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Nursing - 8


Metabolism of dietary
       lipids
Definition of lipids
• Lipids may be defined as compounds
  which are relatively insoluble in water,
  but freely soluble in nonpolar organic
  solvents like benzene, chloroform,
  ether, hot alcohol, acetone, etc.
Function of lipids
1. Storage form of energy (triglycerides).
2. Structural components of bio-membranes
   (phospholipids and cholesterol).
3. Metabolic regulators (steroid hormones and
   prostaglandins).
4. Help in absorption of fat soluble vitamins (A, D, E
   and K).
5. Improve taste and palatability to food.
Classification of lipids
Based on the chemical nature, lipids are
 classified into:
I. Simple lipids
They are esters of fatty acids with glycerol or
   other higher alcohols. They are sub-classified
   as:
a. Triacylglycerol or triglycerides or neutral fat.
b. Waxes.
II. Compound lipids
• They are fatty acids esterified with
  alcohol; but in addition they contain
  other groups.
• Depending on these extra groups, they
  are sub-classified as:
a. Phospholipids containing phosphoric
   acid.
b. Nonphosphorylated lipids.
III. Derived lipids:
• They are compounds which are derived from
  lipids or precursors of lipids.
• E.g. fatty acids, steroids, prostaglandins, …etc.


IV. Lipids complexes to other
  compounds:
Proteolipids and lipoproteins.
Fatty acids

• Fatty acids, are included in the group of derived
  lipids.
• It is the most common component of lipids in the
  body.
• Fatty acids are aliphatic carboxylic acids and have
  the general structural formula, R-COOH, where
  COOH (carboxylic group) represents the functional
  group.
• Depending on the R group (the hydrocarbon chain),
  the fatty acids may vary.
• Each animal species will have characteristic pattern
  of fatty acid composition. Thus, human body fat
  contains 50% oleic acid, 25% palmitic acid, 10%
  linoleic and 5% stearic acid.
• The carbon atoms of fatty acids are numbered as
  C1, C2 etc. starting from the COOH group. Or,
  starting from the methyl end, the carbon atoms
  may be numbered as omega (ῳ)-1,2,3, etc.
• 6       5     4      3     2     1
  CH3 – CH2 – CH2 – CH2 – CH2 – COOH
   ῳ1       ῳ2 ῳ3        ῳ4 ῳ5
Classification of fatty acids
1. Depending on Total No. of carbon
   atoms:
a. Even chain, having carbon atoms 2,4,6 and similar
   series. Most of the naturally occurring lipids
   contain even chain fatty acids.
b. Odd chain, having carbon atoms 3,5,7, etc. Odd
   numbered fatty acids are seen in microbial cell
   walls. They are also present in milk.
2. Depending on Length of
  hydrocarbon chain:
a. Short chain with 2 to 6 carbon atoms
e.g. Acetic acid (2 C)       CH3-COOH
     Butyric acid (4 C)   CH3-CH2-CH2-COOH

b. Medium chain with 8 to 14 carbon atoms.

c. Long chain with 16 and above, usually up to 24
    carbon atoms.
e.g. Palmitic acid (16 C)     CH3-(CH2)14- COOH

     Stearic acid (18 C)      CH3-(CH2)16- COOH
Depending on Nature of hydrocarbon chain:
           1. Saturated fatty acids
• They have the general structural formula
 CH3-(CH2)n-COOH. contain single bond.
• They are named by adding the suffix ‘anoic’
  after the hydrocarbon.
• The two carbon acetic and 4 carbon butyric
  acid are important metabolic intermediates.
• C16 palmitic and C18 stearic acids are most
  abundant in body fat.
2. Unsaturated fatty acids

• They are named by adding the suffix ‘enoic’ after
  the systematic name.
• which may be sub- classified into Mono-
  unsaturated (mono-enoic) having single
  double bond or polyunsaturated (poly-enoic)
  with 2 or more double bonds.
Clinical significance of PUFA
• Linoleic and linolenic acids are polyunsaturated
  fatty acids. Linoleic acid has 2 double bonds;
  Linolenic acid has 3 double bonds and Arachidonic
  acid has 4 double bonds.
• Unsaturated fatty acids are also designated ῳ3
  (omega 3) family (Linolenic acid); ῳ6 family
  (Linoleic and Arachidonic acids) and ῳ9 family
  (Oleic acid).
• Arachidonic acid is the precursor of
  prostaglandins.
• The pentaenoic acid present in fish oil is of great
  nutritional importance (ῳ3 unsaturated fatty
  acid).
BILOGICAL CLASSIFICATION
1- Essential fatty acids
• Poly unsaturated fatty acids with more than double
  bond and not synthesize by mammals.
• Linoleic (ὠ6, 18C, two double bonds) and Linolenic
  acid (ὠ3, 18C, three double bonds) are the only
  fatty acids which cannot be synthesized in the body.
• They have to be provided in the food; hence they
  are essential fatty acids.
• Arachidonic acid can be formed, if the dietary
  supply of linoleic acid is sufficient.
N.B. Eicosanoids are 20C compounds derived from
  arachidonic acid.
• Normal dietary allowance of PUFA is 2-3% of total
  calories.


2- Non-essential fatty acids
Saturated fatty acids or fatty acids contain one double
  bond and synthesize by mammals.
e.g. Stearic and Oleic acid.
Neutral fats or Triacylglycerols (TAG)
               or Triglycerides
• These are esters glycerol with fatty acids.
1. Nomenclature of Carbon Atoms:
•   The carbon atoms of glycerol are designated as α, β
    and ἀ or as 1, 2, 3
α (1)             CH2-O-CO-R
                   I
Β (2)    R-CO-O-C-H
                   I
ἀ (3)              CH2-O-CO-R
2. Storage of energy as fat:
• The triglycerides are the storage form
  of lipids in the adipose tissue.
• When stored as TAG, water molecules
  are repelled and space requirement is
  minimal.
• Excess fat in the body leads to obesity.
6. Rancidity of fat:
• Fats and oils have a tendency to become
  rancid.
• The term rancidity refers to the appearance of
  an unpleasant smell and taste for fats and oils.
• PUFA are more easily oxidized; so vegetable
  oils with a high content of PUFA are usually
  preserved with addition of antioxidants.
• Fats and oils are preferred cooking media.
  However, overheating and repeated
  heating would lead to the formation and
  polymerization of cyclic hydrocarbons.
• These will impart an unpleasant taste and
  color to the oil.
• Coconut oil having medium chain saturated
  fatty acids will withstand such
  polymerization.
Prostaglandins (PGs)
• PGs are present in almost all tissues.
• They are the most potent biologically active
  substances; as low as one nanogram/ml of
  PG will cause smooth muscle contraction.
• The diverse physiological roles of
  prostaglandins confer on them the status of
  local hormones.
• depending on number of double bonds on the
  side chains they are denoted by a subscript after
  the capital letter, e.g. PGE1, PGE2, PGE3, etc
• In most tissues, PGE increases cAMP (cyclic AMP)
  level.
Effects of PGs on CVS: (cardiovascular system)
• Prostacyclin or PG12 is synthesized by the vascular
  endothelium. Major effect is vasodilatation.
• It also inhibits platelet aggregation and has a protective
  effect on vessel wall against deposition of platelets.
• Thromboxane (TXA2) is the main PG produced by
  platelets.
• The major effects are vasoconstriction and platelet
  aggregation.
• Prostacyclin and thromboxane are opposing in activity.
• Prostaglandins increase the contractility and lowers the
  blood pressure.
• Hence, it may be used in the treatment of hypertension.
Effects on ovary and uterus:
• PGF2 stimulates the uterine muscles.
• Hence, PGF2 may be used for medical
  termination of pregnancy.
• Yet another use is in inducing labor and
  arresting postpartum hemorrhage.
• Effects on respiratory tract
• PGE is a potent bronchodilator.
• PGE is used in aerosols for treating
  bronchospasm.
Phospholipids
• They contain glycerol, fatty acids and a
  nitrogenous base.
• They have both hydrophobic and hydrophilic
  portion in their molecule
Biomembranes:
• The molecules align themselves to form
  monolayers with the polar heads pointing in
  one direction and the nonpolar tails in the
  opposite direction.
• In vivo, they act as pulmonary surfactants.
Liposomes:
• Liposomes are microscopic spherical vesicles.
• When mixed in water under special conditions, the
  phospholipids arrange themselves to form a bilayer
  membrane which encloses some of the water in a
  phospholipid sphere.
• Drugs, proteins, enzymes, etc. may be encapsulated
  by the liposomes which act as carriers for these
  substances to target organs.
• Liposomes have important applications in cancer
  chemotherapy, antimicrobial therapy, gene therapy,
  vaccines and diagnostic imaging.
• DIGESTION OF LIPIDS
•    The major dietary lipids are triacylglycerol,
    cholesterol and phospholipids.
•   Digestion in Stomach
•   i. The lingual lipase from the mouth enters stomach
    along with the food. It has an optimum pH of 2.5-5.
    The enzyme therefore continues to be active in the
    stomach. It acts on short chain triglycerides (SCT).
    SCTs are present in milk butter, ghee and coconut oil.
    The action of lingual lipase is observed to be more
    significant in the newborn infants.
•   ii. Gastric lipase is acid stable, with an optimum pH
    about 5.4. It is secreted by Chief cells, the secretion is
    stimulated by Gastrin.
• Digestion in Intestines
• Emulsification is a pre-requisite for digestion of lipids.
  The lipids are dispersed into smaller droplets; surface
  tension is reduced; and surface area of droplets is
  increased.
• Bile Salts are Important for Digestion of Lipids
• The bile salts present in the bile (sodium glycocholate
  and sodium taurocholate) lower surface tension. They
  emulsify the fat droplets in the intestine. The
  emulsification increase the surface area of the particles
  for enhanced activity of enzymes.
• Lipolytic Enzymes in Intestines
• Pancreatic lipase with Co-lipase will further
  hydrolyze the neutral fats. The bile (pH 7.7) entering
  the duodenum serves to neutralize the acid come from
  the stomach and provides a pH favorable for the action
  of pancreatic enzymes.
• Digestion of Triglycerides
• i. Pancreatic Lipase can hydrolyze the fatty acids at
  the 1st and 3rd carbon atoms of glycerol. The
  products are 2-mono acylglycerol (2-MAG) and two
  fatty acid molecules.
• ii. Then an isomerase shifts the ester bond from
  position 2 to 1. The bond in the 1st position is then
  hydrolyzed by the lipase to form free glycerol and
  fatty acid.
• iii. The major end products of the digestion of TAG
  are 2-MAG, 1-MAG, glycerol and fatty acids.
  Thus, digestion of TAG is partial (incomplete).
• Absorption of lipids by cells in the small intestine.
Chylomicron:
• A small fat globule composed of protein and
  lipid.
• The chylomicrons are synthesized in the mucosa
  (the lining) of the intestine.
• Chylomicrons are found in the blood and
  lymphatic fluid where they serve to transport fat
  from its port of entry in the intestine to the liver
  and to adipose (fat) tissue.
• After a fatty meal, the blood is so full of
  chylomicrons that it looks milky.
• Fate of absorbed Fat
• i. The absorbed (exogenous) triglycerides are
  transported in blood as chylomicrons. They are
  taken up by adipose tissue and liver.
• ii. Liver synthesizes endogenous triglycerides.
  These are transported as VLDL (very low density
  lipoproteins) and are deposited in adipose tissue.
• iii. Triglycerides In adipose tissue are lysed to
  produce free fatty acids. In the blood, they are
  transported, complexed with albumin.
• iv. Free fatty acids are taken up by the cells, and
  are then oxidized by β-oxidation to get energy.

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Lec 8 level 3-nu(chemistry of lipids)

  • 1. Nursing - 8 Metabolism of dietary lipids
  • 2. Definition of lipids • Lipids may be defined as compounds which are relatively insoluble in water, but freely soluble in nonpolar organic solvents like benzene, chloroform, ether, hot alcohol, acetone, etc.
  • 3. Function of lipids 1. Storage form of energy (triglycerides). 2. Structural components of bio-membranes (phospholipids and cholesterol). 3. Metabolic regulators (steroid hormones and prostaglandins). 4. Help in absorption of fat soluble vitamins (A, D, E and K). 5. Improve taste and palatability to food.
  • 4. Classification of lipids Based on the chemical nature, lipids are classified into: I. Simple lipids They are esters of fatty acids with glycerol or other higher alcohols. They are sub-classified as: a. Triacylglycerol or triglycerides or neutral fat. b. Waxes.
  • 5. II. Compound lipids • They are fatty acids esterified with alcohol; but in addition they contain other groups. • Depending on these extra groups, they are sub-classified as: a. Phospholipids containing phosphoric acid. b. Nonphosphorylated lipids.
  • 6. III. Derived lipids: • They are compounds which are derived from lipids or precursors of lipids. • E.g. fatty acids, steroids, prostaglandins, …etc. IV. Lipids complexes to other compounds: Proteolipids and lipoproteins.
  • 7. Fatty acids • Fatty acids, are included in the group of derived lipids. • It is the most common component of lipids in the body. • Fatty acids are aliphatic carboxylic acids and have the general structural formula, R-COOH, where COOH (carboxylic group) represents the functional group. • Depending on the R group (the hydrocarbon chain), the fatty acids may vary.
  • 8. • Each animal species will have characteristic pattern of fatty acid composition. Thus, human body fat contains 50% oleic acid, 25% palmitic acid, 10% linoleic and 5% stearic acid. • The carbon atoms of fatty acids are numbered as C1, C2 etc. starting from the COOH group. Or, starting from the methyl end, the carbon atoms may be numbered as omega (ῳ)-1,2,3, etc. • 6 5 4 3 2 1 CH3 – CH2 – CH2 – CH2 – CH2 – COOH ῳ1 ῳ2 ῳ3 ῳ4 ῳ5
  • 9. Classification of fatty acids 1. Depending on Total No. of carbon atoms: a. Even chain, having carbon atoms 2,4,6 and similar series. Most of the naturally occurring lipids contain even chain fatty acids. b. Odd chain, having carbon atoms 3,5,7, etc. Odd numbered fatty acids are seen in microbial cell walls. They are also present in milk.
  • 10. 2. Depending on Length of hydrocarbon chain: a. Short chain with 2 to 6 carbon atoms e.g. Acetic acid (2 C) CH3-COOH Butyric acid (4 C) CH3-CH2-CH2-COOH b. Medium chain with 8 to 14 carbon atoms. c. Long chain with 16 and above, usually up to 24 carbon atoms. e.g. Palmitic acid (16 C) CH3-(CH2)14- COOH Stearic acid (18 C) CH3-(CH2)16- COOH
  • 11. Depending on Nature of hydrocarbon chain: 1. Saturated fatty acids • They have the general structural formula CH3-(CH2)n-COOH. contain single bond. • They are named by adding the suffix ‘anoic’ after the hydrocarbon. • The two carbon acetic and 4 carbon butyric acid are important metabolic intermediates. • C16 palmitic and C18 stearic acids are most abundant in body fat.
  • 12. 2. Unsaturated fatty acids • They are named by adding the suffix ‘enoic’ after the systematic name. • which may be sub- classified into Mono- unsaturated (mono-enoic) having single double bond or polyunsaturated (poly-enoic) with 2 or more double bonds.
  • 13. Clinical significance of PUFA • Linoleic and linolenic acids are polyunsaturated fatty acids. Linoleic acid has 2 double bonds; Linolenic acid has 3 double bonds and Arachidonic acid has 4 double bonds. • Unsaturated fatty acids are also designated ῳ3 (omega 3) family (Linolenic acid); ῳ6 family (Linoleic and Arachidonic acids) and ῳ9 family (Oleic acid). • Arachidonic acid is the precursor of prostaglandins. • The pentaenoic acid present in fish oil is of great nutritional importance (ῳ3 unsaturated fatty acid).
  • 14. BILOGICAL CLASSIFICATION 1- Essential fatty acids • Poly unsaturated fatty acids with more than double bond and not synthesize by mammals. • Linoleic (ὠ6, 18C, two double bonds) and Linolenic acid (ὠ3, 18C, three double bonds) are the only fatty acids which cannot be synthesized in the body. • They have to be provided in the food; hence they are essential fatty acids. • Arachidonic acid can be formed, if the dietary supply of linoleic acid is sufficient.
  • 15. N.B. Eicosanoids are 20C compounds derived from arachidonic acid. • Normal dietary allowance of PUFA is 2-3% of total calories. 2- Non-essential fatty acids Saturated fatty acids or fatty acids contain one double bond and synthesize by mammals. e.g. Stearic and Oleic acid.
  • 16. Neutral fats or Triacylglycerols (TAG) or Triglycerides • These are esters glycerol with fatty acids. 1. Nomenclature of Carbon Atoms: • The carbon atoms of glycerol are designated as α, β and ἀ or as 1, 2, 3 α (1) CH2-O-CO-R I Β (2) R-CO-O-C-H I ἀ (3) CH2-O-CO-R
  • 17. 2. Storage of energy as fat: • The triglycerides are the storage form of lipids in the adipose tissue. • When stored as TAG, water molecules are repelled and space requirement is minimal. • Excess fat in the body leads to obesity.
  • 18. 6. Rancidity of fat: • Fats and oils have a tendency to become rancid. • The term rancidity refers to the appearance of an unpleasant smell and taste for fats and oils. • PUFA are more easily oxidized; so vegetable oils with a high content of PUFA are usually preserved with addition of antioxidants.
  • 19. • Fats and oils are preferred cooking media. However, overheating and repeated heating would lead to the formation and polymerization of cyclic hydrocarbons. • These will impart an unpleasant taste and color to the oil. • Coconut oil having medium chain saturated fatty acids will withstand such polymerization.
  • 20. Prostaglandins (PGs) • PGs are present in almost all tissues. • They are the most potent biologically active substances; as low as one nanogram/ml of PG will cause smooth muscle contraction. • The diverse physiological roles of prostaglandins confer on them the status of local hormones. • depending on number of double bonds on the side chains they are denoted by a subscript after the capital letter, e.g. PGE1, PGE2, PGE3, etc • In most tissues, PGE increases cAMP (cyclic AMP) level.
  • 21. Effects of PGs on CVS: (cardiovascular system) • Prostacyclin or PG12 is synthesized by the vascular endothelium. Major effect is vasodilatation. • It also inhibits platelet aggregation and has a protective effect on vessel wall against deposition of platelets. • Thromboxane (TXA2) is the main PG produced by platelets. • The major effects are vasoconstriction and platelet aggregation. • Prostacyclin and thromboxane are opposing in activity. • Prostaglandins increase the contractility and lowers the blood pressure. • Hence, it may be used in the treatment of hypertension.
  • 22. Effects on ovary and uterus: • PGF2 stimulates the uterine muscles. • Hence, PGF2 may be used for medical termination of pregnancy. • Yet another use is in inducing labor and arresting postpartum hemorrhage. • Effects on respiratory tract • PGE is a potent bronchodilator. • PGE is used in aerosols for treating bronchospasm.
  • 23. Phospholipids • They contain glycerol, fatty acids and a nitrogenous base. • They have both hydrophobic and hydrophilic portion in their molecule Biomembranes: • The molecules align themselves to form monolayers with the polar heads pointing in one direction and the nonpolar tails in the opposite direction. • In vivo, they act as pulmonary surfactants.
  • 24. Liposomes: • Liposomes are microscopic spherical vesicles. • When mixed in water under special conditions, the phospholipids arrange themselves to form a bilayer membrane which encloses some of the water in a phospholipid sphere. • Drugs, proteins, enzymes, etc. may be encapsulated by the liposomes which act as carriers for these substances to target organs. • Liposomes have important applications in cancer chemotherapy, antimicrobial therapy, gene therapy, vaccines and diagnostic imaging.
  • 25. • DIGESTION OF LIPIDS • The major dietary lipids are triacylglycerol, cholesterol and phospholipids. • Digestion in Stomach • i. The lingual lipase from the mouth enters stomach along with the food. It has an optimum pH of 2.5-5. The enzyme therefore continues to be active in the stomach. It acts on short chain triglycerides (SCT). SCTs are present in milk butter, ghee and coconut oil. The action of lingual lipase is observed to be more significant in the newborn infants. • ii. Gastric lipase is acid stable, with an optimum pH about 5.4. It is secreted by Chief cells, the secretion is stimulated by Gastrin.
  • 26. • Digestion in Intestines • Emulsification is a pre-requisite for digestion of lipids. The lipids are dispersed into smaller droplets; surface tension is reduced; and surface area of droplets is increased. • Bile Salts are Important for Digestion of Lipids • The bile salts present in the bile (sodium glycocholate and sodium taurocholate) lower surface tension. They emulsify the fat droplets in the intestine. The emulsification increase the surface area of the particles for enhanced activity of enzymes. • Lipolytic Enzymes in Intestines • Pancreatic lipase with Co-lipase will further hydrolyze the neutral fats. The bile (pH 7.7) entering the duodenum serves to neutralize the acid come from the stomach and provides a pH favorable for the action of pancreatic enzymes.
  • 27. • Digestion of Triglycerides • i. Pancreatic Lipase can hydrolyze the fatty acids at the 1st and 3rd carbon atoms of glycerol. The products are 2-mono acylglycerol (2-MAG) and two fatty acid molecules. • ii. Then an isomerase shifts the ester bond from position 2 to 1. The bond in the 1st position is then hydrolyzed by the lipase to form free glycerol and fatty acid. • iii. The major end products of the digestion of TAG are 2-MAG, 1-MAG, glycerol and fatty acids. Thus, digestion of TAG is partial (incomplete).
  • 28.
  • 29. • Absorption of lipids by cells in the small intestine.
  • 30. Chylomicron: • A small fat globule composed of protein and lipid. • The chylomicrons are synthesized in the mucosa (the lining) of the intestine. • Chylomicrons are found in the blood and lymphatic fluid where they serve to transport fat from its port of entry in the intestine to the liver and to adipose (fat) tissue. • After a fatty meal, the blood is so full of chylomicrons that it looks milky.
  • 31. • Fate of absorbed Fat • i. The absorbed (exogenous) triglycerides are transported in blood as chylomicrons. They are taken up by adipose tissue and liver. • ii. Liver synthesizes endogenous triglycerides. These are transported as VLDL (very low density lipoproteins) and are deposited in adipose tissue. • iii. Triglycerides In adipose tissue are lysed to produce free fatty acids. In the blood, they are transported, complexed with albumin. • iv. Free fatty acids are taken up by the cells, and are then oxidized by β-oxidation to get energy.