are important-
                • Major lipids of physiological significance-
                • Classification of fatty acids-
                • Saturated fatty acids-
                • Unsaturated fatty acids-
                • Divisions of unsaturated fatty acids-
                • Monounsaturated fatty acids-
                • Cis- unsaturated fatty acids-
                • Trans unsaturated fatty acids-
                • Slide 11
                • Slide 12
                • ENDOTHELIAL-CELL FUNCTION--
                • Polyunsaturated fatty acids-
                • Slide 15
                • Slide 16
                • Omega-6 fatty acids-
                • Eicosanoids-
                • Triglycerides-
                • Phospholipids- main lipid constituent of cell membrane
                • Sterols-
                • Glycolipids-
                • Lipoproteins-
                • Classes of lipoproteins-
                • Slide 25
                • Slide 26
                • Apoprotein continuedhellip
                • Chylomicrons- TG rich
                • VLDL- rich in CE and TGs-
                • LDL- cholesterol rich
                • High density lipoprotein-
                • HDL Subpopulations
                • Slide 33
                • Slide 34
                • Role of lipids in health and diseases ndash omega-3 FAs
                • Arachidonic acid and the brain--
                • Prevention of cancer-
                • Lipids related disorders-
                • Slide 39
                • Slide 40
                • Metabolic disorders of cerebrosides
                • Lipoprotein disorders- Hyperlipoproteinemias-
                • Slide 43
                • Slide 44
                • Common Atherogenic dyslipidemias
                • Fatty liver-
                • Tangier Disease
                • Slide 48
                • Slide 49

                  Cis- unsaturated fatty acids-Cis- unsaturated fatty acids- In In ciscis bonds bonds the two pieces of the carbon chain on either side the two pieces of the carbon chain on either side

                  of the double bond are either both ldquouprdquo or both ldquodownrdquo such of the double bond are either both ldquouprdquo or both ldquodownrdquo such that both are on the same side of the moleculethat both are on the same side of the molecule

                  Significance ndash Significance ndash Decreases total cholesterol and TGs levelDecreases total cholesterol and TGs level Increases HDL levelIncreases HDL level

                  Trans unsaturated fatty acids-Trans unsaturated fatty acids- Trans fatty acids are produced by hydrogenation processTrans fatty acids are produced by hydrogenation process Hydrogen atoms are on the opposite sides of the moleculeHydrogen atoms are on the opposite sides of the molecule Egcis-oleic acid trans-elaidic acidEgcis-oleic acid trans-elaidic acid

                  PHYSIOLOGICAL EFFECTS OF TRANS FATTY ACIDS

                  - SERUM LIPIDS-SYSTEMIC INFLAMMATION -ENDOTHELIAL-CELL FUNCTION

                  SERUM LIPIDSmdash

                  gtraises levels of low-density lipoprotein (LDL) cholesterol reduces levels of high-density lipoprotein (HDL) cholesterol

                  gtincreases the ratio of total cholesterol to HDL cholesterol a powerful predictor of the risk of CHD

                  gtincrease the blood levels of triglycerides of Lp(a) lipoprotein and reduce the particle size of LDL cholesterol further raise the risk of CHD gttrans fatty acids have markedly adverse effects on serum lipids

                  Physiological effects of trans fatty acids continuedhellip

                  Systemic inflammationmdash

                  inflammation an independent risk factor for atherosclerosis sudden death from cardiac causes diabetes and heart failurethe inflammatory effects of trans fats may account in part for their effects on cardiovascular health

                  For example the difference in C-reactive protein levels 21 percent vs 09 percent intake an increase in cardiovascular risk of approximately 30 percent

                  Physiological effects of trans fatty acids continuedhellip

                  ENDOTHELIAL-CELL FUNCTION--ENDOTHELIAL-CELL FUNCTION--

                  increased levels of several markers of endothelial dysfunction for eg-soluble intercellular adhesion molecule soluble vascular-cell adhesion molecule and E-selectin

                  Physiological effects of trans fatty acids continuedhellip

                  Polyunsaturated fatty acids-Polyunsaturated fatty acids-

                  Polyunsaturated fatty acids (sometimes abbreviated PUFA) are those fatty acids where unsaturation occur more than two points found in nuts and vegetable oils such as safflower sunflower and soybean and in fatty fish

                  They possess protective role on human healthconsidered as beneficial for consumpmtion

                  Increase esterification process of cholesterol amp prevents its Increase esterification process of cholesterol amp prevents its absorptionabsorption

                  By increasing the synthesis of eicosanoidsBy increasing the synthesis of eicosanoids Acts as an anti platelet aggregating factor so decreases the Acts as an anti platelet aggregating factor so decreases the

                  chances of clot formationchances of clot formation Decreases the synthesis of the precursor of VLDL AND TGsDecreases the synthesis of the precursor of VLDL AND TGs Increases clearance of LDL cholesterolIncreases clearance of LDL cholesterol

                  PUFA continued-

                  Omega-3-fatty acids-

                  Benefits-

                  gtLower PGE2s levelgtAnti-inflammatorygtLower triglyceride and cholesterol levelsgtBenefits vision and gtbrain functiongtDecrease Skin gtinflammationgtInhibit platelet adhesion gtIncrease insulin sensitivity

                  Omega-6 fatty acids-Omega-6 fatty acids-

                  Linoleic fatty acid

                  Arachidonic acid

                  Benefits-Platelet aggregation cardiovascular diseases and inflammationReduce the symptoms of eczema and psoriasisClear up different types of acne

                  Eicosanoids-Eicosanoids- These compounds are derived from long chain polyenoic fatty These compounds are derived from long chain polyenoic fatty

                  acids (20-carbon)acids (20-carbon) Examples of eicosanoidsExamples of eicosanoids-- ProstaglandinsProstaglandins ProstacyclinesProstacyclines ThromboxanesThromboxanes LeukotrienesLeukotrienes lipoxinslipoxins

                  They have roles inInflammationFeverRegulation of blood pressureBlood viscosityMale fertilityFemale conceptionMuscle cotractionBlood clottingTissue growthRegulation of sleepwake cycleBronchocostrictionAsthma

                  Triglycerides-Triglycerides-

                  StructureGlycerol + 3 fatty acids

                  FunctionsEnergy source--9 kcals per gramForm of stored energy in adipose tissueInsulation and protectionCarrier of fat-soluble vitaminsSensory properties in food

                  Phospholipids- Phospholipids- main lipid constituent of cell main lipid constituent of cell membranemembrane

                  StructureGlycerol + 2 fatty acids + phosphate groupalso considered as derivative of lsquophosphatidic acidrsquo

                  FunctionsMain lipid constituent of cell membranesLipid transport as part of lipoproteinsEmulsifiersCell signalling process phospholipids

                  Phoscholine phosinositol cardiolipin lysophospholipid plasmalogens sphingomy

                  SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

                  Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

                  Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

                  Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

                  glycolipidsglycolipids

                  Lipoproteins-Lipoproteins-

                  Lipoproteins are th macromolecular complex of lipids and proteins

                  Transportation of lipids in the blood

                  Structure of lipoproteins-

                  Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

                  Classes of lipoproteinsClasses of lipoproteins--

                  ChylomicronsChylomicronsVLDLVLDL

                  LDLLDL HDL

                  gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

                  Dlt1006 gml D=1019-1063gml D=1063-121 gml

                  Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

                  ApolipoproteinsmdashApolipoproteinsmdash

                  Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

                  (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

                  Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

                  Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

                  Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

                  Apoprotein continuedhellipApoprotein continuedhellip

                  Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

                  Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

                  100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

                  Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

                  Apoprotein continuedhellipApoprotein continuedhellip

                  Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

                  uptakeuptake Apo C-II (liver)Apo C-II (liver)

                  Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

                  Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

                  uptakeuptake

                  ChylomicronsChylomicrons- TG rich- TG rich

                  Synthesized in intestine

                  Transports endogenous TGs

                  Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                  VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                  Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                  Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                  LDL-LDL- cholesterol rich cholesterol rich

                  Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                  Synthesized from VLDL in blood circulation

                  Transports cholesterol from liver and delivers to other tissues

                  High density lipoprotein-High density lipoprotein-

                  Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                  Promotes re-esterification process of cholesterol

                  HDL SubpopulationsHDL Subpopulations

                  Rye et al Atherosclerosis 1999145227-238

                  Apolipoprotein CompositionApolipoprotein Composition

                  A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                  Particle ShapeParticle Shape

                  DiscoidalDiscoidal

                  SphericalSpherical

                  Lipid CompositionLipid Composition

                  TG CE and PLTG CE and PL

                  Particle SizeParticle Size

                  HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                  The Effects of Various Types of Fat on Blood Lipid Levels

                  bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                  Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                  Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                  Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                  bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                  Arachidonic acid and the brain--

                  One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                  Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                  Prevention of cancer-Prevention of cancer-

                  Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                  Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                  Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                  Common disorders

                  Hypercholetrolemia

                  Hypertriglyceridemia

                  Hyperlipoproteinemia

                  ketosis

                  CVD

                  Fatty liver

                  Obesity

                  cancer

                  Uncommon disorders

                  Metabolic disorders of cerebrosides

                  Lipidoses lipid storage diseases

                  Multiple sclerosis

                  Infant respiratory distress syndrome

                  Xanthomatosis

                  Retinitis pigmentosa

                  Phrynoderma Toad skin

                  Disorders of EFAs deficiency

                  Zwellwegerrsquos disease

                  ATHEROSCLEROSIS

                  As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                  bull These foam cells are then deposited into the

                  lining of the artery wall

                  bull This process known as atherosclerosis causes

                  plaque deposits to enlarge artery walls to lose

                  elasticity and the passage through the artery to narrow

                  Diagrammatic representation of the disease (atherosclerosis)-

                  Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                  diseasesdiseases Enzyme Enzyme deficiencydeficiency

                  Lipid Lipid accumulatingaccumulating

                  symptomssymptoms

                  Tay ndashsachs Tay ndashsachs diseasedisease

                  hexosaminihexosaminidasedase

                  gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                  Fabryrsquos Fabryrsquos diseasedisease

                  A-A-galactosidasegalactosidase

                  galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                  Krabbersquos Krabbersquos diseasedisease

                  B-B-galactosidasgalactosidasee

                  galactosylceramidgalactosylceramidee

                  Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                  Gaucherrsquos Gaucherrsquos diseasedisease

                  B-B-glucosidaseglucosidase

                  glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                  Niemann-Niemann-pick diseasepick disease

                  sphingomyesphingomyelinaselinase

                  sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                  Farberrsquos Farberrsquos diseasedisease

                  ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                  Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                  Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                  Hy Hy LipotypesLipotypes

                  Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                  Risk of athersclerosisRisk of athersclerosis

                  ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                  chylomicronschylomicrons increaseincrease

                  llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                  cholesterolcholesterol Very highVery high

                  llbllb Overproduction of Overproduction of apo-bapo-b

                  TGs and cholesterolTGs and cholesterol highhigh

                  llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                  lvlv Overproduction of Overproduction of TGsTGs

                  TGsTGs Maymay not increaseMaymay not increase

                  vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                  --do----do--

                  Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                  Infant repiratory distress syndrome-

                  Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                  It prevents collapsing of the alveoli and also decreases the surface tension

                  Deficiency is common in young infants

                  Xanthomatosis-

                  Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                  Usually related with severe hypercholesterolemia and hyperlipidemia

                  Phrynoderma or Toad skin-

                  Caused due to the deficiency of essential fatty acids

                  Horny eruptions occurs on posterior and lateral limbspoor wound healing

                  Multiple sclerosis-

                  It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                  Defects in the metabolism of essential fatty acids -

                  Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                  Zwellwegerrsquos disease-

                  Rare disorder

                  occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                  Causes loss of functions and neural degeneration

                  Dicarboxylic aciduria-

                  It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                  Common Atherogenic dyslipidemias)

                  1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                  Fatty liver-Fatty liver-

                  When lipids accumulates excessively in liver then it causes fatty liver

                  Dropletes of TGs are found in the entire hepatic cytoplasm

                  this causes impairment in liver function

                  Fatty liver may occur due to two main reason-

                  1) Increased synthesis of TGs

                  2) Impairment in lipoprotein synthesis

                  Fatty liver is associated with the fibrotic changes and cirrhosis

                  Tangier Disease

                  gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                  References--

                  1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                  2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                  3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                  4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                  • Slide 1
                  • Why lipids are important-
                  • Major lipids of physiological significance-
                  • Classification of fatty acids-
                  • Saturated fatty acids-
                  • Unsaturated fatty acids-
                  • Divisions of unsaturated fatty acids-
                  • Monounsaturated fatty acids-
                  • Cis- unsaturated fatty acids-
                  • Trans unsaturated fatty acids-
                  • Slide 11
                  • Slide 12
                  • ENDOTHELIAL-CELL FUNCTION--
                  • Polyunsaturated fatty acids-
                  • Slide 15
                  • Slide 16
                  • Omega-6 fatty acids-
                  • Eicosanoids-
                  • Triglycerides-
                  • Phospholipids- main lipid constituent of cell membrane
                  • Sterols-
                  • Glycolipids-
                  • Lipoproteins-
                  • Classes of lipoproteins-
                  • Slide 25
                  • Slide 26
                  • Apoprotein continuedhellip
                  • Chylomicrons- TG rich
                  • VLDL- rich in CE and TGs-
                  • LDL- cholesterol rich
                  • High density lipoprotein-
                  • HDL Subpopulations
                  • Slide 33
                  • Slide 34
                  • Role of lipids in health and diseases ndash omega-3 FAs
                  • Arachidonic acid and the brain--
                  • Prevention of cancer-
                  • Lipids related disorders-
                  • Slide 39
                  • Slide 40
                  • Metabolic disorders of cerebrosides
                  • Lipoprotein disorders- Hyperlipoproteinemias-
                  • Slide 43
                  • Slide 44
                  • Common Atherogenic dyslipidemias
                  • Fatty liver-
                  • Tangier Disease
                  • Slide 48
                  • Slide 49

                    Trans unsaturated fatty acids-Trans unsaturated fatty acids- Trans fatty acids are produced by hydrogenation processTrans fatty acids are produced by hydrogenation process Hydrogen atoms are on the opposite sides of the moleculeHydrogen atoms are on the opposite sides of the molecule Egcis-oleic acid trans-elaidic acidEgcis-oleic acid trans-elaidic acid

                    PHYSIOLOGICAL EFFECTS OF TRANS FATTY ACIDS

                    - SERUM LIPIDS-SYSTEMIC INFLAMMATION -ENDOTHELIAL-CELL FUNCTION

                    SERUM LIPIDSmdash

                    gtraises levels of low-density lipoprotein (LDL) cholesterol reduces levels of high-density lipoprotein (HDL) cholesterol

                    gtincreases the ratio of total cholesterol to HDL cholesterol a powerful predictor of the risk of CHD

                    gtincrease the blood levels of triglycerides of Lp(a) lipoprotein and reduce the particle size of LDL cholesterol further raise the risk of CHD gttrans fatty acids have markedly adverse effects on serum lipids

                    Physiological effects of trans fatty acids continuedhellip

                    Systemic inflammationmdash

                    inflammation an independent risk factor for atherosclerosis sudden death from cardiac causes diabetes and heart failurethe inflammatory effects of trans fats may account in part for their effects on cardiovascular health

                    For example the difference in C-reactive protein levels 21 percent vs 09 percent intake an increase in cardiovascular risk of approximately 30 percent

                    Physiological effects of trans fatty acids continuedhellip

                    ENDOTHELIAL-CELL FUNCTION--ENDOTHELIAL-CELL FUNCTION--

                    increased levels of several markers of endothelial dysfunction for eg-soluble intercellular adhesion molecule soluble vascular-cell adhesion molecule and E-selectin

                    Physiological effects of trans fatty acids continuedhellip

                    Polyunsaturated fatty acids-Polyunsaturated fatty acids-

                    Polyunsaturated fatty acids (sometimes abbreviated PUFA) are those fatty acids where unsaturation occur more than two points found in nuts and vegetable oils such as safflower sunflower and soybean and in fatty fish

                    They possess protective role on human healthconsidered as beneficial for consumpmtion

                    Increase esterification process of cholesterol amp prevents its Increase esterification process of cholesterol amp prevents its absorptionabsorption

                    By increasing the synthesis of eicosanoidsBy increasing the synthesis of eicosanoids Acts as an anti platelet aggregating factor so decreases the Acts as an anti platelet aggregating factor so decreases the

                    chances of clot formationchances of clot formation Decreases the synthesis of the precursor of VLDL AND TGsDecreases the synthesis of the precursor of VLDL AND TGs Increases clearance of LDL cholesterolIncreases clearance of LDL cholesterol

                    PUFA continued-

                    Omega-3-fatty acids-

                    Benefits-

                    gtLower PGE2s levelgtAnti-inflammatorygtLower triglyceride and cholesterol levelsgtBenefits vision and gtbrain functiongtDecrease Skin gtinflammationgtInhibit platelet adhesion gtIncrease insulin sensitivity

                    Omega-6 fatty acids-Omega-6 fatty acids-

                    Linoleic fatty acid

                    Arachidonic acid

                    Benefits-Platelet aggregation cardiovascular diseases and inflammationReduce the symptoms of eczema and psoriasisClear up different types of acne

                    Eicosanoids-Eicosanoids- These compounds are derived from long chain polyenoic fatty These compounds are derived from long chain polyenoic fatty

                    acids (20-carbon)acids (20-carbon) Examples of eicosanoidsExamples of eicosanoids-- ProstaglandinsProstaglandins ProstacyclinesProstacyclines ThromboxanesThromboxanes LeukotrienesLeukotrienes lipoxinslipoxins

                    They have roles inInflammationFeverRegulation of blood pressureBlood viscosityMale fertilityFemale conceptionMuscle cotractionBlood clottingTissue growthRegulation of sleepwake cycleBronchocostrictionAsthma

                    Triglycerides-Triglycerides-

                    StructureGlycerol + 3 fatty acids

                    FunctionsEnergy source--9 kcals per gramForm of stored energy in adipose tissueInsulation and protectionCarrier of fat-soluble vitaminsSensory properties in food

                    Phospholipids- Phospholipids- main lipid constituent of cell main lipid constituent of cell membranemembrane

                    StructureGlycerol + 2 fatty acids + phosphate groupalso considered as derivative of lsquophosphatidic acidrsquo

                    FunctionsMain lipid constituent of cell membranesLipid transport as part of lipoproteinsEmulsifiersCell signalling process phospholipids

                    Phoscholine phosinositol cardiolipin lysophospholipid plasmalogens sphingomy

                    SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

                    Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

                    Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

                    Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

                    glycolipidsglycolipids

                    Lipoproteins-Lipoproteins-

                    Lipoproteins are th macromolecular complex of lipids and proteins

                    Transportation of lipids in the blood

                    Structure of lipoproteins-

                    Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

                    Classes of lipoproteinsClasses of lipoproteins--

                    ChylomicronsChylomicronsVLDLVLDL

                    LDLLDL HDL

                    gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

                    Dlt1006 gml D=1019-1063gml D=1063-121 gml

                    Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

                    ApolipoproteinsmdashApolipoproteinsmdash

                    Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

                    (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

                    Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

                    Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

                    Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

                    Apoprotein continuedhellipApoprotein continuedhellip

                    Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

                    Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

                    100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

                    Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

                    Apoprotein continuedhellipApoprotein continuedhellip

                    Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

                    uptakeuptake Apo C-II (liver)Apo C-II (liver)

                    Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

                    Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

                    uptakeuptake

                    ChylomicronsChylomicrons- TG rich- TG rich

                    Synthesized in intestine

                    Transports endogenous TGs

                    Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                    VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                    Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                    Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                    LDL-LDL- cholesterol rich cholesterol rich

                    Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                    Synthesized from VLDL in blood circulation

                    Transports cholesterol from liver and delivers to other tissues

                    High density lipoprotein-High density lipoprotein-

                    Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                    Promotes re-esterification process of cholesterol

                    HDL SubpopulationsHDL Subpopulations

                    Rye et al Atherosclerosis 1999145227-238

                    Apolipoprotein CompositionApolipoprotein Composition

                    A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                    Particle ShapeParticle Shape

                    DiscoidalDiscoidal

                    SphericalSpherical

                    Lipid CompositionLipid Composition

                    TG CE and PLTG CE and PL

                    Particle SizeParticle Size

                    HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                    The Effects of Various Types of Fat on Blood Lipid Levels

                    bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                    Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                    Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                    Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                    bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                    Arachidonic acid and the brain--

                    One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                    Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                    Prevention of cancer-Prevention of cancer-

                    Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                    Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                    Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                    Common disorders

                    Hypercholetrolemia

                    Hypertriglyceridemia

                    Hyperlipoproteinemia

                    ketosis

                    CVD

                    Fatty liver

                    Obesity

                    cancer

                    Uncommon disorders

                    Metabolic disorders of cerebrosides

                    Lipidoses lipid storage diseases

                    Multiple sclerosis

                    Infant respiratory distress syndrome

                    Xanthomatosis

                    Retinitis pigmentosa

                    Phrynoderma Toad skin

                    Disorders of EFAs deficiency

                    Zwellwegerrsquos disease

                    ATHEROSCLEROSIS

                    As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                    bull These foam cells are then deposited into the

                    lining of the artery wall

                    bull This process known as atherosclerosis causes

                    plaque deposits to enlarge artery walls to lose

                    elasticity and the passage through the artery to narrow

                    Diagrammatic representation of the disease (atherosclerosis)-

                    Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                    diseasesdiseases Enzyme Enzyme deficiencydeficiency

                    Lipid Lipid accumulatingaccumulating

                    symptomssymptoms

                    Tay ndashsachs Tay ndashsachs diseasedisease

                    hexosaminihexosaminidasedase

                    gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                    Fabryrsquos Fabryrsquos diseasedisease

                    A-A-galactosidasegalactosidase

                    galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                    Krabbersquos Krabbersquos diseasedisease

                    B-B-galactosidasgalactosidasee

                    galactosylceramidgalactosylceramidee

                    Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                    Gaucherrsquos Gaucherrsquos diseasedisease

                    B-B-glucosidaseglucosidase

                    glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                    Niemann-Niemann-pick diseasepick disease

                    sphingomyesphingomyelinaselinase

                    sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                    Farberrsquos Farberrsquos diseasedisease

                    ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                    Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                    Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                    Hy Hy LipotypesLipotypes

                    Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                    Risk of athersclerosisRisk of athersclerosis

                    ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                    chylomicronschylomicrons increaseincrease

                    llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                    cholesterolcholesterol Very highVery high

                    llbllb Overproduction of Overproduction of apo-bapo-b

                    TGs and cholesterolTGs and cholesterol highhigh

                    llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                    lvlv Overproduction of Overproduction of TGsTGs

                    TGsTGs Maymay not increaseMaymay not increase

                    vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                    --do----do--

                    Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                    Infant repiratory distress syndrome-

                    Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                    It prevents collapsing of the alveoli and also decreases the surface tension

                    Deficiency is common in young infants

                    Xanthomatosis-

                    Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                    Usually related with severe hypercholesterolemia and hyperlipidemia

                    Phrynoderma or Toad skin-

                    Caused due to the deficiency of essential fatty acids

                    Horny eruptions occurs on posterior and lateral limbspoor wound healing

                    Multiple sclerosis-

                    It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                    Defects in the metabolism of essential fatty acids -

                    Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                    Zwellwegerrsquos disease-

                    Rare disorder

                    occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                    Causes loss of functions and neural degeneration

                    Dicarboxylic aciduria-

                    It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                    Common Atherogenic dyslipidemias)

                    1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                    Fatty liver-Fatty liver-

                    When lipids accumulates excessively in liver then it causes fatty liver

                    Dropletes of TGs are found in the entire hepatic cytoplasm

                    this causes impairment in liver function

                    Fatty liver may occur due to two main reason-

                    1) Increased synthesis of TGs

                    2) Impairment in lipoprotein synthesis

                    Fatty liver is associated with the fibrotic changes and cirrhosis

                    Tangier Disease

                    gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                    References--

                    1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                    2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                    3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                    4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                    • Slide 1
                    • Why lipids are important-
                    • Major lipids of physiological significance-
                    • Classification of fatty acids-
                    • Saturated fatty acids-
                    • Unsaturated fatty acids-
                    • Divisions of unsaturated fatty acids-
                    • Monounsaturated fatty acids-
                    • Cis- unsaturated fatty acids-
                    • Trans unsaturated fatty acids-
                    • Slide 11
                    • Slide 12
                    • ENDOTHELIAL-CELL FUNCTION--
                    • Polyunsaturated fatty acids-
                    • Slide 15
                    • Slide 16
                    • Omega-6 fatty acids-
                    • Eicosanoids-
                    • Triglycerides-
                    • Phospholipids- main lipid constituent of cell membrane
                    • Sterols-
                    • Glycolipids-
                    • Lipoproteins-
                    • Classes of lipoproteins-
                    • Slide 25
                    • Slide 26
                    • Apoprotein continuedhellip
                    • Chylomicrons- TG rich
                    • VLDL- rich in CE and TGs-
                    • LDL- cholesterol rich
                    • High density lipoprotein-
                    • HDL Subpopulations
                    • Slide 33
                    • Slide 34
                    • Role of lipids in health and diseases ndash omega-3 FAs
                    • Arachidonic acid and the brain--
                    • Prevention of cancer-
                    • Lipids related disorders-
                    • Slide 39
                    • Slide 40
                    • Metabolic disorders of cerebrosides
                    • Lipoprotein disorders- Hyperlipoproteinemias-
                    • Slide 43
                    • Slide 44
                    • Common Atherogenic dyslipidemias
                    • Fatty liver-
                    • Tangier Disease
                    • Slide 48
                    • Slide 49

                      SERUM LIPIDSmdash

                      gtraises levels of low-density lipoprotein (LDL) cholesterol reduces levels of high-density lipoprotein (HDL) cholesterol

                      gtincreases the ratio of total cholesterol to HDL cholesterol a powerful predictor of the risk of CHD

                      gtincrease the blood levels of triglycerides of Lp(a) lipoprotein and reduce the particle size of LDL cholesterol further raise the risk of CHD gttrans fatty acids have markedly adverse effects on serum lipids

                      Physiological effects of trans fatty acids continuedhellip

                      Systemic inflammationmdash

                      inflammation an independent risk factor for atherosclerosis sudden death from cardiac causes diabetes and heart failurethe inflammatory effects of trans fats may account in part for their effects on cardiovascular health

                      For example the difference in C-reactive protein levels 21 percent vs 09 percent intake an increase in cardiovascular risk of approximately 30 percent

                      Physiological effects of trans fatty acids continuedhellip

                      ENDOTHELIAL-CELL FUNCTION--ENDOTHELIAL-CELL FUNCTION--

                      increased levels of several markers of endothelial dysfunction for eg-soluble intercellular adhesion molecule soluble vascular-cell adhesion molecule and E-selectin

                      Physiological effects of trans fatty acids continuedhellip

                      Polyunsaturated fatty acids-Polyunsaturated fatty acids-

                      Polyunsaturated fatty acids (sometimes abbreviated PUFA) are those fatty acids where unsaturation occur more than two points found in nuts and vegetable oils such as safflower sunflower and soybean and in fatty fish

                      They possess protective role on human healthconsidered as beneficial for consumpmtion

                      Increase esterification process of cholesterol amp prevents its Increase esterification process of cholesterol amp prevents its absorptionabsorption

                      By increasing the synthesis of eicosanoidsBy increasing the synthesis of eicosanoids Acts as an anti platelet aggregating factor so decreases the Acts as an anti platelet aggregating factor so decreases the

                      chances of clot formationchances of clot formation Decreases the synthesis of the precursor of VLDL AND TGsDecreases the synthesis of the precursor of VLDL AND TGs Increases clearance of LDL cholesterolIncreases clearance of LDL cholesterol

                      PUFA continued-

                      Omega-3-fatty acids-

                      Benefits-

                      gtLower PGE2s levelgtAnti-inflammatorygtLower triglyceride and cholesterol levelsgtBenefits vision and gtbrain functiongtDecrease Skin gtinflammationgtInhibit platelet adhesion gtIncrease insulin sensitivity

                      Omega-6 fatty acids-Omega-6 fatty acids-

                      Linoleic fatty acid

                      Arachidonic acid

                      Benefits-Platelet aggregation cardiovascular diseases and inflammationReduce the symptoms of eczema and psoriasisClear up different types of acne

                      Eicosanoids-Eicosanoids- These compounds are derived from long chain polyenoic fatty These compounds are derived from long chain polyenoic fatty

                      acids (20-carbon)acids (20-carbon) Examples of eicosanoidsExamples of eicosanoids-- ProstaglandinsProstaglandins ProstacyclinesProstacyclines ThromboxanesThromboxanes LeukotrienesLeukotrienes lipoxinslipoxins

                      They have roles inInflammationFeverRegulation of blood pressureBlood viscosityMale fertilityFemale conceptionMuscle cotractionBlood clottingTissue growthRegulation of sleepwake cycleBronchocostrictionAsthma

                      Triglycerides-Triglycerides-

                      StructureGlycerol + 3 fatty acids

                      FunctionsEnergy source--9 kcals per gramForm of stored energy in adipose tissueInsulation and protectionCarrier of fat-soluble vitaminsSensory properties in food

                      Phospholipids- Phospholipids- main lipid constituent of cell main lipid constituent of cell membranemembrane

                      StructureGlycerol + 2 fatty acids + phosphate groupalso considered as derivative of lsquophosphatidic acidrsquo

                      FunctionsMain lipid constituent of cell membranesLipid transport as part of lipoproteinsEmulsifiersCell signalling process phospholipids

                      Phoscholine phosinositol cardiolipin lysophospholipid plasmalogens sphingomy

                      SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

                      Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

                      Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

                      Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

                      glycolipidsglycolipids

                      Lipoproteins-Lipoproteins-

                      Lipoproteins are th macromolecular complex of lipids and proteins

                      Transportation of lipids in the blood

                      Structure of lipoproteins-

                      Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

                      Classes of lipoproteinsClasses of lipoproteins--

                      ChylomicronsChylomicronsVLDLVLDL

                      LDLLDL HDL

                      gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

                      Dlt1006 gml D=1019-1063gml D=1063-121 gml

                      Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

                      ApolipoproteinsmdashApolipoproteinsmdash

                      Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

                      (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

                      Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

                      Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

                      Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

                      Apoprotein continuedhellipApoprotein continuedhellip

                      Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

                      Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

                      100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

                      Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

                      Apoprotein continuedhellipApoprotein continuedhellip

                      Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

                      uptakeuptake Apo C-II (liver)Apo C-II (liver)

                      Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

                      Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

                      uptakeuptake

                      ChylomicronsChylomicrons- TG rich- TG rich

                      Synthesized in intestine

                      Transports endogenous TGs

                      Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                      VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                      Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                      Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                      LDL-LDL- cholesterol rich cholesterol rich

                      Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                      Synthesized from VLDL in blood circulation

                      Transports cholesterol from liver and delivers to other tissues

                      High density lipoprotein-High density lipoprotein-

                      Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                      Promotes re-esterification process of cholesterol

                      HDL SubpopulationsHDL Subpopulations

                      Rye et al Atherosclerosis 1999145227-238

                      Apolipoprotein CompositionApolipoprotein Composition

                      A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                      Particle ShapeParticle Shape

                      DiscoidalDiscoidal

                      SphericalSpherical

                      Lipid CompositionLipid Composition

                      TG CE and PLTG CE and PL

                      Particle SizeParticle Size

                      HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                      The Effects of Various Types of Fat on Blood Lipid Levels

                      bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                      Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                      Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                      Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                      bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                      Arachidonic acid and the brain--

                      One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                      Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                      Prevention of cancer-Prevention of cancer-

                      Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                      Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                      Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                      Common disorders

                      Hypercholetrolemia

                      Hypertriglyceridemia

                      Hyperlipoproteinemia

                      ketosis

                      CVD

                      Fatty liver

                      Obesity

                      cancer

                      Uncommon disorders

                      Metabolic disorders of cerebrosides

                      Lipidoses lipid storage diseases

                      Multiple sclerosis

                      Infant respiratory distress syndrome

                      Xanthomatosis

                      Retinitis pigmentosa

                      Phrynoderma Toad skin

                      Disorders of EFAs deficiency

                      Zwellwegerrsquos disease

                      ATHEROSCLEROSIS

                      As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                      bull These foam cells are then deposited into the

                      lining of the artery wall

                      bull This process known as atherosclerosis causes

                      plaque deposits to enlarge artery walls to lose

                      elasticity and the passage through the artery to narrow

                      Diagrammatic representation of the disease (atherosclerosis)-

                      Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                      diseasesdiseases Enzyme Enzyme deficiencydeficiency

                      Lipid Lipid accumulatingaccumulating

                      symptomssymptoms

                      Tay ndashsachs Tay ndashsachs diseasedisease

                      hexosaminihexosaminidasedase

                      gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                      Fabryrsquos Fabryrsquos diseasedisease

                      A-A-galactosidasegalactosidase

                      galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                      Krabbersquos Krabbersquos diseasedisease

                      B-B-galactosidasgalactosidasee

                      galactosylceramidgalactosylceramidee

                      Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                      Gaucherrsquos Gaucherrsquos diseasedisease

                      B-B-glucosidaseglucosidase

                      glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                      Niemann-Niemann-pick diseasepick disease

                      sphingomyesphingomyelinaselinase

                      sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                      Farberrsquos Farberrsquos diseasedisease

                      ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                      Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                      Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                      Hy Hy LipotypesLipotypes

                      Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                      Risk of athersclerosisRisk of athersclerosis

                      ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                      chylomicronschylomicrons increaseincrease

                      llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                      cholesterolcholesterol Very highVery high

                      llbllb Overproduction of Overproduction of apo-bapo-b

                      TGs and cholesterolTGs and cholesterol highhigh

                      llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                      lvlv Overproduction of Overproduction of TGsTGs

                      TGsTGs Maymay not increaseMaymay not increase

                      vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                      --do----do--

                      Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                      Infant repiratory distress syndrome-

                      Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                      It prevents collapsing of the alveoli and also decreases the surface tension

                      Deficiency is common in young infants

                      Xanthomatosis-

                      Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                      Usually related with severe hypercholesterolemia and hyperlipidemia

                      Phrynoderma or Toad skin-

                      Caused due to the deficiency of essential fatty acids

                      Horny eruptions occurs on posterior and lateral limbspoor wound healing

                      Multiple sclerosis-

                      It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                      Defects in the metabolism of essential fatty acids -

                      Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                      Zwellwegerrsquos disease-

                      Rare disorder

                      occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                      Causes loss of functions and neural degeneration

                      Dicarboxylic aciduria-

                      It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                      Common Atherogenic dyslipidemias)

                      1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                      Fatty liver-Fatty liver-

                      When lipids accumulates excessively in liver then it causes fatty liver

                      Dropletes of TGs are found in the entire hepatic cytoplasm

                      this causes impairment in liver function

                      Fatty liver may occur due to two main reason-

                      1) Increased synthesis of TGs

                      2) Impairment in lipoprotein synthesis

                      Fatty liver is associated with the fibrotic changes and cirrhosis

                      Tangier Disease

                      gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                      References--

                      1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                      2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                      3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                      4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                      • Slide 1
                      • Why lipids are important-
                      • Major lipids of physiological significance-
                      • Classification of fatty acids-
                      • Saturated fatty acids-
                      • Unsaturated fatty acids-
                      • Divisions of unsaturated fatty acids-
                      • Monounsaturated fatty acids-
                      • Cis- unsaturated fatty acids-
                      • Trans unsaturated fatty acids-
                      • Slide 11
                      • Slide 12
                      • ENDOTHELIAL-CELL FUNCTION--
                      • Polyunsaturated fatty acids-
                      • Slide 15
                      • Slide 16
                      • Omega-6 fatty acids-
                      • Eicosanoids-
                      • Triglycerides-
                      • Phospholipids- main lipid constituent of cell membrane
                      • Sterols-
                      • Glycolipids-
                      • Lipoproteins-
                      • Classes of lipoproteins-
                      • Slide 25
                      • Slide 26
                      • Apoprotein continuedhellip
                      • Chylomicrons- TG rich
                      • VLDL- rich in CE and TGs-
                      • LDL- cholesterol rich
                      • High density lipoprotein-
                      • HDL Subpopulations
                      • Slide 33
                      • Slide 34
                      • Role of lipids in health and diseases ndash omega-3 FAs
                      • Arachidonic acid and the brain--
                      • Prevention of cancer-
                      • Lipids related disorders-
                      • Slide 39
                      • Slide 40
                      • Metabolic disorders of cerebrosides
                      • Lipoprotein disorders- Hyperlipoproteinemias-
                      • Slide 43
                      • Slide 44
                      • Common Atherogenic dyslipidemias
                      • Fatty liver-
                      • Tangier Disease
                      • Slide 48
                      • Slide 49

                        Systemic inflammationmdash

                        inflammation an independent risk factor for atherosclerosis sudden death from cardiac causes diabetes and heart failurethe inflammatory effects of trans fats may account in part for their effects on cardiovascular health

                        For example the difference in C-reactive protein levels 21 percent vs 09 percent intake an increase in cardiovascular risk of approximately 30 percent

                        Physiological effects of trans fatty acids continuedhellip

                        ENDOTHELIAL-CELL FUNCTION--ENDOTHELIAL-CELL FUNCTION--

                        increased levels of several markers of endothelial dysfunction for eg-soluble intercellular adhesion molecule soluble vascular-cell adhesion molecule and E-selectin

                        Physiological effects of trans fatty acids continuedhellip

                        Polyunsaturated fatty acids-Polyunsaturated fatty acids-

                        Polyunsaturated fatty acids (sometimes abbreviated PUFA) are those fatty acids where unsaturation occur more than two points found in nuts and vegetable oils such as safflower sunflower and soybean and in fatty fish

                        They possess protective role on human healthconsidered as beneficial for consumpmtion

                        Increase esterification process of cholesterol amp prevents its Increase esterification process of cholesterol amp prevents its absorptionabsorption

                        By increasing the synthesis of eicosanoidsBy increasing the synthesis of eicosanoids Acts as an anti platelet aggregating factor so decreases the Acts as an anti platelet aggregating factor so decreases the

                        chances of clot formationchances of clot formation Decreases the synthesis of the precursor of VLDL AND TGsDecreases the synthesis of the precursor of VLDL AND TGs Increases clearance of LDL cholesterolIncreases clearance of LDL cholesterol

                        PUFA continued-

                        Omega-3-fatty acids-

                        Benefits-

                        gtLower PGE2s levelgtAnti-inflammatorygtLower triglyceride and cholesterol levelsgtBenefits vision and gtbrain functiongtDecrease Skin gtinflammationgtInhibit platelet adhesion gtIncrease insulin sensitivity

                        Omega-6 fatty acids-Omega-6 fatty acids-

                        Linoleic fatty acid

                        Arachidonic acid

                        Benefits-Platelet aggregation cardiovascular diseases and inflammationReduce the symptoms of eczema and psoriasisClear up different types of acne

                        Eicosanoids-Eicosanoids- These compounds are derived from long chain polyenoic fatty These compounds are derived from long chain polyenoic fatty

                        acids (20-carbon)acids (20-carbon) Examples of eicosanoidsExamples of eicosanoids-- ProstaglandinsProstaglandins ProstacyclinesProstacyclines ThromboxanesThromboxanes LeukotrienesLeukotrienes lipoxinslipoxins

                        They have roles inInflammationFeverRegulation of blood pressureBlood viscosityMale fertilityFemale conceptionMuscle cotractionBlood clottingTissue growthRegulation of sleepwake cycleBronchocostrictionAsthma

                        Triglycerides-Triglycerides-

                        StructureGlycerol + 3 fatty acids

                        FunctionsEnergy source--9 kcals per gramForm of stored energy in adipose tissueInsulation and protectionCarrier of fat-soluble vitaminsSensory properties in food

                        Phospholipids- Phospholipids- main lipid constituent of cell main lipid constituent of cell membranemembrane

                        StructureGlycerol + 2 fatty acids + phosphate groupalso considered as derivative of lsquophosphatidic acidrsquo

                        FunctionsMain lipid constituent of cell membranesLipid transport as part of lipoproteinsEmulsifiersCell signalling process phospholipids

                        Phoscholine phosinositol cardiolipin lysophospholipid plasmalogens sphingomy

                        SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

                        Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

                        Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

                        Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

                        glycolipidsglycolipids

                        Lipoproteins-Lipoproteins-

                        Lipoproteins are th macromolecular complex of lipids and proteins

                        Transportation of lipids in the blood

                        Structure of lipoproteins-

                        Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

                        Classes of lipoproteinsClasses of lipoproteins--

                        ChylomicronsChylomicronsVLDLVLDL

                        LDLLDL HDL

                        gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

                        Dlt1006 gml D=1019-1063gml D=1063-121 gml

                        Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

                        ApolipoproteinsmdashApolipoproteinsmdash

                        Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

                        (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

                        Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

                        Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

                        Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

                        Apoprotein continuedhellipApoprotein continuedhellip

                        Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

                        Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

                        100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

                        Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

                        Apoprotein continuedhellipApoprotein continuedhellip

                        Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

                        uptakeuptake Apo C-II (liver)Apo C-II (liver)

                        Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

                        Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

                        uptakeuptake

                        ChylomicronsChylomicrons- TG rich- TG rich

                        Synthesized in intestine

                        Transports endogenous TGs

                        Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                        VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                        Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                        Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                        LDL-LDL- cholesterol rich cholesterol rich

                        Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                        Synthesized from VLDL in blood circulation

                        Transports cholesterol from liver and delivers to other tissues

                        High density lipoprotein-High density lipoprotein-

                        Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                        Promotes re-esterification process of cholesterol

                        HDL SubpopulationsHDL Subpopulations

                        Rye et al Atherosclerosis 1999145227-238

                        Apolipoprotein CompositionApolipoprotein Composition

                        A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                        Particle ShapeParticle Shape

                        DiscoidalDiscoidal

                        SphericalSpherical

                        Lipid CompositionLipid Composition

                        TG CE and PLTG CE and PL

                        Particle SizeParticle Size

                        HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                        The Effects of Various Types of Fat on Blood Lipid Levels

                        bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                        Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                        Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                        Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                        bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                        Arachidonic acid and the brain--

                        One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                        Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                        Prevention of cancer-Prevention of cancer-

                        Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                        Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                        Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                        Common disorders

                        Hypercholetrolemia

                        Hypertriglyceridemia

                        Hyperlipoproteinemia

                        ketosis

                        CVD

                        Fatty liver

                        Obesity

                        cancer

                        Uncommon disorders

                        Metabolic disorders of cerebrosides

                        Lipidoses lipid storage diseases

                        Multiple sclerosis

                        Infant respiratory distress syndrome

                        Xanthomatosis

                        Retinitis pigmentosa

                        Phrynoderma Toad skin

                        Disorders of EFAs deficiency

                        Zwellwegerrsquos disease

                        ATHEROSCLEROSIS

                        As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                        bull These foam cells are then deposited into the

                        lining of the artery wall

                        bull This process known as atherosclerosis causes

                        plaque deposits to enlarge artery walls to lose

                        elasticity and the passage through the artery to narrow

                        Diagrammatic representation of the disease (atherosclerosis)-

                        Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                        diseasesdiseases Enzyme Enzyme deficiencydeficiency

                        Lipid Lipid accumulatingaccumulating

                        symptomssymptoms

                        Tay ndashsachs Tay ndashsachs diseasedisease

                        hexosaminihexosaminidasedase

                        gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                        Fabryrsquos Fabryrsquos diseasedisease

                        A-A-galactosidasegalactosidase

                        galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                        Krabbersquos Krabbersquos diseasedisease

                        B-B-galactosidasgalactosidasee

                        galactosylceramidgalactosylceramidee

                        Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                        Gaucherrsquos Gaucherrsquos diseasedisease

                        B-B-glucosidaseglucosidase

                        glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                        Niemann-Niemann-pick diseasepick disease

                        sphingomyesphingomyelinaselinase

                        sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                        Farberrsquos Farberrsquos diseasedisease

                        ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                        Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                        Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                        Hy Hy LipotypesLipotypes

                        Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                        Risk of athersclerosisRisk of athersclerosis

                        ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                        chylomicronschylomicrons increaseincrease

                        llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                        cholesterolcholesterol Very highVery high

                        llbllb Overproduction of Overproduction of apo-bapo-b

                        TGs and cholesterolTGs and cholesterol highhigh

                        llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                        lvlv Overproduction of Overproduction of TGsTGs

                        TGsTGs Maymay not increaseMaymay not increase

                        vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                        --do----do--

                        Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                        Infant repiratory distress syndrome-

                        Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                        It prevents collapsing of the alveoli and also decreases the surface tension

                        Deficiency is common in young infants

                        Xanthomatosis-

                        Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                        Usually related with severe hypercholesterolemia and hyperlipidemia

                        Phrynoderma or Toad skin-

                        Caused due to the deficiency of essential fatty acids

                        Horny eruptions occurs on posterior and lateral limbspoor wound healing

                        Multiple sclerosis-

                        It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                        Defects in the metabolism of essential fatty acids -

                        Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                        Zwellwegerrsquos disease-

                        Rare disorder

                        occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                        Causes loss of functions and neural degeneration

                        Dicarboxylic aciduria-

                        It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                        Common Atherogenic dyslipidemias)

                        1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                        Fatty liver-Fatty liver-

                        When lipids accumulates excessively in liver then it causes fatty liver

                        Dropletes of TGs are found in the entire hepatic cytoplasm

                        this causes impairment in liver function

                        Fatty liver may occur due to two main reason-

                        1) Increased synthesis of TGs

                        2) Impairment in lipoprotein synthesis

                        Fatty liver is associated with the fibrotic changes and cirrhosis

                        Tangier Disease

                        gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                        References--

                        1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                        2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                        3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                        4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                        • Slide 1
                        • Why lipids are important-
                        • Major lipids of physiological significance-
                        • Classification of fatty acids-
                        • Saturated fatty acids-
                        • Unsaturated fatty acids-
                        • Divisions of unsaturated fatty acids-
                        • Monounsaturated fatty acids-
                        • Cis- unsaturated fatty acids-
                        • Trans unsaturated fatty acids-
                        • Slide 11
                        • Slide 12
                        • ENDOTHELIAL-CELL FUNCTION--
                        • Polyunsaturated fatty acids-
                        • Slide 15
                        • Slide 16
                        • Omega-6 fatty acids-
                        • Eicosanoids-
                        • Triglycerides-
                        • Phospholipids- main lipid constituent of cell membrane
                        • Sterols-
                        • Glycolipids-
                        • Lipoproteins-
                        • Classes of lipoproteins-
                        • Slide 25
                        • Slide 26
                        • Apoprotein continuedhellip
                        • Chylomicrons- TG rich
                        • VLDL- rich in CE and TGs-
                        • LDL- cholesterol rich
                        • High density lipoprotein-
                        • HDL Subpopulations
                        • Slide 33
                        • Slide 34
                        • Role of lipids in health and diseases ndash omega-3 FAs
                        • Arachidonic acid and the brain--
                        • Prevention of cancer-
                        • Lipids related disorders-
                        • Slide 39
                        • Slide 40
                        • Metabolic disorders of cerebrosides
                        • Lipoprotein disorders- Hyperlipoproteinemias-
                        • Slide 43
                        • Slide 44
                        • Common Atherogenic dyslipidemias
                        • Fatty liver-
                        • Tangier Disease
                        • Slide 48
                        • Slide 49

                          ENDOTHELIAL-CELL FUNCTION--ENDOTHELIAL-CELL FUNCTION--

                          increased levels of several markers of endothelial dysfunction for eg-soluble intercellular adhesion molecule soluble vascular-cell adhesion molecule and E-selectin

                          Physiological effects of trans fatty acids continuedhellip

                          Polyunsaturated fatty acids-Polyunsaturated fatty acids-

                          Polyunsaturated fatty acids (sometimes abbreviated PUFA) are those fatty acids where unsaturation occur more than two points found in nuts and vegetable oils such as safflower sunflower and soybean and in fatty fish

                          They possess protective role on human healthconsidered as beneficial for consumpmtion

                          Increase esterification process of cholesterol amp prevents its Increase esterification process of cholesterol amp prevents its absorptionabsorption

                          By increasing the synthesis of eicosanoidsBy increasing the synthesis of eicosanoids Acts as an anti platelet aggregating factor so decreases the Acts as an anti platelet aggregating factor so decreases the

                          chances of clot formationchances of clot formation Decreases the synthesis of the precursor of VLDL AND TGsDecreases the synthesis of the precursor of VLDL AND TGs Increases clearance of LDL cholesterolIncreases clearance of LDL cholesterol

                          PUFA continued-

                          Omega-3-fatty acids-

                          Benefits-

                          gtLower PGE2s levelgtAnti-inflammatorygtLower triglyceride and cholesterol levelsgtBenefits vision and gtbrain functiongtDecrease Skin gtinflammationgtInhibit platelet adhesion gtIncrease insulin sensitivity

                          Omega-6 fatty acids-Omega-6 fatty acids-

                          Linoleic fatty acid

                          Arachidonic acid

                          Benefits-Platelet aggregation cardiovascular diseases and inflammationReduce the symptoms of eczema and psoriasisClear up different types of acne

                          Eicosanoids-Eicosanoids- These compounds are derived from long chain polyenoic fatty These compounds are derived from long chain polyenoic fatty

                          acids (20-carbon)acids (20-carbon) Examples of eicosanoidsExamples of eicosanoids-- ProstaglandinsProstaglandins ProstacyclinesProstacyclines ThromboxanesThromboxanes LeukotrienesLeukotrienes lipoxinslipoxins

                          They have roles inInflammationFeverRegulation of blood pressureBlood viscosityMale fertilityFemale conceptionMuscle cotractionBlood clottingTissue growthRegulation of sleepwake cycleBronchocostrictionAsthma

                          Triglycerides-Triglycerides-

                          StructureGlycerol + 3 fatty acids

                          FunctionsEnergy source--9 kcals per gramForm of stored energy in adipose tissueInsulation and protectionCarrier of fat-soluble vitaminsSensory properties in food

                          Phospholipids- Phospholipids- main lipid constituent of cell main lipid constituent of cell membranemembrane

                          StructureGlycerol + 2 fatty acids + phosphate groupalso considered as derivative of lsquophosphatidic acidrsquo

                          FunctionsMain lipid constituent of cell membranesLipid transport as part of lipoproteinsEmulsifiersCell signalling process phospholipids

                          Phoscholine phosinositol cardiolipin lysophospholipid plasmalogens sphingomy

                          SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

                          Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

                          Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

                          Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

                          glycolipidsglycolipids

                          Lipoproteins-Lipoproteins-

                          Lipoproteins are th macromolecular complex of lipids and proteins

                          Transportation of lipids in the blood

                          Structure of lipoproteins-

                          Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

                          Classes of lipoproteinsClasses of lipoproteins--

                          ChylomicronsChylomicronsVLDLVLDL

                          LDLLDL HDL

                          gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

                          Dlt1006 gml D=1019-1063gml D=1063-121 gml

                          Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

                          ApolipoproteinsmdashApolipoproteinsmdash

                          Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

                          (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

                          Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

                          Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

                          Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

                          Apoprotein continuedhellipApoprotein continuedhellip

                          Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

                          Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

                          100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

                          Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

                          Apoprotein continuedhellipApoprotein continuedhellip

                          Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

                          uptakeuptake Apo C-II (liver)Apo C-II (liver)

                          Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

                          Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

                          uptakeuptake

                          ChylomicronsChylomicrons- TG rich- TG rich

                          Synthesized in intestine

                          Transports endogenous TGs

                          Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                          VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                          Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                          Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                          LDL-LDL- cholesterol rich cholesterol rich

                          Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                          Synthesized from VLDL in blood circulation

                          Transports cholesterol from liver and delivers to other tissues

                          High density lipoprotein-High density lipoprotein-

                          Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                          Promotes re-esterification process of cholesterol

                          HDL SubpopulationsHDL Subpopulations

                          Rye et al Atherosclerosis 1999145227-238

                          Apolipoprotein CompositionApolipoprotein Composition

                          A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                          Particle ShapeParticle Shape

                          DiscoidalDiscoidal

                          SphericalSpherical

                          Lipid CompositionLipid Composition

                          TG CE and PLTG CE and PL

                          Particle SizeParticle Size

                          HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                          The Effects of Various Types of Fat on Blood Lipid Levels

                          bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                          Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                          Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                          Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                          bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                          Arachidonic acid and the brain--

                          One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                          Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                          Prevention of cancer-Prevention of cancer-

                          Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                          Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                          Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                          Common disorders

                          Hypercholetrolemia

                          Hypertriglyceridemia

                          Hyperlipoproteinemia

                          ketosis

                          CVD

                          Fatty liver

                          Obesity

                          cancer

                          Uncommon disorders

                          Metabolic disorders of cerebrosides

                          Lipidoses lipid storage diseases

                          Multiple sclerosis

                          Infant respiratory distress syndrome

                          Xanthomatosis

                          Retinitis pigmentosa

                          Phrynoderma Toad skin

                          Disorders of EFAs deficiency

                          Zwellwegerrsquos disease

                          ATHEROSCLEROSIS

                          As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                          bull These foam cells are then deposited into the

                          lining of the artery wall

                          bull This process known as atherosclerosis causes

                          plaque deposits to enlarge artery walls to lose

                          elasticity and the passage through the artery to narrow

                          Diagrammatic representation of the disease (atherosclerosis)-

                          Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                          diseasesdiseases Enzyme Enzyme deficiencydeficiency

                          Lipid Lipid accumulatingaccumulating

                          symptomssymptoms

                          Tay ndashsachs Tay ndashsachs diseasedisease

                          hexosaminihexosaminidasedase

                          gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                          Fabryrsquos Fabryrsquos diseasedisease

                          A-A-galactosidasegalactosidase

                          galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                          Krabbersquos Krabbersquos diseasedisease

                          B-B-galactosidasgalactosidasee

                          galactosylceramidgalactosylceramidee

                          Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                          Gaucherrsquos Gaucherrsquos diseasedisease

                          B-B-glucosidaseglucosidase

                          glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                          Niemann-Niemann-pick diseasepick disease

                          sphingomyesphingomyelinaselinase

                          sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                          Farberrsquos Farberrsquos diseasedisease

                          ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                          Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                          Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                          Hy Hy LipotypesLipotypes

                          Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                          Risk of athersclerosisRisk of athersclerosis

                          ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                          chylomicronschylomicrons increaseincrease

                          llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                          cholesterolcholesterol Very highVery high

                          llbllb Overproduction of Overproduction of apo-bapo-b

                          TGs and cholesterolTGs and cholesterol highhigh

                          llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                          lvlv Overproduction of Overproduction of TGsTGs

                          TGsTGs Maymay not increaseMaymay not increase

                          vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                          --do----do--

                          Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                          Infant repiratory distress syndrome-

                          Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                          It prevents collapsing of the alveoli and also decreases the surface tension

                          Deficiency is common in young infants

                          Xanthomatosis-

                          Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                          Usually related with severe hypercholesterolemia and hyperlipidemia

                          Phrynoderma or Toad skin-

                          Caused due to the deficiency of essential fatty acids

                          Horny eruptions occurs on posterior and lateral limbspoor wound healing

                          Multiple sclerosis-

                          It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                          Defects in the metabolism of essential fatty acids -

                          Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                          Zwellwegerrsquos disease-

                          Rare disorder

                          occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                          Causes loss of functions and neural degeneration

                          Dicarboxylic aciduria-

                          It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                          Common Atherogenic dyslipidemias)

                          1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                          Fatty liver-Fatty liver-

                          When lipids accumulates excessively in liver then it causes fatty liver

                          Dropletes of TGs are found in the entire hepatic cytoplasm

                          this causes impairment in liver function

                          Fatty liver may occur due to two main reason-

                          1) Increased synthesis of TGs

                          2) Impairment in lipoprotein synthesis

                          Fatty liver is associated with the fibrotic changes and cirrhosis

                          Tangier Disease

                          gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                          References--

                          1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                          2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                          3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                          4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                          • Slide 1
                          • Why lipids are important-
                          • Major lipids of physiological significance-
                          • Classification of fatty acids-
                          • Saturated fatty acids-
                          • Unsaturated fatty acids-
                          • Divisions of unsaturated fatty acids-
                          • Monounsaturated fatty acids-
                          • Cis- unsaturated fatty acids-
                          • Trans unsaturated fatty acids-
                          • Slide 11
                          • Slide 12
                          • ENDOTHELIAL-CELL FUNCTION--
                          • Polyunsaturated fatty acids-
                          • Slide 15
                          • Slide 16
                          • Omega-6 fatty acids-
                          • Eicosanoids-
                          • Triglycerides-
                          • Phospholipids- main lipid constituent of cell membrane
                          • Sterols-
                          • Glycolipids-
                          • Lipoproteins-
                          • Classes of lipoproteins-
                          • Slide 25
                          • Slide 26
                          • Apoprotein continuedhellip
                          • Chylomicrons- TG rich
                          • VLDL- rich in CE and TGs-
                          • LDL- cholesterol rich
                          • High density lipoprotein-
                          • HDL Subpopulations
                          • Slide 33
                          • Slide 34
                          • Role of lipids in health and diseases ndash omega-3 FAs
                          • Arachidonic acid and the brain--
                          • Prevention of cancer-
                          • Lipids related disorders-
                          • Slide 39
                          • Slide 40
                          • Metabolic disorders of cerebrosides
                          • Lipoprotein disorders- Hyperlipoproteinemias-
                          • Slide 43
                          • Slide 44
                          • Common Atherogenic dyslipidemias
                          • Fatty liver-
                          • Tangier Disease
                          • Slide 48
                          • Slide 49

                            Polyunsaturated fatty acids-Polyunsaturated fatty acids-

                            Polyunsaturated fatty acids (sometimes abbreviated PUFA) are those fatty acids where unsaturation occur more than two points found in nuts and vegetable oils such as safflower sunflower and soybean and in fatty fish

                            They possess protective role on human healthconsidered as beneficial for consumpmtion

                            Increase esterification process of cholesterol amp prevents its Increase esterification process of cholesterol amp prevents its absorptionabsorption

                            By increasing the synthesis of eicosanoidsBy increasing the synthesis of eicosanoids Acts as an anti platelet aggregating factor so decreases the Acts as an anti platelet aggregating factor so decreases the

                            chances of clot formationchances of clot formation Decreases the synthesis of the precursor of VLDL AND TGsDecreases the synthesis of the precursor of VLDL AND TGs Increases clearance of LDL cholesterolIncreases clearance of LDL cholesterol

                            PUFA continued-

                            Omega-3-fatty acids-

                            Benefits-

                            gtLower PGE2s levelgtAnti-inflammatorygtLower triglyceride and cholesterol levelsgtBenefits vision and gtbrain functiongtDecrease Skin gtinflammationgtInhibit platelet adhesion gtIncrease insulin sensitivity

                            Omega-6 fatty acids-Omega-6 fatty acids-

                            Linoleic fatty acid

                            Arachidonic acid

                            Benefits-Platelet aggregation cardiovascular diseases and inflammationReduce the symptoms of eczema and psoriasisClear up different types of acne

                            Eicosanoids-Eicosanoids- These compounds are derived from long chain polyenoic fatty These compounds are derived from long chain polyenoic fatty

                            acids (20-carbon)acids (20-carbon) Examples of eicosanoidsExamples of eicosanoids-- ProstaglandinsProstaglandins ProstacyclinesProstacyclines ThromboxanesThromboxanes LeukotrienesLeukotrienes lipoxinslipoxins

                            They have roles inInflammationFeverRegulation of blood pressureBlood viscosityMale fertilityFemale conceptionMuscle cotractionBlood clottingTissue growthRegulation of sleepwake cycleBronchocostrictionAsthma

                            Triglycerides-Triglycerides-

                            StructureGlycerol + 3 fatty acids

                            FunctionsEnergy source--9 kcals per gramForm of stored energy in adipose tissueInsulation and protectionCarrier of fat-soluble vitaminsSensory properties in food

                            Phospholipids- Phospholipids- main lipid constituent of cell main lipid constituent of cell membranemembrane

                            StructureGlycerol + 2 fatty acids + phosphate groupalso considered as derivative of lsquophosphatidic acidrsquo

                            FunctionsMain lipid constituent of cell membranesLipid transport as part of lipoproteinsEmulsifiersCell signalling process phospholipids

                            Phoscholine phosinositol cardiolipin lysophospholipid plasmalogens sphingomy

                            SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

                            Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

                            Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

                            Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

                            glycolipidsglycolipids

                            Lipoproteins-Lipoproteins-

                            Lipoproteins are th macromolecular complex of lipids and proteins

                            Transportation of lipids in the blood

                            Structure of lipoproteins-

                            Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

                            Classes of lipoproteinsClasses of lipoproteins--

                            ChylomicronsChylomicronsVLDLVLDL

                            LDLLDL HDL

                            gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

                            Dlt1006 gml D=1019-1063gml D=1063-121 gml

                            Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

                            ApolipoproteinsmdashApolipoproteinsmdash

                            Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

                            (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

                            Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

                            Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

                            Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

                            Apoprotein continuedhellipApoprotein continuedhellip

                            Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

                            Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

                            100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

                            Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

                            Apoprotein continuedhellipApoprotein continuedhellip

                            Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

                            uptakeuptake Apo C-II (liver)Apo C-II (liver)

                            Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

                            Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

                            uptakeuptake

                            ChylomicronsChylomicrons- TG rich- TG rich

                            Synthesized in intestine

                            Transports endogenous TGs

                            Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                            VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                            Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                            Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                            LDL-LDL- cholesterol rich cholesterol rich

                            Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                            Synthesized from VLDL in blood circulation

                            Transports cholesterol from liver and delivers to other tissues

                            High density lipoprotein-High density lipoprotein-

                            Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                            Promotes re-esterification process of cholesterol

                            HDL SubpopulationsHDL Subpopulations

                            Rye et al Atherosclerosis 1999145227-238

                            Apolipoprotein CompositionApolipoprotein Composition

                            A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                            Particle ShapeParticle Shape

                            DiscoidalDiscoidal

                            SphericalSpherical

                            Lipid CompositionLipid Composition

                            TG CE and PLTG CE and PL

                            Particle SizeParticle Size

                            HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                            The Effects of Various Types of Fat on Blood Lipid Levels

                            bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                            Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                            Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                            Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                            bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                            Arachidonic acid and the brain--

                            One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                            Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                            Prevention of cancer-Prevention of cancer-

                            Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                            Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                            Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                            Common disorders

                            Hypercholetrolemia

                            Hypertriglyceridemia

                            Hyperlipoproteinemia

                            ketosis

                            CVD

                            Fatty liver

                            Obesity

                            cancer

                            Uncommon disorders

                            Metabolic disorders of cerebrosides

                            Lipidoses lipid storage diseases

                            Multiple sclerosis

                            Infant respiratory distress syndrome

                            Xanthomatosis

                            Retinitis pigmentosa

                            Phrynoderma Toad skin

                            Disorders of EFAs deficiency

                            Zwellwegerrsquos disease

                            ATHEROSCLEROSIS

                            As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                            bull These foam cells are then deposited into the

                            lining of the artery wall

                            bull This process known as atherosclerosis causes

                            plaque deposits to enlarge artery walls to lose

                            elasticity and the passage through the artery to narrow

                            Diagrammatic representation of the disease (atherosclerosis)-

                            Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                            diseasesdiseases Enzyme Enzyme deficiencydeficiency

                            Lipid Lipid accumulatingaccumulating

                            symptomssymptoms

                            Tay ndashsachs Tay ndashsachs diseasedisease

                            hexosaminihexosaminidasedase

                            gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                            Fabryrsquos Fabryrsquos diseasedisease

                            A-A-galactosidasegalactosidase

                            galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                            Krabbersquos Krabbersquos diseasedisease

                            B-B-galactosidasgalactosidasee

                            galactosylceramidgalactosylceramidee

                            Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                            Gaucherrsquos Gaucherrsquos diseasedisease

                            B-B-glucosidaseglucosidase

                            glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                            Niemann-Niemann-pick diseasepick disease

                            sphingomyesphingomyelinaselinase

                            sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                            Farberrsquos Farberrsquos diseasedisease

                            ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                            Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                            Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                            Hy Hy LipotypesLipotypes

                            Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                            Risk of athersclerosisRisk of athersclerosis

                            ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                            chylomicronschylomicrons increaseincrease

                            llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                            cholesterolcholesterol Very highVery high

                            llbllb Overproduction of Overproduction of apo-bapo-b

                            TGs and cholesterolTGs and cholesterol highhigh

                            llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                            lvlv Overproduction of Overproduction of TGsTGs

                            TGsTGs Maymay not increaseMaymay not increase

                            vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                            --do----do--

                            Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                            Infant repiratory distress syndrome-

                            Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                            It prevents collapsing of the alveoli and also decreases the surface tension

                            Deficiency is common in young infants

                            Xanthomatosis-

                            Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                            Usually related with severe hypercholesterolemia and hyperlipidemia

                            Phrynoderma or Toad skin-

                            Caused due to the deficiency of essential fatty acids

                            Horny eruptions occurs on posterior and lateral limbspoor wound healing

                            Multiple sclerosis-

                            It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                            Defects in the metabolism of essential fatty acids -

                            Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                            Zwellwegerrsquos disease-

                            Rare disorder

                            occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                            Causes loss of functions and neural degeneration

                            Dicarboxylic aciduria-

                            It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                            Common Atherogenic dyslipidemias)

                            1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                            Fatty liver-Fatty liver-

                            When lipids accumulates excessively in liver then it causes fatty liver

                            Dropletes of TGs are found in the entire hepatic cytoplasm

                            this causes impairment in liver function

                            Fatty liver may occur due to two main reason-

                            1) Increased synthesis of TGs

                            2) Impairment in lipoprotein synthesis

                            Fatty liver is associated with the fibrotic changes and cirrhosis

                            Tangier Disease

                            gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                            References--

                            1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                            2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                            3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                            4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                            • Slide 1
                            • Why lipids are important-
                            • Major lipids of physiological significance-
                            • Classification of fatty acids-
                            • Saturated fatty acids-
                            • Unsaturated fatty acids-
                            • Divisions of unsaturated fatty acids-
                            • Monounsaturated fatty acids-
                            • Cis- unsaturated fatty acids-
                            • Trans unsaturated fatty acids-
                            • Slide 11
                            • Slide 12
                            • ENDOTHELIAL-CELL FUNCTION--
                            • Polyunsaturated fatty acids-
                            • Slide 15
                            • Slide 16
                            • Omega-6 fatty acids-
                            • Eicosanoids-
                            • Triglycerides-
                            • Phospholipids- main lipid constituent of cell membrane
                            • Sterols-
                            • Glycolipids-
                            • Lipoproteins-
                            • Classes of lipoproteins-
                            • Slide 25
                            • Slide 26
                            • Apoprotein continuedhellip
                            • Chylomicrons- TG rich
                            • VLDL- rich in CE and TGs-
                            • LDL- cholesterol rich
                            • High density lipoprotein-
                            • HDL Subpopulations
                            • Slide 33
                            • Slide 34
                            • Role of lipids in health and diseases ndash omega-3 FAs
                            • Arachidonic acid and the brain--
                            • Prevention of cancer-
                            • Lipids related disorders-
                            • Slide 39
                            • Slide 40
                            • Metabolic disorders of cerebrosides
                            • Lipoprotein disorders- Hyperlipoproteinemias-
                            • Slide 43
                            • Slide 44
                            • Common Atherogenic dyslipidemias
                            • Fatty liver-
                            • Tangier Disease
                            • Slide 48
                            • Slide 49

                              Increase esterification process of cholesterol amp prevents its Increase esterification process of cholesterol amp prevents its absorptionabsorption

                              By increasing the synthesis of eicosanoidsBy increasing the synthesis of eicosanoids Acts as an anti platelet aggregating factor so decreases the Acts as an anti platelet aggregating factor so decreases the

                              chances of clot formationchances of clot formation Decreases the synthesis of the precursor of VLDL AND TGsDecreases the synthesis of the precursor of VLDL AND TGs Increases clearance of LDL cholesterolIncreases clearance of LDL cholesterol

                              PUFA continued-

                              Omega-3-fatty acids-

                              Benefits-

                              gtLower PGE2s levelgtAnti-inflammatorygtLower triglyceride and cholesterol levelsgtBenefits vision and gtbrain functiongtDecrease Skin gtinflammationgtInhibit platelet adhesion gtIncrease insulin sensitivity

                              Omega-6 fatty acids-Omega-6 fatty acids-

                              Linoleic fatty acid

                              Arachidonic acid

                              Benefits-Platelet aggregation cardiovascular diseases and inflammationReduce the symptoms of eczema and psoriasisClear up different types of acne

                              Eicosanoids-Eicosanoids- These compounds are derived from long chain polyenoic fatty These compounds are derived from long chain polyenoic fatty

                              acids (20-carbon)acids (20-carbon) Examples of eicosanoidsExamples of eicosanoids-- ProstaglandinsProstaglandins ProstacyclinesProstacyclines ThromboxanesThromboxanes LeukotrienesLeukotrienes lipoxinslipoxins

                              They have roles inInflammationFeverRegulation of blood pressureBlood viscosityMale fertilityFemale conceptionMuscle cotractionBlood clottingTissue growthRegulation of sleepwake cycleBronchocostrictionAsthma

                              Triglycerides-Triglycerides-

                              StructureGlycerol + 3 fatty acids

                              FunctionsEnergy source--9 kcals per gramForm of stored energy in adipose tissueInsulation and protectionCarrier of fat-soluble vitaminsSensory properties in food

                              Phospholipids- Phospholipids- main lipid constituent of cell main lipid constituent of cell membranemembrane

                              StructureGlycerol + 2 fatty acids + phosphate groupalso considered as derivative of lsquophosphatidic acidrsquo

                              FunctionsMain lipid constituent of cell membranesLipid transport as part of lipoproteinsEmulsifiersCell signalling process phospholipids

                              Phoscholine phosinositol cardiolipin lysophospholipid plasmalogens sphingomy

                              SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

                              Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

                              Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

                              Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

                              glycolipidsglycolipids

                              Lipoproteins-Lipoproteins-

                              Lipoproteins are th macromolecular complex of lipids and proteins

                              Transportation of lipids in the blood

                              Structure of lipoproteins-

                              Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

                              Classes of lipoproteinsClasses of lipoproteins--

                              ChylomicronsChylomicronsVLDLVLDL

                              LDLLDL HDL

                              gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

                              Dlt1006 gml D=1019-1063gml D=1063-121 gml

                              Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

                              ApolipoproteinsmdashApolipoproteinsmdash

                              Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

                              (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

                              Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

                              Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

                              Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

                              Apoprotein continuedhellipApoprotein continuedhellip

                              Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

                              Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

                              100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

                              Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

                              Apoprotein continuedhellipApoprotein continuedhellip

                              Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

                              uptakeuptake Apo C-II (liver)Apo C-II (liver)

                              Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

                              Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

                              uptakeuptake

                              ChylomicronsChylomicrons- TG rich- TG rich

                              Synthesized in intestine

                              Transports endogenous TGs

                              Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                              VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                              Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                              Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                              LDL-LDL- cholesterol rich cholesterol rich

                              Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                              Synthesized from VLDL in blood circulation

                              Transports cholesterol from liver and delivers to other tissues

                              High density lipoprotein-High density lipoprotein-

                              Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                              Promotes re-esterification process of cholesterol

                              HDL SubpopulationsHDL Subpopulations

                              Rye et al Atherosclerosis 1999145227-238

                              Apolipoprotein CompositionApolipoprotein Composition

                              A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                              Particle ShapeParticle Shape

                              DiscoidalDiscoidal

                              SphericalSpherical

                              Lipid CompositionLipid Composition

                              TG CE and PLTG CE and PL

                              Particle SizeParticle Size

                              HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                              The Effects of Various Types of Fat on Blood Lipid Levels

                              bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                              Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                              Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                              Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                              bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                              Arachidonic acid and the brain--

                              One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                              Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                              Prevention of cancer-Prevention of cancer-

                              Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                              Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                              Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                              Common disorders

                              Hypercholetrolemia

                              Hypertriglyceridemia

                              Hyperlipoproteinemia

                              ketosis

                              CVD

                              Fatty liver

                              Obesity

                              cancer

                              Uncommon disorders

                              Metabolic disorders of cerebrosides

                              Lipidoses lipid storage diseases

                              Multiple sclerosis

                              Infant respiratory distress syndrome

                              Xanthomatosis

                              Retinitis pigmentosa

                              Phrynoderma Toad skin

                              Disorders of EFAs deficiency

                              Zwellwegerrsquos disease

                              ATHEROSCLEROSIS

                              As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                              bull These foam cells are then deposited into the

                              lining of the artery wall

                              bull This process known as atherosclerosis causes

                              plaque deposits to enlarge artery walls to lose

                              elasticity and the passage through the artery to narrow

                              Diagrammatic representation of the disease (atherosclerosis)-

                              Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                              diseasesdiseases Enzyme Enzyme deficiencydeficiency

                              Lipid Lipid accumulatingaccumulating

                              symptomssymptoms

                              Tay ndashsachs Tay ndashsachs diseasedisease

                              hexosaminihexosaminidasedase

                              gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                              Fabryrsquos Fabryrsquos diseasedisease

                              A-A-galactosidasegalactosidase

                              galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                              Krabbersquos Krabbersquos diseasedisease

                              B-B-galactosidasgalactosidasee

                              galactosylceramidgalactosylceramidee

                              Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                              Gaucherrsquos Gaucherrsquos diseasedisease

                              B-B-glucosidaseglucosidase

                              glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                              Niemann-Niemann-pick diseasepick disease

                              sphingomyesphingomyelinaselinase

                              sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                              Farberrsquos Farberrsquos diseasedisease

                              ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                              Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                              Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                              Hy Hy LipotypesLipotypes

                              Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                              Risk of athersclerosisRisk of athersclerosis

                              ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                              chylomicronschylomicrons increaseincrease

                              llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                              cholesterolcholesterol Very highVery high

                              llbllb Overproduction of Overproduction of apo-bapo-b

                              TGs and cholesterolTGs and cholesterol highhigh

                              llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                              lvlv Overproduction of Overproduction of TGsTGs

                              TGsTGs Maymay not increaseMaymay not increase

                              vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                              --do----do--

                              Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                              Infant repiratory distress syndrome-

                              Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                              It prevents collapsing of the alveoli and also decreases the surface tension

                              Deficiency is common in young infants

                              Xanthomatosis-

                              Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                              Usually related with severe hypercholesterolemia and hyperlipidemia

                              Phrynoderma or Toad skin-

                              Caused due to the deficiency of essential fatty acids

                              Horny eruptions occurs on posterior and lateral limbspoor wound healing

                              Multiple sclerosis-

                              It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                              Defects in the metabolism of essential fatty acids -

                              Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                              Zwellwegerrsquos disease-

                              Rare disorder

                              occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                              Causes loss of functions and neural degeneration

                              Dicarboxylic aciduria-

                              It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                              Common Atherogenic dyslipidemias)

                              1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                              Fatty liver-Fatty liver-

                              When lipids accumulates excessively in liver then it causes fatty liver

                              Dropletes of TGs are found in the entire hepatic cytoplasm

                              this causes impairment in liver function

                              Fatty liver may occur due to two main reason-

                              1) Increased synthesis of TGs

                              2) Impairment in lipoprotein synthesis

                              Fatty liver is associated with the fibrotic changes and cirrhosis

                              Tangier Disease

                              gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                              References--

                              1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                              2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                              3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                              4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                              • Slide 1
                              • Why lipids are important-
                              • Major lipids of physiological significance-
                              • Classification of fatty acids-
                              • Saturated fatty acids-
                              • Unsaturated fatty acids-
                              • Divisions of unsaturated fatty acids-
                              • Monounsaturated fatty acids-
                              • Cis- unsaturated fatty acids-
                              • Trans unsaturated fatty acids-
                              • Slide 11
                              • Slide 12
                              • ENDOTHELIAL-CELL FUNCTION--
                              • Polyunsaturated fatty acids-
                              • Slide 15
                              • Slide 16
                              • Omega-6 fatty acids-
                              • Eicosanoids-
                              • Triglycerides-
                              • Phospholipids- main lipid constituent of cell membrane
                              • Sterols-
                              • Glycolipids-
                              • Lipoproteins-
                              • Classes of lipoproteins-
                              • Slide 25
                              • Slide 26
                              • Apoprotein continuedhellip
                              • Chylomicrons- TG rich
                              • VLDL- rich in CE and TGs-
                              • LDL- cholesterol rich
                              • High density lipoprotein-
                              • HDL Subpopulations
                              • Slide 33
                              • Slide 34
                              • Role of lipids in health and diseases ndash omega-3 FAs
                              • Arachidonic acid and the brain--
                              • Prevention of cancer-
                              • Lipids related disorders-
                              • Slide 39
                              • Slide 40
                              • Metabolic disorders of cerebrosides
                              • Lipoprotein disorders- Hyperlipoproteinemias-
                              • Slide 43
                              • Slide 44
                              • Common Atherogenic dyslipidemias
                              • Fatty liver-
                              • Tangier Disease
                              • Slide 48
                              • Slide 49

                                Omega-3-fatty acids-

                                Benefits-

                                gtLower PGE2s levelgtAnti-inflammatorygtLower triglyceride and cholesterol levelsgtBenefits vision and gtbrain functiongtDecrease Skin gtinflammationgtInhibit platelet adhesion gtIncrease insulin sensitivity

                                Omega-6 fatty acids-Omega-6 fatty acids-

                                Linoleic fatty acid

                                Arachidonic acid

                                Benefits-Platelet aggregation cardiovascular diseases and inflammationReduce the symptoms of eczema and psoriasisClear up different types of acne

                                Eicosanoids-Eicosanoids- These compounds are derived from long chain polyenoic fatty These compounds are derived from long chain polyenoic fatty

                                acids (20-carbon)acids (20-carbon) Examples of eicosanoidsExamples of eicosanoids-- ProstaglandinsProstaglandins ProstacyclinesProstacyclines ThromboxanesThromboxanes LeukotrienesLeukotrienes lipoxinslipoxins

                                They have roles inInflammationFeverRegulation of blood pressureBlood viscosityMale fertilityFemale conceptionMuscle cotractionBlood clottingTissue growthRegulation of sleepwake cycleBronchocostrictionAsthma

                                Triglycerides-Triglycerides-

                                StructureGlycerol + 3 fatty acids

                                FunctionsEnergy source--9 kcals per gramForm of stored energy in adipose tissueInsulation and protectionCarrier of fat-soluble vitaminsSensory properties in food

                                Phospholipids- Phospholipids- main lipid constituent of cell main lipid constituent of cell membranemembrane

                                StructureGlycerol + 2 fatty acids + phosphate groupalso considered as derivative of lsquophosphatidic acidrsquo

                                FunctionsMain lipid constituent of cell membranesLipid transport as part of lipoproteinsEmulsifiersCell signalling process phospholipids

                                Phoscholine phosinositol cardiolipin lysophospholipid plasmalogens sphingomy

                                SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

                                Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

                                Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

                                Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

                                glycolipidsglycolipids

                                Lipoproteins-Lipoproteins-

                                Lipoproteins are th macromolecular complex of lipids and proteins

                                Transportation of lipids in the blood

                                Structure of lipoproteins-

                                Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

                                Classes of lipoproteinsClasses of lipoproteins--

                                ChylomicronsChylomicronsVLDLVLDL

                                LDLLDL HDL

                                gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

                                Dlt1006 gml D=1019-1063gml D=1063-121 gml

                                Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

                                ApolipoproteinsmdashApolipoproteinsmdash

                                Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

                                (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

                                Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

                                Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

                                Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

                                Apoprotein continuedhellipApoprotein continuedhellip

                                Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

                                Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

                                100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

                                Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

                                Apoprotein continuedhellipApoprotein continuedhellip

                                Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

                                uptakeuptake Apo C-II (liver)Apo C-II (liver)

                                Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

                                Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

                                uptakeuptake

                                ChylomicronsChylomicrons- TG rich- TG rich

                                Synthesized in intestine

                                Transports endogenous TGs

                                Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                                VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                                Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                                Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                                LDL-LDL- cholesterol rich cholesterol rich

                                Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                                Synthesized from VLDL in blood circulation

                                Transports cholesterol from liver and delivers to other tissues

                                High density lipoprotein-High density lipoprotein-

                                Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                                Promotes re-esterification process of cholesterol

                                HDL SubpopulationsHDL Subpopulations

                                Rye et al Atherosclerosis 1999145227-238

                                Apolipoprotein CompositionApolipoprotein Composition

                                A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                                Particle ShapeParticle Shape

                                DiscoidalDiscoidal

                                SphericalSpherical

                                Lipid CompositionLipid Composition

                                TG CE and PLTG CE and PL

                                Particle SizeParticle Size

                                HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                                The Effects of Various Types of Fat on Blood Lipid Levels

                                bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                                Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                                Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                                Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                                bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                                Arachidonic acid and the brain--

                                One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                Prevention of cancer-Prevention of cancer-

                                Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                Common disorders

                                Hypercholetrolemia

                                Hypertriglyceridemia

                                Hyperlipoproteinemia

                                ketosis

                                CVD

                                Fatty liver

                                Obesity

                                cancer

                                Uncommon disorders

                                Metabolic disorders of cerebrosides

                                Lipidoses lipid storage diseases

                                Multiple sclerosis

                                Infant respiratory distress syndrome

                                Xanthomatosis

                                Retinitis pigmentosa

                                Phrynoderma Toad skin

                                Disorders of EFAs deficiency

                                Zwellwegerrsquos disease

                                ATHEROSCLEROSIS

                                As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                bull These foam cells are then deposited into the

                                lining of the artery wall

                                bull This process known as atherosclerosis causes

                                plaque deposits to enlarge artery walls to lose

                                elasticity and the passage through the artery to narrow

                                Diagrammatic representation of the disease (atherosclerosis)-

                                Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                Lipid Lipid accumulatingaccumulating

                                symptomssymptoms

                                Tay ndashsachs Tay ndashsachs diseasedisease

                                hexosaminihexosaminidasedase

                                gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                Fabryrsquos Fabryrsquos diseasedisease

                                A-A-galactosidasegalactosidase

                                galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                Krabbersquos Krabbersquos diseasedisease

                                B-B-galactosidasgalactosidasee

                                galactosylceramidgalactosylceramidee

                                Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                Gaucherrsquos Gaucherrsquos diseasedisease

                                B-B-glucosidaseglucosidase

                                glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                Niemann-Niemann-pick diseasepick disease

                                sphingomyesphingomyelinaselinase

                                sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                Farberrsquos Farberrsquos diseasedisease

                                ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                Hy Hy LipotypesLipotypes

                                Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                Risk of athersclerosisRisk of athersclerosis

                                ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                chylomicronschylomicrons increaseincrease

                                llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                cholesterolcholesterol Very highVery high

                                llbllb Overproduction of Overproduction of apo-bapo-b

                                TGs and cholesterolTGs and cholesterol highhigh

                                llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                lvlv Overproduction of Overproduction of TGsTGs

                                TGsTGs Maymay not increaseMaymay not increase

                                vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                --do----do--

                                Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                Infant repiratory distress syndrome-

                                Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                It prevents collapsing of the alveoli and also decreases the surface tension

                                Deficiency is common in young infants

                                Xanthomatosis-

                                Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                Usually related with severe hypercholesterolemia and hyperlipidemia

                                Phrynoderma or Toad skin-

                                Caused due to the deficiency of essential fatty acids

                                Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                Multiple sclerosis-

                                It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                Defects in the metabolism of essential fatty acids -

                                Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                Zwellwegerrsquos disease-

                                Rare disorder

                                occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                Causes loss of functions and neural degeneration

                                Dicarboxylic aciduria-

                                It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                Common Atherogenic dyslipidemias)

                                1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                Fatty liver-Fatty liver-

                                When lipids accumulates excessively in liver then it causes fatty liver

                                Dropletes of TGs are found in the entire hepatic cytoplasm

                                this causes impairment in liver function

                                Fatty liver may occur due to two main reason-

                                1) Increased synthesis of TGs

                                2) Impairment in lipoprotein synthesis

                                Fatty liver is associated with the fibrotic changes and cirrhosis

                                Tangier Disease

                                gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                References--

                                1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                • Slide 1
                                • Why lipids are important-
                                • Major lipids of physiological significance-
                                • Classification of fatty acids-
                                • Saturated fatty acids-
                                • Unsaturated fatty acids-
                                • Divisions of unsaturated fatty acids-
                                • Monounsaturated fatty acids-
                                • Cis- unsaturated fatty acids-
                                • Trans unsaturated fatty acids-
                                • Slide 11
                                • Slide 12
                                • ENDOTHELIAL-CELL FUNCTION--
                                • Polyunsaturated fatty acids-
                                • Slide 15
                                • Slide 16
                                • Omega-6 fatty acids-
                                • Eicosanoids-
                                • Triglycerides-
                                • Phospholipids- main lipid constituent of cell membrane
                                • Sterols-
                                • Glycolipids-
                                • Lipoproteins-
                                • Classes of lipoproteins-
                                • Slide 25
                                • Slide 26
                                • Apoprotein continuedhellip
                                • Chylomicrons- TG rich
                                • VLDL- rich in CE and TGs-
                                • LDL- cholesterol rich
                                • High density lipoprotein-
                                • HDL Subpopulations
                                • Slide 33
                                • Slide 34
                                • Role of lipids in health and diseases ndash omega-3 FAs
                                • Arachidonic acid and the brain--
                                • Prevention of cancer-
                                • Lipids related disorders-
                                • Slide 39
                                • Slide 40
                                • Metabolic disorders of cerebrosides
                                • Lipoprotein disorders- Hyperlipoproteinemias-
                                • Slide 43
                                • Slide 44
                                • Common Atherogenic dyslipidemias
                                • Fatty liver-
                                • Tangier Disease
                                • Slide 48
                                • Slide 49

                                  Omega-6 fatty acids-Omega-6 fatty acids-

                                  Linoleic fatty acid

                                  Arachidonic acid

                                  Benefits-Platelet aggregation cardiovascular diseases and inflammationReduce the symptoms of eczema and psoriasisClear up different types of acne

                                  Eicosanoids-Eicosanoids- These compounds are derived from long chain polyenoic fatty These compounds are derived from long chain polyenoic fatty

                                  acids (20-carbon)acids (20-carbon) Examples of eicosanoidsExamples of eicosanoids-- ProstaglandinsProstaglandins ProstacyclinesProstacyclines ThromboxanesThromboxanes LeukotrienesLeukotrienes lipoxinslipoxins

                                  They have roles inInflammationFeverRegulation of blood pressureBlood viscosityMale fertilityFemale conceptionMuscle cotractionBlood clottingTissue growthRegulation of sleepwake cycleBronchocostrictionAsthma

                                  Triglycerides-Triglycerides-

                                  StructureGlycerol + 3 fatty acids

                                  FunctionsEnergy source--9 kcals per gramForm of stored energy in adipose tissueInsulation and protectionCarrier of fat-soluble vitaminsSensory properties in food

                                  Phospholipids- Phospholipids- main lipid constituent of cell main lipid constituent of cell membranemembrane

                                  StructureGlycerol + 2 fatty acids + phosphate groupalso considered as derivative of lsquophosphatidic acidrsquo

                                  FunctionsMain lipid constituent of cell membranesLipid transport as part of lipoproteinsEmulsifiersCell signalling process phospholipids

                                  Phoscholine phosinositol cardiolipin lysophospholipid plasmalogens sphingomy

                                  SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

                                  Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

                                  Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

                                  Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

                                  glycolipidsglycolipids

                                  Lipoproteins-Lipoproteins-

                                  Lipoproteins are th macromolecular complex of lipids and proteins

                                  Transportation of lipids in the blood

                                  Structure of lipoproteins-

                                  Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

                                  Classes of lipoproteinsClasses of lipoproteins--

                                  ChylomicronsChylomicronsVLDLVLDL

                                  LDLLDL HDL

                                  gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

                                  Dlt1006 gml D=1019-1063gml D=1063-121 gml

                                  Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

                                  ApolipoproteinsmdashApolipoproteinsmdash

                                  Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

                                  (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

                                  Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

                                  Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

                                  Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

                                  Apoprotein continuedhellipApoprotein continuedhellip

                                  Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

                                  Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

                                  100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

                                  Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

                                  Apoprotein continuedhellipApoprotein continuedhellip

                                  Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

                                  uptakeuptake Apo C-II (liver)Apo C-II (liver)

                                  Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

                                  Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

                                  uptakeuptake

                                  ChylomicronsChylomicrons- TG rich- TG rich

                                  Synthesized in intestine

                                  Transports endogenous TGs

                                  Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                                  VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                                  Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                                  Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                                  LDL-LDL- cholesterol rich cholesterol rich

                                  Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                                  Synthesized from VLDL in blood circulation

                                  Transports cholesterol from liver and delivers to other tissues

                                  High density lipoprotein-High density lipoprotein-

                                  Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                                  Promotes re-esterification process of cholesterol

                                  HDL SubpopulationsHDL Subpopulations

                                  Rye et al Atherosclerosis 1999145227-238

                                  Apolipoprotein CompositionApolipoprotein Composition

                                  A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                                  Particle ShapeParticle Shape

                                  DiscoidalDiscoidal

                                  SphericalSpherical

                                  Lipid CompositionLipid Composition

                                  TG CE and PLTG CE and PL

                                  Particle SizeParticle Size

                                  HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                                  The Effects of Various Types of Fat on Blood Lipid Levels

                                  bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                                  Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                                  Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                                  Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                                  bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                                  Arachidonic acid and the brain--

                                  One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                  Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                  Prevention of cancer-Prevention of cancer-

                                  Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                  Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                  Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                  Common disorders

                                  Hypercholetrolemia

                                  Hypertriglyceridemia

                                  Hyperlipoproteinemia

                                  ketosis

                                  CVD

                                  Fatty liver

                                  Obesity

                                  cancer

                                  Uncommon disorders

                                  Metabolic disorders of cerebrosides

                                  Lipidoses lipid storage diseases

                                  Multiple sclerosis

                                  Infant respiratory distress syndrome

                                  Xanthomatosis

                                  Retinitis pigmentosa

                                  Phrynoderma Toad skin

                                  Disorders of EFAs deficiency

                                  Zwellwegerrsquos disease

                                  ATHEROSCLEROSIS

                                  As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                  bull These foam cells are then deposited into the

                                  lining of the artery wall

                                  bull This process known as atherosclerosis causes

                                  plaque deposits to enlarge artery walls to lose

                                  elasticity and the passage through the artery to narrow

                                  Diagrammatic representation of the disease (atherosclerosis)-

                                  Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                  diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                  Lipid Lipid accumulatingaccumulating

                                  symptomssymptoms

                                  Tay ndashsachs Tay ndashsachs diseasedisease

                                  hexosaminihexosaminidasedase

                                  gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                  Fabryrsquos Fabryrsquos diseasedisease

                                  A-A-galactosidasegalactosidase

                                  galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                  Krabbersquos Krabbersquos diseasedisease

                                  B-B-galactosidasgalactosidasee

                                  galactosylceramidgalactosylceramidee

                                  Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                  Gaucherrsquos Gaucherrsquos diseasedisease

                                  B-B-glucosidaseglucosidase

                                  glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                  Niemann-Niemann-pick diseasepick disease

                                  sphingomyesphingomyelinaselinase

                                  sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                  Farberrsquos Farberrsquos diseasedisease

                                  ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                  Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                  Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                  Hy Hy LipotypesLipotypes

                                  Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                  Risk of athersclerosisRisk of athersclerosis

                                  ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                  chylomicronschylomicrons increaseincrease

                                  llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                  cholesterolcholesterol Very highVery high

                                  llbllb Overproduction of Overproduction of apo-bapo-b

                                  TGs and cholesterolTGs and cholesterol highhigh

                                  llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                  lvlv Overproduction of Overproduction of TGsTGs

                                  TGsTGs Maymay not increaseMaymay not increase

                                  vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                  --do----do--

                                  Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                  Infant repiratory distress syndrome-

                                  Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                  It prevents collapsing of the alveoli and also decreases the surface tension

                                  Deficiency is common in young infants

                                  Xanthomatosis-

                                  Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                  Usually related with severe hypercholesterolemia and hyperlipidemia

                                  Phrynoderma or Toad skin-

                                  Caused due to the deficiency of essential fatty acids

                                  Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                  Multiple sclerosis-

                                  It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                  Defects in the metabolism of essential fatty acids -

                                  Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                  Zwellwegerrsquos disease-

                                  Rare disorder

                                  occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                  Causes loss of functions and neural degeneration

                                  Dicarboxylic aciduria-

                                  It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                  Common Atherogenic dyslipidemias)

                                  1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                  Fatty liver-Fatty liver-

                                  When lipids accumulates excessively in liver then it causes fatty liver

                                  Dropletes of TGs are found in the entire hepatic cytoplasm

                                  this causes impairment in liver function

                                  Fatty liver may occur due to two main reason-

                                  1) Increased synthesis of TGs

                                  2) Impairment in lipoprotein synthesis

                                  Fatty liver is associated with the fibrotic changes and cirrhosis

                                  Tangier Disease

                                  gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                  References--

                                  1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                  2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                  3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                  4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                  • Slide 1
                                  • Why lipids are important-
                                  • Major lipids of physiological significance-
                                  • Classification of fatty acids-
                                  • Saturated fatty acids-
                                  • Unsaturated fatty acids-
                                  • Divisions of unsaturated fatty acids-
                                  • Monounsaturated fatty acids-
                                  • Cis- unsaturated fatty acids-
                                  • Trans unsaturated fatty acids-
                                  • Slide 11
                                  • Slide 12
                                  • ENDOTHELIAL-CELL FUNCTION--
                                  • Polyunsaturated fatty acids-
                                  • Slide 15
                                  • Slide 16
                                  • Omega-6 fatty acids-
                                  • Eicosanoids-
                                  • Triglycerides-
                                  • Phospholipids- main lipid constituent of cell membrane
                                  • Sterols-
                                  • Glycolipids-
                                  • Lipoproteins-
                                  • Classes of lipoproteins-
                                  • Slide 25
                                  • Slide 26
                                  • Apoprotein continuedhellip
                                  • Chylomicrons- TG rich
                                  • VLDL- rich in CE and TGs-
                                  • LDL- cholesterol rich
                                  • High density lipoprotein-
                                  • HDL Subpopulations
                                  • Slide 33
                                  • Slide 34
                                  • Role of lipids in health and diseases ndash omega-3 FAs
                                  • Arachidonic acid and the brain--
                                  • Prevention of cancer-
                                  • Lipids related disorders-
                                  • Slide 39
                                  • Slide 40
                                  • Metabolic disorders of cerebrosides
                                  • Lipoprotein disorders- Hyperlipoproteinemias-
                                  • Slide 43
                                  • Slide 44
                                  • Common Atherogenic dyslipidemias
                                  • Fatty liver-
                                  • Tangier Disease
                                  • Slide 48
                                  • Slide 49

                                    Eicosanoids-Eicosanoids- These compounds are derived from long chain polyenoic fatty These compounds are derived from long chain polyenoic fatty

                                    acids (20-carbon)acids (20-carbon) Examples of eicosanoidsExamples of eicosanoids-- ProstaglandinsProstaglandins ProstacyclinesProstacyclines ThromboxanesThromboxanes LeukotrienesLeukotrienes lipoxinslipoxins

                                    They have roles inInflammationFeverRegulation of blood pressureBlood viscosityMale fertilityFemale conceptionMuscle cotractionBlood clottingTissue growthRegulation of sleepwake cycleBronchocostrictionAsthma

                                    Triglycerides-Triglycerides-

                                    StructureGlycerol + 3 fatty acids

                                    FunctionsEnergy source--9 kcals per gramForm of stored energy in adipose tissueInsulation and protectionCarrier of fat-soluble vitaminsSensory properties in food

                                    Phospholipids- Phospholipids- main lipid constituent of cell main lipid constituent of cell membranemembrane

                                    StructureGlycerol + 2 fatty acids + phosphate groupalso considered as derivative of lsquophosphatidic acidrsquo

                                    FunctionsMain lipid constituent of cell membranesLipid transport as part of lipoproteinsEmulsifiersCell signalling process phospholipids

                                    Phoscholine phosinositol cardiolipin lysophospholipid plasmalogens sphingomy

                                    SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

                                    Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

                                    Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

                                    Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

                                    glycolipidsglycolipids

                                    Lipoproteins-Lipoproteins-

                                    Lipoproteins are th macromolecular complex of lipids and proteins

                                    Transportation of lipids in the blood

                                    Structure of lipoproteins-

                                    Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

                                    Classes of lipoproteinsClasses of lipoproteins--

                                    ChylomicronsChylomicronsVLDLVLDL

                                    LDLLDL HDL

                                    gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

                                    Dlt1006 gml D=1019-1063gml D=1063-121 gml

                                    Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

                                    ApolipoproteinsmdashApolipoproteinsmdash

                                    Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

                                    (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

                                    Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

                                    Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

                                    Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

                                    Apoprotein continuedhellipApoprotein continuedhellip

                                    Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

                                    Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

                                    100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

                                    Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

                                    Apoprotein continuedhellipApoprotein continuedhellip

                                    Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

                                    uptakeuptake Apo C-II (liver)Apo C-II (liver)

                                    Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

                                    Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

                                    uptakeuptake

                                    ChylomicronsChylomicrons- TG rich- TG rich

                                    Synthesized in intestine

                                    Transports endogenous TGs

                                    Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                                    VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                                    Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                                    Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                                    LDL-LDL- cholesterol rich cholesterol rich

                                    Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                                    Synthesized from VLDL in blood circulation

                                    Transports cholesterol from liver and delivers to other tissues

                                    High density lipoprotein-High density lipoprotein-

                                    Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                                    Promotes re-esterification process of cholesterol

                                    HDL SubpopulationsHDL Subpopulations

                                    Rye et al Atherosclerosis 1999145227-238

                                    Apolipoprotein CompositionApolipoprotein Composition

                                    A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                                    Particle ShapeParticle Shape

                                    DiscoidalDiscoidal

                                    SphericalSpherical

                                    Lipid CompositionLipid Composition

                                    TG CE and PLTG CE and PL

                                    Particle SizeParticle Size

                                    HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                                    The Effects of Various Types of Fat on Blood Lipid Levels

                                    bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                                    Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                                    Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                                    Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                                    bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                                    Arachidonic acid and the brain--

                                    One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                    Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                    Prevention of cancer-Prevention of cancer-

                                    Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                    Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                    Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                    Common disorders

                                    Hypercholetrolemia

                                    Hypertriglyceridemia

                                    Hyperlipoproteinemia

                                    ketosis

                                    CVD

                                    Fatty liver

                                    Obesity

                                    cancer

                                    Uncommon disorders

                                    Metabolic disorders of cerebrosides

                                    Lipidoses lipid storage diseases

                                    Multiple sclerosis

                                    Infant respiratory distress syndrome

                                    Xanthomatosis

                                    Retinitis pigmentosa

                                    Phrynoderma Toad skin

                                    Disorders of EFAs deficiency

                                    Zwellwegerrsquos disease

                                    ATHEROSCLEROSIS

                                    As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                    bull These foam cells are then deposited into the

                                    lining of the artery wall

                                    bull This process known as atherosclerosis causes

                                    plaque deposits to enlarge artery walls to lose

                                    elasticity and the passage through the artery to narrow

                                    Diagrammatic representation of the disease (atherosclerosis)-

                                    Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                    diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                    Lipid Lipid accumulatingaccumulating

                                    symptomssymptoms

                                    Tay ndashsachs Tay ndashsachs diseasedisease

                                    hexosaminihexosaminidasedase

                                    gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                    Fabryrsquos Fabryrsquos diseasedisease

                                    A-A-galactosidasegalactosidase

                                    galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                    Krabbersquos Krabbersquos diseasedisease

                                    B-B-galactosidasgalactosidasee

                                    galactosylceramidgalactosylceramidee

                                    Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                    Gaucherrsquos Gaucherrsquos diseasedisease

                                    B-B-glucosidaseglucosidase

                                    glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                    Niemann-Niemann-pick diseasepick disease

                                    sphingomyesphingomyelinaselinase

                                    sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                    Farberrsquos Farberrsquos diseasedisease

                                    ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                    Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                    Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                    Hy Hy LipotypesLipotypes

                                    Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                    Risk of athersclerosisRisk of athersclerosis

                                    ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                    chylomicronschylomicrons increaseincrease

                                    llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                    cholesterolcholesterol Very highVery high

                                    llbllb Overproduction of Overproduction of apo-bapo-b

                                    TGs and cholesterolTGs and cholesterol highhigh

                                    llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                    lvlv Overproduction of Overproduction of TGsTGs

                                    TGsTGs Maymay not increaseMaymay not increase

                                    vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                    --do----do--

                                    Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                    Infant repiratory distress syndrome-

                                    Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                    It prevents collapsing of the alveoli and also decreases the surface tension

                                    Deficiency is common in young infants

                                    Xanthomatosis-

                                    Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                    Usually related with severe hypercholesterolemia and hyperlipidemia

                                    Phrynoderma or Toad skin-

                                    Caused due to the deficiency of essential fatty acids

                                    Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                    Multiple sclerosis-

                                    It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                    Defects in the metabolism of essential fatty acids -

                                    Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                    Zwellwegerrsquos disease-

                                    Rare disorder

                                    occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                    Causes loss of functions and neural degeneration

                                    Dicarboxylic aciduria-

                                    It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                    Common Atherogenic dyslipidemias)

                                    1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                    Fatty liver-Fatty liver-

                                    When lipids accumulates excessively in liver then it causes fatty liver

                                    Dropletes of TGs are found in the entire hepatic cytoplasm

                                    this causes impairment in liver function

                                    Fatty liver may occur due to two main reason-

                                    1) Increased synthesis of TGs

                                    2) Impairment in lipoprotein synthesis

                                    Fatty liver is associated with the fibrotic changes and cirrhosis

                                    Tangier Disease

                                    gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                    References--

                                    1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                    2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                    3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                    4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                    • Slide 1
                                    • Why lipids are important-
                                    • Major lipids of physiological significance-
                                    • Classification of fatty acids-
                                    • Saturated fatty acids-
                                    • Unsaturated fatty acids-
                                    • Divisions of unsaturated fatty acids-
                                    • Monounsaturated fatty acids-
                                    • Cis- unsaturated fatty acids-
                                    • Trans unsaturated fatty acids-
                                    • Slide 11
                                    • Slide 12
                                    • ENDOTHELIAL-CELL FUNCTION--
                                    • Polyunsaturated fatty acids-
                                    • Slide 15
                                    • Slide 16
                                    • Omega-6 fatty acids-
                                    • Eicosanoids-
                                    • Triglycerides-
                                    • Phospholipids- main lipid constituent of cell membrane
                                    • Sterols-
                                    • Glycolipids-
                                    • Lipoproteins-
                                    • Classes of lipoproteins-
                                    • Slide 25
                                    • Slide 26
                                    • Apoprotein continuedhellip
                                    • Chylomicrons- TG rich
                                    • VLDL- rich in CE and TGs-
                                    • LDL- cholesterol rich
                                    • High density lipoprotein-
                                    • HDL Subpopulations
                                    • Slide 33
                                    • Slide 34
                                    • Role of lipids in health and diseases ndash omega-3 FAs
                                    • Arachidonic acid and the brain--
                                    • Prevention of cancer-
                                    • Lipids related disorders-
                                    • Slide 39
                                    • Slide 40
                                    • Metabolic disorders of cerebrosides
                                    • Lipoprotein disorders- Hyperlipoproteinemias-
                                    • Slide 43
                                    • Slide 44
                                    • Common Atherogenic dyslipidemias
                                    • Fatty liver-
                                    • Tangier Disease
                                    • Slide 48
                                    • Slide 49

                                      Triglycerides-Triglycerides-

                                      StructureGlycerol + 3 fatty acids

                                      FunctionsEnergy source--9 kcals per gramForm of stored energy in adipose tissueInsulation and protectionCarrier of fat-soluble vitaminsSensory properties in food

                                      Phospholipids- Phospholipids- main lipid constituent of cell main lipid constituent of cell membranemembrane

                                      StructureGlycerol + 2 fatty acids + phosphate groupalso considered as derivative of lsquophosphatidic acidrsquo

                                      FunctionsMain lipid constituent of cell membranesLipid transport as part of lipoproteinsEmulsifiersCell signalling process phospholipids

                                      Phoscholine phosinositol cardiolipin lysophospholipid plasmalogens sphingomy

                                      SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

                                      Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

                                      Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

                                      Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

                                      glycolipidsglycolipids

                                      Lipoproteins-Lipoproteins-

                                      Lipoproteins are th macromolecular complex of lipids and proteins

                                      Transportation of lipids in the blood

                                      Structure of lipoproteins-

                                      Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

                                      Classes of lipoproteinsClasses of lipoproteins--

                                      ChylomicronsChylomicronsVLDLVLDL

                                      LDLLDL HDL

                                      gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

                                      Dlt1006 gml D=1019-1063gml D=1063-121 gml

                                      Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

                                      ApolipoproteinsmdashApolipoproteinsmdash

                                      Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

                                      (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

                                      Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

                                      Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

                                      Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

                                      Apoprotein continuedhellipApoprotein continuedhellip

                                      Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

                                      Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

                                      100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

                                      Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

                                      Apoprotein continuedhellipApoprotein continuedhellip

                                      Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

                                      uptakeuptake Apo C-II (liver)Apo C-II (liver)

                                      Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

                                      Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

                                      uptakeuptake

                                      ChylomicronsChylomicrons- TG rich- TG rich

                                      Synthesized in intestine

                                      Transports endogenous TGs

                                      Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                                      VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                                      Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                                      Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                                      LDL-LDL- cholesterol rich cholesterol rich

                                      Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                                      Synthesized from VLDL in blood circulation

                                      Transports cholesterol from liver and delivers to other tissues

                                      High density lipoprotein-High density lipoprotein-

                                      Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                                      Promotes re-esterification process of cholesterol

                                      HDL SubpopulationsHDL Subpopulations

                                      Rye et al Atherosclerosis 1999145227-238

                                      Apolipoprotein CompositionApolipoprotein Composition

                                      A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                                      Particle ShapeParticle Shape

                                      DiscoidalDiscoidal

                                      SphericalSpherical

                                      Lipid CompositionLipid Composition

                                      TG CE and PLTG CE and PL

                                      Particle SizeParticle Size

                                      HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                                      The Effects of Various Types of Fat on Blood Lipid Levels

                                      bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                                      Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                                      Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                                      Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                                      bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                                      Arachidonic acid and the brain--

                                      One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                      Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                      Prevention of cancer-Prevention of cancer-

                                      Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                      Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                      Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                      Common disorders

                                      Hypercholetrolemia

                                      Hypertriglyceridemia

                                      Hyperlipoproteinemia

                                      ketosis

                                      CVD

                                      Fatty liver

                                      Obesity

                                      cancer

                                      Uncommon disorders

                                      Metabolic disorders of cerebrosides

                                      Lipidoses lipid storage diseases

                                      Multiple sclerosis

                                      Infant respiratory distress syndrome

                                      Xanthomatosis

                                      Retinitis pigmentosa

                                      Phrynoderma Toad skin

                                      Disorders of EFAs deficiency

                                      Zwellwegerrsquos disease

                                      ATHEROSCLEROSIS

                                      As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                      bull These foam cells are then deposited into the

                                      lining of the artery wall

                                      bull This process known as atherosclerosis causes

                                      plaque deposits to enlarge artery walls to lose

                                      elasticity and the passage through the artery to narrow

                                      Diagrammatic representation of the disease (atherosclerosis)-

                                      Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                      diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                      Lipid Lipid accumulatingaccumulating

                                      symptomssymptoms

                                      Tay ndashsachs Tay ndashsachs diseasedisease

                                      hexosaminihexosaminidasedase

                                      gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                      Fabryrsquos Fabryrsquos diseasedisease

                                      A-A-galactosidasegalactosidase

                                      galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                      Krabbersquos Krabbersquos diseasedisease

                                      B-B-galactosidasgalactosidasee

                                      galactosylceramidgalactosylceramidee

                                      Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                      Gaucherrsquos Gaucherrsquos diseasedisease

                                      B-B-glucosidaseglucosidase

                                      glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                      Niemann-Niemann-pick diseasepick disease

                                      sphingomyesphingomyelinaselinase

                                      sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                      Farberrsquos Farberrsquos diseasedisease

                                      ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                      Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                      Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                      Hy Hy LipotypesLipotypes

                                      Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                      Risk of athersclerosisRisk of athersclerosis

                                      ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                      chylomicronschylomicrons increaseincrease

                                      llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                      cholesterolcholesterol Very highVery high

                                      llbllb Overproduction of Overproduction of apo-bapo-b

                                      TGs and cholesterolTGs and cholesterol highhigh

                                      llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                      lvlv Overproduction of Overproduction of TGsTGs

                                      TGsTGs Maymay not increaseMaymay not increase

                                      vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                      --do----do--

                                      Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                      Infant repiratory distress syndrome-

                                      Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                      It prevents collapsing of the alveoli and also decreases the surface tension

                                      Deficiency is common in young infants

                                      Xanthomatosis-

                                      Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                      Usually related with severe hypercholesterolemia and hyperlipidemia

                                      Phrynoderma or Toad skin-

                                      Caused due to the deficiency of essential fatty acids

                                      Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                      Multiple sclerosis-

                                      It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                      Defects in the metabolism of essential fatty acids -

                                      Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                      Zwellwegerrsquos disease-

                                      Rare disorder

                                      occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                      Causes loss of functions and neural degeneration

                                      Dicarboxylic aciduria-

                                      It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                      Common Atherogenic dyslipidemias)

                                      1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                      Fatty liver-Fatty liver-

                                      When lipids accumulates excessively in liver then it causes fatty liver

                                      Dropletes of TGs are found in the entire hepatic cytoplasm

                                      this causes impairment in liver function

                                      Fatty liver may occur due to two main reason-

                                      1) Increased synthesis of TGs

                                      2) Impairment in lipoprotein synthesis

                                      Fatty liver is associated with the fibrotic changes and cirrhosis

                                      Tangier Disease

                                      gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                      References--

                                      1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                      2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                      3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                      4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                      • Slide 1
                                      • Why lipids are important-
                                      • Major lipids of physiological significance-
                                      • Classification of fatty acids-
                                      • Saturated fatty acids-
                                      • Unsaturated fatty acids-
                                      • Divisions of unsaturated fatty acids-
                                      • Monounsaturated fatty acids-
                                      • Cis- unsaturated fatty acids-
                                      • Trans unsaturated fatty acids-
                                      • Slide 11
                                      • Slide 12
                                      • ENDOTHELIAL-CELL FUNCTION--
                                      • Polyunsaturated fatty acids-
                                      • Slide 15
                                      • Slide 16
                                      • Omega-6 fatty acids-
                                      • Eicosanoids-
                                      • Triglycerides-
                                      • Phospholipids- main lipid constituent of cell membrane
                                      • Sterols-
                                      • Glycolipids-
                                      • Lipoproteins-
                                      • Classes of lipoproteins-
                                      • Slide 25
                                      • Slide 26
                                      • Apoprotein continuedhellip
                                      • Chylomicrons- TG rich
                                      • VLDL- rich in CE and TGs-
                                      • LDL- cholesterol rich
                                      • High density lipoprotein-
                                      • HDL Subpopulations
                                      • Slide 33
                                      • Slide 34
                                      • Role of lipids in health and diseases ndash omega-3 FAs
                                      • Arachidonic acid and the brain--
                                      • Prevention of cancer-
                                      • Lipids related disorders-
                                      • Slide 39
                                      • Slide 40
                                      • Metabolic disorders of cerebrosides
                                      • Lipoprotein disorders- Hyperlipoproteinemias-
                                      • Slide 43
                                      • Slide 44
                                      • Common Atherogenic dyslipidemias
                                      • Fatty liver-
                                      • Tangier Disease
                                      • Slide 48
                                      • Slide 49

                                        Phospholipids- Phospholipids- main lipid constituent of cell main lipid constituent of cell membranemembrane

                                        StructureGlycerol + 2 fatty acids + phosphate groupalso considered as derivative of lsquophosphatidic acidrsquo

                                        FunctionsMain lipid constituent of cell membranesLipid transport as part of lipoproteinsEmulsifiersCell signalling process phospholipids

                                        Phoscholine phosinositol cardiolipin lysophospholipid plasmalogens sphingomy

                                        SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

                                        Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

                                        Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

                                        Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

                                        glycolipidsglycolipids

                                        Lipoproteins-Lipoproteins-

                                        Lipoproteins are th macromolecular complex of lipids and proteins

                                        Transportation of lipids in the blood

                                        Structure of lipoproteins-

                                        Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

                                        Classes of lipoproteinsClasses of lipoproteins--

                                        ChylomicronsChylomicronsVLDLVLDL

                                        LDLLDL HDL

                                        gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

                                        Dlt1006 gml D=1019-1063gml D=1063-121 gml

                                        Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

                                        ApolipoproteinsmdashApolipoproteinsmdash

                                        Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

                                        (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

                                        Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

                                        Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

                                        Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

                                        Apoprotein continuedhellipApoprotein continuedhellip

                                        Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

                                        Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

                                        100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

                                        Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

                                        Apoprotein continuedhellipApoprotein continuedhellip

                                        Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

                                        uptakeuptake Apo C-II (liver)Apo C-II (liver)

                                        Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

                                        Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

                                        uptakeuptake

                                        ChylomicronsChylomicrons- TG rich- TG rich

                                        Synthesized in intestine

                                        Transports endogenous TGs

                                        Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                                        VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                                        Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                                        Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                                        LDL-LDL- cholesterol rich cholesterol rich

                                        Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                                        Synthesized from VLDL in blood circulation

                                        Transports cholesterol from liver and delivers to other tissues

                                        High density lipoprotein-High density lipoprotein-

                                        Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                                        Promotes re-esterification process of cholesterol

                                        HDL SubpopulationsHDL Subpopulations

                                        Rye et al Atherosclerosis 1999145227-238

                                        Apolipoprotein CompositionApolipoprotein Composition

                                        A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                                        Particle ShapeParticle Shape

                                        DiscoidalDiscoidal

                                        SphericalSpherical

                                        Lipid CompositionLipid Composition

                                        TG CE and PLTG CE and PL

                                        Particle SizeParticle Size

                                        HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                                        The Effects of Various Types of Fat on Blood Lipid Levels

                                        bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                                        Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                                        Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                                        Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                                        bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                                        Arachidonic acid and the brain--

                                        One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                        Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                        Prevention of cancer-Prevention of cancer-

                                        Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                        Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                        Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                        Common disorders

                                        Hypercholetrolemia

                                        Hypertriglyceridemia

                                        Hyperlipoproteinemia

                                        ketosis

                                        CVD

                                        Fatty liver

                                        Obesity

                                        cancer

                                        Uncommon disorders

                                        Metabolic disorders of cerebrosides

                                        Lipidoses lipid storage diseases

                                        Multiple sclerosis

                                        Infant respiratory distress syndrome

                                        Xanthomatosis

                                        Retinitis pigmentosa

                                        Phrynoderma Toad skin

                                        Disorders of EFAs deficiency

                                        Zwellwegerrsquos disease

                                        ATHEROSCLEROSIS

                                        As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                        bull These foam cells are then deposited into the

                                        lining of the artery wall

                                        bull This process known as atherosclerosis causes

                                        plaque deposits to enlarge artery walls to lose

                                        elasticity and the passage through the artery to narrow

                                        Diagrammatic representation of the disease (atherosclerosis)-

                                        Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                        diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                        Lipid Lipid accumulatingaccumulating

                                        symptomssymptoms

                                        Tay ndashsachs Tay ndashsachs diseasedisease

                                        hexosaminihexosaminidasedase

                                        gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                        Fabryrsquos Fabryrsquos diseasedisease

                                        A-A-galactosidasegalactosidase

                                        galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                        Krabbersquos Krabbersquos diseasedisease

                                        B-B-galactosidasgalactosidasee

                                        galactosylceramidgalactosylceramidee

                                        Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                        Gaucherrsquos Gaucherrsquos diseasedisease

                                        B-B-glucosidaseglucosidase

                                        glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                        Niemann-Niemann-pick diseasepick disease

                                        sphingomyesphingomyelinaselinase

                                        sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                        Farberrsquos Farberrsquos diseasedisease

                                        ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                        Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                        Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                        Hy Hy LipotypesLipotypes

                                        Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                        Risk of athersclerosisRisk of athersclerosis

                                        ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                        chylomicronschylomicrons increaseincrease

                                        llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                        cholesterolcholesterol Very highVery high

                                        llbllb Overproduction of Overproduction of apo-bapo-b

                                        TGs and cholesterolTGs and cholesterol highhigh

                                        llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                        lvlv Overproduction of Overproduction of TGsTGs

                                        TGsTGs Maymay not increaseMaymay not increase

                                        vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                        --do----do--

                                        Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                        Infant repiratory distress syndrome-

                                        Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                        It prevents collapsing of the alveoli and also decreases the surface tension

                                        Deficiency is common in young infants

                                        Xanthomatosis-

                                        Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                        Usually related with severe hypercholesterolemia and hyperlipidemia

                                        Phrynoderma or Toad skin-

                                        Caused due to the deficiency of essential fatty acids

                                        Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                        Multiple sclerosis-

                                        It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                        Defects in the metabolism of essential fatty acids -

                                        Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                        Zwellwegerrsquos disease-

                                        Rare disorder

                                        occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                        Causes loss of functions and neural degeneration

                                        Dicarboxylic aciduria-

                                        It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                        Common Atherogenic dyslipidemias)

                                        1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                        Fatty liver-Fatty liver-

                                        When lipids accumulates excessively in liver then it causes fatty liver

                                        Dropletes of TGs are found in the entire hepatic cytoplasm

                                        this causes impairment in liver function

                                        Fatty liver may occur due to two main reason-

                                        1) Increased synthesis of TGs

                                        2) Impairment in lipoprotein synthesis

                                        Fatty liver is associated with the fibrotic changes and cirrhosis

                                        Tangier Disease

                                        gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                        References--

                                        1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                        2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                        3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                        4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                        • Slide 1
                                        • Why lipids are important-
                                        • Major lipids of physiological significance-
                                        • Classification of fatty acids-
                                        • Saturated fatty acids-
                                        • Unsaturated fatty acids-
                                        • Divisions of unsaturated fatty acids-
                                        • Monounsaturated fatty acids-
                                        • Cis- unsaturated fatty acids-
                                        • Trans unsaturated fatty acids-
                                        • Slide 11
                                        • Slide 12
                                        • ENDOTHELIAL-CELL FUNCTION--
                                        • Polyunsaturated fatty acids-
                                        • Slide 15
                                        • Slide 16
                                        • Omega-6 fatty acids-
                                        • Eicosanoids-
                                        • Triglycerides-
                                        • Phospholipids- main lipid constituent of cell membrane
                                        • Sterols-
                                        • Glycolipids-
                                        • Lipoproteins-
                                        • Classes of lipoproteins-
                                        • Slide 25
                                        • Slide 26
                                        • Apoprotein continuedhellip
                                        • Chylomicrons- TG rich
                                        • VLDL- rich in CE and TGs-
                                        • LDL- cholesterol rich
                                        • High density lipoprotein-
                                        • HDL Subpopulations
                                        • Slide 33
                                        • Slide 34
                                        • Role of lipids in health and diseases ndash omega-3 FAs
                                        • Arachidonic acid and the brain--
                                        • Prevention of cancer-
                                        • Lipids related disorders-
                                        • Slide 39
                                        • Slide 40
                                        • Metabolic disorders of cerebrosides
                                        • Lipoprotein disorders- Hyperlipoproteinemias-
                                        • Slide 43
                                        • Slide 44
                                        • Common Atherogenic dyslipidemias
                                        • Fatty liver-
                                        • Tangier Disease
                                        • Slide 48
                                        • Slide 49

                                          SterolsSterols--Steroids are the compounds contains cyclic steroid nucleus namely cyclo pentanophenanthrene ring

                                          Cholesterol-best known steroid because of its association with atherosclerosis and heart diseases Contains same steroid nucleusExclusively present in animals

                                          Functions---Bile acidsndash Sex hormonesndash Adrenal hormonesndash Vitamin D--Cardiac glycosides

                                          Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

                                          glycolipidsglycolipids

                                          Lipoproteins-Lipoproteins-

                                          Lipoproteins are th macromolecular complex of lipids and proteins

                                          Transportation of lipids in the blood

                                          Structure of lipoproteins-

                                          Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

                                          Classes of lipoproteinsClasses of lipoproteins--

                                          ChylomicronsChylomicronsVLDLVLDL

                                          LDLLDL HDL

                                          gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

                                          Dlt1006 gml D=1019-1063gml D=1063-121 gml

                                          Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

                                          ApolipoproteinsmdashApolipoproteinsmdash

                                          Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

                                          (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

                                          Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

                                          Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

                                          Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

                                          Apoprotein continuedhellipApoprotein continuedhellip

                                          Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

                                          Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

                                          100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

                                          Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

                                          Apoprotein continuedhellipApoprotein continuedhellip

                                          Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

                                          uptakeuptake Apo C-II (liver)Apo C-II (liver)

                                          Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

                                          Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

                                          uptakeuptake

                                          ChylomicronsChylomicrons- TG rich- TG rich

                                          Synthesized in intestine

                                          Transports endogenous TGs

                                          Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                                          VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                                          Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                                          Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                                          LDL-LDL- cholesterol rich cholesterol rich

                                          Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                                          Synthesized from VLDL in blood circulation

                                          Transports cholesterol from liver and delivers to other tissues

                                          High density lipoprotein-High density lipoprotein-

                                          Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                                          Promotes re-esterification process of cholesterol

                                          HDL SubpopulationsHDL Subpopulations

                                          Rye et al Atherosclerosis 1999145227-238

                                          Apolipoprotein CompositionApolipoprotein Composition

                                          A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                                          Particle ShapeParticle Shape

                                          DiscoidalDiscoidal

                                          SphericalSpherical

                                          Lipid CompositionLipid Composition

                                          TG CE and PLTG CE and PL

                                          Particle SizeParticle Size

                                          HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                                          The Effects of Various Types of Fat on Blood Lipid Levels

                                          bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                                          Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                                          Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                                          Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                                          bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                                          Arachidonic acid and the brain--

                                          One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                          Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                          Prevention of cancer-Prevention of cancer-

                                          Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                          Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                          Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                          Common disorders

                                          Hypercholetrolemia

                                          Hypertriglyceridemia

                                          Hyperlipoproteinemia

                                          ketosis

                                          CVD

                                          Fatty liver

                                          Obesity

                                          cancer

                                          Uncommon disorders

                                          Metabolic disorders of cerebrosides

                                          Lipidoses lipid storage diseases

                                          Multiple sclerosis

                                          Infant respiratory distress syndrome

                                          Xanthomatosis

                                          Retinitis pigmentosa

                                          Phrynoderma Toad skin

                                          Disorders of EFAs deficiency

                                          Zwellwegerrsquos disease

                                          ATHEROSCLEROSIS

                                          As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                          bull These foam cells are then deposited into the

                                          lining of the artery wall

                                          bull This process known as atherosclerosis causes

                                          plaque deposits to enlarge artery walls to lose

                                          elasticity and the passage through the artery to narrow

                                          Diagrammatic representation of the disease (atherosclerosis)-

                                          Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                          diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                          Lipid Lipid accumulatingaccumulating

                                          symptomssymptoms

                                          Tay ndashsachs Tay ndashsachs diseasedisease

                                          hexosaminihexosaminidasedase

                                          gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                          Fabryrsquos Fabryrsquos diseasedisease

                                          A-A-galactosidasegalactosidase

                                          galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                          Krabbersquos Krabbersquos diseasedisease

                                          B-B-galactosidasgalactosidasee

                                          galactosylceramidgalactosylceramidee

                                          Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                          Gaucherrsquos Gaucherrsquos diseasedisease

                                          B-B-glucosidaseglucosidase

                                          glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                          Niemann-Niemann-pick diseasepick disease

                                          sphingomyesphingomyelinaselinase

                                          sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                          Farberrsquos Farberrsquos diseasedisease

                                          ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                          Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                          Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                          Hy Hy LipotypesLipotypes

                                          Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                          Risk of athersclerosisRisk of athersclerosis

                                          ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                          chylomicronschylomicrons increaseincrease

                                          llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                          cholesterolcholesterol Very highVery high

                                          llbllb Overproduction of Overproduction of apo-bapo-b

                                          TGs and cholesterolTGs and cholesterol highhigh

                                          llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                          lvlv Overproduction of Overproduction of TGsTGs

                                          TGsTGs Maymay not increaseMaymay not increase

                                          vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                          --do----do--

                                          Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                          Infant repiratory distress syndrome-

                                          Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                          It prevents collapsing of the alveoli and also decreases the surface tension

                                          Deficiency is common in young infants

                                          Xanthomatosis-

                                          Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                          Usually related with severe hypercholesterolemia and hyperlipidemia

                                          Phrynoderma or Toad skin-

                                          Caused due to the deficiency of essential fatty acids

                                          Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                          Multiple sclerosis-

                                          It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                          Defects in the metabolism of essential fatty acids -

                                          Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                          Zwellwegerrsquos disease-

                                          Rare disorder

                                          occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                          Causes loss of functions and neural degeneration

                                          Dicarboxylic aciduria-

                                          It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                          Common Atherogenic dyslipidemias)

                                          1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                          Fatty liver-Fatty liver-

                                          When lipids accumulates excessively in liver then it causes fatty liver

                                          Dropletes of TGs are found in the entire hepatic cytoplasm

                                          this causes impairment in liver function

                                          Fatty liver may occur due to two main reason-

                                          1) Increased synthesis of TGs

                                          2) Impairment in lipoprotein synthesis

                                          Fatty liver is associated with the fibrotic changes and cirrhosis

                                          Tangier Disease

                                          gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                          References--

                                          1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                          2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                          3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                          4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                          • Slide 1
                                          • Why lipids are important-
                                          • Major lipids of physiological significance-
                                          • Classification of fatty acids-
                                          • Saturated fatty acids-
                                          • Unsaturated fatty acids-
                                          • Divisions of unsaturated fatty acids-
                                          • Monounsaturated fatty acids-
                                          • Cis- unsaturated fatty acids-
                                          • Trans unsaturated fatty acids-
                                          • Slide 11
                                          • Slide 12
                                          • ENDOTHELIAL-CELL FUNCTION--
                                          • Polyunsaturated fatty acids-
                                          • Slide 15
                                          • Slide 16
                                          • Omega-6 fatty acids-
                                          • Eicosanoids-
                                          • Triglycerides-
                                          • Phospholipids- main lipid constituent of cell membrane
                                          • Sterols-
                                          • Glycolipids-
                                          • Lipoproteins-
                                          • Classes of lipoproteins-
                                          • Slide 25
                                          • Slide 26
                                          • Apoprotein continuedhellip
                                          • Chylomicrons- TG rich
                                          • VLDL- rich in CE and TGs-
                                          • LDL- cholesterol rich
                                          • High density lipoprotein-
                                          • HDL Subpopulations
                                          • Slide 33
                                          • Slide 34
                                          • Role of lipids in health and diseases ndash omega-3 FAs
                                          • Arachidonic acid and the brain--
                                          • Prevention of cancer-
                                          • Lipids related disorders-
                                          • Slide 39
                                          • Slide 40
                                          • Metabolic disorders of cerebrosides
                                          • Lipoprotein disorders- Hyperlipoproteinemias-
                                          • Slide 43
                                          • Slide 44
                                          • Common Atherogenic dyslipidemias
                                          • Fatty liver-
                                          • Tangier Disease
                                          • Slide 48
                                          • Slide 49

                                            Glycolipids-Glycolipids- --widely distributed in the body--widely distributed in the body Fatty acids + sphingosine +carbohydrateFatty acids + sphingosine +carbohydrate Also ka glycosphingolipidsAlso ka glycosphingolipids Present in cell membrane and nervous tissuesPresent in cell membrane and nervous tissues It contributes to cell surface carbohydrateIt contributes to cell surface carbohydrate Other glycolipids are-Other glycolipids are- Cerebrosides- simplest form of glycolipidscontains ceramidesCerebrosides- simplest form of glycolipidscontains ceramides eg Galactosylcerebrosideseg Galactosylcerebrosides glucosylcerebrosidesglucosylcerebrosides Gangliosides ndash predominantly found in ganglionsComplex Gangliosides ndash predominantly found in ganglionsComplex

                                            glycolipidsglycolipids

                                            Lipoproteins-Lipoproteins-

                                            Lipoproteins are th macromolecular complex of lipids and proteins

                                            Transportation of lipids in the blood

                                            Structure of lipoproteins-

                                            Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

                                            Classes of lipoproteinsClasses of lipoproteins--

                                            ChylomicronsChylomicronsVLDLVLDL

                                            LDLLDL HDL

                                            gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

                                            Dlt1006 gml D=1019-1063gml D=1063-121 gml

                                            Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

                                            ApolipoproteinsmdashApolipoproteinsmdash

                                            Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

                                            (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

                                            Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

                                            Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

                                            Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

                                            Apoprotein continuedhellipApoprotein continuedhellip

                                            Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

                                            Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

                                            100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

                                            Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

                                            Apoprotein continuedhellipApoprotein continuedhellip

                                            Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

                                            uptakeuptake Apo C-II (liver)Apo C-II (liver)

                                            Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

                                            Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

                                            uptakeuptake

                                            ChylomicronsChylomicrons- TG rich- TG rich

                                            Synthesized in intestine

                                            Transports endogenous TGs

                                            Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                                            VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                                            Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                                            Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                                            LDL-LDL- cholesterol rich cholesterol rich

                                            Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                                            Synthesized from VLDL in blood circulation

                                            Transports cholesterol from liver and delivers to other tissues

                                            High density lipoprotein-High density lipoprotein-

                                            Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                                            Promotes re-esterification process of cholesterol

                                            HDL SubpopulationsHDL Subpopulations

                                            Rye et al Atherosclerosis 1999145227-238

                                            Apolipoprotein CompositionApolipoprotein Composition

                                            A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                                            Particle ShapeParticle Shape

                                            DiscoidalDiscoidal

                                            SphericalSpherical

                                            Lipid CompositionLipid Composition

                                            TG CE and PLTG CE and PL

                                            Particle SizeParticle Size

                                            HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                                            The Effects of Various Types of Fat on Blood Lipid Levels

                                            bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                                            Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                                            Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                                            Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                                            bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                                            Arachidonic acid and the brain--

                                            One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                            Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                            Prevention of cancer-Prevention of cancer-

                                            Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                            Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                            Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                            Common disorders

                                            Hypercholetrolemia

                                            Hypertriglyceridemia

                                            Hyperlipoproteinemia

                                            ketosis

                                            CVD

                                            Fatty liver

                                            Obesity

                                            cancer

                                            Uncommon disorders

                                            Metabolic disorders of cerebrosides

                                            Lipidoses lipid storage diseases

                                            Multiple sclerosis

                                            Infant respiratory distress syndrome

                                            Xanthomatosis

                                            Retinitis pigmentosa

                                            Phrynoderma Toad skin

                                            Disorders of EFAs deficiency

                                            Zwellwegerrsquos disease

                                            ATHEROSCLEROSIS

                                            As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                            bull These foam cells are then deposited into the

                                            lining of the artery wall

                                            bull This process known as atherosclerosis causes

                                            plaque deposits to enlarge artery walls to lose

                                            elasticity and the passage through the artery to narrow

                                            Diagrammatic representation of the disease (atherosclerosis)-

                                            Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                            diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                            Lipid Lipid accumulatingaccumulating

                                            symptomssymptoms

                                            Tay ndashsachs Tay ndashsachs diseasedisease

                                            hexosaminihexosaminidasedase

                                            gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                            Fabryrsquos Fabryrsquos diseasedisease

                                            A-A-galactosidasegalactosidase

                                            galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                            Krabbersquos Krabbersquos diseasedisease

                                            B-B-galactosidasgalactosidasee

                                            galactosylceramidgalactosylceramidee

                                            Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                            Gaucherrsquos Gaucherrsquos diseasedisease

                                            B-B-glucosidaseglucosidase

                                            glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                            Niemann-Niemann-pick diseasepick disease

                                            sphingomyesphingomyelinaselinase

                                            sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                            Farberrsquos Farberrsquos diseasedisease

                                            ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                            Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                            Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                            Hy Hy LipotypesLipotypes

                                            Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                            Risk of athersclerosisRisk of athersclerosis

                                            ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                            chylomicronschylomicrons increaseincrease

                                            llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                            cholesterolcholesterol Very highVery high

                                            llbllb Overproduction of Overproduction of apo-bapo-b

                                            TGs and cholesterolTGs and cholesterol highhigh

                                            llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                            lvlv Overproduction of Overproduction of TGsTGs

                                            TGsTGs Maymay not increaseMaymay not increase

                                            vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                            --do----do--

                                            Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                            Infant repiratory distress syndrome-

                                            Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                            It prevents collapsing of the alveoli and also decreases the surface tension

                                            Deficiency is common in young infants

                                            Xanthomatosis-

                                            Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                            Usually related with severe hypercholesterolemia and hyperlipidemia

                                            Phrynoderma or Toad skin-

                                            Caused due to the deficiency of essential fatty acids

                                            Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                            Multiple sclerosis-

                                            It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                            Defects in the metabolism of essential fatty acids -

                                            Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                            Zwellwegerrsquos disease-

                                            Rare disorder

                                            occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                            Causes loss of functions and neural degeneration

                                            Dicarboxylic aciduria-

                                            It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                            Common Atherogenic dyslipidemias)

                                            1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                            Fatty liver-Fatty liver-

                                            When lipids accumulates excessively in liver then it causes fatty liver

                                            Dropletes of TGs are found in the entire hepatic cytoplasm

                                            this causes impairment in liver function

                                            Fatty liver may occur due to two main reason-

                                            1) Increased synthesis of TGs

                                            2) Impairment in lipoprotein synthesis

                                            Fatty liver is associated with the fibrotic changes and cirrhosis

                                            Tangier Disease

                                            gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                            References--

                                            1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                            2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                            3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                            4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                            • Slide 1
                                            • Why lipids are important-
                                            • Major lipids of physiological significance-
                                            • Classification of fatty acids-
                                            • Saturated fatty acids-
                                            • Unsaturated fatty acids-
                                            • Divisions of unsaturated fatty acids-
                                            • Monounsaturated fatty acids-
                                            • Cis- unsaturated fatty acids-
                                            • Trans unsaturated fatty acids-
                                            • Slide 11
                                            • Slide 12
                                            • ENDOTHELIAL-CELL FUNCTION--
                                            • Polyunsaturated fatty acids-
                                            • Slide 15
                                            • Slide 16
                                            • Omega-6 fatty acids-
                                            • Eicosanoids-
                                            • Triglycerides-
                                            • Phospholipids- main lipid constituent of cell membrane
                                            • Sterols-
                                            • Glycolipids-
                                            • Lipoproteins-
                                            • Classes of lipoproteins-
                                            • Slide 25
                                            • Slide 26
                                            • Apoprotein continuedhellip
                                            • Chylomicrons- TG rich
                                            • VLDL- rich in CE and TGs-
                                            • LDL- cholesterol rich
                                            • High density lipoprotein-
                                            • HDL Subpopulations
                                            • Slide 33
                                            • Slide 34
                                            • Role of lipids in health and diseases ndash omega-3 FAs
                                            • Arachidonic acid and the brain--
                                            • Prevention of cancer-
                                            • Lipids related disorders-
                                            • Slide 39
                                            • Slide 40
                                            • Metabolic disorders of cerebrosides
                                            • Lipoprotein disorders- Hyperlipoproteinemias-
                                            • Slide 43
                                            • Slide 44
                                            • Common Atherogenic dyslipidemias
                                            • Fatty liver-
                                            • Tangier Disease
                                            • Slide 48
                                            • Slide 49

                                              Lipoproteins-Lipoproteins-

                                              Lipoproteins are th macromolecular complex of lipids and proteins

                                              Transportation of lipids in the blood

                                              Structure of lipoproteins-

                                              Hydrophobic lipids (TG CE) in coreHydrophilic lipids (UC PL) on surface

                                              Classes of lipoproteinsClasses of lipoproteins--

                                              ChylomicronsChylomicronsVLDLVLDL

                                              LDLLDL HDL

                                              gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

                                              Dlt1006 gml D=1019-1063gml D=1063-121 gml

                                              Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

                                              ApolipoproteinsmdashApolipoproteinsmdash

                                              Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

                                              (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

                                              Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

                                              Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

                                              Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

                                              Apoprotein continuedhellipApoprotein continuedhellip

                                              Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

                                              Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

                                              100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

                                              Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

                                              Apoprotein continuedhellipApoprotein continuedhellip

                                              Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

                                              uptakeuptake Apo C-II (liver)Apo C-II (liver)

                                              Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

                                              Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

                                              uptakeuptake

                                              ChylomicronsChylomicrons- TG rich- TG rich

                                              Synthesized in intestine

                                              Transports endogenous TGs

                                              Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                                              VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                                              Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                                              Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                                              LDL-LDL- cholesterol rich cholesterol rich

                                              Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                                              Synthesized from VLDL in blood circulation

                                              Transports cholesterol from liver and delivers to other tissues

                                              High density lipoprotein-High density lipoprotein-

                                              Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                                              Promotes re-esterification process of cholesterol

                                              HDL SubpopulationsHDL Subpopulations

                                              Rye et al Atherosclerosis 1999145227-238

                                              Apolipoprotein CompositionApolipoprotein Composition

                                              A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                                              Particle ShapeParticle Shape

                                              DiscoidalDiscoidal

                                              SphericalSpherical

                                              Lipid CompositionLipid Composition

                                              TG CE and PLTG CE and PL

                                              Particle SizeParticle Size

                                              HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                                              The Effects of Various Types of Fat on Blood Lipid Levels

                                              bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                                              Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                                              Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                                              Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                                              bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                                              Arachidonic acid and the brain--

                                              One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                              Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                              Prevention of cancer-Prevention of cancer-

                                              Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                              Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                              Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                              Common disorders

                                              Hypercholetrolemia

                                              Hypertriglyceridemia

                                              Hyperlipoproteinemia

                                              ketosis

                                              CVD

                                              Fatty liver

                                              Obesity

                                              cancer

                                              Uncommon disorders

                                              Metabolic disorders of cerebrosides

                                              Lipidoses lipid storage diseases

                                              Multiple sclerosis

                                              Infant respiratory distress syndrome

                                              Xanthomatosis

                                              Retinitis pigmentosa

                                              Phrynoderma Toad skin

                                              Disorders of EFAs deficiency

                                              Zwellwegerrsquos disease

                                              ATHEROSCLEROSIS

                                              As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                              bull These foam cells are then deposited into the

                                              lining of the artery wall

                                              bull This process known as atherosclerosis causes

                                              plaque deposits to enlarge artery walls to lose

                                              elasticity and the passage through the artery to narrow

                                              Diagrammatic representation of the disease (atherosclerosis)-

                                              Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                              diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                              Lipid Lipid accumulatingaccumulating

                                              symptomssymptoms

                                              Tay ndashsachs Tay ndashsachs diseasedisease

                                              hexosaminihexosaminidasedase

                                              gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                              Fabryrsquos Fabryrsquos diseasedisease

                                              A-A-galactosidasegalactosidase

                                              galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                              Krabbersquos Krabbersquos diseasedisease

                                              B-B-galactosidasgalactosidasee

                                              galactosylceramidgalactosylceramidee

                                              Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                              Gaucherrsquos Gaucherrsquos diseasedisease

                                              B-B-glucosidaseglucosidase

                                              glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                              Niemann-Niemann-pick diseasepick disease

                                              sphingomyesphingomyelinaselinase

                                              sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                              Farberrsquos Farberrsquos diseasedisease

                                              ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                              Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                              Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                              Hy Hy LipotypesLipotypes

                                              Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                              Risk of athersclerosisRisk of athersclerosis

                                              ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                              chylomicronschylomicrons increaseincrease

                                              llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                              cholesterolcholesterol Very highVery high

                                              llbllb Overproduction of Overproduction of apo-bapo-b

                                              TGs and cholesterolTGs and cholesterol highhigh

                                              llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                              lvlv Overproduction of Overproduction of TGsTGs

                                              TGsTGs Maymay not increaseMaymay not increase

                                              vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                              --do----do--

                                              Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                              Infant repiratory distress syndrome-

                                              Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                              It prevents collapsing of the alveoli and also decreases the surface tension

                                              Deficiency is common in young infants

                                              Xanthomatosis-

                                              Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                              Usually related with severe hypercholesterolemia and hyperlipidemia

                                              Phrynoderma or Toad skin-

                                              Caused due to the deficiency of essential fatty acids

                                              Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                              Multiple sclerosis-

                                              It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                              Defects in the metabolism of essential fatty acids -

                                              Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                              Zwellwegerrsquos disease-

                                              Rare disorder

                                              occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                              Causes loss of functions and neural degeneration

                                              Dicarboxylic aciduria-

                                              It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                              Common Atherogenic dyslipidemias)

                                              1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                              Fatty liver-Fatty liver-

                                              When lipids accumulates excessively in liver then it causes fatty liver

                                              Dropletes of TGs are found in the entire hepatic cytoplasm

                                              this causes impairment in liver function

                                              Fatty liver may occur due to two main reason-

                                              1) Increased synthesis of TGs

                                              2) Impairment in lipoprotein synthesis

                                              Fatty liver is associated with the fibrotic changes and cirrhosis

                                              Tangier Disease

                                              gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                              References--

                                              1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                              2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                              3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                              4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                              • Slide 1
                                              • Why lipids are important-
                                              • Major lipids of physiological significance-
                                              • Classification of fatty acids-
                                              • Saturated fatty acids-
                                              • Unsaturated fatty acids-
                                              • Divisions of unsaturated fatty acids-
                                              • Monounsaturated fatty acids-
                                              • Cis- unsaturated fatty acids-
                                              • Trans unsaturated fatty acids-
                                              • Slide 11
                                              • Slide 12
                                              • ENDOTHELIAL-CELL FUNCTION--
                                              • Polyunsaturated fatty acids-
                                              • Slide 15
                                              • Slide 16
                                              • Omega-6 fatty acids-
                                              • Eicosanoids-
                                              • Triglycerides-
                                              • Phospholipids- main lipid constituent of cell membrane
                                              • Sterols-
                                              • Glycolipids-
                                              • Lipoproteins-
                                              • Classes of lipoproteins-
                                              • Slide 25
                                              • Slide 26
                                              • Apoprotein continuedhellip
                                              • Chylomicrons- TG rich
                                              • VLDL- rich in CE and TGs-
                                              • LDL- cholesterol rich
                                              • High density lipoprotein-
                                              • HDL Subpopulations
                                              • Slide 33
                                              • Slide 34
                                              • Role of lipids in health and diseases ndash omega-3 FAs
                                              • Arachidonic acid and the brain--
                                              • Prevention of cancer-
                                              • Lipids related disorders-
                                              • Slide 39
                                              • Slide 40
                                              • Metabolic disorders of cerebrosides
                                              • Lipoprotein disorders- Hyperlipoproteinemias-
                                              • Slide 43
                                              • Slide 44
                                              • Common Atherogenic dyslipidemias
                                              • Fatty liver-
                                              • Tangier Disease
                                              • Slide 48
                                              • Slide 49

                                                Classes of lipoproteinsClasses of lipoproteins--

                                                ChylomicronsChylomicronsVLDLVLDL

                                                LDLLDL HDL

                                                gt 30 nmgt 30 nm 9ndash15 nm9ndash15 nm20ndash22 nm20ndash22 nm

                                                Dlt1006 gml D=1019-1063gml D=1063-121 gml

                                                Doi H et al Circulation 2000102670-676 Colome C et al Atherosclerosis 2000149295-302 Cockerill GW et al Arterioscler Thromb Vasc Biol 1995151987-1994

                                                ApolipoproteinsmdashApolipoproteinsmdash

                                                Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

                                                (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

                                                Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

                                                Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

                                                Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

                                                Apoprotein continuedhellipApoprotein continuedhellip

                                                Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

                                                Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

                                                100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

                                                Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

                                                Apoprotein continuedhellipApoprotein continuedhellip

                                                Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

                                                uptakeuptake Apo C-II (liver)Apo C-II (liver)

                                                Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

                                                Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

                                                uptakeuptake

                                                ChylomicronsChylomicrons- TG rich- TG rich

                                                Synthesized in intestine

                                                Transports endogenous TGs

                                                Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                                                VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                                                Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                                                Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                                                LDL-LDL- cholesterol rich cholesterol rich

                                                Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                                                Synthesized from VLDL in blood circulation

                                                Transports cholesterol from liver and delivers to other tissues

                                                High density lipoprotein-High density lipoprotein-

                                                Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                                                Promotes re-esterification process of cholesterol

                                                HDL SubpopulationsHDL Subpopulations

                                                Rye et al Atherosclerosis 1999145227-238

                                                Apolipoprotein CompositionApolipoprotein Composition

                                                A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                                                Particle ShapeParticle Shape

                                                DiscoidalDiscoidal

                                                SphericalSpherical

                                                Lipid CompositionLipid Composition

                                                TG CE and PLTG CE and PL

                                                Particle SizeParticle Size

                                                HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                                                The Effects of Various Types of Fat on Blood Lipid Levels

                                                bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                                                Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                                                Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                                                Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                                                bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                                                Arachidonic acid and the brain--

                                                One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                                Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                                Prevention of cancer-Prevention of cancer-

                                                Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                                Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                                Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                                Common disorders

                                                Hypercholetrolemia

                                                Hypertriglyceridemia

                                                Hyperlipoproteinemia

                                                ketosis

                                                CVD

                                                Fatty liver

                                                Obesity

                                                cancer

                                                Uncommon disorders

                                                Metabolic disorders of cerebrosides

                                                Lipidoses lipid storage diseases

                                                Multiple sclerosis

                                                Infant respiratory distress syndrome

                                                Xanthomatosis

                                                Retinitis pigmentosa

                                                Phrynoderma Toad skin

                                                Disorders of EFAs deficiency

                                                Zwellwegerrsquos disease

                                                ATHEROSCLEROSIS

                                                As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                                bull These foam cells are then deposited into the

                                                lining of the artery wall

                                                bull This process known as atherosclerosis causes

                                                plaque deposits to enlarge artery walls to lose

                                                elasticity and the passage through the artery to narrow

                                                Diagrammatic representation of the disease (atherosclerosis)-

                                                Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                                diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                                Lipid Lipid accumulatingaccumulating

                                                symptomssymptoms

                                                Tay ndashsachs Tay ndashsachs diseasedisease

                                                hexosaminihexosaminidasedase

                                                gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                                Fabryrsquos Fabryrsquos diseasedisease

                                                A-A-galactosidasegalactosidase

                                                galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                                Krabbersquos Krabbersquos diseasedisease

                                                B-B-galactosidasgalactosidasee

                                                galactosylceramidgalactosylceramidee

                                                Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                                Gaucherrsquos Gaucherrsquos diseasedisease

                                                B-B-glucosidaseglucosidase

                                                glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                                Niemann-Niemann-pick diseasepick disease

                                                sphingomyesphingomyelinaselinase

                                                sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                                Farberrsquos Farberrsquos diseasedisease

                                                ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                                Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                                Hy Hy LipotypesLipotypes

                                                Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                                Risk of athersclerosisRisk of athersclerosis

                                                ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                                chylomicronschylomicrons increaseincrease

                                                llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                                cholesterolcholesterol Very highVery high

                                                llbllb Overproduction of Overproduction of apo-bapo-b

                                                TGs and cholesterolTGs and cholesterol highhigh

                                                llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                                lvlv Overproduction of Overproduction of TGsTGs

                                                TGsTGs Maymay not increaseMaymay not increase

                                                vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                                --do----do--

                                                Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                Infant repiratory distress syndrome-

                                                Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                                It prevents collapsing of the alveoli and also decreases the surface tension

                                                Deficiency is common in young infants

                                                Xanthomatosis-

                                                Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                                Usually related with severe hypercholesterolemia and hyperlipidemia

                                                Phrynoderma or Toad skin-

                                                Caused due to the deficiency of essential fatty acids

                                                Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                                Multiple sclerosis-

                                                It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                                Defects in the metabolism of essential fatty acids -

                                                Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                Zwellwegerrsquos disease-

                                                Rare disorder

                                                occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                Causes loss of functions and neural degeneration

                                                Dicarboxylic aciduria-

                                                It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                Common Atherogenic dyslipidemias)

                                                1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                Fatty liver-Fatty liver-

                                                When lipids accumulates excessively in liver then it causes fatty liver

                                                Dropletes of TGs are found in the entire hepatic cytoplasm

                                                this causes impairment in liver function

                                                Fatty liver may occur due to two main reason-

                                                1) Increased synthesis of TGs

                                                2) Impairment in lipoprotein synthesis

                                                Fatty liver is associated with the fibrotic changes and cirrhosis

                                                Tangier Disease

                                                gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                References--

                                                1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                • Slide 1
                                                • Why lipids are important-
                                                • Major lipids of physiological significance-
                                                • Classification of fatty acids-
                                                • Saturated fatty acids-
                                                • Unsaturated fatty acids-
                                                • Divisions of unsaturated fatty acids-
                                                • Monounsaturated fatty acids-
                                                • Cis- unsaturated fatty acids-
                                                • Trans unsaturated fatty acids-
                                                • Slide 11
                                                • Slide 12
                                                • ENDOTHELIAL-CELL FUNCTION--
                                                • Polyunsaturated fatty acids-
                                                • Slide 15
                                                • Slide 16
                                                • Omega-6 fatty acids-
                                                • Eicosanoids-
                                                • Triglycerides-
                                                • Phospholipids- main lipid constituent of cell membrane
                                                • Sterols-
                                                • Glycolipids-
                                                • Lipoproteins-
                                                • Classes of lipoproteins-
                                                • Slide 25
                                                • Slide 26
                                                • Apoprotein continuedhellip
                                                • Chylomicrons- TG rich
                                                • VLDL- rich in CE and TGs-
                                                • LDL- cholesterol rich
                                                • High density lipoprotein-
                                                • HDL Subpopulations
                                                • Slide 33
                                                • Slide 34
                                                • Role of lipids in health and diseases ndash omega-3 FAs
                                                • Arachidonic acid and the brain--
                                                • Prevention of cancer-
                                                • Lipids related disorders-
                                                • Slide 39
                                                • Slide 40
                                                • Metabolic disorders of cerebrosides
                                                • Lipoprotein disorders- Hyperlipoproteinemias-
                                                • Slide 43
                                                • Slide 44
                                                • Common Atherogenic dyslipidemias
                                                • Fatty liver-
                                                • Tangier Disease
                                                • Slide 48
                                                • Slide 49

                                                  ApolipoproteinsmdashApolipoproteinsmdash

                                                  Apo AI (liver small intestine)Apo AI (liver small intestine) Structural activator of lecithincholesterol acyltransferase Structural activator of lecithincholesterol acyltransferase

                                                  (LCAT)(LCAT) Apo AII (liver)Apo AII (liver)

                                                  Structural inhibitor of hepatic lipase component of ligand Structural inhibitor of hepatic lipase component of ligand for HDL bindingfor HDL binding

                                                  Apo A-IV (small intestine)Apo A-IV (small intestine) Activator of LCAT modulator of lipoprotein lipase (LPL)Activator of LCAT modulator of lipoprotein lipase (LPL)

                                                  Apo A-V (liver)Apo A-V (liver) Direct functional role is unknown regulates TG levelsDirect functional role is unknown regulates TG levels

                                                  Apoprotein continuedhellipApoprotein continuedhellip

                                                  Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

                                                  Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

                                                  100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

                                                  Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

                                                  Apoprotein continuedhellipApoprotein continuedhellip

                                                  Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

                                                  uptakeuptake Apo C-II (liver)Apo C-II (liver)

                                                  Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

                                                  Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

                                                  uptakeuptake

                                                  ChylomicronsChylomicrons- TG rich- TG rich

                                                  Synthesized in intestine

                                                  Transports endogenous TGs

                                                  Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                                                  VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                                                  Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                                                  Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                                                  LDL-LDL- cholesterol rich cholesterol rich

                                                  Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                                                  Synthesized from VLDL in blood circulation

                                                  Transports cholesterol from liver and delivers to other tissues

                                                  High density lipoprotein-High density lipoprotein-

                                                  Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                                                  Promotes re-esterification process of cholesterol

                                                  HDL SubpopulationsHDL Subpopulations

                                                  Rye et al Atherosclerosis 1999145227-238

                                                  Apolipoprotein CompositionApolipoprotein Composition

                                                  A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                                                  Particle ShapeParticle Shape

                                                  DiscoidalDiscoidal

                                                  SphericalSpherical

                                                  Lipid CompositionLipid Composition

                                                  TG CE and PLTG CE and PL

                                                  Particle SizeParticle Size

                                                  HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                                                  The Effects of Various Types of Fat on Blood Lipid Levels

                                                  bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                                                  Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                                                  Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                                                  Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                                                  bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                                                  Arachidonic acid and the brain--

                                                  One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                                  Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                                  Prevention of cancer-Prevention of cancer-

                                                  Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                                  Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                                  Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                                  Common disorders

                                                  Hypercholetrolemia

                                                  Hypertriglyceridemia

                                                  Hyperlipoproteinemia

                                                  ketosis

                                                  CVD

                                                  Fatty liver

                                                  Obesity

                                                  cancer

                                                  Uncommon disorders

                                                  Metabolic disorders of cerebrosides

                                                  Lipidoses lipid storage diseases

                                                  Multiple sclerosis

                                                  Infant respiratory distress syndrome

                                                  Xanthomatosis

                                                  Retinitis pigmentosa

                                                  Phrynoderma Toad skin

                                                  Disorders of EFAs deficiency

                                                  Zwellwegerrsquos disease

                                                  ATHEROSCLEROSIS

                                                  As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                                  bull These foam cells are then deposited into the

                                                  lining of the artery wall

                                                  bull This process known as atherosclerosis causes

                                                  plaque deposits to enlarge artery walls to lose

                                                  elasticity and the passage through the artery to narrow

                                                  Diagrammatic representation of the disease (atherosclerosis)-

                                                  Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                                  diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                                  Lipid Lipid accumulatingaccumulating

                                                  symptomssymptoms

                                                  Tay ndashsachs Tay ndashsachs diseasedisease

                                                  hexosaminihexosaminidasedase

                                                  gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                                  Fabryrsquos Fabryrsquos diseasedisease

                                                  A-A-galactosidasegalactosidase

                                                  galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                                  Krabbersquos Krabbersquos diseasedisease

                                                  B-B-galactosidasgalactosidasee

                                                  galactosylceramidgalactosylceramidee

                                                  Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                                  Gaucherrsquos Gaucherrsquos diseasedisease

                                                  B-B-glucosidaseglucosidase

                                                  glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                                  Niemann-Niemann-pick diseasepick disease

                                                  sphingomyesphingomyelinaselinase

                                                  sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                                  Farberrsquos Farberrsquos diseasedisease

                                                  ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                                  Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                  Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                                  Hy Hy LipotypesLipotypes

                                                  Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                                  Risk of athersclerosisRisk of athersclerosis

                                                  ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                                  chylomicronschylomicrons increaseincrease

                                                  llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                                  cholesterolcholesterol Very highVery high

                                                  llbllb Overproduction of Overproduction of apo-bapo-b

                                                  TGs and cholesterolTGs and cholesterol highhigh

                                                  llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                                  lvlv Overproduction of Overproduction of TGsTGs

                                                  TGsTGs Maymay not increaseMaymay not increase

                                                  vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                                  --do----do--

                                                  Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                  Infant repiratory distress syndrome-

                                                  Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                                  It prevents collapsing of the alveoli and also decreases the surface tension

                                                  Deficiency is common in young infants

                                                  Xanthomatosis-

                                                  Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                                  Usually related with severe hypercholesterolemia and hyperlipidemia

                                                  Phrynoderma or Toad skin-

                                                  Caused due to the deficiency of essential fatty acids

                                                  Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                                  Multiple sclerosis-

                                                  It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                                  Defects in the metabolism of essential fatty acids -

                                                  Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                  Zwellwegerrsquos disease-

                                                  Rare disorder

                                                  occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                  Causes loss of functions and neural degeneration

                                                  Dicarboxylic aciduria-

                                                  It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                  Common Atherogenic dyslipidemias)

                                                  1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                  Fatty liver-Fatty liver-

                                                  When lipids accumulates excessively in liver then it causes fatty liver

                                                  Dropletes of TGs are found in the entire hepatic cytoplasm

                                                  this causes impairment in liver function

                                                  Fatty liver may occur due to two main reason-

                                                  1) Increased synthesis of TGs

                                                  2) Impairment in lipoprotein synthesis

                                                  Fatty liver is associated with the fibrotic changes and cirrhosis

                                                  Tangier Disease

                                                  gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                  References--

                                                  1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                  2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                  3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                  4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                  • Slide 1
                                                  • Why lipids are important-
                                                  • Major lipids of physiological significance-
                                                  • Classification of fatty acids-
                                                  • Saturated fatty acids-
                                                  • Unsaturated fatty acids-
                                                  • Divisions of unsaturated fatty acids-
                                                  • Monounsaturated fatty acids-
                                                  • Cis- unsaturated fatty acids-
                                                  • Trans unsaturated fatty acids-
                                                  • Slide 11
                                                  • Slide 12
                                                  • ENDOTHELIAL-CELL FUNCTION--
                                                  • Polyunsaturated fatty acids-
                                                  • Slide 15
                                                  • Slide 16
                                                  • Omega-6 fatty acids-
                                                  • Eicosanoids-
                                                  • Triglycerides-
                                                  • Phospholipids- main lipid constituent of cell membrane
                                                  • Sterols-
                                                  • Glycolipids-
                                                  • Lipoproteins-
                                                  • Classes of lipoproteins-
                                                  • Slide 25
                                                  • Slide 26
                                                  • Apoprotein continuedhellip
                                                  • Chylomicrons- TG rich
                                                  • VLDL- rich in CE and TGs-
                                                  • LDL- cholesterol rich
                                                  • High density lipoprotein-
                                                  • HDL Subpopulations
                                                  • Slide 33
                                                  • Slide 34
                                                  • Role of lipids in health and diseases ndash omega-3 FAs
                                                  • Arachidonic acid and the brain--
                                                  • Prevention of cancer-
                                                  • Lipids related disorders-
                                                  • Slide 39
                                                  • Slide 40
                                                  • Metabolic disorders of cerebrosides
                                                  • Lipoprotein disorders- Hyperlipoproteinemias-
                                                  • Slide 43
                                                  • Slide 44
                                                  • Common Atherogenic dyslipidemias
                                                  • Fatty liver-
                                                  • Tangier Disease
                                                  • Slide 48
                                                  • Slide 49

                                                    Apoprotein continuedhellipApoprotein continuedhellip

                                                    Apo B-100 (liver)Apo B-100 (liver) Structural synthesis of VLDL ligand for LDL-receptorStructural synthesis of VLDL ligand for LDL-receptor

                                                    Apo B-48 (small intestine)Apo B-48 (small intestine) Structural synthesis of chylomicrons derived from apo B-Structural synthesis of chylomicrons derived from apo B-

                                                    100 mRNA following specific mRNA editing100 mRNA following specific mRNA editing Apo E (liver macrophages brain)Apo E (liver macrophages brain)

                                                    Ligand for apoE receptor mobilization of cellular Ligand for apoE receptor mobilization of cellular cholesterolcholesterol

                                                    Apoprotein continuedhellipApoprotein continuedhellip

                                                    Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

                                                    uptakeuptake Apo C-II (liver)Apo C-II (liver)

                                                    Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

                                                    Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

                                                    uptakeuptake

                                                    ChylomicronsChylomicrons- TG rich- TG rich

                                                    Synthesized in intestine

                                                    Transports endogenous TGs

                                                    Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                                                    VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                                                    Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                                                    Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                                                    LDL-LDL- cholesterol rich cholesterol rich

                                                    Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                                                    Synthesized from VLDL in blood circulation

                                                    Transports cholesterol from liver and delivers to other tissues

                                                    High density lipoprotein-High density lipoprotein-

                                                    Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                                                    Promotes re-esterification process of cholesterol

                                                    HDL SubpopulationsHDL Subpopulations

                                                    Rye et al Atherosclerosis 1999145227-238

                                                    Apolipoprotein CompositionApolipoprotein Composition

                                                    A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                                                    Particle ShapeParticle Shape

                                                    DiscoidalDiscoidal

                                                    SphericalSpherical

                                                    Lipid CompositionLipid Composition

                                                    TG CE and PLTG CE and PL

                                                    Particle SizeParticle Size

                                                    HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                                                    The Effects of Various Types of Fat on Blood Lipid Levels

                                                    bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                                                    Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                                                    Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                                                    Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                                                    bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                                                    Arachidonic acid and the brain--

                                                    One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                                    Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                                    Prevention of cancer-Prevention of cancer-

                                                    Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                                    Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                                    Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                                    Common disorders

                                                    Hypercholetrolemia

                                                    Hypertriglyceridemia

                                                    Hyperlipoproteinemia

                                                    ketosis

                                                    CVD

                                                    Fatty liver

                                                    Obesity

                                                    cancer

                                                    Uncommon disorders

                                                    Metabolic disorders of cerebrosides

                                                    Lipidoses lipid storage diseases

                                                    Multiple sclerosis

                                                    Infant respiratory distress syndrome

                                                    Xanthomatosis

                                                    Retinitis pigmentosa

                                                    Phrynoderma Toad skin

                                                    Disorders of EFAs deficiency

                                                    Zwellwegerrsquos disease

                                                    ATHEROSCLEROSIS

                                                    As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                                    bull These foam cells are then deposited into the

                                                    lining of the artery wall

                                                    bull This process known as atherosclerosis causes

                                                    plaque deposits to enlarge artery walls to lose

                                                    elasticity and the passage through the artery to narrow

                                                    Diagrammatic representation of the disease (atherosclerosis)-

                                                    Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                                    diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                                    Lipid Lipid accumulatingaccumulating

                                                    symptomssymptoms

                                                    Tay ndashsachs Tay ndashsachs diseasedisease

                                                    hexosaminihexosaminidasedase

                                                    gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                                    Fabryrsquos Fabryrsquos diseasedisease

                                                    A-A-galactosidasegalactosidase

                                                    galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                                    Krabbersquos Krabbersquos diseasedisease

                                                    B-B-galactosidasgalactosidasee

                                                    galactosylceramidgalactosylceramidee

                                                    Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                                    Gaucherrsquos Gaucherrsquos diseasedisease

                                                    B-B-glucosidaseglucosidase

                                                    glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                                    Niemann-Niemann-pick diseasepick disease

                                                    sphingomyesphingomyelinaselinase

                                                    sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                                    Farberrsquos Farberrsquos diseasedisease

                                                    ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                                    Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                    Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                                    Hy Hy LipotypesLipotypes

                                                    Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                                    Risk of athersclerosisRisk of athersclerosis

                                                    ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                                    chylomicronschylomicrons increaseincrease

                                                    llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                                    cholesterolcholesterol Very highVery high

                                                    llbllb Overproduction of Overproduction of apo-bapo-b

                                                    TGs and cholesterolTGs and cholesterol highhigh

                                                    llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                                    lvlv Overproduction of Overproduction of TGsTGs

                                                    TGsTGs Maymay not increaseMaymay not increase

                                                    vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                                    --do----do--

                                                    Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                    Infant repiratory distress syndrome-

                                                    Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                                    It prevents collapsing of the alveoli and also decreases the surface tension

                                                    Deficiency is common in young infants

                                                    Xanthomatosis-

                                                    Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                                    Usually related with severe hypercholesterolemia and hyperlipidemia

                                                    Phrynoderma or Toad skin-

                                                    Caused due to the deficiency of essential fatty acids

                                                    Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                                    Multiple sclerosis-

                                                    It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                                    Defects in the metabolism of essential fatty acids -

                                                    Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                    Zwellwegerrsquos disease-

                                                    Rare disorder

                                                    occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                    Causes loss of functions and neural degeneration

                                                    Dicarboxylic aciduria-

                                                    It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                    Common Atherogenic dyslipidemias)

                                                    1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                    Fatty liver-Fatty liver-

                                                    When lipids accumulates excessively in liver then it causes fatty liver

                                                    Dropletes of TGs are found in the entire hepatic cytoplasm

                                                    this causes impairment in liver function

                                                    Fatty liver may occur due to two main reason-

                                                    1) Increased synthesis of TGs

                                                    2) Impairment in lipoprotein synthesis

                                                    Fatty liver is associated with the fibrotic changes and cirrhosis

                                                    Tangier Disease

                                                    gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                    References--

                                                    1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                    2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                    3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                    4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                    • Slide 1
                                                    • Why lipids are important-
                                                    • Major lipids of physiological significance-
                                                    • Classification of fatty acids-
                                                    • Saturated fatty acids-
                                                    • Unsaturated fatty acids-
                                                    • Divisions of unsaturated fatty acids-
                                                    • Monounsaturated fatty acids-
                                                    • Cis- unsaturated fatty acids-
                                                    • Trans unsaturated fatty acids-
                                                    • Slide 11
                                                    • Slide 12
                                                    • ENDOTHELIAL-CELL FUNCTION--
                                                    • Polyunsaturated fatty acids-
                                                    • Slide 15
                                                    • Slide 16
                                                    • Omega-6 fatty acids-
                                                    • Eicosanoids-
                                                    • Triglycerides-
                                                    • Phospholipids- main lipid constituent of cell membrane
                                                    • Sterols-
                                                    • Glycolipids-
                                                    • Lipoproteins-
                                                    • Classes of lipoproteins-
                                                    • Slide 25
                                                    • Slide 26
                                                    • Apoprotein continuedhellip
                                                    • Chylomicrons- TG rich
                                                    • VLDL- rich in CE and TGs-
                                                    • LDL- cholesterol rich
                                                    • High density lipoprotein-
                                                    • HDL Subpopulations
                                                    • Slide 33
                                                    • Slide 34
                                                    • Role of lipids in health and diseases ndash omega-3 FAs
                                                    • Arachidonic acid and the brain--
                                                    • Prevention of cancer-
                                                    • Lipids related disorders-
                                                    • Slide 39
                                                    • Slide 40
                                                    • Metabolic disorders of cerebrosides
                                                    • Lipoprotein disorders- Hyperlipoproteinemias-
                                                    • Slide 43
                                                    • Slide 44
                                                    • Common Atherogenic dyslipidemias
                                                    • Fatty liver-
                                                    • Tangier Disease
                                                    • Slide 48
                                                    • Slide 49

                                                      Apoprotein continuedhellipApoprotein continuedhellip

                                                      Apo C-I (liver)Apo C-I (liver) Activator of LCAT inhibitor of hepatic TGRL Activator of LCAT inhibitor of hepatic TGRL

                                                      uptakeuptake Apo C-II (liver)Apo C-II (liver)

                                                      Activator of LPL inhibitor of hepatic TGRL Activator of LPL inhibitor of hepatic TGRL uptakeuptake

                                                      Apo C-III (liver)Apo C-III (liver) Inhibitor of LPL inhibitor of hepatic TGRL Inhibitor of LPL inhibitor of hepatic TGRL

                                                      uptakeuptake

                                                      ChylomicronsChylomicrons- TG rich- TG rich

                                                      Synthesized in intestine

                                                      Transports endogenous TGs

                                                      Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                                                      VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                                                      Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                                                      Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                                                      LDL-LDL- cholesterol rich cholesterol rich

                                                      Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                                                      Synthesized from VLDL in blood circulation

                                                      Transports cholesterol from liver and delivers to other tissues

                                                      High density lipoprotein-High density lipoprotein-

                                                      Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                                                      Promotes re-esterification process of cholesterol

                                                      HDL SubpopulationsHDL Subpopulations

                                                      Rye et al Atherosclerosis 1999145227-238

                                                      Apolipoprotein CompositionApolipoprotein Composition

                                                      A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                                                      Particle ShapeParticle Shape

                                                      DiscoidalDiscoidal

                                                      SphericalSpherical

                                                      Lipid CompositionLipid Composition

                                                      TG CE and PLTG CE and PL

                                                      Particle SizeParticle Size

                                                      HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                                                      The Effects of Various Types of Fat on Blood Lipid Levels

                                                      bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                                                      Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                                                      Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                                                      Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                                                      bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                                                      Arachidonic acid and the brain--

                                                      One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                                      Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                                      Prevention of cancer-Prevention of cancer-

                                                      Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                                      Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                                      Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                                      Common disorders

                                                      Hypercholetrolemia

                                                      Hypertriglyceridemia

                                                      Hyperlipoproteinemia

                                                      ketosis

                                                      CVD

                                                      Fatty liver

                                                      Obesity

                                                      cancer

                                                      Uncommon disorders

                                                      Metabolic disorders of cerebrosides

                                                      Lipidoses lipid storage diseases

                                                      Multiple sclerosis

                                                      Infant respiratory distress syndrome

                                                      Xanthomatosis

                                                      Retinitis pigmentosa

                                                      Phrynoderma Toad skin

                                                      Disorders of EFAs deficiency

                                                      Zwellwegerrsquos disease

                                                      ATHEROSCLEROSIS

                                                      As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                                      bull These foam cells are then deposited into the

                                                      lining of the artery wall

                                                      bull This process known as atherosclerosis causes

                                                      plaque deposits to enlarge artery walls to lose

                                                      elasticity and the passage through the artery to narrow

                                                      Diagrammatic representation of the disease (atherosclerosis)-

                                                      Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                                      diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                                      Lipid Lipid accumulatingaccumulating

                                                      symptomssymptoms

                                                      Tay ndashsachs Tay ndashsachs diseasedisease

                                                      hexosaminihexosaminidasedase

                                                      gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                                      Fabryrsquos Fabryrsquos diseasedisease

                                                      A-A-galactosidasegalactosidase

                                                      galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                                      Krabbersquos Krabbersquos diseasedisease

                                                      B-B-galactosidasgalactosidasee

                                                      galactosylceramidgalactosylceramidee

                                                      Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                                      Gaucherrsquos Gaucherrsquos diseasedisease

                                                      B-B-glucosidaseglucosidase

                                                      glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                                      Niemann-Niemann-pick diseasepick disease

                                                      sphingomyesphingomyelinaselinase

                                                      sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                                      Farberrsquos Farberrsquos diseasedisease

                                                      ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                                      Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                      Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                                      Hy Hy LipotypesLipotypes

                                                      Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                                      Risk of athersclerosisRisk of athersclerosis

                                                      ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                                      chylomicronschylomicrons increaseincrease

                                                      llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                                      cholesterolcholesterol Very highVery high

                                                      llbllb Overproduction of Overproduction of apo-bapo-b

                                                      TGs and cholesterolTGs and cholesterol highhigh

                                                      llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                                      lvlv Overproduction of Overproduction of TGsTGs

                                                      TGsTGs Maymay not increaseMaymay not increase

                                                      vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                                      --do----do--

                                                      Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                      Infant repiratory distress syndrome-

                                                      Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                                      It prevents collapsing of the alveoli and also decreases the surface tension

                                                      Deficiency is common in young infants

                                                      Xanthomatosis-

                                                      Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                                      Usually related with severe hypercholesterolemia and hyperlipidemia

                                                      Phrynoderma or Toad skin-

                                                      Caused due to the deficiency of essential fatty acids

                                                      Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                                      Multiple sclerosis-

                                                      It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                                      Defects in the metabolism of essential fatty acids -

                                                      Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                      Zwellwegerrsquos disease-

                                                      Rare disorder

                                                      occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                      Causes loss of functions and neural degeneration

                                                      Dicarboxylic aciduria-

                                                      It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                      Common Atherogenic dyslipidemias)

                                                      1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                      Fatty liver-Fatty liver-

                                                      When lipids accumulates excessively in liver then it causes fatty liver

                                                      Dropletes of TGs are found in the entire hepatic cytoplasm

                                                      this causes impairment in liver function

                                                      Fatty liver may occur due to two main reason-

                                                      1) Increased synthesis of TGs

                                                      2) Impairment in lipoprotein synthesis

                                                      Fatty liver is associated with the fibrotic changes and cirrhosis

                                                      Tangier Disease

                                                      gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                      References--

                                                      1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                      2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                      3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                      4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                      • Slide 1
                                                      • Why lipids are important-
                                                      • Major lipids of physiological significance-
                                                      • Classification of fatty acids-
                                                      • Saturated fatty acids-
                                                      • Unsaturated fatty acids-
                                                      • Divisions of unsaturated fatty acids-
                                                      • Monounsaturated fatty acids-
                                                      • Cis- unsaturated fatty acids-
                                                      • Trans unsaturated fatty acids-
                                                      • Slide 11
                                                      • Slide 12
                                                      • ENDOTHELIAL-CELL FUNCTION--
                                                      • Polyunsaturated fatty acids-
                                                      • Slide 15
                                                      • Slide 16
                                                      • Omega-6 fatty acids-
                                                      • Eicosanoids-
                                                      • Triglycerides-
                                                      • Phospholipids- main lipid constituent of cell membrane
                                                      • Sterols-
                                                      • Glycolipids-
                                                      • Lipoproteins-
                                                      • Classes of lipoproteins-
                                                      • Slide 25
                                                      • Slide 26
                                                      • Apoprotein continuedhellip
                                                      • Chylomicrons- TG rich
                                                      • VLDL- rich in CE and TGs-
                                                      • LDL- cholesterol rich
                                                      • High density lipoprotein-
                                                      • HDL Subpopulations
                                                      • Slide 33
                                                      • Slide 34
                                                      • Role of lipids in health and diseases ndash omega-3 FAs
                                                      • Arachidonic acid and the brain--
                                                      • Prevention of cancer-
                                                      • Lipids related disorders-
                                                      • Slide 39
                                                      • Slide 40
                                                      • Metabolic disorders of cerebrosides
                                                      • Lipoprotein disorders- Hyperlipoproteinemias-
                                                      • Slide 43
                                                      • Slide 44
                                                      • Common Atherogenic dyslipidemias
                                                      • Fatty liver-
                                                      • Tangier Disease
                                                      • Slide 48
                                                      • Slide 49

                                                        ChylomicronsChylomicrons- TG rich- TG rich

                                                        Synthesized in intestine

                                                        Transports endogenous TGs

                                                        Hydrophobic CoreHydrophobic CoreTriglyceride (93) Triglyceride (93) Cholesteryl Esters Cholesteryl Esters (1)(1)

                                                        VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                                                        Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                                                        Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                                                        LDL-LDL- cholesterol rich cholesterol rich

                                                        Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                                                        Synthesized from VLDL in blood circulation

                                                        Transports cholesterol from liver and delivers to other tissues

                                                        High density lipoprotein-High density lipoprotein-

                                                        Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                                                        Promotes re-esterification process of cholesterol

                                                        HDL SubpopulationsHDL Subpopulations

                                                        Rye et al Atherosclerosis 1999145227-238

                                                        Apolipoprotein CompositionApolipoprotein Composition

                                                        A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                                                        Particle ShapeParticle Shape

                                                        DiscoidalDiscoidal

                                                        SphericalSpherical

                                                        Lipid CompositionLipid Composition

                                                        TG CE and PLTG CE and PL

                                                        Particle SizeParticle Size

                                                        HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                                                        The Effects of Various Types of Fat on Blood Lipid Levels

                                                        bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                                                        Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                                                        Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                                                        Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                                                        bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                                                        Arachidonic acid and the brain--

                                                        One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                                        Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                                        Prevention of cancer-Prevention of cancer-

                                                        Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                                        Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                                        Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                                        Common disorders

                                                        Hypercholetrolemia

                                                        Hypertriglyceridemia

                                                        Hyperlipoproteinemia

                                                        ketosis

                                                        CVD

                                                        Fatty liver

                                                        Obesity

                                                        cancer

                                                        Uncommon disorders

                                                        Metabolic disorders of cerebrosides

                                                        Lipidoses lipid storage diseases

                                                        Multiple sclerosis

                                                        Infant respiratory distress syndrome

                                                        Xanthomatosis

                                                        Retinitis pigmentosa

                                                        Phrynoderma Toad skin

                                                        Disorders of EFAs deficiency

                                                        Zwellwegerrsquos disease

                                                        ATHEROSCLEROSIS

                                                        As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                                        bull These foam cells are then deposited into the

                                                        lining of the artery wall

                                                        bull This process known as atherosclerosis causes

                                                        plaque deposits to enlarge artery walls to lose

                                                        elasticity and the passage through the artery to narrow

                                                        Diagrammatic representation of the disease (atherosclerosis)-

                                                        Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                                        diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                                        Lipid Lipid accumulatingaccumulating

                                                        symptomssymptoms

                                                        Tay ndashsachs Tay ndashsachs diseasedisease

                                                        hexosaminihexosaminidasedase

                                                        gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                                        Fabryrsquos Fabryrsquos diseasedisease

                                                        A-A-galactosidasegalactosidase

                                                        galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                                        Krabbersquos Krabbersquos diseasedisease

                                                        B-B-galactosidasgalactosidasee

                                                        galactosylceramidgalactosylceramidee

                                                        Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                                        Gaucherrsquos Gaucherrsquos diseasedisease

                                                        B-B-glucosidaseglucosidase

                                                        glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                                        Niemann-Niemann-pick diseasepick disease

                                                        sphingomyesphingomyelinaselinase

                                                        sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                                        Farberrsquos Farberrsquos diseasedisease

                                                        ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                                        Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                        Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                                        Hy Hy LipotypesLipotypes

                                                        Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                                        Risk of athersclerosisRisk of athersclerosis

                                                        ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                                        chylomicronschylomicrons increaseincrease

                                                        llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                                        cholesterolcholesterol Very highVery high

                                                        llbllb Overproduction of Overproduction of apo-bapo-b

                                                        TGs and cholesterolTGs and cholesterol highhigh

                                                        llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                                        lvlv Overproduction of Overproduction of TGsTGs

                                                        TGsTGs Maymay not increaseMaymay not increase

                                                        vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                                        --do----do--

                                                        Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                        Infant repiratory distress syndrome-

                                                        Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                                        It prevents collapsing of the alveoli and also decreases the surface tension

                                                        Deficiency is common in young infants

                                                        Xanthomatosis-

                                                        Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                                        Usually related with severe hypercholesterolemia and hyperlipidemia

                                                        Phrynoderma or Toad skin-

                                                        Caused due to the deficiency of essential fatty acids

                                                        Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                                        Multiple sclerosis-

                                                        It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                                        Defects in the metabolism of essential fatty acids -

                                                        Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                        Zwellwegerrsquos disease-

                                                        Rare disorder

                                                        occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                        Causes loss of functions and neural degeneration

                                                        Dicarboxylic aciduria-

                                                        It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                        Common Atherogenic dyslipidemias)

                                                        1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                        Fatty liver-Fatty liver-

                                                        When lipids accumulates excessively in liver then it causes fatty liver

                                                        Dropletes of TGs are found in the entire hepatic cytoplasm

                                                        this causes impairment in liver function

                                                        Fatty liver may occur due to two main reason-

                                                        1) Increased synthesis of TGs

                                                        2) Impairment in lipoprotein synthesis

                                                        Fatty liver is associated with the fibrotic changes and cirrhosis

                                                        Tangier Disease

                                                        gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                        References--

                                                        1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                        2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                        3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                        4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                        • Slide 1
                                                        • Why lipids are important-
                                                        • Major lipids of physiological significance-
                                                        • Classification of fatty acids-
                                                        • Saturated fatty acids-
                                                        • Unsaturated fatty acids-
                                                        • Divisions of unsaturated fatty acids-
                                                        • Monounsaturated fatty acids-
                                                        • Cis- unsaturated fatty acids-
                                                        • Trans unsaturated fatty acids-
                                                        • Slide 11
                                                        • Slide 12
                                                        • ENDOTHELIAL-CELL FUNCTION--
                                                        • Polyunsaturated fatty acids-
                                                        • Slide 15
                                                        • Slide 16
                                                        • Omega-6 fatty acids-
                                                        • Eicosanoids-
                                                        • Triglycerides-
                                                        • Phospholipids- main lipid constituent of cell membrane
                                                        • Sterols-
                                                        • Glycolipids-
                                                        • Lipoproteins-
                                                        • Classes of lipoproteins-
                                                        • Slide 25
                                                        • Slide 26
                                                        • Apoprotein continuedhellip
                                                        • Chylomicrons- TG rich
                                                        • VLDL- rich in CE and TGs-
                                                        • LDL- cholesterol rich
                                                        • High density lipoprotein-
                                                        • HDL Subpopulations
                                                        • Slide 33
                                                        • Slide 34
                                                        • Role of lipids in health and diseases ndash omega-3 FAs
                                                        • Arachidonic acid and the brain--
                                                        • Prevention of cancer-
                                                        • Lipids related disorders-
                                                        • Slide 39
                                                        • Slide 40
                                                        • Metabolic disorders of cerebrosides
                                                        • Lipoprotein disorders- Hyperlipoproteinemias-
                                                        • Slide 43
                                                        • Slide 44
                                                        • Common Atherogenic dyslipidemias
                                                        • Fatty liver-
                                                        • Tangier Disease
                                                        • Slide 48
                                                        • Slide 49

                                                          VLDL-VLDL- rich in CE and TGs- rich in CE and TGs-

                                                          Surface Surface Monolayer Monolayer Phospholipids Phospholipids (12)(12)Free Cholesterol Free Cholesterol (14)(14)Protein (4)Protein (4)

                                                          Hydrophobic CoreHydrophobic CoreTriglyceride Triglyceride (65) Cholesteryl (65) Cholesteryl Esters (8)Esters (8)

                                                          LDL-LDL- cholesterol rich cholesterol rich

                                                          Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                                                          Synthesized from VLDL in blood circulation

                                                          Transports cholesterol from liver and delivers to other tissues

                                                          High density lipoprotein-High density lipoprotein-

                                                          Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                                                          Promotes re-esterification process of cholesterol

                                                          HDL SubpopulationsHDL Subpopulations

                                                          Rye et al Atherosclerosis 1999145227-238

                                                          Apolipoprotein CompositionApolipoprotein Composition

                                                          A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                                                          Particle ShapeParticle Shape

                                                          DiscoidalDiscoidal

                                                          SphericalSpherical

                                                          Lipid CompositionLipid Composition

                                                          TG CE and PLTG CE and PL

                                                          Particle SizeParticle Size

                                                          HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                                                          The Effects of Various Types of Fat on Blood Lipid Levels

                                                          bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                                                          Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                                                          Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                                                          Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                                                          bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                                                          Arachidonic acid and the brain--

                                                          One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                                          Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                                          Prevention of cancer-Prevention of cancer-

                                                          Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                                          Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                                          Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                                          Common disorders

                                                          Hypercholetrolemia

                                                          Hypertriglyceridemia

                                                          Hyperlipoproteinemia

                                                          ketosis

                                                          CVD

                                                          Fatty liver

                                                          Obesity

                                                          cancer

                                                          Uncommon disorders

                                                          Metabolic disorders of cerebrosides

                                                          Lipidoses lipid storage diseases

                                                          Multiple sclerosis

                                                          Infant respiratory distress syndrome

                                                          Xanthomatosis

                                                          Retinitis pigmentosa

                                                          Phrynoderma Toad skin

                                                          Disorders of EFAs deficiency

                                                          Zwellwegerrsquos disease

                                                          ATHEROSCLEROSIS

                                                          As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                                          bull These foam cells are then deposited into the

                                                          lining of the artery wall

                                                          bull This process known as atherosclerosis causes

                                                          plaque deposits to enlarge artery walls to lose

                                                          elasticity and the passage through the artery to narrow

                                                          Diagrammatic representation of the disease (atherosclerosis)-

                                                          Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                                          diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                                          Lipid Lipid accumulatingaccumulating

                                                          symptomssymptoms

                                                          Tay ndashsachs Tay ndashsachs diseasedisease

                                                          hexosaminihexosaminidasedase

                                                          gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                                          Fabryrsquos Fabryrsquos diseasedisease

                                                          A-A-galactosidasegalactosidase

                                                          galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                                          Krabbersquos Krabbersquos diseasedisease

                                                          B-B-galactosidasgalactosidasee

                                                          galactosylceramidgalactosylceramidee

                                                          Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                                          Gaucherrsquos Gaucherrsquos diseasedisease

                                                          B-B-glucosidaseglucosidase

                                                          glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                                          Niemann-Niemann-pick diseasepick disease

                                                          sphingomyesphingomyelinaselinase

                                                          sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                                          Farberrsquos Farberrsquos diseasedisease

                                                          ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                                          Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                          Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                                          Hy Hy LipotypesLipotypes

                                                          Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                                          Risk of athersclerosisRisk of athersclerosis

                                                          ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                                          chylomicronschylomicrons increaseincrease

                                                          llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                                          cholesterolcholesterol Very highVery high

                                                          llbllb Overproduction of Overproduction of apo-bapo-b

                                                          TGs and cholesterolTGs and cholesterol highhigh

                                                          llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                                          lvlv Overproduction of Overproduction of TGsTGs

                                                          TGsTGs Maymay not increaseMaymay not increase

                                                          vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                                          --do----do--

                                                          Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                          Infant repiratory distress syndrome-

                                                          Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                                          It prevents collapsing of the alveoli and also decreases the surface tension

                                                          Deficiency is common in young infants

                                                          Xanthomatosis-

                                                          Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                                          Usually related with severe hypercholesterolemia and hyperlipidemia

                                                          Phrynoderma or Toad skin-

                                                          Caused due to the deficiency of essential fatty acids

                                                          Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                                          Multiple sclerosis-

                                                          It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                                          Defects in the metabolism of essential fatty acids -

                                                          Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                          Zwellwegerrsquos disease-

                                                          Rare disorder

                                                          occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                          Causes loss of functions and neural degeneration

                                                          Dicarboxylic aciduria-

                                                          It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                          Common Atherogenic dyslipidemias)

                                                          1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                          Fatty liver-Fatty liver-

                                                          When lipids accumulates excessively in liver then it causes fatty liver

                                                          Dropletes of TGs are found in the entire hepatic cytoplasm

                                                          this causes impairment in liver function

                                                          Fatty liver may occur due to two main reason-

                                                          1) Increased synthesis of TGs

                                                          2) Impairment in lipoprotein synthesis

                                                          Fatty liver is associated with the fibrotic changes and cirrhosis

                                                          Tangier Disease

                                                          gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                          References--

                                                          1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                          2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                          3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                          4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                          • Slide 1
                                                          • Why lipids are important-
                                                          • Major lipids of physiological significance-
                                                          • Classification of fatty acids-
                                                          • Saturated fatty acids-
                                                          • Unsaturated fatty acids-
                                                          • Divisions of unsaturated fatty acids-
                                                          • Monounsaturated fatty acids-
                                                          • Cis- unsaturated fatty acids-
                                                          • Trans unsaturated fatty acids-
                                                          • Slide 11
                                                          • Slide 12
                                                          • ENDOTHELIAL-CELL FUNCTION--
                                                          • Polyunsaturated fatty acids-
                                                          • Slide 15
                                                          • Slide 16
                                                          • Omega-6 fatty acids-
                                                          • Eicosanoids-
                                                          • Triglycerides-
                                                          • Phospholipids- main lipid constituent of cell membrane
                                                          • Sterols-
                                                          • Glycolipids-
                                                          • Lipoproteins-
                                                          • Classes of lipoproteins-
                                                          • Slide 25
                                                          • Slide 26
                                                          • Apoprotein continuedhellip
                                                          • Chylomicrons- TG rich
                                                          • VLDL- rich in CE and TGs-
                                                          • LDL- cholesterol rich
                                                          • High density lipoprotein-
                                                          • HDL Subpopulations
                                                          • Slide 33
                                                          • Slide 34
                                                          • Role of lipids in health and diseases ndash omega-3 FAs
                                                          • Arachidonic acid and the brain--
                                                          • Prevention of cancer-
                                                          • Lipids related disorders-
                                                          • Slide 39
                                                          • Slide 40
                                                          • Metabolic disorders of cerebrosides
                                                          • Lipoprotein disorders- Hyperlipoproteinemias-
                                                          • Slide 43
                                                          • Slide 44
                                                          • Common Atherogenic dyslipidemias
                                                          • Fatty liver-
                                                          • Tangier Disease
                                                          • Slide 48
                                                          • Slide 49

                                                            LDL-LDL- cholesterol rich cholesterol rich

                                                            Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (15)(15)Protein (22)Protein (22)

                                                            Synthesized from VLDL in blood circulation

                                                            Transports cholesterol from liver and delivers to other tissues

                                                            High density lipoprotein-High density lipoprotein-

                                                            Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                                                            Promotes re-esterification process of cholesterol

                                                            HDL SubpopulationsHDL Subpopulations

                                                            Rye et al Atherosclerosis 1999145227-238

                                                            Apolipoprotein CompositionApolipoprotein Composition

                                                            A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                                                            Particle ShapeParticle Shape

                                                            DiscoidalDiscoidal

                                                            SphericalSpherical

                                                            Lipid CompositionLipid Composition

                                                            TG CE and PLTG CE and PL

                                                            Particle SizeParticle Size

                                                            HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                                                            The Effects of Various Types of Fat on Blood Lipid Levels

                                                            bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                                                            Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                                                            Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                                                            Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                                                            bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                                                            Arachidonic acid and the brain--

                                                            One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                                            Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                                            Prevention of cancer-Prevention of cancer-

                                                            Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                                            Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                                            Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                                            Common disorders

                                                            Hypercholetrolemia

                                                            Hypertriglyceridemia

                                                            Hyperlipoproteinemia

                                                            ketosis

                                                            CVD

                                                            Fatty liver

                                                            Obesity

                                                            cancer

                                                            Uncommon disorders

                                                            Metabolic disorders of cerebrosides

                                                            Lipidoses lipid storage diseases

                                                            Multiple sclerosis

                                                            Infant respiratory distress syndrome

                                                            Xanthomatosis

                                                            Retinitis pigmentosa

                                                            Phrynoderma Toad skin

                                                            Disorders of EFAs deficiency

                                                            Zwellwegerrsquos disease

                                                            ATHEROSCLEROSIS

                                                            As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                                            bull These foam cells are then deposited into the

                                                            lining of the artery wall

                                                            bull This process known as atherosclerosis causes

                                                            plaque deposits to enlarge artery walls to lose

                                                            elasticity and the passage through the artery to narrow

                                                            Diagrammatic representation of the disease (atherosclerosis)-

                                                            Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                                            diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                                            Lipid Lipid accumulatingaccumulating

                                                            symptomssymptoms

                                                            Tay ndashsachs Tay ndashsachs diseasedisease

                                                            hexosaminihexosaminidasedase

                                                            gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                                            Fabryrsquos Fabryrsquos diseasedisease

                                                            A-A-galactosidasegalactosidase

                                                            galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                                            Krabbersquos Krabbersquos diseasedisease

                                                            B-B-galactosidasgalactosidasee

                                                            galactosylceramidgalactosylceramidee

                                                            Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                                            Gaucherrsquos Gaucherrsquos diseasedisease

                                                            B-B-glucosidaseglucosidase

                                                            glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                                            Niemann-Niemann-pick diseasepick disease

                                                            sphingomyesphingomyelinaselinase

                                                            sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                                            Farberrsquos Farberrsquos diseasedisease

                                                            ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                                            Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                            Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                                            Hy Hy LipotypesLipotypes

                                                            Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                                            Risk of athersclerosisRisk of athersclerosis

                                                            ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                                            chylomicronschylomicrons increaseincrease

                                                            llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                                            cholesterolcholesterol Very highVery high

                                                            llbllb Overproduction of Overproduction of apo-bapo-b

                                                            TGs and cholesterolTGs and cholesterol highhigh

                                                            llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                                            lvlv Overproduction of Overproduction of TGsTGs

                                                            TGsTGs Maymay not increaseMaymay not increase

                                                            vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                                            --do----do--

                                                            Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                            Infant repiratory distress syndrome-

                                                            Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                                            It prevents collapsing of the alveoli and also decreases the surface tension

                                                            Deficiency is common in young infants

                                                            Xanthomatosis-

                                                            Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                                            Usually related with severe hypercholesterolemia and hyperlipidemia

                                                            Phrynoderma or Toad skin-

                                                            Caused due to the deficiency of essential fatty acids

                                                            Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                                            Multiple sclerosis-

                                                            It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                                            Defects in the metabolism of essential fatty acids -

                                                            Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                            Zwellwegerrsquos disease-

                                                            Rare disorder

                                                            occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                            Causes loss of functions and neural degeneration

                                                            Dicarboxylic aciduria-

                                                            It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                            Common Atherogenic dyslipidemias)

                                                            1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                            Fatty liver-Fatty liver-

                                                            When lipids accumulates excessively in liver then it causes fatty liver

                                                            Dropletes of TGs are found in the entire hepatic cytoplasm

                                                            this causes impairment in liver function

                                                            Fatty liver may occur due to two main reason-

                                                            1) Increased synthesis of TGs

                                                            2) Impairment in lipoprotein synthesis

                                                            Fatty liver is associated with the fibrotic changes and cirrhosis

                                                            Tangier Disease

                                                            gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                            References--

                                                            1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                            2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                            3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                            4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                            • Slide 1
                                                            • Why lipids are important-
                                                            • Major lipids of physiological significance-
                                                            • Classification of fatty acids-
                                                            • Saturated fatty acids-
                                                            • Unsaturated fatty acids-
                                                            • Divisions of unsaturated fatty acids-
                                                            • Monounsaturated fatty acids-
                                                            • Cis- unsaturated fatty acids-
                                                            • Trans unsaturated fatty acids-
                                                            • Slide 11
                                                            • Slide 12
                                                            • ENDOTHELIAL-CELL FUNCTION--
                                                            • Polyunsaturated fatty acids-
                                                            • Slide 15
                                                            • Slide 16
                                                            • Omega-6 fatty acids-
                                                            • Eicosanoids-
                                                            • Triglycerides-
                                                            • Phospholipids- main lipid constituent of cell membrane
                                                            • Sterols-
                                                            • Glycolipids-
                                                            • Lipoproteins-
                                                            • Classes of lipoproteins-
                                                            • Slide 25
                                                            • Slide 26
                                                            • Apoprotein continuedhellip
                                                            • Chylomicrons- TG rich
                                                            • VLDL- rich in CE and TGs-
                                                            • LDL- cholesterol rich
                                                            • High density lipoprotein-
                                                            • HDL Subpopulations
                                                            • Slide 33
                                                            • Slide 34
                                                            • Role of lipids in health and diseases ndash omega-3 FAs
                                                            • Arachidonic acid and the brain--
                                                            • Prevention of cancer-
                                                            • Lipids related disorders-
                                                            • Slide 39
                                                            • Slide 40
                                                            • Metabolic disorders of cerebrosides
                                                            • Lipoprotein disorders- Hyperlipoproteinemias-
                                                            • Slide 43
                                                            • Slide 44
                                                            • Common Atherogenic dyslipidemias
                                                            • Fatty liver-
                                                            • Tangier Disease
                                                            • Slide 48
                                                            • Slide 49

                                                              High density lipoprotein-High density lipoprotein-

                                                              Surface Monolayer Surface Monolayer Phospholipids (25)Phospholipids (25)Free Cholesterol Free Cholesterol (7)(7)Protein (45)Protein (45)

                                                              Promotes re-esterification process of cholesterol

                                                              HDL SubpopulationsHDL Subpopulations

                                                              Rye et al Atherosclerosis 1999145227-238

                                                              Apolipoprotein CompositionApolipoprotein Composition

                                                              A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                                                              Particle ShapeParticle Shape

                                                              DiscoidalDiscoidal

                                                              SphericalSpherical

                                                              Lipid CompositionLipid Composition

                                                              TG CE and PLTG CE and PL

                                                              Particle SizeParticle Size

                                                              HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                                                              The Effects of Various Types of Fat on Blood Lipid Levels

                                                              bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                                                              Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                                                              Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                                                              Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                                                              bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                                                              Arachidonic acid and the brain--

                                                              One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                                              Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                                              Prevention of cancer-Prevention of cancer-

                                                              Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                                              Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                                              Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                                              Common disorders

                                                              Hypercholetrolemia

                                                              Hypertriglyceridemia

                                                              Hyperlipoproteinemia

                                                              ketosis

                                                              CVD

                                                              Fatty liver

                                                              Obesity

                                                              cancer

                                                              Uncommon disorders

                                                              Metabolic disorders of cerebrosides

                                                              Lipidoses lipid storage diseases

                                                              Multiple sclerosis

                                                              Infant respiratory distress syndrome

                                                              Xanthomatosis

                                                              Retinitis pigmentosa

                                                              Phrynoderma Toad skin

                                                              Disorders of EFAs deficiency

                                                              Zwellwegerrsquos disease

                                                              ATHEROSCLEROSIS

                                                              As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                                              bull These foam cells are then deposited into the

                                                              lining of the artery wall

                                                              bull This process known as atherosclerosis causes

                                                              plaque deposits to enlarge artery walls to lose

                                                              elasticity and the passage through the artery to narrow

                                                              Diagrammatic representation of the disease (atherosclerosis)-

                                                              Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                                              diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                                              Lipid Lipid accumulatingaccumulating

                                                              symptomssymptoms

                                                              Tay ndashsachs Tay ndashsachs diseasedisease

                                                              hexosaminihexosaminidasedase

                                                              gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                                              Fabryrsquos Fabryrsquos diseasedisease

                                                              A-A-galactosidasegalactosidase

                                                              galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                                              Krabbersquos Krabbersquos diseasedisease

                                                              B-B-galactosidasgalactosidasee

                                                              galactosylceramidgalactosylceramidee

                                                              Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                                              Gaucherrsquos Gaucherrsquos diseasedisease

                                                              B-B-glucosidaseglucosidase

                                                              glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                                              Niemann-Niemann-pick diseasepick disease

                                                              sphingomyesphingomyelinaselinase

                                                              sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                                              Farberrsquos Farberrsquos diseasedisease

                                                              ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                                              Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                              Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                                              Hy Hy LipotypesLipotypes

                                                              Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                                              Risk of athersclerosisRisk of athersclerosis

                                                              ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                                              chylomicronschylomicrons increaseincrease

                                                              llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                                              cholesterolcholesterol Very highVery high

                                                              llbllb Overproduction of Overproduction of apo-bapo-b

                                                              TGs and cholesterolTGs and cholesterol highhigh

                                                              llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                                              lvlv Overproduction of Overproduction of TGsTGs

                                                              TGsTGs Maymay not increaseMaymay not increase

                                                              vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                                              --do----do--

                                                              Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                              Infant repiratory distress syndrome-

                                                              Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                                              It prevents collapsing of the alveoli and also decreases the surface tension

                                                              Deficiency is common in young infants

                                                              Xanthomatosis-

                                                              Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                                              Usually related with severe hypercholesterolemia and hyperlipidemia

                                                              Phrynoderma or Toad skin-

                                                              Caused due to the deficiency of essential fatty acids

                                                              Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                                              Multiple sclerosis-

                                                              It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                                              Defects in the metabolism of essential fatty acids -

                                                              Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                              Zwellwegerrsquos disease-

                                                              Rare disorder

                                                              occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                              Causes loss of functions and neural degeneration

                                                              Dicarboxylic aciduria-

                                                              It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                              Common Atherogenic dyslipidemias)

                                                              1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                              Fatty liver-Fatty liver-

                                                              When lipids accumulates excessively in liver then it causes fatty liver

                                                              Dropletes of TGs are found in the entire hepatic cytoplasm

                                                              this causes impairment in liver function

                                                              Fatty liver may occur due to two main reason-

                                                              1) Increased synthesis of TGs

                                                              2) Impairment in lipoprotein synthesis

                                                              Fatty liver is associated with the fibrotic changes and cirrhosis

                                                              Tangier Disease

                                                              gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                              References--

                                                              1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                              2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                              3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                              4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                              • Slide 1
                                                              • Why lipids are important-
                                                              • Major lipids of physiological significance-
                                                              • Classification of fatty acids-
                                                              • Saturated fatty acids-
                                                              • Unsaturated fatty acids-
                                                              • Divisions of unsaturated fatty acids-
                                                              • Monounsaturated fatty acids-
                                                              • Cis- unsaturated fatty acids-
                                                              • Trans unsaturated fatty acids-
                                                              • Slide 11
                                                              • Slide 12
                                                              • ENDOTHELIAL-CELL FUNCTION--
                                                              • Polyunsaturated fatty acids-
                                                              • Slide 15
                                                              • Slide 16
                                                              • Omega-6 fatty acids-
                                                              • Eicosanoids-
                                                              • Triglycerides-
                                                              • Phospholipids- main lipid constituent of cell membrane
                                                              • Sterols-
                                                              • Glycolipids-
                                                              • Lipoproteins-
                                                              • Classes of lipoproteins-
                                                              • Slide 25
                                                              • Slide 26
                                                              • Apoprotein continuedhellip
                                                              • Chylomicrons- TG rich
                                                              • VLDL- rich in CE and TGs-
                                                              • LDL- cholesterol rich
                                                              • High density lipoprotein-
                                                              • HDL Subpopulations
                                                              • Slide 33
                                                              • Slide 34
                                                              • Role of lipids in health and diseases ndash omega-3 FAs
                                                              • Arachidonic acid and the brain--
                                                              • Prevention of cancer-
                                                              • Lipids related disorders-
                                                              • Slide 39
                                                              • Slide 40
                                                              • Metabolic disorders of cerebrosides
                                                              • Lipoprotein disorders- Hyperlipoproteinemias-
                                                              • Slide 43
                                                              • Slide 44
                                                              • Common Atherogenic dyslipidemias
                                                              • Fatty liver-
                                                              • Tangier Disease
                                                              • Slide 48
                                                              • Slide 49

                                                                HDL SubpopulationsHDL Subpopulations

                                                                Rye et al Atherosclerosis 1999145227-238

                                                                Apolipoprotein CompositionApolipoprotein Composition

                                                                A-I HDLA-I HDL A-IA-II HDLA-IA-II HDL A-II HDLA-II HDL

                                                                Particle ShapeParticle Shape

                                                                DiscoidalDiscoidal

                                                                SphericalSpherical

                                                                Lipid CompositionLipid Composition

                                                                TG CE and PLTG CE and PL

                                                                Particle SizeParticle Size

                                                                HDLHDL2b2b HDLHDL2a2a HDLHDL3a3a HDLHDL3b3b HDLHDL3c3c

                                                                The Effects of Various Types of Fat on Blood Lipid Levels

                                                                bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                                                                Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                                                                Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                                                                Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                                                                bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                                                                Arachidonic acid and the brain--

                                                                One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                                                Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                                                Prevention of cancer-Prevention of cancer-

                                                                Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                                                Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                                                Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                                                Common disorders

                                                                Hypercholetrolemia

                                                                Hypertriglyceridemia

                                                                Hyperlipoproteinemia

                                                                ketosis

                                                                CVD

                                                                Fatty liver

                                                                Obesity

                                                                cancer

                                                                Uncommon disorders

                                                                Metabolic disorders of cerebrosides

                                                                Lipidoses lipid storage diseases

                                                                Multiple sclerosis

                                                                Infant respiratory distress syndrome

                                                                Xanthomatosis

                                                                Retinitis pigmentosa

                                                                Phrynoderma Toad skin

                                                                Disorders of EFAs deficiency

                                                                Zwellwegerrsquos disease

                                                                ATHEROSCLEROSIS

                                                                As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                                                bull These foam cells are then deposited into the

                                                                lining of the artery wall

                                                                bull This process known as atherosclerosis causes

                                                                plaque deposits to enlarge artery walls to lose

                                                                elasticity and the passage through the artery to narrow

                                                                Diagrammatic representation of the disease (atherosclerosis)-

                                                                Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                                                diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                                                Lipid Lipid accumulatingaccumulating

                                                                symptomssymptoms

                                                                Tay ndashsachs Tay ndashsachs diseasedisease

                                                                hexosaminihexosaminidasedase

                                                                gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                                                Fabryrsquos Fabryrsquos diseasedisease

                                                                A-A-galactosidasegalactosidase

                                                                galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                                                Krabbersquos Krabbersquos diseasedisease

                                                                B-B-galactosidasgalactosidasee

                                                                galactosylceramidgalactosylceramidee

                                                                Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                                                Gaucherrsquos Gaucherrsquos diseasedisease

                                                                B-B-glucosidaseglucosidase

                                                                glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                                                Niemann-Niemann-pick diseasepick disease

                                                                sphingomyesphingomyelinaselinase

                                                                sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                                                Farberrsquos Farberrsquos diseasedisease

                                                                ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                                                Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                                                Hy Hy LipotypesLipotypes

                                                                Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                                                Risk of athersclerosisRisk of athersclerosis

                                                                ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                                                chylomicronschylomicrons increaseincrease

                                                                llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                                                cholesterolcholesterol Very highVery high

                                                                llbllb Overproduction of Overproduction of apo-bapo-b

                                                                TGs and cholesterolTGs and cholesterol highhigh

                                                                llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                                                lvlv Overproduction of Overproduction of TGsTGs

                                                                TGsTGs Maymay not increaseMaymay not increase

                                                                vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                                                --do----do--

                                                                Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                Infant repiratory distress syndrome-

                                                                Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                                                It prevents collapsing of the alveoli and also decreases the surface tension

                                                                Deficiency is common in young infants

                                                                Xanthomatosis-

                                                                Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                                                Usually related with severe hypercholesterolemia and hyperlipidemia

                                                                Phrynoderma or Toad skin-

                                                                Caused due to the deficiency of essential fatty acids

                                                                Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                                                Multiple sclerosis-

                                                                It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                                                Defects in the metabolism of essential fatty acids -

                                                                Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                                Zwellwegerrsquos disease-

                                                                Rare disorder

                                                                occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                                Causes loss of functions and neural degeneration

                                                                Dicarboxylic aciduria-

                                                                It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                                Common Atherogenic dyslipidemias)

                                                                1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                                Fatty liver-Fatty liver-

                                                                When lipids accumulates excessively in liver then it causes fatty liver

                                                                Dropletes of TGs are found in the entire hepatic cytoplasm

                                                                this causes impairment in liver function

                                                                Fatty liver may occur due to two main reason-

                                                                1) Increased synthesis of TGs

                                                                2) Impairment in lipoprotein synthesis

                                                                Fatty liver is associated with the fibrotic changes and cirrhosis

                                                                Tangier Disease

                                                                gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                                References--

                                                                1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                                2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                                3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                                4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                                • Slide 1
                                                                • Why lipids are important-
                                                                • Major lipids of physiological significance-
                                                                • Classification of fatty acids-
                                                                • Saturated fatty acids-
                                                                • Unsaturated fatty acids-
                                                                • Divisions of unsaturated fatty acids-
                                                                • Monounsaturated fatty acids-
                                                                • Cis- unsaturated fatty acids-
                                                                • Trans unsaturated fatty acids-
                                                                • Slide 11
                                                                • Slide 12
                                                                • ENDOTHELIAL-CELL FUNCTION--
                                                                • Polyunsaturated fatty acids-
                                                                • Slide 15
                                                                • Slide 16
                                                                • Omega-6 fatty acids-
                                                                • Eicosanoids-
                                                                • Triglycerides-
                                                                • Phospholipids- main lipid constituent of cell membrane
                                                                • Sterols-
                                                                • Glycolipids-
                                                                • Lipoproteins-
                                                                • Classes of lipoproteins-
                                                                • Slide 25
                                                                • Slide 26
                                                                • Apoprotein continuedhellip
                                                                • Chylomicrons- TG rich
                                                                • VLDL- rich in CE and TGs-
                                                                • LDL- cholesterol rich
                                                                • High density lipoprotein-
                                                                • HDL Subpopulations
                                                                • Slide 33
                                                                • Slide 34
                                                                • Role of lipids in health and diseases ndash omega-3 FAs
                                                                • Arachidonic acid and the brain--
                                                                • Prevention of cancer-
                                                                • Lipids related disorders-
                                                                • Slide 39
                                                                • Slide 40
                                                                • Metabolic disorders of cerebrosides
                                                                • Lipoprotein disorders- Hyperlipoproteinemias-
                                                                • Slide 43
                                                                • Slide 44
                                                                • Common Atherogenic dyslipidemias
                                                                • Fatty liver-
                                                                • Tangier Disease
                                                                • Slide 48
                                                                • Slide 49

                                                                  The Effects of Various Types of Fat on Blood Lipid Levels

                                                                  bull Saturated Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol bull Polyunsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Decreases HDL-cholesterol bull Monounsaturated Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol

                                                                  Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                                                                  Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                                                                  Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                                                                  bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                                                                  Arachidonic acid and the brain--

                                                                  One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                                                  Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                                                  Prevention of cancer-Prevention of cancer-

                                                                  Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                                                  Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                                                  Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                                                  Common disorders

                                                                  Hypercholetrolemia

                                                                  Hypertriglyceridemia

                                                                  Hyperlipoproteinemia

                                                                  ketosis

                                                                  CVD

                                                                  Fatty liver

                                                                  Obesity

                                                                  cancer

                                                                  Uncommon disorders

                                                                  Metabolic disorders of cerebrosides

                                                                  Lipidoses lipid storage diseases

                                                                  Multiple sclerosis

                                                                  Infant respiratory distress syndrome

                                                                  Xanthomatosis

                                                                  Retinitis pigmentosa

                                                                  Phrynoderma Toad skin

                                                                  Disorders of EFAs deficiency

                                                                  Zwellwegerrsquos disease

                                                                  ATHEROSCLEROSIS

                                                                  As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                                                  bull These foam cells are then deposited into the

                                                                  lining of the artery wall

                                                                  bull This process known as atherosclerosis causes

                                                                  plaque deposits to enlarge artery walls to lose

                                                                  elasticity and the passage through the artery to narrow

                                                                  Diagrammatic representation of the disease (atherosclerosis)-

                                                                  Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                                                  diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                                                  Lipid Lipid accumulatingaccumulating

                                                                  symptomssymptoms

                                                                  Tay ndashsachs Tay ndashsachs diseasedisease

                                                                  hexosaminihexosaminidasedase

                                                                  gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                                                  Fabryrsquos Fabryrsquos diseasedisease

                                                                  A-A-galactosidasegalactosidase

                                                                  galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                                                  Krabbersquos Krabbersquos diseasedisease

                                                                  B-B-galactosidasgalactosidasee

                                                                  galactosylceramidgalactosylceramidee

                                                                  Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                                                  Gaucherrsquos Gaucherrsquos diseasedisease

                                                                  B-B-glucosidaseglucosidase

                                                                  glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                                                  Niemann-Niemann-pick diseasepick disease

                                                                  sphingomyesphingomyelinaselinase

                                                                  sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                                                  Farberrsquos Farberrsquos diseasedisease

                                                                  ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                                                  Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                  Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                                                  Hy Hy LipotypesLipotypes

                                                                  Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                                                  Risk of athersclerosisRisk of athersclerosis

                                                                  ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                                                  chylomicronschylomicrons increaseincrease

                                                                  llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                                                  cholesterolcholesterol Very highVery high

                                                                  llbllb Overproduction of Overproduction of apo-bapo-b

                                                                  TGs and cholesterolTGs and cholesterol highhigh

                                                                  llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                                                  lvlv Overproduction of Overproduction of TGsTGs

                                                                  TGsTGs Maymay not increaseMaymay not increase

                                                                  vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                                                  --do----do--

                                                                  Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                  Infant repiratory distress syndrome-

                                                                  Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                                                  It prevents collapsing of the alveoli and also decreases the surface tension

                                                                  Deficiency is common in young infants

                                                                  Xanthomatosis-

                                                                  Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                                                  Usually related with severe hypercholesterolemia and hyperlipidemia

                                                                  Phrynoderma or Toad skin-

                                                                  Caused due to the deficiency of essential fatty acids

                                                                  Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                                                  Multiple sclerosis-

                                                                  It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                                                  Defects in the metabolism of essential fatty acids -

                                                                  Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                                  Zwellwegerrsquos disease-

                                                                  Rare disorder

                                                                  occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                                  Causes loss of functions and neural degeneration

                                                                  Dicarboxylic aciduria-

                                                                  It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                                  Common Atherogenic dyslipidemias)

                                                                  1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                                  Fatty liver-Fatty liver-

                                                                  When lipids accumulates excessively in liver then it causes fatty liver

                                                                  Dropletes of TGs are found in the entire hepatic cytoplasm

                                                                  this causes impairment in liver function

                                                                  Fatty liver may occur due to two main reason-

                                                                  1) Increased synthesis of TGs

                                                                  2) Impairment in lipoprotein synthesis

                                                                  Fatty liver is associated with the fibrotic changes and cirrhosis

                                                                  Tangier Disease

                                                                  gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                                  References--

                                                                  1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                                  2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                                  3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                                  4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                                  • Slide 1
                                                                  • Why lipids are important-
                                                                  • Major lipids of physiological significance-
                                                                  • Classification of fatty acids-
                                                                  • Saturated fatty acids-
                                                                  • Unsaturated fatty acids-
                                                                  • Divisions of unsaturated fatty acids-
                                                                  • Monounsaturated fatty acids-
                                                                  • Cis- unsaturated fatty acids-
                                                                  • Trans unsaturated fatty acids-
                                                                  • Slide 11
                                                                  • Slide 12
                                                                  • ENDOTHELIAL-CELL FUNCTION--
                                                                  • Polyunsaturated fatty acids-
                                                                  • Slide 15
                                                                  • Slide 16
                                                                  • Omega-6 fatty acids-
                                                                  • Eicosanoids-
                                                                  • Triglycerides-
                                                                  • Phospholipids- main lipid constituent of cell membrane
                                                                  • Sterols-
                                                                  • Glycolipids-
                                                                  • Lipoproteins-
                                                                  • Classes of lipoproteins-
                                                                  • Slide 25
                                                                  • Slide 26
                                                                  • Apoprotein continuedhellip
                                                                  • Chylomicrons- TG rich
                                                                  • VLDL- rich in CE and TGs-
                                                                  • LDL- cholesterol rich
                                                                  • High density lipoprotein-
                                                                  • HDL Subpopulations
                                                                  • Slide 33
                                                                  • Slide 34
                                                                  • Role of lipids in health and diseases ndash omega-3 FAs
                                                                  • Arachidonic acid and the brain--
                                                                  • Prevention of cancer-
                                                                  • Lipids related disorders-
                                                                  • Slide 39
                                                                  • Slide 40
                                                                  • Metabolic disorders of cerebrosides
                                                                  • Lipoprotein disorders- Hyperlipoproteinemias-
                                                                  • Slide 43
                                                                  • Slide 44
                                                                  • Common Atherogenic dyslipidemias
                                                                  • Fatty liver-
                                                                  • Tangier Disease
                                                                  • Slide 48
                                                                  • Slide 49

                                                                    Omega-3 Fat ndash Decreases total cholesterol ndash Decreases LDL-cholesterol ndash Increases HDL-cholesterol ndash Decreases serum triglycerides bull Trans Fat ndash Increases total cholesterol ndash Increases LDL-cholesterol

                                                                    Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                                                                    Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                                                                    bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                                                                    Arachidonic acid and the brain--

                                                                    One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                                                    Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                                                    Prevention of cancer-Prevention of cancer-

                                                                    Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                                                    Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                                                    Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                                                    Common disorders

                                                                    Hypercholetrolemia

                                                                    Hypertriglyceridemia

                                                                    Hyperlipoproteinemia

                                                                    ketosis

                                                                    CVD

                                                                    Fatty liver

                                                                    Obesity

                                                                    cancer

                                                                    Uncommon disorders

                                                                    Metabolic disorders of cerebrosides

                                                                    Lipidoses lipid storage diseases

                                                                    Multiple sclerosis

                                                                    Infant respiratory distress syndrome

                                                                    Xanthomatosis

                                                                    Retinitis pigmentosa

                                                                    Phrynoderma Toad skin

                                                                    Disorders of EFAs deficiency

                                                                    Zwellwegerrsquos disease

                                                                    ATHEROSCLEROSIS

                                                                    As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                                                    bull These foam cells are then deposited into the

                                                                    lining of the artery wall

                                                                    bull This process known as atherosclerosis causes

                                                                    plaque deposits to enlarge artery walls to lose

                                                                    elasticity and the passage through the artery to narrow

                                                                    Diagrammatic representation of the disease (atherosclerosis)-

                                                                    Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                                                    diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                                                    Lipid Lipid accumulatingaccumulating

                                                                    symptomssymptoms

                                                                    Tay ndashsachs Tay ndashsachs diseasedisease

                                                                    hexosaminihexosaminidasedase

                                                                    gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                                                    Fabryrsquos Fabryrsquos diseasedisease

                                                                    A-A-galactosidasegalactosidase

                                                                    galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                                                    Krabbersquos Krabbersquos diseasedisease

                                                                    B-B-galactosidasgalactosidasee

                                                                    galactosylceramidgalactosylceramidee

                                                                    Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                                                    Gaucherrsquos Gaucherrsquos diseasedisease

                                                                    B-B-glucosidaseglucosidase

                                                                    glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                                                    Niemann-Niemann-pick diseasepick disease

                                                                    sphingomyesphingomyelinaselinase

                                                                    sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                                                    Farberrsquos Farberrsquos diseasedisease

                                                                    ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                                                    Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                    Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                                                    Hy Hy LipotypesLipotypes

                                                                    Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                                                    Risk of athersclerosisRisk of athersclerosis

                                                                    ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                                                    chylomicronschylomicrons increaseincrease

                                                                    llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                                                    cholesterolcholesterol Very highVery high

                                                                    llbllb Overproduction of Overproduction of apo-bapo-b

                                                                    TGs and cholesterolTGs and cholesterol highhigh

                                                                    llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                                                    lvlv Overproduction of Overproduction of TGsTGs

                                                                    TGsTGs Maymay not increaseMaymay not increase

                                                                    vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                                                    --do----do--

                                                                    Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                    Infant repiratory distress syndrome-

                                                                    Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                                                    It prevents collapsing of the alveoli and also decreases the surface tension

                                                                    Deficiency is common in young infants

                                                                    Xanthomatosis-

                                                                    Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                                                    Usually related with severe hypercholesterolemia and hyperlipidemia

                                                                    Phrynoderma or Toad skin-

                                                                    Caused due to the deficiency of essential fatty acids

                                                                    Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                                                    Multiple sclerosis-

                                                                    It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                                                    Defects in the metabolism of essential fatty acids -

                                                                    Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                                    Zwellwegerrsquos disease-

                                                                    Rare disorder

                                                                    occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                                    Causes loss of functions and neural degeneration

                                                                    Dicarboxylic aciduria-

                                                                    It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                                    Common Atherogenic dyslipidemias)

                                                                    1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                                    Fatty liver-Fatty liver-

                                                                    When lipids accumulates excessively in liver then it causes fatty liver

                                                                    Dropletes of TGs are found in the entire hepatic cytoplasm

                                                                    this causes impairment in liver function

                                                                    Fatty liver may occur due to two main reason-

                                                                    1) Increased synthesis of TGs

                                                                    2) Impairment in lipoprotein synthesis

                                                                    Fatty liver is associated with the fibrotic changes and cirrhosis

                                                                    Tangier Disease

                                                                    gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                                    References--

                                                                    1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                                    2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                                    3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                                    4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                                    • Slide 1
                                                                    • Why lipids are important-
                                                                    • Major lipids of physiological significance-
                                                                    • Classification of fatty acids-
                                                                    • Saturated fatty acids-
                                                                    • Unsaturated fatty acids-
                                                                    • Divisions of unsaturated fatty acids-
                                                                    • Monounsaturated fatty acids-
                                                                    • Cis- unsaturated fatty acids-
                                                                    • Trans unsaturated fatty acids-
                                                                    • Slide 11
                                                                    • Slide 12
                                                                    • ENDOTHELIAL-CELL FUNCTION--
                                                                    • Polyunsaturated fatty acids-
                                                                    • Slide 15
                                                                    • Slide 16
                                                                    • Omega-6 fatty acids-
                                                                    • Eicosanoids-
                                                                    • Triglycerides-
                                                                    • Phospholipids- main lipid constituent of cell membrane
                                                                    • Sterols-
                                                                    • Glycolipids-
                                                                    • Lipoproteins-
                                                                    • Classes of lipoproteins-
                                                                    • Slide 25
                                                                    • Slide 26
                                                                    • Apoprotein continuedhellip
                                                                    • Chylomicrons- TG rich
                                                                    • VLDL- rich in CE and TGs-
                                                                    • LDL- cholesterol rich
                                                                    • High density lipoprotein-
                                                                    • HDL Subpopulations
                                                                    • Slide 33
                                                                    • Slide 34
                                                                    • Role of lipids in health and diseases ndash omega-3 FAs
                                                                    • Arachidonic acid and the brain--
                                                                    • Prevention of cancer-
                                                                    • Lipids related disorders-
                                                                    • Slide 39
                                                                    • Slide 40
                                                                    • Metabolic disorders of cerebrosides
                                                                    • Lipoprotein disorders- Hyperlipoproteinemias-
                                                                    • Slide 43
                                                                    • Slide 44
                                                                    • Common Atherogenic dyslipidemias
                                                                    • Fatty liver-
                                                                    • Tangier Disease
                                                                    • Slide 48
                                                                    • Slide 49

                                                                      Role of lipids in health and diseasesRole of lipids in health and diseases ndash ndash omega-3 FAsomega-3 FAs

                                                                      Docosahexanoic acid and brain development-It is becoming increasingly evident that long-chain PUFA from the (n-3) family appear to be neuroprotective and that long-chain PUFA from the (n-6family) may also have unique properties in affecting neurobiology

                                                                      bullIt is found in very high concentrations in the cell membranes of the retina and cerebral cortexbullWhelan et al(2008) focused on docosahexaenoic acid (DHA)4 a PUFA that is preferentially deposited in brain phospholipids and has been linked to dementia Parkinson disease Alzheimer disease (AD)cognitive function mental stability suicide depression bipolar disorders impulsivity aggression etc (3ndash10) The content of DHA in the brain is 12ndash15 10- to 20-fold higher than any other (n-3) PUFA

                                                                      Arachidonic acid and the brain--

                                                                      One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                                                      Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                                                      Prevention of cancer-Prevention of cancer-

                                                                      Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                                                      Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                                                      Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                                                      Common disorders

                                                                      Hypercholetrolemia

                                                                      Hypertriglyceridemia

                                                                      Hyperlipoproteinemia

                                                                      ketosis

                                                                      CVD

                                                                      Fatty liver

                                                                      Obesity

                                                                      cancer

                                                                      Uncommon disorders

                                                                      Metabolic disorders of cerebrosides

                                                                      Lipidoses lipid storage diseases

                                                                      Multiple sclerosis

                                                                      Infant respiratory distress syndrome

                                                                      Xanthomatosis

                                                                      Retinitis pigmentosa

                                                                      Phrynoderma Toad skin

                                                                      Disorders of EFAs deficiency

                                                                      Zwellwegerrsquos disease

                                                                      ATHEROSCLEROSIS

                                                                      As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                                                      bull These foam cells are then deposited into the

                                                                      lining of the artery wall

                                                                      bull This process known as atherosclerosis causes

                                                                      plaque deposits to enlarge artery walls to lose

                                                                      elasticity and the passage through the artery to narrow

                                                                      Diagrammatic representation of the disease (atherosclerosis)-

                                                                      Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                                                      diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                                                      Lipid Lipid accumulatingaccumulating

                                                                      symptomssymptoms

                                                                      Tay ndashsachs Tay ndashsachs diseasedisease

                                                                      hexosaminihexosaminidasedase

                                                                      gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                                                      Fabryrsquos Fabryrsquos diseasedisease

                                                                      A-A-galactosidasegalactosidase

                                                                      galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                                                      Krabbersquos Krabbersquos diseasedisease

                                                                      B-B-galactosidasgalactosidasee

                                                                      galactosylceramidgalactosylceramidee

                                                                      Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                                                      Gaucherrsquos Gaucherrsquos diseasedisease

                                                                      B-B-glucosidaseglucosidase

                                                                      glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                                                      Niemann-Niemann-pick diseasepick disease

                                                                      sphingomyesphingomyelinaselinase

                                                                      sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                                                      Farberrsquos Farberrsquos diseasedisease

                                                                      ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                                                      Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                      Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                                                      Hy Hy LipotypesLipotypes

                                                                      Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                                                      Risk of athersclerosisRisk of athersclerosis

                                                                      ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                                                      chylomicronschylomicrons increaseincrease

                                                                      llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                                                      cholesterolcholesterol Very highVery high

                                                                      llbllb Overproduction of Overproduction of apo-bapo-b

                                                                      TGs and cholesterolTGs and cholesterol highhigh

                                                                      llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                                                      lvlv Overproduction of Overproduction of TGsTGs

                                                                      TGsTGs Maymay not increaseMaymay not increase

                                                                      vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                                                      --do----do--

                                                                      Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                      Infant repiratory distress syndrome-

                                                                      Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                                                      It prevents collapsing of the alveoli and also decreases the surface tension

                                                                      Deficiency is common in young infants

                                                                      Xanthomatosis-

                                                                      Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                                                      Usually related with severe hypercholesterolemia and hyperlipidemia

                                                                      Phrynoderma or Toad skin-

                                                                      Caused due to the deficiency of essential fatty acids

                                                                      Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                                                      Multiple sclerosis-

                                                                      It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                                                      Defects in the metabolism of essential fatty acids -

                                                                      Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                                      Zwellwegerrsquos disease-

                                                                      Rare disorder

                                                                      occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                                      Causes loss of functions and neural degeneration

                                                                      Dicarboxylic aciduria-

                                                                      It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                                      Common Atherogenic dyslipidemias)

                                                                      1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                                      Fatty liver-Fatty liver-

                                                                      When lipids accumulates excessively in liver then it causes fatty liver

                                                                      Dropletes of TGs are found in the entire hepatic cytoplasm

                                                                      this causes impairment in liver function

                                                                      Fatty liver may occur due to two main reason-

                                                                      1) Increased synthesis of TGs

                                                                      2) Impairment in lipoprotein synthesis

                                                                      Fatty liver is associated with the fibrotic changes and cirrhosis

                                                                      Tangier Disease

                                                                      gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                                      References--

                                                                      1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                                      2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                                      3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                                      4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                                      • Slide 1
                                                                      • Why lipids are important-
                                                                      • Major lipids of physiological significance-
                                                                      • Classification of fatty acids-
                                                                      • Saturated fatty acids-
                                                                      • Unsaturated fatty acids-
                                                                      • Divisions of unsaturated fatty acids-
                                                                      • Monounsaturated fatty acids-
                                                                      • Cis- unsaturated fatty acids-
                                                                      • Trans unsaturated fatty acids-
                                                                      • Slide 11
                                                                      • Slide 12
                                                                      • ENDOTHELIAL-CELL FUNCTION--
                                                                      • Polyunsaturated fatty acids-
                                                                      • Slide 15
                                                                      • Slide 16
                                                                      • Omega-6 fatty acids-
                                                                      • Eicosanoids-
                                                                      • Triglycerides-
                                                                      • Phospholipids- main lipid constituent of cell membrane
                                                                      • Sterols-
                                                                      • Glycolipids-
                                                                      • Lipoproteins-
                                                                      • Classes of lipoproteins-
                                                                      • Slide 25
                                                                      • Slide 26
                                                                      • Apoprotein continuedhellip
                                                                      • Chylomicrons- TG rich
                                                                      • VLDL- rich in CE and TGs-
                                                                      • LDL- cholesterol rich
                                                                      • High density lipoprotein-
                                                                      • HDL Subpopulations
                                                                      • Slide 33
                                                                      • Slide 34
                                                                      • Role of lipids in health and diseases ndash omega-3 FAs
                                                                      • Arachidonic acid and the brain--
                                                                      • Prevention of cancer-
                                                                      • Lipids related disorders-
                                                                      • Slide 39
                                                                      • Slide 40
                                                                      • Metabolic disorders of cerebrosides
                                                                      • Lipoprotein disorders- Hyperlipoproteinemias-
                                                                      • Slide 43
                                                                      • Slide 44
                                                                      • Common Atherogenic dyslipidemias
                                                                      • Fatty liver-
                                                                      • Tangier Disease
                                                                      • Slide 48
                                                                      • Slide 49

                                                                        Arachidonic acid and the brain--

                                                                        One of the most important changes in this field is the link between arachidonic acid (AA) content and brain function The level of AA in the brain is comparable to that of DHA At 8ndash11 of the fatty acid phospholipids it is severalfold higherthan any other (n-6) PUFA (by comparison linoleic acid content is 1)

                                                                        Connell et al(2007) demonstrated that dietary AA appears to influence plasticity and preserve hippocampal membrane fluidity and may provide some protection to oxidative stress via the activation of peroxisomal proliferatoractivatedreceptor-g (17) Furthermore it has been shown that AA as well as DHA activates syntaxin-3 a critical factor in the growth and regeneration of neurons

                                                                        Prevention of cancer-Prevention of cancer-

                                                                        Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                                                        Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                                                        Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                                                        Common disorders

                                                                        Hypercholetrolemia

                                                                        Hypertriglyceridemia

                                                                        Hyperlipoproteinemia

                                                                        ketosis

                                                                        CVD

                                                                        Fatty liver

                                                                        Obesity

                                                                        cancer

                                                                        Uncommon disorders

                                                                        Metabolic disorders of cerebrosides

                                                                        Lipidoses lipid storage diseases

                                                                        Multiple sclerosis

                                                                        Infant respiratory distress syndrome

                                                                        Xanthomatosis

                                                                        Retinitis pigmentosa

                                                                        Phrynoderma Toad skin

                                                                        Disorders of EFAs deficiency

                                                                        Zwellwegerrsquos disease

                                                                        ATHEROSCLEROSIS

                                                                        As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                                                        bull These foam cells are then deposited into the

                                                                        lining of the artery wall

                                                                        bull This process known as atherosclerosis causes

                                                                        plaque deposits to enlarge artery walls to lose

                                                                        elasticity and the passage through the artery to narrow

                                                                        Diagrammatic representation of the disease (atherosclerosis)-

                                                                        Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                                                        diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                                                        Lipid Lipid accumulatingaccumulating

                                                                        symptomssymptoms

                                                                        Tay ndashsachs Tay ndashsachs diseasedisease

                                                                        hexosaminihexosaminidasedase

                                                                        gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                                                        Fabryrsquos Fabryrsquos diseasedisease

                                                                        A-A-galactosidasegalactosidase

                                                                        galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                                                        Krabbersquos Krabbersquos diseasedisease

                                                                        B-B-galactosidasgalactosidasee

                                                                        galactosylceramidgalactosylceramidee

                                                                        Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                                                        Gaucherrsquos Gaucherrsquos diseasedisease

                                                                        B-B-glucosidaseglucosidase

                                                                        glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                                                        Niemann-Niemann-pick diseasepick disease

                                                                        sphingomyesphingomyelinaselinase

                                                                        sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                                                        Farberrsquos Farberrsquos diseasedisease

                                                                        ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                                                        Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                        Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                                                        Hy Hy LipotypesLipotypes

                                                                        Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                                                        Risk of athersclerosisRisk of athersclerosis

                                                                        ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                                                        chylomicronschylomicrons increaseincrease

                                                                        llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                                                        cholesterolcholesterol Very highVery high

                                                                        llbllb Overproduction of Overproduction of apo-bapo-b

                                                                        TGs and cholesterolTGs and cholesterol highhigh

                                                                        llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                                                        lvlv Overproduction of Overproduction of TGsTGs

                                                                        TGsTGs Maymay not increaseMaymay not increase

                                                                        vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                                                        --do----do--

                                                                        Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                        Infant repiratory distress syndrome-

                                                                        Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                                                        It prevents collapsing of the alveoli and also decreases the surface tension

                                                                        Deficiency is common in young infants

                                                                        Xanthomatosis-

                                                                        Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                                                        Usually related with severe hypercholesterolemia and hyperlipidemia

                                                                        Phrynoderma or Toad skin-

                                                                        Caused due to the deficiency of essential fatty acids

                                                                        Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                                                        Multiple sclerosis-

                                                                        It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                                                        Defects in the metabolism of essential fatty acids -

                                                                        Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                                        Zwellwegerrsquos disease-

                                                                        Rare disorder

                                                                        occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                                        Causes loss of functions and neural degeneration

                                                                        Dicarboxylic aciduria-

                                                                        It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                                        Common Atherogenic dyslipidemias)

                                                                        1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                                        Fatty liver-Fatty liver-

                                                                        When lipids accumulates excessively in liver then it causes fatty liver

                                                                        Dropletes of TGs are found in the entire hepatic cytoplasm

                                                                        this causes impairment in liver function

                                                                        Fatty liver may occur due to two main reason-

                                                                        1) Increased synthesis of TGs

                                                                        2) Impairment in lipoprotein synthesis

                                                                        Fatty liver is associated with the fibrotic changes and cirrhosis

                                                                        Tangier Disease

                                                                        gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                                        References--

                                                                        1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                                        2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                                        3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                                        4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                                        • Slide 1
                                                                        • Why lipids are important-
                                                                        • Major lipids of physiological significance-
                                                                        • Classification of fatty acids-
                                                                        • Saturated fatty acids-
                                                                        • Unsaturated fatty acids-
                                                                        • Divisions of unsaturated fatty acids-
                                                                        • Monounsaturated fatty acids-
                                                                        • Cis- unsaturated fatty acids-
                                                                        • Trans unsaturated fatty acids-
                                                                        • Slide 11
                                                                        • Slide 12
                                                                        • ENDOTHELIAL-CELL FUNCTION--
                                                                        • Polyunsaturated fatty acids-
                                                                        • Slide 15
                                                                        • Slide 16
                                                                        • Omega-6 fatty acids-
                                                                        • Eicosanoids-
                                                                        • Triglycerides-
                                                                        • Phospholipids- main lipid constituent of cell membrane
                                                                        • Sterols-
                                                                        • Glycolipids-
                                                                        • Lipoproteins-
                                                                        • Classes of lipoproteins-
                                                                        • Slide 25
                                                                        • Slide 26
                                                                        • Apoprotein continuedhellip
                                                                        • Chylomicrons- TG rich
                                                                        • VLDL- rich in CE and TGs-
                                                                        • LDL- cholesterol rich
                                                                        • High density lipoprotein-
                                                                        • HDL Subpopulations
                                                                        • Slide 33
                                                                        • Slide 34
                                                                        • Role of lipids in health and diseases ndash omega-3 FAs
                                                                        • Arachidonic acid and the brain--
                                                                        • Prevention of cancer-
                                                                        • Lipids related disorders-
                                                                        • Slide 39
                                                                        • Slide 40
                                                                        • Metabolic disorders of cerebrosides
                                                                        • Lipoprotein disorders- Hyperlipoproteinemias-
                                                                        • Slide 43
                                                                        • Slide 44
                                                                        • Common Atherogenic dyslipidemias
                                                                        • Fatty liver-
                                                                        • Tangier Disease
                                                                        • Slide 48
                                                                        • Slide 49

                                                                          Prevention of cancer-Prevention of cancer-

                                                                          Marine-derived fatty acids have been found to inhibit proliferation and promote apoptosis in breast prostate and colon cancer cell lines cultured outside the body

                                                                          Studies in animal models of cancer also indicate that increased intake of EPA and DHA decreases the occurrence and progression of mammary prostate and intestinal tumors

                                                                          Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                                                          Common disorders

                                                                          Hypercholetrolemia

                                                                          Hypertriglyceridemia

                                                                          Hyperlipoproteinemia

                                                                          ketosis

                                                                          CVD

                                                                          Fatty liver

                                                                          Obesity

                                                                          cancer

                                                                          Uncommon disorders

                                                                          Metabolic disorders of cerebrosides

                                                                          Lipidoses lipid storage diseases

                                                                          Multiple sclerosis

                                                                          Infant respiratory distress syndrome

                                                                          Xanthomatosis

                                                                          Retinitis pigmentosa

                                                                          Phrynoderma Toad skin

                                                                          Disorders of EFAs deficiency

                                                                          Zwellwegerrsquos disease

                                                                          ATHEROSCLEROSIS

                                                                          As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                                                          bull These foam cells are then deposited into the

                                                                          lining of the artery wall

                                                                          bull This process known as atherosclerosis causes

                                                                          plaque deposits to enlarge artery walls to lose

                                                                          elasticity and the passage through the artery to narrow

                                                                          Diagrammatic representation of the disease (atherosclerosis)-

                                                                          Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                                                          diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                                                          Lipid Lipid accumulatingaccumulating

                                                                          symptomssymptoms

                                                                          Tay ndashsachs Tay ndashsachs diseasedisease

                                                                          hexosaminihexosaminidasedase

                                                                          gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                                                          Fabryrsquos Fabryrsquos diseasedisease

                                                                          A-A-galactosidasegalactosidase

                                                                          galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                                                          Krabbersquos Krabbersquos diseasedisease

                                                                          B-B-galactosidasgalactosidasee

                                                                          galactosylceramidgalactosylceramidee

                                                                          Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                                                          Gaucherrsquos Gaucherrsquos diseasedisease

                                                                          B-B-glucosidaseglucosidase

                                                                          glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                                                          Niemann-Niemann-pick diseasepick disease

                                                                          sphingomyesphingomyelinaselinase

                                                                          sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                                                          Farberrsquos Farberrsquos diseasedisease

                                                                          ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                                                          Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                          Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                                                          Hy Hy LipotypesLipotypes

                                                                          Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                                                          Risk of athersclerosisRisk of athersclerosis

                                                                          ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                                                          chylomicronschylomicrons increaseincrease

                                                                          llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                                                          cholesterolcholesterol Very highVery high

                                                                          llbllb Overproduction of Overproduction of apo-bapo-b

                                                                          TGs and cholesterolTGs and cholesterol highhigh

                                                                          llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                                                          lvlv Overproduction of Overproduction of TGsTGs

                                                                          TGsTGs Maymay not increaseMaymay not increase

                                                                          vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                                                          --do----do--

                                                                          Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                          Infant repiratory distress syndrome-

                                                                          Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                                                          It prevents collapsing of the alveoli and also decreases the surface tension

                                                                          Deficiency is common in young infants

                                                                          Xanthomatosis-

                                                                          Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                                                          Usually related with severe hypercholesterolemia and hyperlipidemia

                                                                          Phrynoderma or Toad skin-

                                                                          Caused due to the deficiency of essential fatty acids

                                                                          Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                                                          Multiple sclerosis-

                                                                          It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                                                          Defects in the metabolism of essential fatty acids -

                                                                          Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                                          Zwellwegerrsquos disease-

                                                                          Rare disorder

                                                                          occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                                          Causes loss of functions and neural degeneration

                                                                          Dicarboxylic aciduria-

                                                                          It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                                          Common Atherogenic dyslipidemias)

                                                                          1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                                          Fatty liver-Fatty liver-

                                                                          When lipids accumulates excessively in liver then it causes fatty liver

                                                                          Dropletes of TGs are found in the entire hepatic cytoplasm

                                                                          this causes impairment in liver function

                                                                          Fatty liver may occur due to two main reason-

                                                                          1) Increased synthesis of TGs

                                                                          2) Impairment in lipoprotein synthesis

                                                                          Fatty liver is associated with the fibrotic changes and cirrhosis

                                                                          Tangier Disease

                                                                          gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                                          References--

                                                                          1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                                          2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                                          3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                                          4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                                          • Slide 1
                                                                          • Why lipids are important-
                                                                          • Major lipids of physiological significance-
                                                                          • Classification of fatty acids-
                                                                          • Saturated fatty acids-
                                                                          • Unsaturated fatty acids-
                                                                          • Divisions of unsaturated fatty acids-
                                                                          • Monounsaturated fatty acids-
                                                                          • Cis- unsaturated fatty acids-
                                                                          • Trans unsaturated fatty acids-
                                                                          • Slide 11
                                                                          • Slide 12
                                                                          • ENDOTHELIAL-CELL FUNCTION--
                                                                          • Polyunsaturated fatty acids-
                                                                          • Slide 15
                                                                          • Slide 16
                                                                          • Omega-6 fatty acids-
                                                                          • Eicosanoids-
                                                                          • Triglycerides-
                                                                          • Phospholipids- main lipid constituent of cell membrane
                                                                          • Sterols-
                                                                          • Glycolipids-
                                                                          • Lipoproteins-
                                                                          • Classes of lipoproteins-
                                                                          • Slide 25
                                                                          • Slide 26
                                                                          • Apoprotein continuedhellip
                                                                          • Chylomicrons- TG rich
                                                                          • VLDL- rich in CE and TGs-
                                                                          • LDL- cholesterol rich
                                                                          • High density lipoprotein-
                                                                          • HDL Subpopulations
                                                                          • Slide 33
                                                                          • Slide 34
                                                                          • Role of lipids in health and diseases ndash omega-3 FAs
                                                                          • Arachidonic acid and the brain--
                                                                          • Prevention of cancer-
                                                                          • Lipids related disorders-
                                                                          • Slide 39
                                                                          • Slide 40
                                                                          • Metabolic disorders of cerebrosides
                                                                          • Lipoprotein disorders- Hyperlipoproteinemias-
                                                                          • Slide 43
                                                                          • Slide 44
                                                                          • Common Atherogenic dyslipidemias
                                                                          • Fatty liver-
                                                                          • Tangier Disease
                                                                          • Slide 48
                                                                          • Slide 49

                                                                            Lipids related disordersLipids related disorders-- lipid disorderslipid disorders

                                                                            Common disorders

                                                                            Hypercholetrolemia

                                                                            Hypertriglyceridemia

                                                                            Hyperlipoproteinemia

                                                                            ketosis

                                                                            CVD

                                                                            Fatty liver

                                                                            Obesity

                                                                            cancer

                                                                            Uncommon disorders

                                                                            Metabolic disorders of cerebrosides

                                                                            Lipidoses lipid storage diseases

                                                                            Multiple sclerosis

                                                                            Infant respiratory distress syndrome

                                                                            Xanthomatosis

                                                                            Retinitis pigmentosa

                                                                            Phrynoderma Toad skin

                                                                            Disorders of EFAs deficiency

                                                                            Zwellwegerrsquos disease

                                                                            ATHEROSCLEROSIS

                                                                            As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                                                            bull These foam cells are then deposited into the

                                                                            lining of the artery wall

                                                                            bull This process known as atherosclerosis causes

                                                                            plaque deposits to enlarge artery walls to lose

                                                                            elasticity and the passage through the artery to narrow

                                                                            Diagrammatic representation of the disease (atherosclerosis)-

                                                                            Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                                                            diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                                                            Lipid Lipid accumulatingaccumulating

                                                                            symptomssymptoms

                                                                            Tay ndashsachs Tay ndashsachs diseasedisease

                                                                            hexosaminihexosaminidasedase

                                                                            gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                                                            Fabryrsquos Fabryrsquos diseasedisease

                                                                            A-A-galactosidasegalactosidase

                                                                            galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                                                            Krabbersquos Krabbersquos diseasedisease

                                                                            B-B-galactosidasgalactosidasee

                                                                            galactosylceramidgalactosylceramidee

                                                                            Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                                                            Gaucherrsquos Gaucherrsquos diseasedisease

                                                                            B-B-glucosidaseglucosidase

                                                                            glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                                                            Niemann-Niemann-pick diseasepick disease

                                                                            sphingomyesphingomyelinaselinase

                                                                            sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                                                            Farberrsquos Farberrsquos diseasedisease

                                                                            ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                                                            Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                            Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                                                            Hy Hy LipotypesLipotypes

                                                                            Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                                                            Risk of athersclerosisRisk of athersclerosis

                                                                            ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                                                            chylomicronschylomicrons increaseincrease

                                                                            llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                                                            cholesterolcholesterol Very highVery high

                                                                            llbllb Overproduction of Overproduction of apo-bapo-b

                                                                            TGs and cholesterolTGs and cholesterol highhigh

                                                                            llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                                                            lvlv Overproduction of Overproduction of TGsTGs

                                                                            TGsTGs Maymay not increaseMaymay not increase

                                                                            vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                                                            --do----do--

                                                                            Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                            Infant repiratory distress syndrome-

                                                                            Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                                                            It prevents collapsing of the alveoli and also decreases the surface tension

                                                                            Deficiency is common in young infants

                                                                            Xanthomatosis-

                                                                            Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                                                            Usually related with severe hypercholesterolemia and hyperlipidemia

                                                                            Phrynoderma or Toad skin-

                                                                            Caused due to the deficiency of essential fatty acids

                                                                            Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                                                            Multiple sclerosis-

                                                                            It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                                                            Defects in the metabolism of essential fatty acids -

                                                                            Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                                            Zwellwegerrsquos disease-

                                                                            Rare disorder

                                                                            occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                                            Causes loss of functions and neural degeneration

                                                                            Dicarboxylic aciduria-

                                                                            It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                                            Common Atherogenic dyslipidemias)

                                                                            1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                                            Fatty liver-Fatty liver-

                                                                            When lipids accumulates excessively in liver then it causes fatty liver

                                                                            Dropletes of TGs are found in the entire hepatic cytoplasm

                                                                            this causes impairment in liver function

                                                                            Fatty liver may occur due to two main reason-

                                                                            1) Increased synthesis of TGs

                                                                            2) Impairment in lipoprotein synthesis

                                                                            Fatty liver is associated with the fibrotic changes and cirrhosis

                                                                            Tangier Disease

                                                                            gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                                            References--

                                                                            1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                                            2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                                            3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                                            4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                                            • Slide 1
                                                                            • Why lipids are important-
                                                                            • Major lipids of physiological significance-
                                                                            • Classification of fatty acids-
                                                                            • Saturated fatty acids-
                                                                            • Unsaturated fatty acids-
                                                                            • Divisions of unsaturated fatty acids-
                                                                            • Monounsaturated fatty acids-
                                                                            • Cis- unsaturated fatty acids-
                                                                            • Trans unsaturated fatty acids-
                                                                            • Slide 11
                                                                            • Slide 12
                                                                            • ENDOTHELIAL-CELL FUNCTION--
                                                                            • Polyunsaturated fatty acids-
                                                                            • Slide 15
                                                                            • Slide 16
                                                                            • Omega-6 fatty acids-
                                                                            • Eicosanoids-
                                                                            • Triglycerides-
                                                                            • Phospholipids- main lipid constituent of cell membrane
                                                                            • Sterols-
                                                                            • Glycolipids-
                                                                            • Lipoproteins-
                                                                            • Classes of lipoproteins-
                                                                            • Slide 25
                                                                            • Slide 26
                                                                            • Apoprotein continuedhellip
                                                                            • Chylomicrons- TG rich
                                                                            • VLDL- rich in CE and TGs-
                                                                            • LDL- cholesterol rich
                                                                            • High density lipoprotein-
                                                                            • HDL Subpopulations
                                                                            • Slide 33
                                                                            • Slide 34
                                                                            • Role of lipids in health and diseases ndash omega-3 FAs
                                                                            • Arachidonic acid and the brain--
                                                                            • Prevention of cancer-
                                                                            • Lipids related disorders-
                                                                            • Slide 39
                                                                            • Slide 40
                                                                            • Metabolic disorders of cerebrosides
                                                                            • Lipoprotein disorders- Hyperlipoproteinemias-
                                                                            • Slide 43
                                                                            • Slide 44
                                                                            • Common Atherogenic dyslipidemias
                                                                            • Fatty liver-
                                                                            • Tangier Disease
                                                                            • Slide 48
                                                                            • Slide 49

                                                                              ATHEROSCLEROSIS

                                                                              As LDL particles penetrate the walls of the arteries they become oxidized-LDL and next are scavenged by the bodyrsquos white blood cells

                                                                              bull These foam cells are then deposited into the

                                                                              lining of the artery wall

                                                                              bull This process known as atherosclerosis causes

                                                                              plaque deposits to enlarge artery walls to lose

                                                                              elasticity and the passage through the artery to narrow

                                                                              Diagrammatic representation of the disease (atherosclerosis)-

                                                                              Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                                                              diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                                                              Lipid Lipid accumulatingaccumulating

                                                                              symptomssymptoms

                                                                              Tay ndashsachs Tay ndashsachs diseasedisease

                                                                              hexosaminihexosaminidasedase

                                                                              gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                                                              Fabryrsquos Fabryrsquos diseasedisease

                                                                              A-A-galactosidasegalactosidase

                                                                              galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                                                              Krabbersquos Krabbersquos diseasedisease

                                                                              B-B-galactosidasgalactosidasee

                                                                              galactosylceramidgalactosylceramidee

                                                                              Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                                                              Gaucherrsquos Gaucherrsquos diseasedisease

                                                                              B-B-glucosidaseglucosidase

                                                                              glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                                                              Niemann-Niemann-pick diseasepick disease

                                                                              sphingomyesphingomyelinaselinase

                                                                              sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                                                              Farberrsquos Farberrsquos diseasedisease

                                                                              ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                                                              Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                              Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                                                              Hy Hy LipotypesLipotypes

                                                                              Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                                                              Risk of athersclerosisRisk of athersclerosis

                                                                              ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                                                              chylomicronschylomicrons increaseincrease

                                                                              llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                                                              cholesterolcholesterol Very highVery high

                                                                              llbllb Overproduction of Overproduction of apo-bapo-b

                                                                              TGs and cholesterolTGs and cholesterol highhigh

                                                                              llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                                                              lvlv Overproduction of Overproduction of TGsTGs

                                                                              TGsTGs Maymay not increaseMaymay not increase

                                                                              vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                                                              --do----do--

                                                                              Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                              Infant repiratory distress syndrome-

                                                                              Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                                                              It prevents collapsing of the alveoli and also decreases the surface tension

                                                                              Deficiency is common in young infants

                                                                              Xanthomatosis-

                                                                              Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                                                              Usually related with severe hypercholesterolemia and hyperlipidemia

                                                                              Phrynoderma or Toad skin-

                                                                              Caused due to the deficiency of essential fatty acids

                                                                              Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                                                              Multiple sclerosis-

                                                                              It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                                                              Defects in the metabolism of essential fatty acids -

                                                                              Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                                              Zwellwegerrsquos disease-

                                                                              Rare disorder

                                                                              occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                                              Causes loss of functions and neural degeneration

                                                                              Dicarboxylic aciduria-

                                                                              It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                                              Common Atherogenic dyslipidemias)

                                                                              1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                                              Fatty liver-Fatty liver-

                                                                              When lipids accumulates excessively in liver then it causes fatty liver

                                                                              Dropletes of TGs are found in the entire hepatic cytoplasm

                                                                              this causes impairment in liver function

                                                                              Fatty liver may occur due to two main reason-

                                                                              1) Increased synthesis of TGs

                                                                              2) Impairment in lipoprotein synthesis

                                                                              Fatty liver is associated with the fibrotic changes and cirrhosis

                                                                              Tangier Disease

                                                                              gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                                              References--

                                                                              1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                                              2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                                              3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                                              4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                                              • Slide 1
                                                                              • Why lipids are important-
                                                                              • Major lipids of physiological significance-
                                                                              • Classification of fatty acids-
                                                                              • Saturated fatty acids-
                                                                              • Unsaturated fatty acids-
                                                                              • Divisions of unsaturated fatty acids-
                                                                              • Monounsaturated fatty acids-
                                                                              • Cis- unsaturated fatty acids-
                                                                              • Trans unsaturated fatty acids-
                                                                              • Slide 11
                                                                              • Slide 12
                                                                              • ENDOTHELIAL-CELL FUNCTION--
                                                                              • Polyunsaturated fatty acids-
                                                                              • Slide 15
                                                                              • Slide 16
                                                                              • Omega-6 fatty acids-
                                                                              • Eicosanoids-
                                                                              • Triglycerides-
                                                                              • Phospholipids- main lipid constituent of cell membrane
                                                                              • Sterols-
                                                                              • Glycolipids-
                                                                              • Lipoproteins-
                                                                              • Classes of lipoproteins-
                                                                              • Slide 25
                                                                              • Slide 26
                                                                              • Apoprotein continuedhellip
                                                                              • Chylomicrons- TG rich
                                                                              • VLDL- rich in CE and TGs-
                                                                              • LDL- cholesterol rich
                                                                              • High density lipoprotein-
                                                                              • HDL Subpopulations
                                                                              • Slide 33
                                                                              • Slide 34
                                                                              • Role of lipids in health and diseases ndash omega-3 FAs
                                                                              • Arachidonic acid and the brain--
                                                                              • Prevention of cancer-
                                                                              • Lipids related disorders-
                                                                              • Slide 39
                                                                              • Slide 40
                                                                              • Metabolic disorders of cerebrosides
                                                                              • Lipoprotein disorders- Hyperlipoproteinemias-
                                                                              • Slide 43
                                                                              • Slide 44
                                                                              • Common Atherogenic dyslipidemias
                                                                              • Fatty liver-
                                                                              • Tangier Disease
                                                                              • Slide 48
                                                                              • Slide 49

                                                                                Diagrammatic representation of the disease (atherosclerosis)-

                                                                                Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                                                                diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                                                                Lipid Lipid accumulatingaccumulating

                                                                                symptomssymptoms

                                                                                Tay ndashsachs Tay ndashsachs diseasedisease

                                                                                hexosaminihexosaminidasedase

                                                                                gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                                                                Fabryrsquos Fabryrsquos diseasedisease

                                                                                A-A-galactosidasegalactosidase

                                                                                galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                                                                Krabbersquos Krabbersquos diseasedisease

                                                                                B-B-galactosidasgalactosidasee

                                                                                galactosylceramidgalactosylceramidee

                                                                                Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                                                                Gaucherrsquos Gaucherrsquos diseasedisease

                                                                                B-B-glucosidaseglucosidase

                                                                                glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                                                                Niemann-Niemann-pick diseasepick disease

                                                                                sphingomyesphingomyelinaselinase

                                                                                sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                                                                Farberrsquos Farberrsquos diseasedisease

                                                                                ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                                                                Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                                Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                                                                Hy Hy LipotypesLipotypes

                                                                                Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                                                                Risk of athersclerosisRisk of athersclerosis

                                                                                ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                                                                chylomicronschylomicrons increaseincrease

                                                                                llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                                                                cholesterolcholesterol Very highVery high

                                                                                llbllb Overproduction of Overproduction of apo-bapo-b

                                                                                TGs and cholesterolTGs and cholesterol highhigh

                                                                                llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                                                                lvlv Overproduction of Overproduction of TGsTGs

                                                                                TGsTGs Maymay not increaseMaymay not increase

                                                                                vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                                                                --do----do--

                                                                                Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                                Infant repiratory distress syndrome-

                                                                                Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                                                                It prevents collapsing of the alveoli and also decreases the surface tension

                                                                                Deficiency is common in young infants

                                                                                Xanthomatosis-

                                                                                Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                                                                Usually related with severe hypercholesterolemia and hyperlipidemia

                                                                                Phrynoderma or Toad skin-

                                                                                Caused due to the deficiency of essential fatty acids

                                                                                Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                                                                Multiple sclerosis-

                                                                                It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                                                                Defects in the metabolism of essential fatty acids -

                                                                                Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                                                Zwellwegerrsquos disease-

                                                                                Rare disorder

                                                                                occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                                                Causes loss of functions and neural degeneration

                                                                                Dicarboxylic aciduria-

                                                                                It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                                                Common Atherogenic dyslipidemias)

                                                                                1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                                                Fatty liver-Fatty liver-

                                                                                When lipids accumulates excessively in liver then it causes fatty liver

                                                                                Dropletes of TGs are found in the entire hepatic cytoplasm

                                                                                this causes impairment in liver function

                                                                                Fatty liver may occur due to two main reason-

                                                                                1) Increased synthesis of TGs

                                                                                2) Impairment in lipoprotein synthesis

                                                                                Fatty liver is associated with the fibrotic changes and cirrhosis

                                                                                Tangier Disease

                                                                                gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                                                References--

                                                                                1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                                                2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                                                3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                                                4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                                                • Slide 1
                                                                                • Why lipids are important-
                                                                                • Major lipids of physiological significance-
                                                                                • Classification of fatty acids-
                                                                                • Saturated fatty acids-
                                                                                • Unsaturated fatty acids-
                                                                                • Divisions of unsaturated fatty acids-
                                                                                • Monounsaturated fatty acids-
                                                                                • Cis- unsaturated fatty acids-
                                                                                • Trans unsaturated fatty acids-
                                                                                • Slide 11
                                                                                • Slide 12
                                                                                • ENDOTHELIAL-CELL FUNCTION--
                                                                                • Polyunsaturated fatty acids-
                                                                                • Slide 15
                                                                                • Slide 16
                                                                                • Omega-6 fatty acids-
                                                                                • Eicosanoids-
                                                                                • Triglycerides-
                                                                                • Phospholipids- main lipid constituent of cell membrane
                                                                                • Sterols-
                                                                                • Glycolipids-
                                                                                • Lipoproteins-
                                                                                • Classes of lipoproteins-
                                                                                • Slide 25
                                                                                • Slide 26
                                                                                • Apoprotein continuedhellip
                                                                                • Chylomicrons- TG rich
                                                                                • VLDL- rich in CE and TGs-
                                                                                • LDL- cholesterol rich
                                                                                • High density lipoprotein-
                                                                                • HDL Subpopulations
                                                                                • Slide 33
                                                                                • Slide 34
                                                                                • Role of lipids in health and diseases ndash omega-3 FAs
                                                                                • Arachidonic acid and the brain--
                                                                                • Prevention of cancer-
                                                                                • Lipids related disorders-
                                                                                • Slide 39
                                                                                • Slide 40
                                                                                • Metabolic disorders of cerebrosides
                                                                                • Lipoprotein disorders- Hyperlipoproteinemias-
                                                                                • Slide 43
                                                                                • Slide 44
                                                                                • Common Atherogenic dyslipidemias
                                                                                • Fatty liver-
                                                                                • Tangier Disease
                                                                                • Slide 48
                                                                                • Slide 49

                                                                                  Metabolic disorders of cerebrosidesMetabolic disorders of cerebrosides

                                                                                  diseasesdiseases Enzyme Enzyme deficiencydeficiency

                                                                                  Lipid Lipid accumulatingaccumulating

                                                                                  symptomssymptoms

                                                                                  Tay ndashsachs Tay ndashsachs diseasedisease

                                                                                  hexosaminihexosaminidasedase

                                                                                  gangliosidesgangliosides MentalretardationblindnessmuscuMentalretardationblindnessmuscular weaknesslar weakness

                                                                                  Fabryrsquos Fabryrsquos diseasedisease

                                                                                  A-A-galactosidasegalactosidase

                                                                                  galactosylceramidegalactosylceramide Skin rasheskidney failureSkin rasheskidney failure

                                                                                  Krabbersquos Krabbersquos diseasedisease

                                                                                  B-B-galactosidasgalactosidasee

                                                                                  galactosylceramidgalactosylceramidee

                                                                                  Mental retardationcomplete loss Mental retardationcomplete loss of myelin sheathof myelin sheath

                                                                                  Gaucherrsquos Gaucherrsquos diseasedisease

                                                                                  B-B-glucosidaseglucosidase

                                                                                  glucosylceramideglucosylceramide Enlarged liver and spleen eroison Enlarged liver and spleen eroison of long bones mental retardationof long bones mental retardation

                                                                                  Niemann-Niemann-pick diseasepick disease

                                                                                  sphingomyesphingomyelinaselinase

                                                                                  sphingomyelinsphingomyelin Enlarged liver and spleenEnlarged liver and spleen

                                                                                  Farberrsquos Farberrsquos diseasedisease

                                                                                  ceramidaseceramidase ceramideceramide Dermatitisskeletal Dermatitisskeletal deformationhoarsenessdeformationhoarseness

                                                                                  Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                                  Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                                                                  Hy Hy LipotypesLipotypes

                                                                                  Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                                                                  Risk of athersclerosisRisk of athersclerosis

                                                                                  ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                                                                  chylomicronschylomicrons increaseincrease

                                                                                  llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                                                                  cholesterolcholesterol Very highVery high

                                                                                  llbllb Overproduction of Overproduction of apo-bapo-b

                                                                                  TGs and cholesterolTGs and cholesterol highhigh

                                                                                  llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                                                                  lvlv Overproduction of Overproduction of TGsTGs

                                                                                  TGsTGs Maymay not increaseMaymay not increase

                                                                                  vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                                                                  --do----do--

                                                                                  Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                                  Infant repiratory distress syndrome-

                                                                                  Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                                                                  It prevents collapsing of the alveoli and also decreases the surface tension

                                                                                  Deficiency is common in young infants

                                                                                  Xanthomatosis-

                                                                                  Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                                                                  Usually related with severe hypercholesterolemia and hyperlipidemia

                                                                                  Phrynoderma or Toad skin-

                                                                                  Caused due to the deficiency of essential fatty acids

                                                                                  Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                                                                  Multiple sclerosis-

                                                                                  It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                                                                  Defects in the metabolism of essential fatty acids -

                                                                                  Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                                                  Zwellwegerrsquos disease-

                                                                                  Rare disorder

                                                                                  occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                                                  Causes loss of functions and neural degeneration

                                                                                  Dicarboxylic aciduria-

                                                                                  It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                                                  Common Atherogenic dyslipidemias)

                                                                                  1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                                                  Fatty liver-Fatty liver-

                                                                                  When lipids accumulates excessively in liver then it causes fatty liver

                                                                                  Dropletes of TGs are found in the entire hepatic cytoplasm

                                                                                  this causes impairment in liver function

                                                                                  Fatty liver may occur due to two main reason-

                                                                                  1) Increased synthesis of TGs

                                                                                  2) Impairment in lipoprotein synthesis

                                                                                  Fatty liver is associated with the fibrotic changes and cirrhosis

                                                                                  Tangier Disease

                                                                                  gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                                                  References--

                                                                                  1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                                                  2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                                                  3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                                                  4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                                                  • Slide 1
                                                                                  • Why lipids are important-
                                                                                  • Major lipids of physiological significance-
                                                                                  • Classification of fatty acids-
                                                                                  • Saturated fatty acids-
                                                                                  • Unsaturated fatty acids-
                                                                                  • Divisions of unsaturated fatty acids-
                                                                                  • Monounsaturated fatty acids-
                                                                                  • Cis- unsaturated fatty acids-
                                                                                  • Trans unsaturated fatty acids-
                                                                                  • Slide 11
                                                                                  • Slide 12
                                                                                  • ENDOTHELIAL-CELL FUNCTION--
                                                                                  • Polyunsaturated fatty acids-
                                                                                  • Slide 15
                                                                                  • Slide 16
                                                                                  • Omega-6 fatty acids-
                                                                                  • Eicosanoids-
                                                                                  • Triglycerides-
                                                                                  • Phospholipids- main lipid constituent of cell membrane
                                                                                  • Sterols-
                                                                                  • Glycolipids-
                                                                                  • Lipoproteins-
                                                                                  • Classes of lipoproteins-
                                                                                  • Slide 25
                                                                                  • Slide 26
                                                                                  • Apoprotein continuedhellip
                                                                                  • Chylomicrons- TG rich
                                                                                  • VLDL- rich in CE and TGs-
                                                                                  • LDL- cholesterol rich
                                                                                  • High density lipoprotein-
                                                                                  • HDL Subpopulations
                                                                                  • Slide 33
                                                                                  • Slide 34
                                                                                  • Role of lipids in health and diseases ndash omega-3 FAs
                                                                                  • Arachidonic acid and the brain--
                                                                                  • Prevention of cancer-
                                                                                  • Lipids related disorders-
                                                                                  • Slide 39
                                                                                  • Slide 40
                                                                                  • Metabolic disorders of cerebrosides
                                                                                  • Lipoprotein disorders- Hyperlipoproteinemias-
                                                                                  • Slide 43
                                                                                  • Slide 44
                                                                                  • Common Atherogenic dyslipidemias
                                                                                  • Fatty liver-
                                                                                  • Tangier Disease
                                                                                  • Slide 48
                                                                                  • Slide 49

                                                                                    Lipoprotein disordersLipoprotein disorders- Hyperlipoproteinemias-- Hyperlipoproteinemias-

                                                                                    Hy Hy LipotypesLipotypes

                                                                                    Metabolic defectMetabolic defect Increased plasma Increased plasma lipid mostlipid most

                                                                                    Risk of athersclerosisRisk of athersclerosis

                                                                                    ll Deficiency of Deficiency of lipoproteinlipaselipoproteinlipase

                                                                                    chylomicronschylomicrons increaseincrease

                                                                                    llalla Deficiency of Deficiency of LDLreceptorsLDLreceptors

                                                                                    cholesterolcholesterol Very highVery high

                                                                                    llbllb Overproduction of Overproduction of apo-bapo-b

                                                                                    TGs and cholesterolTGs and cholesterol highhigh

                                                                                    llllll Abnormality in apo -eAbnormality in apo -e TGs and cholesterolTGs and cholesterol highhigh

                                                                                    lvlv Overproduction of Overproduction of TGsTGs

                                                                                    TGsTGs Maymay not increaseMaymay not increase

                                                                                    vv --do----do-- Chylomicron and Chylomicron and VLDLVLDL

                                                                                    --do----do--

                                                                                    Ref- Harperrsquos biochemistryRef- Harperrsquos biochemistry

                                                                                    Infant repiratory distress syndrome-

                                                                                    Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                                                                    It prevents collapsing of the alveoli and also decreases the surface tension

                                                                                    Deficiency is common in young infants

                                                                                    Xanthomatosis-

                                                                                    Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                                                                    Usually related with severe hypercholesterolemia and hyperlipidemia

                                                                                    Phrynoderma or Toad skin-

                                                                                    Caused due to the deficiency of essential fatty acids

                                                                                    Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                                                                    Multiple sclerosis-

                                                                                    It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                                                                    Defects in the metabolism of essential fatty acids -

                                                                                    Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                                                    Zwellwegerrsquos disease-

                                                                                    Rare disorder

                                                                                    occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                                                    Causes loss of functions and neural degeneration

                                                                                    Dicarboxylic aciduria-

                                                                                    It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                                                    Common Atherogenic dyslipidemias)

                                                                                    1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                                                    Fatty liver-Fatty liver-

                                                                                    When lipids accumulates excessively in liver then it causes fatty liver

                                                                                    Dropletes of TGs are found in the entire hepatic cytoplasm

                                                                                    this causes impairment in liver function

                                                                                    Fatty liver may occur due to two main reason-

                                                                                    1) Increased synthesis of TGs

                                                                                    2) Impairment in lipoprotein synthesis

                                                                                    Fatty liver is associated with the fibrotic changes and cirrhosis

                                                                                    Tangier Disease

                                                                                    gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                                                    References--

                                                                                    1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                                                    2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                                                    3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                                                    4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                                                    • Slide 1
                                                                                    • Why lipids are important-
                                                                                    • Major lipids of physiological significance-
                                                                                    • Classification of fatty acids-
                                                                                    • Saturated fatty acids-
                                                                                    • Unsaturated fatty acids-
                                                                                    • Divisions of unsaturated fatty acids-
                                                                                    • Monounsaturated fatty acids-
                                                                                    • Cis- unsaturated fatty acids-
                                                                                    • Trans unsaturated fatty acids-
                                                                                    • Slide 11
                                                                                    • Slide 12
                                                                                    • ENDOTHELIAL-CELL FUNCTION--
                                                                                    • Polyunsaturated fatty acids-
                                                                                    • Slide 15
                                                                                    • Slide 16
                                                                                    • Omega-6 fatty acids-
                                                                                    • Eicosanoids-
                                                                                    • Triglycerides-
                                                                                    • Phospholipids- main lipid constituent of cell membrane
                                                                                    • Sterols-
                                                                                    • Glycolipids-
                                                                                    • Lipoproteins-
                                                                                    • Classes of lipoproteins-
                                                                                    • Slide 25
                                                                                    • Slide 26
                                                                                    • Apoprotein continuedhellip
                                                                                    • Chylomicrons- TG rich
                                                                                    • VLDL- rich in CE and TGs-
                                                                                    • LDL- cholesterol rich
                                                                                    • High density lipoprotein-
                                                                                    • HDL Subpopulations
                                                                                    • Slide 33
                                                                                    • Slide 34
                                                                                    • Role of lipids in health and diseases ndash omega-3 FAs
                                                                                    • Arachidonic acid and the brain--
                                                                                    • Prevention of cancer-
                                                                                    • Lipids related disorders-
                                                                                    • Slide 39
                                                                                    • Slide 40
                                                                                    • Metabolic disorders of cerebrosides
                                                                                    • Lipoprotein disorders- Hyperlipoproteinemias-
                                                                                    • Slide 43
                                                                                    • Slide 44
                                                                                    • Common Atherogenic dyslipidemias
                                                                                    • Fatty liver-
                                                                                    • Tangier Disease
                                                                                    • Slide 48
                                                                                    • Slide 49

                                                                                      Infant repiratory distress syndrome-

                                                                                      Caused due to the deficiency of the lung surfactant dipalmitoyl lecithin

                                                                                      It prevents collapsing of the alveoli and also decreases the surface tension

                                                                                      Deficiency is common in young infants

                                                                                      Xanthomatosis-

                                                                                      Deposition of yellow-orange colours lipids occurs in the liver spleen and flat bones

                                                                                      Usually related with severe hypercholesterolemia and hyperlipidemia

                                                                                      Phrynoderma or Toad skin-

                                                                                      Caused due to the deficiency of essential fatty acids

                                                                                      Horny eruptions occurs on posterior and lateral limbspoor wound healing

                                                                                      Multiple sclerosis-

                                                                                      It is a demyelinating condition loss of both phospholipids and sphingolipids occurs from white matter Neurodegeneration is common

                                                                                      Defects in the metabolism of essential fatty acids -

                                                                                      Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                                                      Zwellwegerrsquos disease-

                                                                                      Rare disorder

                                                                                      occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                                                      Causes loss of functions and neural degeneration

                                                                                      Dicarboxylic aciduria-

                                                                                      It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                                                      Common Atherogenic dyslipidemias)

                                                                                      1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                                                      Fatty liver-Fatty liver-

                                                                                      When lipids accumulates excessively in liver then it causes fatty liver

                                                                                      Dropletes of TGs are found in the entire hepatic cytoplasm

                                                                                      this causes impairment in liver function

                                                                                      Fatty liver may occur due to two main reason-

                                                                                      1) Increased synthesis of TGs

                                                                                      2) Impairment in lipoprotein synthesis

                                                                                      Fatty liver is associated with the fibrotic changes and cirrhosis

                                                                                      Tangier Disease

                                                                                      gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                                                      References--

                                                                                      1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                                                      2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                                                      3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                                                      4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                                                      • Slide 1
                                                                                      • Why lipids are important-
                                                                                      • Major lipids of physiological significance-
                                                                                      • Classification of fatty acids-
                                                                                      • Saturated fatty acids-
                                                                                      • Unsaturated fatty acids-
                                                                                      • Divisions of unsaturated fatty acids-
                                                                                      • Monounsaturated fatty acids-
                                                                                      • Cis- unsaturated fatty acids-
                                                                                      • Trans unsaturated fatty acids-
                                                                                      • Slide 11
                                                                                      • Slide 12
                                                                                      • ENDOTHELIAL-CELL FUNCTION--
                                                                                      • Polyunsaturated fatty acids-
                                                                                      • Slide 15
                                                                                      • Slide 16
                                                                                      • Omega-6 fatty acids-
                                                                                      • Eicosanoids-
                                                                                      • Triglycerides-
                                                                                      • Phospholipids- main lipid constituent of cell membrane
                                                                                      • Sterols-
                                                                                      • Glycolipids-
                                                                                      • Lipoproteins-
                                                                                      • Classes of lipoproteins-
                                                                                      • Slide 25
                                                                                      • Slide 26
                                                                                      • Apoprotein continuedhellip
                                                                                      • Chylomicrons- TG rich
                                                                                      • VLDL- rich in CE and TGs-
                                                                                      • LDL- cholesterol rich
                                                                                      • High density lipoprotein-
                                                                                      • HDL Subpopulations
                                                                                      • Slide 33
                                                                                      • Slide 34
                                                                                      • Role of lipids in health and diseases ndash omega-3 FAs
                                                                                      • Arachidonic acid and the brain--
                                                                                      • Prevention of cancer-
                                                                                      • Lipids related disorders-
                                                                                      • Slide 39
                                                                                      • Slide 40
                                                                                      • Metabolic disorders of cerebrosides
                                                                                      • Lipoprotein disorders- Hyperlipoproteinemias-
                                                                                      • Slide 43
                                                                                      • Slide 44
                                                                                      • Common Atherogenic dyslipidemias
                                                                                      • Fatty liver-
                                                                                      • Tangier Disease
                                                                                      • Slide 48
                                                                                      • Slide 49

                                                                                        Defects in the metabolism of essential fatty acids -

                                                                                        Cystic fibrosisAcrodermatitis enterohepaticaHepato renal syndrome Crohnrsquos diseaseCirrhosis Alcoholism Reyes syndrome etc

                                                                                        Zwellwegerrsquos disease-

                                                                                        Rare disorder

                                                                                        occurs due to the accumulation of long chain polyenoic fatty acids in the brain

                                                                                        Causes loss of functions and neural degeneration

                                                                                        Dicarboxylic aciduria-

                                                                                        It is characterized by the excretion of C6-C10 dicarboxylic acid due to the lack of mitochondrial acyl coA dehydrogenase enzyme

                                                                                        Common Atherogenic dyslipidemias)

                                                                                        1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                                                        Fatty liver-Fatty liver-

                                                                                        When lipids accumulates excessively in liver then it causes fatty liver

                                                                                        Dropletes of TGs are found in the entire hepatic cytoplasm

                                                                                        this causes impairment in liver function

                                                                                        Fatty liver may occur due to two main reason-

                                                                                        1) Increased synthesis of TGs

                                                                                        2) Impairment in lipoprotein synthesis

                                                                                        Fatty liver is associated with the fibrotic changes and cirrhosis

                                                                                        Tangier Disease

                                                                                        gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                                                        References--

                                                                                        1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                                                        2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                                                        3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                                                        4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                                                        • Slide 1
                                                                                        • Why lipids are important-
                                                                                        • Major lipids of physiological significance-
                                                                                        • Classification of fatty acids-
                                                                                        • Saturated fatty acids-
                                                                                        • Unsaturated fatty acids-
                                                                                        • Divisions of unsaturated fatty acids-
                                                                                        • Monounsaturated fatty acids-
                                                                                        • Cis- unsaturated fatty acids-
                                                                                        • Trans unsaturated fatty acids-
                                                                                        • Slide 11
                                                                                        • Slide 12
                                                                                        • ENDOTHELIAL-CELL FUNCTION--
                                                                                        • Polyunsaturated fatty acids-
                                                                                        • Slide 15
                                                                                        • Slide 16
                                                                                        • Omega-6 fatty acids-
                                                                                        • Eicosanoids-
                                                                                        • Triglycerides-
                                                                                        • Phospholipids- main lipid constituent of cell membrane
                                                                                        • Sterols-
                                                                                        • Glycolipids-
                                                                                        • Lipoproteins-
                                                                                        • Classes of lipoproteins-
                                                                                        • Slide 25
                                                                                        • Slide 26
                                                                                        • Apoprotein continuedhellip
                                                                                        • Chylomicrons- TG rich
                                                                                        • VLDL- rich in CE and TGs-
                                                                                        • LDL- cholesterol rich
                                                                                        • High density lipoprotein-
                                                                                        • HDL Subpopulations
                                                                                        • Slide 33
                                                                                        • Slide 34
                                                                                        • Role of lipids in health and diseases ndash omega-3 FAs
                                                                                        • Arachidonic acid and the brain--
                                                                                        • Prevention of cancer-
                                                                                        • Lipids related disorders-
                                                                                        • Slide 39
                                                                                        • Slide 40
                                                                                        • Metabolic disorders of cerebrosides
                                                                                        • Lipoprotein disorders- Hyperlipoproteinemias-
                                                                                        • Slide 43
                                                                                        • Slide 44
                                                                                        • Common Atherogenic dyslipidemias
                                                                                        • Fatty liver-
                                                                                        • Tangier Disease
                                                                                        • Slide 48
                                                                                        • Slide 49

                                                                                          Common Atherogenic dyslipidemias)

                                                                                          1048707 polygenic inheritancendash dietary componentndash secondarily enhanced byinsulin resistance (seefurther why)1048707 prognosis of combinedhyperlipidemia is worsethan that ofhypercholesterolemia1048707 main featuresndash impaired clearance of TAGby LPL (1048707 insulin) fromchylomicrons rarr increasedTAG and increased deliveryof TAG for liverndash increased production ofVLDL by liver (1048707 insulin)from TAG FFA from adiposetissue (1048707 insulin) andglucose (1048707 insulin)ndash therefore increasedconversion of VLDL to LDLndash low HDL

                                                                                          Fatty liver-Fatty liver-

                                                                                          When lipids accumulates excessively in liver then it causes fatty liver

                                                                                          Dropletes of TGs are found in the entire hepatic cytoplasm

                                                                                          this causes impairment in liver function

                                                                                          Fatty liver may occur due to two main reason-

                                                                                          1) Increased synthesis of TGs

                                                                                          2) Impairment in lipoprotein synthesis

                                                                                          Fatty liver is associated with the fibrotic changes and cirrhosis

                                                                                          Tangier Disease

                                                                                          gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                                                          References--

                                                                                          1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                                                          2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                                                          3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                                                          4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                                                          • Slide 1
                                                                                          • Why lipids are important-
                                                                                          • Major lipids of physiological significance-
                                                                                          • Classification of fatty acids-
                                                                                          • Saturated fatty acids-
                                                                                          • Unsaturated fatty acids-
                                                                                          • Divisions of unsaturated fatty acids-
                                                                                          • Monounsaturated fatty acids-
                                                                                          • Cis- unsaturated fatty acids-
                                                                                          • Trans unsaturated fatty acids-
                                                                                          • Slide 11
                                                                                          • Slide 12
                                                                                          • ENDOTHELIAL-CELL FUNCTION--
                                                                                          • Polyunsaturated fatty acids-
                                                                                          • Slide 15
                                                                                          • Slide 16
                                                                                          • Omega-6 fatty acids-
                                                                                          • Eicosanoids-
                                                                                          • Triglycerides-
                                                                                          • Phospholipids- main lipid constituent of cell membrane
                                                                                          • Sterols-
                                                                                          • Glycolipids-
                                                                                          • Lipoproteins-
                                                                                          • Classes of lipoproteins-
                                                                                          • Slide 25
                                                                                          • Slide 26
                                                                                          • Apoprotein continuedhellip
                                                                                          • Chylomicrons- TG rich
                                                                                          • VLDL- rich in CE and TGs-
                                                                                          • LDL- cholesterol rich
                                                                                          • High density lipoprotein-
                                                                                          • HDL Subpopulations
                                                                                          • Slide 33
                                                                                          • Slide 34
                                                                                          • Role of lipids in health and diseases ndash omega-3 FAs
                                                                                          • Arachidonic acid and the brain--
                                                                                          • Prevention of cancer-
                                                                                          • Lipids related disorders-
                                                                                          • Slide 39
                                                                                          • Slide 40
                                                                                          • Metabolic disorders of cerebrosides
                                                                                          • Lipoprotein disorders- Hyperlipoproteinemias-
                                                                                          • Slide 43
                                                                                          • Slide 44
                                                                                          • Common Atherogenic dyslipidemias
                                                                                          • Fatty liver-
                                                                                          • Tangier Disease
                                                                                          • Slide 48
                                                                                          • Slide 49

                                                                                            Fatty liver-Fatty liver-

                                                                                            When lipids accumulates excessively in liver then it causes fatty liver

                                                                                            Dropletes of TGs are found in the entire hepatic cytoplasm

                                                                                            this causes impairment in liver function

                                                                                            Fatty liver may occur due to two main reason-

                                                                                            1) Increased synthesis of TGs

                                                                                            2) Impairment in lipoprotein synthesis

                                                                                            Fatty liver is associated with the fibrotic changes and cirrhosis

                                                                                            Tangier Disease

                                                                                            gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                                                            References--

                                                                                            1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                                                            2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                                                            3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                                                            4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                                                            • Slide 1
                                                                                            • Why lipids are important-
                                                                                            • Major lipids of physiological significance-
                                                                                            • Classification of fatty acids-
                                                                                            • Saturated fatty acids-
                                                                                            • Unsaturated fatty acids-
                                                                                            • Divisions of unsaturated fatty acids-
                                                                                            • Monounsaturated fatty acids-
                                                                                            • Cis- unsaturated fatty acids-
                                                                                            • Trans unsaturated fatty acids-
                                                                                            • Slide 11
                                                                                            • Slide 12
                                                                                            • ENDOTHELIAL-CELL FUNCTION--
                                                                                            • Polyunsaturated fatty acids-
                                                                                            • Slide 15
                                                                                            • Slide 16
                                                                                            • Omega-6 fatty acids-
                                                                                            • Eicosanoids-
                                                                                            • Triglycerides-
                                                                                            • Phospholipids- main lipid constituent of cell membrane
                                                                                            • Sterols-
                                                                                            • Glycolipids-
                                                                                            • Lipoproteins-
                                                                                            • Classes of lipoproteins-
                                                                                            • Slide 25
                                                                                            • Slide 26
                                                                                            • Apoprotein continuedhellip
                                                                                            • Chylomicrons- TG rich
                                                                                            • VLDL- rich in CE and TGs-
                                                                                            • LDL- cholesterol rich
                                                                                            • High density lipoprotein-
                                                                                            • HDL Subpopulations
                                                                                            • Slide 33
                                                                                            • Slide 34
                                                                                            • Role of lipids in health and diseases ndash omega-3 FAs
                                                                                            • Arachidonic acid and the brain--
                                                                                            • Prevention of cancer-
                                                                                            • Lipids related disorders-
                                                                                            • Slide 39
                                                                                            • Slide 40
                                                                                            • Metabolic disorders of cerebrosides
                                                                                            • Lipoprotein disorders- Hyperlipoproteinemias-
                                                                                            • Slide 43
                                                                                            • Slide 44
                                                                                            • Common Atherogenic dyslipidemias
                                                                                            • Fatty liver-
                                                                                            • Tangier Disease
                                                                                            • Slide 48
                                                                                            • Slide 49

                                                                                              Tangier Disease

                                                                                              gtAutosomal codominant disorder due to mutations in both alleles of ABC1 gene bull Extremely marked reduction in HDL-C and apoA-I bull Markedly accelerated catabolism of apoA-I andgtapoA-II bull Cholesterol accumulation minus Enlarged orange tonsils minus Hepatosplenomegaly minus Peripheral neuropathy

                                                                                              References--

                                                                                              1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                                                              2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                                                              3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                                                              4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                                                              • Slide 1
                                                                                              • Why lipids are important-
                                                                                              • Major lipids of physiological significance-
                                                                                              • Classification of fatty acids-
                                                                                              • Saturated fatty acids-
                                                                                              • Unsaturated fatty acids-
                                                                                              • Divisions of unsaturated fatty acids-
                                                                                              • Monounsaturated fatty acids-
                                                                                              • Cis- unsaturated fatty acids-
                                                                                              • Trans unsaturated fatty acids-
                                                                                              • Slide 11
                                                                                              • Slide 12
                                                                                              • ENDOTHELIAL-CELL FUNCTION--
                                                                                              • Polyunsaturated fatty acids-
                                                                                              • Slide 15
                                                                                              • Slide 16
                                                                                              • Omega-6 fatty acids-
                                                                                              • Eicosanoids-
                                                                                              • Triglycerides-
                                                                                              • Phospholipids- main lipid constituent of cell membrane
                                                                                              • Sterols-
                                                                                              • Glycolipids-
                                                                                              • Lipoproteins-
                                                                                              • Classes of lipoproteins-
                                                                                              • Slide 25
                                                                                              • Slide 26
                                                                                              • Apoprotein continuedhellip
                                                                                              • Chylomicrons- TG rich
                                                                                              • VLDL- rich in CE and TGs-
                                                                                              • LDL- cholesterol rich
                                                                                              • High density lipoprotein-
                                                                                              • HDL Subpopulations
                                                                                              • Slide 33
                                                                                              • Slide 34
                                                                                              • Role of lipids in health and diseases ndash omega-3 FAs
                                                                                              • Arachidonic acid and the brain--
                                                                                              • Prevention of cancer-
                                                                                              • Lipids related disorders-
                                                                                              • Slide 39
                                                                                              • Slide 40
                                                                                              • Metabolic disorders of cerebrosides
                                                                                              • Lipoprotein disorders- Hyperlipoproteinemias-
                                                                                              • Slide 43
                                                                                              • Slide 44
                                                                                              • Common Atherogenic dyslipidemias
                                                                                              • Fatty liver-
                                                                                              • Tangier Disease
                                                                                              • Slide 48
                                                                                              • Slide 49

                                                                                                References--

                                                                                                1) Connell E Darios F Broersen K Gatsby N Peak-Chew SY Rickman CDavletov B Mechanism of arachidonic acid action on syntaxin- Munc18 EMBO Rep 20078414ndash9

                                                                                                2) GrannerK and RobertK(2006)Harperrsquos illustrated biochemistry 27th editionTata McGraw Hills publication

                                                                                                3)SatyanarayanU (2006)Biochemistry3rd edition Books and Allied (P)Ltd

                                                                                                4) Whelan J(2008)(n-6) and (n-3) Polyunsaturated Fatty Acids and the Aging Brain Food for Thought Abstract J Nutr 138 2521ndash2522

                                                                                                • Slide 1
                                                                                                • Why lipids are important-
                                                                                                • Major lipids of physiological significance-
                                                                                                • Classification of fatty acids-
                                                                                                • Saturated fatty acids-
                                                                                                • Unsaturated fatty acids-
                                                                                                • Divisions of unsaturated fatty acids-
                                                                                                • Monounsaturated fatty acids-
                                                                                                • Cis- unsaturated fatty acids-
                                                                                                • Trans unsaturated fatty acids-
                                                                                                • Slide 11
                                                                                                • Slide 12
                                                                                                • ENDOTHELIAL-CELL FUNCTION--
                                                                                                • Polyunsaturated fatty acids-
                                                                                                • Slide 15
                                                                                                • Slide 16
                                                                                                • Omega-6 fatty acids-
                                                                                                • Eicosanoids-
                                                                                                • Triglycerides-
                                                                                                • Phospholipids- main lipid constituent of cell membrane
                                                                                                • Sterols-
                                                                                                • Glycolipids-
                                                                                                • Lipoproteins-
                                                                                                • Classes of lipoproteins-
                                                                                                • Slide 25
                                                                                                • Slide 26
                                                                                                • Apoprotein continuedhellip
                                                                                                • Chylomicrons- TG rich
                                                                                                • VLDL- rich in CE and TGs-
                                                                                                • LDL- cholesterol rich
                                                                                                • High density lipoprotein-
                                                                                                • HDL Subpopulations
                                                                                                • Slide 33
                                                                                                • Slide 34
                                                                                                • Role of lipids in health and diseases ndash omega-3 FAs
                                                                                                • Arachidonic acid and the brain--
                                                                                                • Prevention of cancer-
                                                                                                • Lipids related disorders-
                                                                                                • Slide 39
                                                                                                • Slide 40
                                                                                                • Metabolic disorders of cerebrosides
                                                                                                • Lipoprotein disorders- Hyperlipoproteinemias-
                                                                                                • Slide 43
                                                                                                • Slide 44
                                                                                                • Common Atherogenic dyslipidemias
                                                                                                • Fatty liver-
                                                                                                • Tangier Disease
                                                                                                • Slide 48
                                                                                                • Slide 49
                                                                                                  • Slide 1
                                                                                                  • Why lipids are important-
                                                                                                  • Major lipids of physiological significance-
                                                                                                  • Classification of fatty acids-
                                                                                                  • Saturated fatty acids-
                                                                                                  • Unsaturated fatty acids-
                                                                                                  • Divisions of unsaturated fatty acids-
                                                                                                  • Monounsaturated fatty acids-
                                                                                                  • Cis- unsaturated fatty acids-
                                                                                                  • Trans unsaturated fatty acids-
                                                                                                  • Slide 11
                                                                                                  • Slide 12
                                                                                                  • ENDOTHELIAL-CELL FUNCTION--
                                                                                                  • Polyunsaturated fatty acids-
                                                                                                  • Slide 15
                                                                                                  • Slide 16
                                                                                                  • Omega-6 fatty acids-
                                                                                                  • Eicosanoids-
                                                                                                  • Triglycerides-
                                                                                                  • Phospholipids- main lipid constituent of cell membrane
                                                                                                  • Sterols-
                                                                                                  • Glycolipids-
                                                                                                  • Lipoproteins-
                                                                                                  • Classes of lipoproteins-
                                                                                                  • Slide 25
                                                                                                  • Slide 26
                                                                                                  • Apoprotein continuedhellip
                                                                                                  • Chylomicrons- TG rich
                                                                                                  • VLDL- rich in CE and TGs-
                                                                                                  • LDL- cholesterol rich
                                                                                                  • High density lipoprotein-
                                                                                                  • HDL Subpopulations
                                                                                                  • Slide 33
                                                                                                  • Slide 34
                                                                                                  • Role of lipids in health and diseases ndash omega-3 FAs
                                                                                                  • Arachidonic acid and the brain--
                                                                                                  • Prevention of cancer-
                                                                                                  • Lipids related disorders-
                                                                                                  • Slide 39
                                                                                                  • Slide 40
                                                                                                  • Metabolic disorders of cerebrosides
                                                                                                  • Lipoprotein disorders- Hyperlipoproteinemias-
                                                                                                  • Slide 43
                                                                                                  • Slide 44
                                                                                                  • Common Atherogenic dyslipidemias
                                                                                                  • Fatty liver-
                                                                                                  • Tangier Disease
                                                                                                  • Slide 48
                                                                                                  • Slide 49

                                                                                                    top related