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Understanding the enzymes involved in lipid transport is essential for students preparing for the USMLE Step 1 exam. The following enzymes play a critical role in lipid metabolism, particularly in the transport and breakdown of lipids in the body.
Enzyme | Function |
---|---|
Cholesteryl Ester Transfer Protein (CETP) | Mediates the transfer of cholesteryl esters to other lipoprotein particles. |
Hepatic Lipase | Degrades triglycerides (TGs) remaining in intermediate-density lipoproteins (IDL). |
Hormone-sensitive Lipase | Degrades TGs stored in adipocytes (fat cells). |
Lecithin-Cholesterol Acyltransferase (LCAT) | Catalyzes the esterification of 2/3 of plasma cholesterol. |
Lipoprotein Lipase | Degrades TGs in circulating chylomicrons. |
Pancreatic Lipase | Degrades dietary TGs in the small intestine. |
PCSK9 | Degrades LDL receptors, leading to increased serum LDL levels. Inhibition of PCSK9 increases LDL receptor recycling and decreases serum LDL levels. |
Focus on understanding the functions and interactions of these enzymes in lipid metabolism. Knowing how they regulate lipid transport and breakdown can help clarify concepts related to lipid disorders and their treatments, which are often tested on the USMLE Step 1.