Saturday, August 13, 2011

Health/Medical(13)

13 vacancy(vacancies) matching the conditions are found. (=WITHIN 24 HOURS  =RECENT POSTS WITHIN 48 HOURS)
Job TitleCompany NameLocationClosing Date
DoctorEco Holding LtdPhnom PenhAug 31, 2011
Associated PharmacistR Private HospitalPhnom PenhAug 20, 2011
Nursen/aPhnom PenhAug 31, 2011
MIDWIFERHAC - Reproductive Health Association of CambodiaKampong ChamAug 19, 2011
Access FacilitatorRHAC - Reproductive Health Association of CambodiaKoh KongAug 19, 2011
Various PositionsDERMOCLINIC ESTHETIC CENTERPhnom PenhAug 31, 2011
Medical RepPlatinum Health PharmaPhnom PenhSep 9, 2011
Pharmacist/Medicine SellerU-Care PharmacyPhnom PenhAug 21, 2011
Cosmetic SellerU-Care PharmacyPhnom PenhAug 21, 2011
Sale ManagerPlatinum Health PharmaPhnom PenhAug 31, 2011
NurseCan Sports shoes co., LtdKampong ChhnangAug 31, 2011
Communication OfficerRHAC - Reproductive Health Association of CambodiaPhnom PenhAug 14, 2011
NURSESA ONE GARMENTS LIMITEDPhnom PenhAug 20, 2011

Thursday, August 4, 2011

Strange Video


Lipid Catabolism: Fatty Acids & Triacylglycerols


Lipid Catabolism: Fatty Acids & Triacylglycerols
A 16-carbon fatty acid, with numbering conventions, is shown at right. Most naturally occurring fatty acids have an even number of carbon atoms. The pathway for catabolism of fatty acids is referred to as the b-Oxidation Pathway, because oxidation occurs at the b-carbon (C3). 
http://www.dentistry.leeds.ac.uk/biochem/MBWeb%20trans/mb2/part1/images/facid.gif

Triacylglycerols (triglycerides) are the most abundant dietary lipids. They are the form in which we store reduced carbon for energy. Each triacylglycerol has a glycerol backbone to which are esterified 3 fatty acids. Most triacylglycerols are "mixed." The three fatty acids differ in chain length and number of double bonds
Lipid digestion, absorption and transport will be covered separately. 
Lipases
 hydrolyze triacylglycerols, releasing one fatty acid at a time, producing  diacylglycerols, and eventually glycerol. .
http://www.dentistry.leeds.ac.uk/biochem/MBWeb%20trans/mb2/part1/images/triacgl.gif

Glycerol arising from hydrolysis of triacylglycerols is converted to the Glycolysis intermediate dihydroxyacetone phosphate, by reactions catalyzed by:
(1) Glycerol Kinase
(2) Glycerol Phosphate Dehydrogenase.
http://www.dentistry.leeds.ac.uk/biochem/MBWeb%20trans/mb2/part1/images/gly-dhap.gif
Free fatty acids, which in solution have detergent properties, are transported in the blood bound to albumin, a serum protein produced by the liver. 
Several proteins have been identified that facilitate
 transport of long chain fatty acids into cells, including the plasma membrane protein CD36.
Fatty acid activation:
Acyl-CoA Synthases (Thiokinases), associated with endoplasmic reticulum membranes and the outer mitochondrial membrane, catalyze activation of long chain fatty acids, esterifying them to coenzyme A, as shown at right. This process is ATP-dependent, and occurs in 2 steps. There are different Acyl-CoA Synthases for fatty acids of different chain lengths. 
Exergonic hydrolysis of PPi (P~P), catalyzed by Pyrophosphatase, makes the coupled reaction spontaneous. Overall, two ~P bonds of ATP are cleaved during fatty acid activation. The acyl-coenzyme A product includes one "high energy" thioester linkage.
http://www.dentistry.leeds.ac.uk/biochem/MBWeb%20trans/mb2/part1/images/faactiv.gif
Summary of fatty acid activation:
  • fatty acid + ATP à acyl-adenylate + PPi
    PP
     à 2 Pi
  • acyladenylate + HS-CoA à acyl-CoA + AMP
Overall: fatty acid + ATP + HS-CoA à acyl-CoA + AMP +  2 Pi
For most steps of the b-Oxidation Pathway, there are multiple enzymes specific for particular fatty acid chain lengths.
Fatty acid b-oxidation is considered to occur in the mitochondrial matrix. Fatty acids must enter the matrix to be oxidized. However enzymes of the pathway specific for very long chain fatty acids are associated with the inner mitochondrial membrane, facing the matrix.
Fatty acyl-CoA formed outside the mitochondria can pass through the outer mitochondrial membrane, which contains large VDAC channels, but cannot penetrate the mitochondrial inner membrane.
http://www.dentistry.leeds.ac.uk/biochem/MBWeb%20trans/mb2/part1/images/mitofa.gif

Transfer of the fatty acid moiety across the inner mitochondrial membrane involves carnitine.
Carnitine Palmitoyl Transferases catalyze transfer of a fatty acid between the thiol of Coenzyme A and the hydroxyl on carnitine.
Carnitine-mediated transfer of the fatty acyl moiety into the mitochondrial matrix is a 3-step process, as presented below.
http://www.dentistry.leeds.ac.uk/biochem/MBWeb%20trans/mb2/part1/images/carn.gif

1. Carnitine Palmitoyl Transferase I, an enzyme associated with the cytosolic surface of the outer mitochondrial membrane, catalyzes transfer of a fatty acid from ester linkage with the thiol of coenzyme A to the hydroxyl on carnitine.
2. Carnitine Acyltransferase, an antiporter in the inner mitochondrial membrane, mediates transmembrane exchange of fatty acyl-carnitine for carnitine.
3. Within the mitochondrial matrix (or associated with the matrix surface of the inner mitochondrial membrane, Carnitine Palmitoyl Transferase IIcatalyzes transfer of the fatty acid from carnitine to coenzyme A. (Carnitine exits the matrix in step 2.) The fatty acid is now esterified to coenzyme A within the mitochondrial matrix.
http://www.dentistry.leeds.ac.uk/biochem/MBWeb%20trans/mb2/part1/images/carnit.gif
Control of fatty acid oxidation is exerted mainly at the step of fatty acid entry into mitochondria.
Malonyl-CoA, which is also a precursor for fatty acid synthesisinhibits Carnitine Palmitoyl Transferase I. Malonyl-CoA is produced from acetyl-CoA by the enzyme Acetyl-CoA Carboxylase.
AMP-Activated Kinase, a sensor of cellular energy levels, is allosterically activated by AMP, which increases in concentration when [ATP] is low. Phosphorylation via AMP-Activated Kinase inhibits Acetyl-CoA Carboxylase, thereby decreasing malonyl-CoA production.
The decrease in malonyl-CoA concentration releases Carnitine Palmitoyl Transferase I from inhibition. The resulting increase in fatty acid oxidation generates acetyl-CoA, for entry into Krebs cycle with associated ATP production.
http://www.dentistry.leeds.ac.uk/biochem/MBWeb%20trans/mb2/part1/images/accoacarboxylase.gif
b-Oxidation Pathway:
Step 1.  Acyl-CoA Dehydrogenase catalyzes oxidation of the fatty acid moiety of acyl-CoA, to produce a double bond between carbon atoms 2 and 3.
There are different Acyl-CoA Dehydrogenases for short (4-6 C), medium (6-10 C), long and very long (12-18 C) chain fatty acids. Very Long Chain Acyl-CoA Dehydrogenase is bound to the inner mitochondrial membrane. The others are soluble enzymes located in the mitochondrial matrix.
FAD (below) is the prosthetic group that functions as electron acceptor for Acyl-CoA Dehydrogenase. Proposed mechanism:
glutamate side-chain carboxyl extracts a proton from the a-carbon of the substrate, facilitating transfer of 2 e- with H+ (a hydride) from the b position to FAD. The reduced FAD accepts a second H+, yielding FADH2.
The carbonyl oxygen of the thioester substrate is hydrogen bonded to the 2'-OH of the ribityl moiety of FAD, giving this part of FAD a role in positioning the substrate and increasing acidity of the substrate a-proton.
The reactive glutamate and FAD are on opposite sides of the substrate at the active site. Thus the reaction is stereospecific, yielding a trans double bond inenoyl-CoA.
http://www.dentistry.leeds.ac.uk/biochem/MBWeb/mb2/part1/images/boxid1.gif
Steps 1 & 2 of 
b-Oxidation Pathway
http://www.dentistry.leeds.ac.uk/biochem/MBWeb%20trans/mb2/part1/images/glu.gif

FADH2 of Acyl CoA Dehydrogenase is reoxidized by transfer of 2 electrons to an Electron Transfer Flavoprotein (ETF), which in turn passes the electrons to coenzyme Q of the respiratory chain.
http://www.dentistry.leeds.ac.uk/biochem/MBWeb/mb1/part2/images/fad.gif

http://www.dentistry.leeds.ac.uk/biochem/MBWeb/mb1/part2/images/respir.gif
Explore at right an example of an Acyl CoA Dehydrogenase (MCAD).
http://www.dentistry.leeds.ac.uk/biochem/MBWeb/mb1/part2/images/chimeatp.gif
MCAD
Step 2. Enoyl-CoA Hydratase catalyzes stereospecific hydration of the trans double bond produced in the 1st step of the pathway, yielding L-hydroxyacyl-Coenzyme A (diagram above right).
Step 3. Hydroxyacyl-CoA Dehydrogenase catalyzes oxidation of the  hydroxyl in the b position (C3) to a ketone. NAD+ is the electron acceptor.
http://www.dentistry.leeds.ac.uk/biochem/MBWeb/mb1/part2/images/cysteine.gif
Step 4. b-Ketothiolase (b-Ketoacyl-CoA Thiolase) catalyzes thiolytic cleavage.
Proposed mechanism (see p. 919): A cysteine S attacks the b-keto CAcetyl-CoA is released, leaving the fatty acyl moiety in thioester linkage to the cysteine thiol. The thiol of HSCoA displaces the cysteine thiol, yielding fatty acyl-CoA (2 C shorter).
A membrane-bound trifunctional protein complex with two subunit types expresses the enzyme activities for steps 2-4 of the b-oxidation pathway for long chain fatty acids. Equivalent enzymes for shorter chain fatty acids are soluble proteins of the mitochondrial matrix.
http://www.dentistry.leeds.ac.uk/biochem/MBWeb/mb2/part1/images/boxid2.gif
Steps 3 & 4 of 
b-Oxidation Pathway
Summary of one round of the b-oxidation pathway:
fatty acyl-CoA + FAD + NAD+ + HS-CoA à 
            fatty acyl-CoA (2 C shorter) + FADH2
 + NADH + H+ + acetyl-CoA
The b-oxidation pathway is cyclic. The product, 2 carbons shorter, is the input to another round of the pathway. If, as is usually the case, the fatty acid contains an even number of C atoms, in the final reaction cycle butyryl-CoA is converted to 2 copies of acetyl-CoA. 
ATP production:
  • FADH2 of Acyl CoA Dehydrogenase is reoxidized by transfer of 2 e- via ETF to coenzyme Q of the respiratory chain. H+ ejection from the mitochondrial matrix that accompanies transfer of 2 e-from CoQ to oxygen, leads via chemiosmotic coupling to production of approximately 1.5 ATP. (Approx. 4 H+ enter the mitochondrial matrix per ATP synthesized.)
  • NADH is reoxidized by transfer of 2 e- to the respiratory chain complex I. Transfer of 2 e- from complex I to oxygen yields approximately 2.5 ATP.
  • Acetyl-CoA can enter Krebs cycle, where the acetate is oxidized to CO2, yielding additional NADH, FADH2, and ATP. 
  • Fatty acid oxidation is a major source of cellular ATP (see problem in today's studio exercise).
Human genetic diseases have been identified that involve mutations in the plasma membrane fatty acid transporter CD36; Carnitine Palmitoyltransferases I and II (required for transfer of fatty acids into mitochondria); Acyl-CoA Dehydrogenases for various chain lengths of fatty acids; the trifunctional protein complex; Medium Chain b-Ketothiolase, and Electron Transfer Flavoprotein (ETF). Symptoms vary depending on the specific genetic defect but may include hypoglycemia and failure to increase ketone body production during fasting, fatty degeneration of the liver; heart and/or skeletal muscle defects, and maternal complications of pregnancy. Hereditary deficiency of Medium Chain Acyl-CoA Dehydrogenase (MCAD), the most common genetic disease relating to fatty acid catabolism, has been linked to sudden death in infants (SIDS). 
The reactions presented above accomplish catabolism of a fatty acid with an even number of carbon atoms and no double bonds. Additional enzymes deal with catabolism of fatty acids with an odd number of carbon atoms or including double bonds.
  • The final round of b-oxidation of a fatty acid with an odd number of carbon atoms yields acetyl-CoA and propionyl-CoA. Propionyl-CoA is converted to the Krebs cycle intermediate succinyl-CoA, by a pathway involving vitamin B12. That pathway is discussed along with the topic of amino acid catabolism. (Catabolism of some amino acids also yields propionyl-CoA).
  • Most double bonds of naturally occurring fatty acids have the cis configuration. As carbon atoms are removed two at a time, a double bond may end up in the wrong position or wrong configuration for the enoyl-CoA to be a substrate for Enoyl-CoA Hydratase. The reactions that allow unsaturated fatty acids to be fully catabolized by the b-oxidation pathway are summarized on p. 920 of Biochemistry, 3rd Edition, by Voet & Voet.
b-Oxidation of very long chain fatty acids also occurs within peroxisomes.
FAD is electron acceptor for peroxisomal Acyl-CoA Oxidase, which catalyzes the first oxidative step of the pathway. The resulting FADH2 is reoxidized in the peroxisome producing hydrogen peroxide:
FADH+ O2 à FAD + H2O2
The peroxisomal enzyme Catalase degrades H2O2 by the reaction:
2
 H2O2 à 2 H2O + O2
These reactions produce no ATP.
Once fatty acids are reduced in length within the peroxisomes they may shift to the mitochondria to be catabolized all the way to CO2. Carnitine is also involved in transfer of fatty acids into and out of peroxisomes.
http://www.dentistry.leeds.ac.uk/biochem/MBWeb/mb2/part1/images/peroxi.gif

During fasting or carbohydrate starvation, oxaloacetate is depleted in liver because it is used for gluconeogenesis. This impedes entry of acetyl-CoA into Krebs cycle. Acetyl-CoA then is converted in liver mitochondria to ketone bodies, acetoacetate and b-hydroxybutyrate.
http://www.dentistry.leeds.ac.uk/biochem/MBWeb%20trans/mb2/part1/images/kbody.gif

Three enzymes are involved in synthesis of ketone bodies:
b-Ketothiolase. The final step of the b-oxidation pathway runs backwards, condensing 2 acetyl-CoA to produce acetoacetyl-CoA, with release of one CoA.
HMG-CoA Synthase catalyzes condensation of a third acetate moiety (from acetyl-CoA) with acetoacetyl-CoA to form hydroxymethylglutaryl-CoA (HMG-CoA).
HMG-CoA Lyase cleaves HMG-CoA to yield acetoacetate plus acetyl-CoA.
http://www.dentistry.leeds.ac.uk/biochem/MBWeb/mb2/part1/images/ketoneb.gif

b-Hydroxybutyrate Dehydrogenase catalyzes inter-conversion of the ketone bodies acetoacetate and b-hydroxybutyrate.
Ketone bodies are transported in the blood to other tissue cells, where they are converted back to acetyl-CoA for catabolism in Krebs cycle (see p. 929).
http://www.dentistry.leeds.ac.uk/biochem/MBWeb%20trans/mb2/part1/images/acetoac.gif
Copyright © 1998-2005 by Joyce J. Diwan. All rights reserved.
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Additional material on Lipid Catabolism:
Readings, Test Questions & Tutorial
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