Tuesday, November 13, 2012

GATE Questions: Biochemistry

 1. Which of the following inhibitor uncouples electron transport and oxidative phosphorylation?
(a) Azide
(b) Dinitrophenol (DNP)
(c)Oligomycin
(d) Rotenone
Ans: Dinitrophenol (DNP)
  • Azide  (N3-), cyanide (CN-) and CO all inhibit cytochrome oxidase
  • DNP is an un coupling agent as they stop ATP synthesis without disrupting electron transport.  Here the energy derived from electron transport is released as heat.
  • Rotenone and amytal inhibits electron transport at NADH dehydrogenase 
  • Uncoupling protein thermogenin in brown adipose tissue for maintaining body temperature in cold thriving animals
  • Non shivering thermogenesis: The production of heat by uncoupling
2. Which of the following activate Protein kinace C
(a) Inositol 1,4,5-triphosphate
(b) Diacylglycerol
(c)Inositol
(d)Cyclic AMP
Ans: Inositol 1,4,5-triphosphate (IP3)
  • All options are intracellular signalling molecules called second messengers
3. Transcription initiation sites can be determined by
(a) Foot Printing
(b) Northern Blotting
(c) Primer extension
(d) Nick translation
Ans: Foot Printing
  • DNA foot printing: The identification of protein binding site on a DNA molecule Here RNA polymerase enzyme (a protein) binds to the transcription initiation site at the beginning of transcription.
  • Northern Blotting: identifying specific RNA sequence in a sample using a probe
  • Primer extension: by DNA polymerase
  • Nick translation: The repair of nick (ss breaks) using DNA pol I, generally to introduce labelled nucleotides into a DNA molecule
4. One common feature between B and T cells is that
(a) both cells produce antibodies
(b) both cells possess MHC class II
(c) both B cell receptor and T cell receptor undergo rearrangement
(d) both cells can produce cytokines
Ans:  both B cell receptor and T cell receptor undergo rearrangement
  • Only B cell can produce antibodies (specifically plasma cells)
  •  Only B cells possess MHC class II as it can also function as antigen presenting cells
  • Only T cell can produce cytokines that eventually activates B cells
5. In Hybridoma technology, the myeloma cells used
(a) lack HGPRTase
(b) lack the ability to produce Ig
(c) lack both HGPRTase and ability to produce Ig
(d) lack thymidine kinase
Ans: lack HGPRTase
  • Myeloma cells will die out in HAT selection medium as it lacks HGPRTase (enzyme in nucleotide synthesis) and B cells will undergo normal cell death and only hybrid cells survive in HAT medium (refer monoclonal antibody production)                                   
6. Which amino acid residue is most likely to be found in the interior of a water soluble globular protein?
a) Ser
b) Arg
c) Asp
d) Val
Ans: Valine: A hydrophobic amino acid preferring interior of the globular protein
  • Arginine and asparagine are hydrophilic and tend to be in the exterior, serine is also reactive due to the presence of OH group (polar).
7.  Of the peptide sequences given below, which one is the digestive enzyme trypsin most likely to cleave?
a) ----Val-Lys-Pro-Met----
b) ----Arg-Val-Phe-Tyr----
c) ----Glu-Gly-Trp-Gly----
d) ----Trp-Asp-Gln-Pro---- 

Ans: b) ----Arg-Val-Phe-Tyr----
  • Digestive enzyme Trypsin cleave on the C terminal side of basic amino acids (Arg, Lys) residues
  • Chymotrypsin cleave on the C terminal side of aromatic amino acids (Phe, Trp, Tyr) residues
  • Cyanogen bromide cleave C terminal side of Met residues
8. Which pair of amino acids will have the highest absorbance at 280 nm? (Assume equimolar concentarions)
a) Thr & His
b) Phe & Pro
c) Trp &Tyr
d) Phe & His
Ans: c) Trp &Tyr
  • Absorbance at 280nm is by aromatic amino acids. Here Tryptophan and tyrosine are the aromatic amino acids (Phe is the other aromatic amino acid)
  • Order of absorbance: Trp>Tyr>Phe
  • The aromatic rings of Trp and Tyr contain delocalised π electrons that strongly absorb UV light (280nm).
9. Vitamin D is derived from which of the following precursors by the action of UV-light?
a) 7-Dehyrocholestrol
b) Lanosterol
c) Glycocholate
d) Squalene epoxide
Ans: a) 7-Dehyrocholestrol
  • Vit-D (Cholecalciferol)
For more, refer our post: Vitamins

10. The molecular defect in familial hypercholesterolemia is due to the lack of functional
a) VLDL receptor
b) IDL receptor
c) LDL receptor
d) HDL receptor
Ans: c) LDL receptor
  • Familial hypercholesterolemia an inherited disorder 
  • Condition: elevated level of cholesterol in the blood as LDL cholesterol cannot be taken up by the tissues.
------------------------------------------ Best Wishes: Dr.Ehab Aboueladab, Tel:01007834123 Email:ehab10f@gmail.com,ehababoueladab@yahoo.com ------------------------------------------

Immunology Glossary Terms


Immunology
: (“immunis” Latin=’exempt’): Brach of biomedical science that deals with the study of all aspects of immune system in all organisms.

Immune system: refers to the collection of mechanisms involving cells, tissues and organs that protects organisms against disease by identifying and killing pathogens and tumour cells.
Immunity:  to the state or quality of being resistant (immune) from infectious disease, either by virtue of previous exposure (adaptive immunity) or as an inherent trait (innate immunity).

Immunization: the process of producing a state of immunity in a subject..

Immunogen: A substance capable of eliciting an immune response. All immunogens are antigens, but some antigens are not immunogens (e.g., haptens).

Immunogenicity: The capacity of a substance to induce an immune response under a given set of conditions.

Innateimmunity/inborn/genetic/heritable: Nonspecific host defences that exist prior to exposure to an antigen and involve anatomic, physiologic, endocytic and phagocytic and inflammatory mechanisms.

Adaptive immunity/acquired/specific: Host defences that are mediated by B and T cells following exposure to antigen and that exhibit specificity, diversity, memory and self/non-self-recognition.------------------------------------------ Best Wishes: Dr.Ehab Aboueladab, Tel:01007834123 Email:ehab10f@gmail.com,ehababoueladab@yahoo.com ------------------------------------------

جامعة دمياط - كلية التربية النوعية - أ.م.د. إيهاب فتحى جبر أبو العدب


جامعة دمياط - كلية التربية النوعية
الإسم:أ.م.د. إيهاب فتحى جبر أبو العدب
الجهة:جامعة دمياط - كلية التربية النوعية - الاقتصاد المنزلى
المؤهل:الدكتوراه - التخصص كيمياء (حيوية ) - عام 2006 - من كلية العلوم
ماجستير - التخصص كيمياء( كيمياء حيوية) - عام 1994 - من كلية العلوم
بكالوريوس - التخصص كيمياء - عام 1990 - بتقدير جيد - من كلية العلوم
الوظيفة:استاذ مساعد لقب علمي
البريد الإلكتروني:ehab10f@mans.edu.eg
الوظائف الإشرافية:عضو كنترول الفرقة الثالثة جميع الشعب الفصل الدراسى الثانى للعام الجامعى 2011/2012 من 10/5/2012 حتى الأن
عضو بكنترول الفرقة الأولى جميع الشعب وتخلفات الفرق الأخرى للفصل الدراسى الثانى للعام الجامعى 2010/2011 من 21/5/2011 حتى الأن
عضو مجلس قسم الاقتصاد المنزلى للعام الجامعى 2011/2012 من 18/3/2011 حتى 29/8/2011
عضو بكنترول الفرقة الأولى جميع الشعب الفصل الدراسى الأول للعام الجامعى 2010/2011 من 22/12/2010 حتى الأن
عضو لجنة المختبرات العلمية بالكلية للعام الجامعى 2010/2011 من 29/8/2010 حتى 31/7/2011
عضو لجنة المختبرات العلمية للعام الجامعى 2009/2010 من 23/8/2009 حتى الأن
عضو كنترول الفرقة الثالثة(قديم حديث) جميع الشعب2008/2009 من 6/12/2008 حتى 31/7/2009
عضو لجنة المختبرات العلمية للعام الجامعى 2008/2009 من 21/8/2008 حتى الأن
عضو كنترول التخلفات جميع الفرق2008/2009 من 6/8/2008 حتى 31/7/2009
عضو مجلس ادارة وحدة ضمان الجودةوالأعتماد بالكلية من 25/6/2008 حتى 22/6/2009
عضو بلجنة الطباعة والإعلام فى المؤتمر السنوى التاسع بكلية التربية النوعية بدمياط(تطوير كليات التربية النوعية فى ضوء معايير الجودة والاعتماد) من 29/4/2008 حتى 30/4/2008
عضو لجنة الخطة البحثية للكلية بلجنة الجودة والاعتماد للعام الجامعى 2007/2008 من 31/12/2007 حتى الأن
منسق برنامج الاقتصاد المنزلى بالكلية بالتعاون مع وحدة ضمان الجودة من 26/12/2007 حتى الأن
عضو بكنترول الفرقة الأولى جميع الشعب للعام الجامعى 2007/2008 من 5/12/2007 حتى الأن
عضو مجلس قسم الأقتصاد المنزلى من 24/10/2007 حتى 23/10/2008
السيرة الذاتية


------------------------------------------ Best Wishes: Dr.Ehab Aboueladab, Tel:01007834123 Email:ehab10f@gmail.com,ehababoueladab@yahoo.com ------------------------------------------

Monday, November 12, 2012

Amino acids structures





------------------------------------------ Best Wishes: Dr.Ehab Aboueladab, Tel:01007834123 Email:ehab10f@gmail.com,ehababoueladab@yahoo.com ------------------------------------------

الحرم المكي



------------------------------------------Best Wishes: Dr.Ehab Aboueladab, Tel:01007834123 Email:ehab10f@gmail.com,ehababoueladab@yahoo.com ------------------------------------------

تصميم مترو جديد في اليابان‎





------------------------------------------ Best Wishes: Dr.Ehab Aboueladab, Tel:01007834123 Email:ehab10f@gmail.com,ehababoueladab@yahoo.com ------------------------------------------

اليابان تطلق لاب توب يشحن بالماء




وكالات طوكيو / فكر مصممو ذلك الكمبيوتر في توفير الطاقة وكذلك استخدام الطاقة النظيفة لشحن الأجهزة في المستقبل، كتوفير للكهرباء فمع زيادة استخدام الأجهزة قد يعاني العالم من نقص في الكهرباء ! فما هو الحل ! الحل هو استخدام كوب واحد من المياه لشحن البطارية !! قد تندهش من الفكرة بالطبع ولكن ربما تقتنع بها وهو ما سوف يعمل عليه لإنتاج أول صيحة منه ليصبح حقيقة قريباً .

شرح مصممو ذلك الجهاز وهما اليابانيان هايرم كيم وسين جي بيك كيفية عمله إن النظام يستخدم خزان المياه الخارجية وهو يعتبر بطارية ذلك الجهاز، والجميع يعلم أن المياه عنصراها هما الهيدروجين والأكسجين ، وهما بالتحديد مولد الطاقة لذلك الجهاز، فما إن يتم وضع البطارية التي هي خزان الجهاز في كوب المياه يقوم ذلك الخزان بامتصاص المياه، وبعد وضعه وتركيبه في الجهاز يقوم بتوليد الطاقة من خلال صمام خاص بالجهاز عن طريق الأكسجين والهيدروجين و تفاعلهما داخل ذلك الصمام.

وفي الصور توضح لكم البطارية أو خزان المياه الذي يخزن المياه بداخله ويمكنك من خلال الشريط الأخضر المضئ فوقه التعرف ما إذا كان الخزان قد امتلئ أم لا .

قد يكون ذلك الجهاز مدهش لكم فقط لإنه يمكنه توليد طاقته من المياه فقط ، ولكن هذه ليست فقط مزاياه فنحن في البداية فقط، ما يميز ذلك الجهاز أيضاً هو سهولة حملة من مكان لآخر وذلك لانه يتم طيه بسهولة.

قد تسأل لماذا ذلك الجاهز في تم تصميمه باللون الأخضر فقط !! بالطبع بعد سرد الموضوع والشرح يمكنك بسهوله الإجابة على ذلك السؤال فكما تعتمد الطبيعة والبيئة علي المياه بعنصريه وأيضاً الأكسجين الذي هو أحد عناصر المياه، فتري ذلك الجهاز يعتمد أيضا عليهما ولذلك تم ربطه بالطبيعة والأهم إنه يساعد في الحفاظ على البيئة وأستخدام الطاقة النظيفة فقط.

















------------------------------------------ Best Wishes: Dr.Ehab Aboueladab, Tel:01007834123 Email:ehab10f@gmail.com,ehababoueladab@yahoo.com ------------------------------------------

Sunday, November 11, 2012

An Introduction to ELISA



  • Figure 1Overview
  • Basic ELISA Procedure
  • Antibodies and Antigens in ELISA
  • Four typical ELISA formats
  • ELISA Detection Options
  • ELISA Results
  • Sensitivity

Overview

The enzyme-linked immunosorbent assay (ELISA) is a common laboratory technique which is used to measure the concentration of an analyte (usually antibodies or antigens) in solution. The basic ELISA, or enzyme immunoassay (EIA), is distinguished from other antibody-based assays because separation of specific and non-specific interactions occurs via serial binding to a solid surface, usually a polystyrene multiwell plate, and because quantitative results can be achieved. The steps of the ELISA result in a colored end product which correlates to the amount of analyte present in the original sample.
ELISAs are quick and simple to carry out, and since they are designed to rapidly handle a large numbers of samples in parallel, they are a very popular choice for the evaluation of various research and diagnostic targets. Figure 1 shows a typical ELISA result.
ELISAs were first developed in the early 1970s as a replacement for radioimmunoassays. They remain in wide use in their original format and in expanded formats with modifications that allow for multiple analytes per well, highly sensitive readouts, and direct cell-based output.

Basic ELISA Procedure

ELISAs begin with a coating step, where the first layer - either an antigen or an antibody - is adsorbed to a polystyrene 96 well plate. (Adsorption is the passive attachment of a liquid to a solid surface creating a thin film.) Coating is followed by blocking and detection steps as shown in the simple schematic diagram below.
Since the assay uses surface binding for separation, several washes are repeated between each ELISA step to remove unbound materials. During this process it is essential that excess liquid is removed in order to prevent the dilution of the solutions added in the next stage. For greatest consistency specialized plate washers are used.
ELISAs can be quite complex, including various intervening steps and the ability to measure protein concentrations in heterogeneous samples such as blood. The most complex and varying step in the overall process is detection, where multiple layers of antibodies can be used to amplify signal.
Basic ELISA Schematic
Figure 2. ELISA overview flowchart and schematic.

Figure 3Antibodies and Antigens in ELISA

All ELISAs rely on the specific interaction between an epitope, a small linear or three dimensional sequence of amino acids found on an antigen, and a matching antibody binding site. The antibodies used in an ELISA can be either monoclonal (derived from unique antibody producing cells called hybridomas and capable of specific binding to a single unique epitope) or polyclonal (a pool of antibodies purified from animal sera that are capable of binding to multiple epitopes).
There are four basic ELISA formats, allowing for a certain amount of flexibility which can be adjusted based on the antibodies available, the results required, or the complexity of the samples.
It is possible to use both monoclonals and polyclonals in an ELISA; however, polyclonals are more typically used for the secondary detection layer in indirect ELISAs, while monoclonal antibodies are more typically used for capture or primary detection of the antigen.

Four Typical ELISA Formats

The ELISA provides a wealth of information in its simplest formats, but it can also be used in more complex versions to provide enhanced signal, more precise results, or if certain reagents are not available. The four typical ELISA formats are described briefly below. The end result for all the ELISAs is shown in figure 3, a single well, or a series of wells in a multiwall dish, with color intensity varying in proportion to the amount of antigen/analyte in the original sample.
Direct ELISA Schematic
Direct ELISA
An antigen coated to a multiwell plate is detected by an antibody that has been directly conjugated to an enzyme. This can also be reversed, with an antibody coated to the plate and a labeled antigen used for detection, but the second option is less common.
This type of ELISA has two main advantages:
  • It is faster, since fewer steps are required
  • It is less prone to error, since there are fewer steps and reagents
Indirect ELISA
Antigen coated to a polystyrene multiwell plate is detected in two stages or layers. First an unlabeled primary antibody, which is specific for the antigen, is applied. Next, an enzyme-labeled secondary antibody is bound to the first antibody. The secondary antibody is usually an anti-species antibody and is often polyclonal.
Indirect ELISA SchematicThis method has several advantages:
  • Increased sensitivity, since more than one labeled antibody is bound per primary antibody
  • Flexibility, since different primary detection antibodies can be used with a single labeled secondary antibody
  • Cost savings, since fewer labeled antibodies are required

Sandwich ELISA
Sandwich ELISAs typically require the use of matched antibody pairs, where each antibody is specific for a different, non-overlapping part (epitope) of the antigen molecule. The first antibody, termed the capture antibody, is coated to the polystyrene plate. Next, the analyte or sample solution is added to the well. A second antibody layer, the detection antibody, follows this step in order to measure the concentration of the analyte. Polyclonals can also be used for capture and/or detection in a sandwich ELISA provided that variability is present in the polyclonal to alow for both capture and detection of the analyte through different epitopes.
If the detection antibody is conjugated to an enzyme, then the assay is called a direct sandwich ELISA. If the detection antibody is unlabeled, then a second detection antibody will be needed resulting in an indirectsandwich ELISA.
Figure 6. Direct and indirect sandwich ELISA schematicsThis type of assay has several advantages:
  • High specificity, since two antibodies are used the antigen/analyte is specifically captured and detected
  • Suitable for complex samples, since the antigen does not require purification prior to measurement
  • Flexibility and sensitivity, since both direct and indirect detection methods can be used

Competition or Inhibition ELISA
This is the most complex ELISA, and is used to measure the concentration of an antigen (or antibody) in a sample by observing interference in an expected signal output. Hence, it is also referred to as an inhibition ELISA. It can be based upon any of the above ELISA formats, direct, indirect, or sandwich, and as a result it offers maximum flexibility in set up.
It is most often used when only one antibody is available to the antigen of interest or when the analyte is small, i.e. a hapten, and cannot be bound by two different antibodies.
A simple example of a competitive ELISA is shown in figure 7. In this case samples are added to an ELISA plate containing a known bound antigen. After coating, blocking, and washing steps, unknown samples are added the plate. Detection then follows pretty much as with other ELISA formats. If the antigen in the sample is identical to the plate-adsorbed antigen, then there will be competition for the detection antibody between the bound and free antigen. If there is a high concentration of antigen in the sample, then there will be a significant reduction in signal output of the assay. Conversely, if there is little antigen in the sample, there will be minimal reduction in signal.
Therefore, with a competition ELISA, one is actually measuring antigen concentration by noting the extent of the signal reduction. If the detection antibody is labeled, then this would be a direct competition ELISA and if unlabeled, then this would be an indirect competition ELISA.
For further examples of competition ELISAs, and a thorough explanation of this technique, please refer to The ELISA Guidebook (Crowther 2001).
Figure 7
Figure 7. Competition ELISA. Bound and free antigen compete for binding to a labeled detection antibody.

ELISA Detection Options

ELISAs, by definition, take advantage of an enzymatic label to produce a detectible signal that is directly correlated to the binding of antibody to an antigen. There are a few different types of enzymes and enzyme substrates that are typically used for ELISAs and a few slightly different methods for incorporating the enzyme step into the process. The final assay signal is measured with a spectrophotometric or fluorescent plate reader (depending upon the substrate chosen).
One aspect of ELISA terminology that often leads to confusion is the variability in the way the terms direct and indirect are applied. We will adhere to the use of these terms as they apply to the detection portion of the assay as indicated below:
Direct detection
Antibodies are directly labeled with alkaline phosphatase (AP) or horseradish peroxidase (HRP); this is the most common ELISA detection strategy. HRP and AP substrates typically produce a colorimetric output that is read by a spectophotometer. Detection can also occur by fluorescently-labeled antibodies [here the assay is usually termed a fluorescence-linked immunosorbent assay (FLISA)]
Indirect detection
Antibodies are coupled to biotin, followed by a streptavidin-conjugated enzyme step; this is most common.
Additionally, it is possible to use unlabeled primary antibodies followed by enzyme-coupled or biotinylated secondary antibodies. If the secondary antibody is biotinylated, then a tertiary step is required for detection. In this case treatment with the streptavidin-enzyme conjugate, followed by an appropriate substrate.

ELISA Results

The ELISA assay yields three different types of data output:
1) Quantitative:
ELISA data can be interpreted in comparison to a standard curve (a serial dilution of a known, purified antigen) in order to precisely calculate the concentrations of antigen in various samples.
2) Qualitative:
ELISAs can also be used to achieve a yes or no answer indicating whether a particular antigen is present in a sample, as compared to a blank well containing no antigen or an unrelated control antigen.
3) Semi-quantitative:
ELISAs can be used to compare the relative levels of antigen in assay samples, since the intensity of signal will vary directly with antigen concentration.
ELISA data is typically graphed with optical density vs log concentration to produce a sigmoidal curve as shown in Figure 8. Known concentrations of antigen are used to produce a standard curve and then this data is used to measure the concentration of unknown samples by comparison to the linear portion of the standard curve. This can be done directly on the graph or with curve fitting software which is typically found on ELISA plate readers.
Indirect sandwich ELISA for human interferon gamma
Figure 8. A typical ELISA standard curve.

Sensitivity

ELISAs are one of the most sensitive immunoassays available. The typical detection range for an ELISA is 0.1 to 1 fmole or 0.01 ng to 0.1 ng, with sensitivity dependent upon the particular characteristics of the antibody –antigen interaction. In addition, some substrates such as those yielding enhanced chemiluminescent or fluorescent signal, can be used to improve results. As mentioned earlier, indirect detection will produce higher levels of signal and should therefore be more sensitive. However, it can also cause higher background signal thus reducing net specific signal levels.

Events

MEDICADüsseldorf, GermanyNovember 14-17, 2012
2nd Munich Biomarker ConfMunich, GermanyNovember 22-23, 2012


------------------------------------------ Best Wishes: Dr.Ehab Aboueladab, Tel:01007834123 Email:ehab10f@gmail.com,ehababoueladab@yahoo.com ------------------------------------------

Reverse Cholesterol Transport and the Role of HDLc


Q.- What is Reverse cholesterol transport ? Explain the biological/clinical significance of this process.

Or
Discuss the concept of “reverse cholesterol transport” and indicate how its operation might contribute to a lowering of serum cholesterol.
or
Discuss the role of LCAT (Lecithin Cholesterol Acyl Transferase) in the cholesterol transport.
Answer-  The selective transfer of cholesterol from peripheral cells to HDLs, and from HDLs to the liver for bile acid synthesis, and to steroidogenic tissues for hormone synthesis, is a key component of cholesterol homeostasis. This is in part the basis for the inverse relationship seen between plasma HDL concentration and atherosclerosis, and because of this only HDL is designated as "Good cholesterol carrier".
HDL- HDL particles serve as  circulating reservoir of apo CII (apo protein that is transferred to VLDL and Chylomicrons, and is an activator of lipoprotein lipase), and apo E (the apoprotein required for the receptor-mediated endocytosis of IDls and chylomicron remnants (Figure-1)












Figure-1 Showing the structure of HDL. The outer shell is made by apoproteins, phospholipids and free cholesterol and the inner core is made by Cholesteryl esters and triglycerides.

HDL is synthesized and secreted from both liver and intestine (Figure -2). However, apo C and apo E are synthesized in the liver and transferred from liver HDL to intestinal HDL when the latter enters the plasma. Nascent HDL consists of discoid phospholipid  bilayer containing apo A and free cholesterol.















Figure-2- Showing the role of HDL in reverse cholesterol transport. HDL has four forms, Discoidal HDL, HDL3 , HDL2 and Pre β  HDL.( C- Cholesterol, CE- Cholesteryl Ester, LCAT- Lecithin choleterol Acyl Transferase, PL- Phospholipid.
Reverse cholesterol transport involves-
1) Efflux of cholesterol from peripheral cells and esterification to form cholesteryl ester by LCAT
LCAT ( Lecithin Cholesterol Acyl Transferase) enzyme catalyzes the esterification of cholesterol to form Cholesteryl ester.
The reaction can be represented as follows-
Lecithin + Cholesterol ---------->   Lysolecithin + Cholesteryl Ester
LCAT and the LCAT activator apo A-I—bind to the discoidal particles (Figure-1) and the surface phospholipid , free cholesterol  (extracted from peripheral cells) is converted into cholesteryl esters and lysolecithin .
The nonpolar cholesteryl esters move into the hydrophobic interior of the bilayer, whereas lysolecithin is transferred to plasma albumin. Thus, a nonpolar core is generated, forming a spherical, pseudomicellar HDL covered by a surface film of polar lipids and apolipoproteins. This aids the removal of excess unesterified cholesterol from lipoproteins and tissues .
2) Binding of the cholesteyl ester-rich HDL(HDL2) to liver and steroidogenic cells, and the selective transfer of cholesteryl esters in to these cells)- Figure-2
HDL Receptor
The class B scavenger receptor B1 (SR-B1) has been identified as an HDL receptor with a dual role in HDL metabolism.
a) In the liver and in steroidogenic tissues, it binds HDL via apo A-I, and cholesteryl ester is selectively delivered to the cells, although the particle itself, including apo A-I, is not taken up.
b) In the tissues, on the other hand, SR-B1 mediates the acceptance of cholesterol from the cells by HDL, which then transports it to the liver for excretion via the bile (either as cholesterol or after conversion to bile acids) in the process known as reverse cholesterol transport (Figure 2).
HDL cycle
HDL3, generated from discoidal HDL by the action of LCAT (Figure-2) accepts cholesterol from the tissues via the SR-B1 and the cholesterol is then esterified by LCAT, increasing the size of the particles to form the less dense HDL2.
HDL3 is then reformed, either after selective delivery of cholesteryl ester to the liver via the SR-B1 or by hydrolysis of HDL2 Phospholipid and triacylglycerol by hepatic lipase (Figure-2).This interchange of HDL2 and HDL3 is called the HDL cycle (Figure -2).
Free apo A-I is released by these processes and forms pre-HDL after associating with a minimum amount of Phospholipid and cholesterol. Surplus apo A-I is destroyed in the kidney.
HDL Transporter
A second important mechanism for reverse cholesterol transport involves the ATP-binding cassette transporter A1 (ABCA1) (Figure-2). ABCA1 is a member of a family of transporter proteins that couple the hydrolysis of ATP to the binding of a substrate, enabling it to be transported across the membrane. ABCA1 preferentially transfer cholesterol from cells to poorly lipidated particles such as pre-HDL or apo A-1, which are then converted to HDL3 via discoidal HDL (Figure -2). Pre-β HDL is the most potent form of HDL inducing cholesterol efflux from the tissues.
Clinical Significance
LCAT deficiency- Complete absence (Familial LCAT deficiency) or partial (Fish eye disease) deficiency results in a marked decrease in HDL primarily as a result of the hyper catabolism of lipid poor HDLs.
Atherosclerosis- There is an inverse relationship between HDL (HDL2) concentrations and coronary heart disease. This is consistent with the function of HDL in reverse cholesterol transport. Atherosclerosis is characterized by the deposition of cholesterol and cholesteryl ester from the plasma lipoproteins into the artery wall. Diseases in which prolonged elevated levels of VLDL, IDL, chylomicron remnants, or LDL occur in the blood (eg, diabetes mellitus, lipid nephrosis, hypothyroidism, and other conditions of hyperlipidemia) are often accompanied by premature or more severe atherosclerosis.LDL:HDL cholesterol ratio a good predictive parameter.
Low HDL levels
Causes of low HDL levels
  • Severely reduced plasma levels of HDL-C (<20 mg/dL) accompanied by triglycerides <400 mg/dL usually indicate the presence of a genetic disorder, such as a mutation in apoA-I, LCAT deficiency, or Tangier disease.
  • HDL-C levels <20 mg/dL are common in the setting of severe hypertriglyceridemia,
  • HDL-C levels <20 mg/dL also occur in individuals using anabolic steroids.
  • Secondary causes of more moderate reductions in plasma HDL (20–40 mg/dL) should be considered like smoking, diabetes mellitus Type 2, Gaucher’s disease and malnutrition.
Management of low HDL levels
  •  Smoking should be discontinued,
  • Obese persons should be encouraged to lose weight,
  • Sedentary persons should be encouraged to exercise, and diabetes should be optimally controlled.
  •  When possible, medications associated with reduced plasma levels of HDL-C should be discontinued.
  • The presence of an isolated low plasma level of HDL-C in a patient with a borderline plasma level of LDL-C should prompt consideration of LDL lowering drug therapy in high-risk individuals.
  • Statins increase plasma levels of HDL-C only modestly (~5–10%). Fibrates also have only a modest effect on plasma HDL-C levels (increasing levels ~5–15%), except in patients with coexisting hypertriglyceridemia, where they can be more effective.
  • Niacin is the most effective available HDL-C–raising therapeutic agent and can be associated with increases in plasma HDL-C by up to ~30%, although some patients do not respond to niacin therapy.

 ------------------------------------------ Best Wishes: Dr.Ehab Aboueladab, Tel:01007834123 Email:ehab10f@gmail.com,ehababoueladab@yahoo.com ------------------------------------------

Ravi_Sirdeshmukh


------------------------------------------ Best Wishes: Dr.Ehab Aboueladab, Tel:01007834123 Email:ehab10f@gmail.com,ehababoueladab@yahoo.com ------------------------------------------