Fats and lipids

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Fats and lipids

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Amino acid metabolism
Nitrogen and urea cycle
Hartnup disease
Ornithine transcarbamylase deficiency
Maple syrup urine disease
Homocystinuria
Phenylketonuria (NORD)
Abetalipoproteinemia
Hypertriglyceridemia
Hyperlipidemia
Vitamin B12 deficiency
Nucleotide metabolism
Cholesterol metabolism
Disorders of amino acid metabolism: Pathology review
Purine and pyrimidine synthesis and metabolism disorders: Pathology review
Adenosine deaminase deficiency
Severe combined immunodeficiency
Gout
Diabetes mellitus: Pathology review
Physiological changes during exercise
Endocrine system anatomy and physiology
Glucagon
Insulin
Fats and lipids
Lipid-lowering medications: Fibrates
Lipid-lowering medications: Statins
Free radicals and cellular injury
Ischemia
Hypoxia
Atrophy, aplasia, and hypoplasia
Hyperplasia and hypertrophy
Metaplasia and dysplasia
Oncogenes and tumor suppressor genes
Anorexia nervosa
Bulimia nervosa
Eating disorders: Pathology review
Vitamin K deficiency
Vitamin D deficiency
Excess Vitamin A
Excess Vitamin D
Folate (Vitamin B9) deficiency
Niacin (Vitamin B3) deficiency
Vitamin C deficiency
Wernicke-Korsakoff syndrome
Beriberi
Iodine deficiency
Zinc deficiency
Marasmus
Kwashiorkor
Fat-soluble vitamin deficiency and toxicity: Pathology review
Zinc deficiency and protein-energy malnutrition: Pathology review
Water-soluble vitamin deficiency and toxicity: B1-B7: Pathology review
Familial adenomatous polyposis
Azoles
Echinocandins
Miscellaneous antifungal medications
Miscellaneous cell wall synthesis inhibitors
Cell wall synthesis inhibitors: Cephalosporins
Protein synthesis inhibitors: Aminoglycosides
Mycobacterium tuberculosis (Tuberculosis)
Tuberculosis: Pathology review
Anatomy of the leg
Dementia with Lewy bodies
Bones of the cranium
Anatomy of the cranial base
Anatomy of the orbit
Anatomy of the eye
Anatomy of the nose and paranasal sinuses
Anatomy of the oral cavity
Anatomy of the temporomandibular joint and muscles of mastication
Muscles of the face and scalp
Anatomy of the salivary glands
Nerves and vessels of the face and scalp
Anatomy of the tongue
Anatomy of the pterygopalatine (sphenopalatine) fossa
Anatomy of the inner ear
Anatomy of the infratemporal fossa
Anatomy of the external and middle ear
Anatomy clinical correlates: Skull, face and scalp
Anatomy clinical correlates: Ear
Anatomy clinical correlates: Eye
Anatomy clinical correlates: Temporal regions, oral cavity and nose
Gallbladder histology
Esophagus histology
Stomach histology
Small intestine histology
Colon histology
Liver histology
Pancreas histology
Laxatives and cathartics
Antidiarrheals
Acid reducing medications
Esophageal disorders: Pathology review
GERD, peptic ulcers, gastritis, and stomach cancer: Pathology review
Inflammatory bowel disease: Pathology review
Malabsorption syndromes: Pathology review
Diverticular disease: Pathology review
Appendicitis: Pathology review
Gastrointestinal bleeding: Pathology review
Colorectal polyps and cancer: Pathology review
Pancreatitis: Pathology review
Gallbladder disorders: Pathology review
Jaundice: Pathology review
Viral hepatitis: Pathology review
Cirrhosis: Pathology review
Hepatitis A and Hepatitis E virus
Hepatitis D virus
Hepatitis C virus
Adrenocorticotropic hormone
Growth hormone and somatostatin
Oxytocin and prolactin
Antidiuretic hormone
Thyroid hormones
Synthesis of adrenocortical hormones
Cortisol
Cyanotic congenital heart defects: Pathology review

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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.