Chapter 29 Lipid Synthesis
Your grandfather has been told he has high cholesterol and has been given one of the statins to
bring it down. He asks you if you can think of any reason that he should not double the dose so
that it will reduce blood cholesterol faster. What do you tell him?
Yes, statins block the reabsorption of bile, effectively blocking the absorption of
cholesterol.
Yes, statins decrease the amount of LDL receptors on the surface of intestinal mucosal
cells, thereby decreasing cholesterol uptake into the blood.
Yes, statins increase the amount of LDL receptors on the surface of blood vessels
increasing the internalization of cholesterol into cells and clearing the blood.
No, at high levels, statins have a stimulatory effect on HMG-CoA reductase rather than
inhibitory effect.
No, some cholesterol synthesis is essential. Cholesterol is essential for proper functioning
of cell membranes and for precursors for bile salts and steroid hormones.
A friend, who is struggling with weight gain, reads about a new miracle supplement that blocks
the formation of phosphatidate, the precursor for triacylglycerols. Would taking this supplement
work as a weight reduction scheme?
Yes, many weight loss drugs target enzyme catalyzed reactions that occur early in this
biosynthetic pathway.
Yes, decreases in phosphatidate leads to activation of key β-oxidation enzymes, which
drives lipid metabolism over glucose metabolism.
Yes, decrease in phosphatidate leads to increases in cellular glycerol 3-phosphate, which
stimulates glycolytic enzymes.
No, because this would also block formation of phospholipids and cell membrane
integrity would be impacted.
No, triacylglycerol synthesis takes place in the mitochondria and it is unlikely that there
is a transporter for the supplement in the inner membrane.
You are prone to sunburn, but you doctor tells you not to apply your sunscreen until you have
been outside for five minutes. Why?
Sunscreen blocks UV radiation necessary for cholesterol synthesis in the skin where it is
converted to vitamin D.
Sunlight is necessary for the conversion of cholesterol to vitamin D, a hormone
necessary for bone health.
Skin pigmentation, as occurs when you get a light tan, blocks UV radiation and reduces
the incidence of skin cancers.
Vitamin D in the skin blocks UV radiation, but only for a short period of time; thus, it is
a natural sun block.
Sunlight promotes HDL mobilization and a clearing of cholesterol in the blood.
Ans: E Section: 29.4