Fats and lipids

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Fats and lipids

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Gluconeogenesis
Glycogen metabolism
Amino acid metabolism
Fatty acid synthesis
Fatty acid oxidation
Ketone body metabolism
Cholesterol metabolism
Carbohydrates and sugars
Fats and lipids
Proteins
Cellular structure and function
Cell membrane
Selective permeability of the cell membrane
Extracellular matrix
Cell-cell junctions
Endocytosis and exocytosis
Osmosis
Resting membrane potential
Nernst equation
Cell signaling pathways
Cytoskeleton and intracellular motility
Nuclear structure
DNA structure
Transcription of DNA
Translation of mRNA
Amino acids and protein folding
Protein structure and synthesis
Nucleotide metabolism
DNA replication
Lac operon
DNA damage and repair
Cell cycle
Mitosis and meiosis
DNA mutations
Polymerase chain reaction (PCR) and reverse-transcriptase PCR (RT-PCR)
Gel electrophoresis and genetic testing
ELISA (Enzyme-linked immunosorbent assay)
Karyotyping
DNA cloning
Fluorescence in situ hybridization
Mendelian genetics and punnett squares
Hardy-Weinberg equilibrium
Inheritance patterns
Independent assortment of genes and linkage
Gene regulation
Epigenetics
Evolution and natural selection
Bacterial structure and functions
Free radicals and cellular injury
Necrosis and apoptosis
Ischemia
Hypoxia
Inflammation
Atrophy, aplasia, and hypoplasia
Hyperplasia and hypertrophy
Metaplasia and dysplasia
Oncogenes and tumor suppressor genes
Anticoagulants: Heparin
Anticoagulants: Warfarin
Anticoagulants: Direct factor inhibitors
Antiplatelet medications
Thrombolytics
Blood histology
Blood components
Blood groups and transfusions
Platelet plug formation (primary hemostasis)
Coagulation (secondary hemostasis)
Role of Vitamin K in coagulation
Clot retraction and fibrinolysis
Iron deficiency anemia
Beta-thalassemia
Alpha-thalassemia
Sideroblastic anemia
Anemia of chronic disease
Lead poisoning
Hemolytic disease of the newborn
Glucose-6-phosphate dehydrogenase (G6PD) deficiency
Autoimmune hemolytic anemia
Pyruvate kinase deficiency
Paroxysmal nocturnal hemoglobinuria
Sickle cell disease (NORD)
Hereditary spherocytosis
Aplastic anemia
Fanconi anemia
Megaloblastic anemia
Diamond-Blackfan anemia
Chronic leukemia
Acute leukemia
Microcytic anemia: Pathology review
Non-hemolytic normocytic anemia: Pathology review
Intrinsic hemolytic normocytic anemia: Pathology review
Extrinsic hemolytic normocytic anemia: Pathology review
Macrocytic anemia: Pathology review
Heme synthesis disorders: Pathology review
Coagulation disorders: Pathology review
Platelet disorders: Pathology review
Mixed platelet and coagulation disorders: Pathology review
Thrombosis syndromes (hypercoagulability): Pathology review
Lymphomas: Pathology review
Leukemias: Pathology review
Plasma cell disorders: Pathology review
Myeloproliferative disorders: Pathology review
Thymus histology
Spleen histology
Lymph node histology
Introduction to the immune system
Cytokines
Innate immune system
Complement system
T-cell development
B-cell development
MHC class I and MHC class II molecules
T-cell activation
B-cell activation, differentiation, and contraction
Cell-mediated immunity of CD4 cells
Cell-mediated immunity of natural killer and CD8 cells
Antibody classes
Somatic hypermutation and affinity maturation
VDJ rearrangement
Contracting the immune response and peripheral tolerance
B- and T-cell memory
Anergy, exhaustion, and clonal deletion
Vaccinations
Type I hypersensitivity
Type II hypersensitivity
Type III hypersensitivity
Type IV hypersensitivity

Flashcards

Fats and lipids

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Questions

USMLE® Step 1 style questions USMLE

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A study is done on the processes of fat digestion and absorption in order to develop novel pharmacologics that can help prevent diseases associated with increased levels of fat and lipids in the blood. Which of the following is true regarding the digestion and absorption of fats and lipids?  

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Fats are an essential part of a healthy diet. They contribute to the taste and texture of foods, like the smoothness of guacamole and the flakiness of a croissant. Fats are also a major source of energy and a critical component of cells and tissues, and they also help absorb essential vitamins, and can be converted into other molecules like prostaglandins which help cells communicate with each other.

Fats have a three-carbon backbone called glycerol, as well as fatty acid chains. The fatty acid chain is basically a string of carbon and hydrogen atoms. When an “OH” group from the glycerol molecule binds to a Hydrogen from the fatty acid, an “H20” or a water molecule - gets released, and the two molecules link up.

If this happens once, the result is a monoglyceride. If it happens twice, it’s a diglyceride, and three times makes a triglyceride.

Now, there are various types of fatty acid chains, and one way to categorize them is by their length, in other words, how many carbons they have. Short chain fatty acids have 2 to 5 carbons, medium chain fatty acids have 6 to 12 carbons, and long chain fatty acids have 13 or more carbons.

Fatty acid chains are also categorized by the bonds connecting the carbons in the chain. A single bond is just one bond between the carbon atoms, and when a fatty acid chain has only single bonds, it’s called a saturated fatty acid - because it has as many hydrogen atoms as possible or it’s saturated with them.

Triglycerides with saturated fatty acids are nice and straight so they pack together really well, and as a result they’re usually solid at room temperature. And the longer the saturated fatty acid chain, the more likely it will be solid at room temperature.

Carbons can also have double bonds between them though, and when a fatty acid has one or more double bonds, it’s called an unsaturated fatty acid because it’s not saturated with hydrogen atoms - for every double bond there are two fewer hydrogen atoms. Also, a double bond causes a kink in the molecule so the unsaturated fats don’t pack together as nicely as saturated fats. As a result, unsaturated fats are usually liquid at room temperature.

Unsaturated fatty acids can be further classified, according to the number of their double bonds. Monounsaturated Fatty acids are unsaturated fatty acids with just one double bond. Polyunsaturated fatty acids have two or more double bonds.

Also, they can be classified according to their location as well, since all these hydrogens can get kinda crazy-looking, we’ll just take them away for now. So, another name for the methyl end is the omega end, and then we can count the number of carbons until the first double bond. Since this one’s three, it would be an omega-3 fatty acid. If the double bond is 6 carbons from the end, it’s omega-6, and if it’s 9 carbons from the end, it’s called omega-9.

Now, to make things even easier when looking at these molecules, I’m just going to show the bonds. Alright, so omega 3’s are usually polyunsaturated fatty acids, and include alpha-linolenic acid, or ALA, eicosapentaenoic acid, or EPA, and docosahexaenoic acid, or DHA.

EPA and DHA are marine sources of omega-3’s. They’re produced by microalgae, and end up in the tissues of fish like anchovies, mackerel, salmon, and sardines. ALA is found in plants like flaxseed, walnuts, and canola and soybean oils. Our bodies can convert ALA into EPA and DHA, but it’s an inefficient process that yields only small quantities, and that’s why dietary recommendations include foods that have EPA and DHA.

Omega-6 fatty acids are also usually polyunsaturated, and include linoleic acid and arachidonic acid. Linoleic acid is found in oils like safflower, corn, and soybean oils. Arachidonic acid is found in animal sources like fish, meat, and eggs. Our bodies can convert linoleic acid into arachidonic acid, but once again the process is inefficient. Because ALA and linoleic acid can only be obtained in the diet, they are considered essential fatty acids.

Omega-9 fatty acids are typically monounsaturated fatty acids, and an example would be Oleic acid, and these can be made by the human body. Foods like canola and olive oil, as well as almonds contain omega-9s.

Now, looking at the double bond of this unsaturated fatty acid, like most unsaturated fats, it’s got a cis configuration. In a cis configuration, the two functional groups are on the same side of the double-bonded carbons. Now when this happens, the fatty acid chain naturally bends. A molecule that bends does not pack tightly together, so it’s a lot more fluid - think about cooking oils, which are liquid at room temperature.