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Kaplan Qbank USMLE



Author5 Posts
  #1

what is the mechanism by which alcohlism can cause hyperlipidemia??

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keep going.. as the GOING gets TOUGH, the TOUGH gets GOING.. keep going..

  #2

any body?

___________________
keep going.. as the GOING gets TOUGH, the TOUGH gets GOING.. keep going..

  #3

Alcohol causes excessive production of NADH through its metabolism

Alcohol ----------> acetaldehyde -----------> acetate

Both of these reactions produce NADH .NADH/NAD ratio is highly increased

Triglycerided are formed from


  1. Glycerole 3-phosphate
    Fatty acides
    Enzyme responsible is Fatty Acyl Co -A transferase

With ethanol ingestion all of them are increased in the liver

GLYCEROL 3 - PHOSPHATE

It is formed from Glycolytic intermediate DHAP

DHAP -----------(NADH) -------------> Glycerol 3-phosphate

FATTY ACIDS

These are from


  1. Denovo sysnthesis in the liver from acetate produced from Ethanol
    Lipolytic effect on the adipose tissue through the action of epinephrine thus FA goin to Liver and
    From the diat

These Fatty acids are not metabolized throught beta oxidation due to high NADH/NAD ratio.

FATTY ACYLE Co-A TRANSFERASE

This is Endoplasmic enzyme and many endoplasmic enzymes are induced by Ethanol chronic consumption

Consequently thre is excessive production of Triglycerides which are packed in VLDL and released into Blood.-----------> type IV Hyperlipidemia

Best of luck


Edited by Leopard on 11/17/06 - 09:46 AM. Reason: correction

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FA is just a good revision book.It is not a "real" learning tool.

  #4

this was a good blast from goljan ..keep it up ..
n thank you

  #5

THANX ALOT
good luck all

___________________
keep going.. as the GOING gets TOUGH, the TOUGH gets GOING.. keep going..







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