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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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IV. Phospholipids<br />

87<br />

The regulation <strong>of</strong> triacylglycerol synthesis is not fully<br />

understood and differs among tissues. In small intestine,<br />

substrate availability is most important because triacylglycerol<br />

synthesis in that organ is an integral part <strong>of</strong> triacylglycerol<br />

absorption. In mammary gland, substrate<br />

availability and the hormones that support lactation regulate<br />

triacylglycerol synthesis.<br />

In liver, the limiting enzyme in the pathway appears to<br />

be phosphatidate phosphohydrolase. This enzyme is subject<br />

to an interesting control mechanism in which it is switched<br />

between a less active and more active state by the enzyme<br />

itself being translocated between the cytosol and endoplasmic<br />

reticulum, respectively. Intracellular cAMP, which<br />

increases with high plasma glucagon or low plasma insulin<br />

levels (e.g., fasting or diabetes), inhibits binding <strong>of</strong> the<br />

enzyme to the endoplasmic reticulum, whereas LCFA or<br />

LCFA-CoA promote binding <strong>of</strong> the enzyme to the endoplasmic<br />

reticulum ( Bernlohr et al ., 2002 ; Gurr et al ., 2002 ). The<br />

role <strong>of</strong> LCFA and LCFA-CoA in promoting synthesis <strong>of</strong> triacylglycerols<br />

in the liver is important and explains how fat<br />

synthesis and fatty liver can occur in the fasting state when<br />

hormonal changes would oppose triacylglycerol synthesis.<br />

In adipose tissue, the synthesis <strong>of</strong> triacylglycerol is very<br />

much regulated by hormones, especially glucagon, catecholamines,<br />

and insulin. The first two hormones increase intracellular<br />

cAMP, and the latter tends to decrease it, although<br />

insulin probably has effects independent <strong>of</strong> cAMP. In conditions<br />

in which glucagon would be elevated and insulin<br />

would be decreased (e.g., fasting), hormone-sensitive lipase<br />

will be activated and lipolysis will be occurring. It is important<br />

that fat synthesis not be operative during lipolysis, so<br />

as not to waste energy. Low insulin and elevated catecholamine<br />

or glucagon levels decrease the level <strong>of</strong> lipoprotein<br />

lipase (LPL) in adipose tissue. Fat cells need LPL in order<br />

to hydrolyze plasma triacylglycerol so that the resulting<br />

LCFA can be absorbed and used for triacylglycerol synthesis.<br />

Decreased plasma insulin levels will decrease entry<br />

<strong>of</strong> glucose into adipocytes, which will result in less glycerolphosphate<br />

being synthesized. Increased intracellular<br />

cAMP in adipose tissue decreases the activity <strong>of</strong> several<br />

key enzymes in fat synthesis, including fatty acyl-CoA synthetase,<br />

glycerolphosphate acyltransferase, phosphatidate<br />

transferase, and diacylglycerol acyltransferase; however, the<br />

mechanism <strong>of</strong> inhibition is uncertain ( Saggerson, 1988 ).<br />

C. Catabolism <strong>of</strong> Triacylglycerol<br />

Catabolism <strong>of</strong> triacylglycerol involves the action <strong>of</strong> lipases,<br />

which are specialized esterases that hydrolyze glyceride<br />

bonds. The major lipases are pancreatic lipase, hepatic<br />

lipase, hormone-sensitive lipase <strong>of</strong> adipose, lipoprotein<br />

lipase found on endothelial cells, and lysosomal lipases<br />

contained in most cells. Pancreatic lipase is the essential<br />

lipase for digestion <strong>of</strong> triacylglycerol in the GI tract and is<br />

discussed later. Hepatic lipase is synthesized in hepatocytes<br />

from where it migrates to the surface <strong>of</strong> hepatic endothelial<br />

cells. Hepatic lipase primarily attacks triacylglycerol<br />

in the plasma, which are part very low density lipoprotein<br />

(VLDL) remnants to produce low-density lipoproteins<br />

(LDL), and it attacks triacylglycerol in high-density lipoproteins<br />

(HDL) as well.<br />

Lipoprotein lipase attacks triacylglycerol in chylomicrons<br />

and VLDL in plasma and is found on the endothelium<br />

<strong>of</strong> many organs and tissues, but it is in greatest<br />

quantity in adipose, heart, skeletal muscle, and mammary<br />

gland. Lipoprotein lipase is synthesized by the underlying<br />

tissue and migrates to the capillary endothelium where it<br />

is anchored on the cell surfaces to glycoproteins, which<br />

have polysaccharide chains structurally similar to heparin.<br />

If heparin is injected into an animal, lipoprotein lipase can<br />

switch its attachment from cell surface glycoproteins to the<br />

free injected heparin and, thus, appears in the plasma. If<br />

the animal had a lipemia before injecting the heparin, the<br />

large amount <strong>of</strong> lipoprotein lipase released into the plasma<br />

will clear the lipemia. Phospholipids and apolipoprotein<br />

C-II must be present for lipoprotein lipase to have full<br />

activity ( Fielding and Fielding, 2002 ).<br />

IV. PHOSPHOLIPIDS<br />

A. Structure and Properties <strong>of</strong><br />

Phospholipids<br />

Most <strong>of</strong> the phospholipids found in the body consist <strong>of</strong><br />

a core <strong>of</strong> glycerol, which has LCFA esterified to its 1 and<br />

2 carbons and phosphate esterified to its 3 carbon, a compound<br />

called phosphatidate. In addition, the phosphate is<br />

<strong>of</strong>ten esterified to a hydroxyamino compound such as choline,<br />

ethanolamine, or serine to produce phosphatidylcholine<br />

(also called lecithin), phosphatidylethanolamine, and phosphatidylserine,<br />

respectively. Inositol may be esterified to the<br />

phosphate to produce phosphatidylinositol. Because <strong>of</strong> the<br />

phosphate group, phospholipids are very polar on one end<br />

but are nonpolar on the other end and still must be part <strong>of</strong><br />

lipoproteins for transport through the plasma. Phospholipids<br />

are constituents <strong>of</strong> all cellular membranes, lipoproteins, and<br />

bile micelles. The fatty acid portion <strong>of</strong> the molecule is oriented<br />

toward the center <strong>of</strong> the membrane or micelle, and<br />

the phosphatidyl group is oriented toward the outer surface<br />

(i.e., toward the aqueous medium). In micellar structures,<br />

like lipoproteins and bile micelles, the surface coating <strong>of</strong> the<br />

polar ends <strong>of</strong> constituent phospholipids provides a surface<br />

charge that helps to keep the micelles in suspension.<br />

B. Synthesis <strong>of</strong> Phospholipids<br />

Phospholipids are synthesized either from phosphatidate<br />

(e.g., phosphatidylinositol) or diacylglycerol (e.g., phosphatidylcholine<br />

and phosphatidylethanolamine), both <strong>of</strong>

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