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Bile salts
Uni of Notts, Signalling & Metabolic Regulation, Year 2, Topic 14
| Term | Definition |
|---|---|
| First modification to cholesterol & where | Converted to the steroid pregenolone by cleaving 6C side chain using cytochrome P450 leaving a ketone group. This is in the adrenal cortex mitochondrial inner membrane |
| Fate of pregenolone | Converted into 3 classes by smooth ER to progesterone: further sex steroids), mineralocorticoids, & glucocorticoids |
| Progesterone → androgens | Pregenolone 3-OH to 3=O is progesterone, is hydroxylated & cleaved to androstenedione which can make estrone (weaker than oestrogen) & reduced to testosterone. A-ring is aromatised & reduced to oestrogen |
| mineralocorticoids (& vitamin D3) | Aldesterone which regulates water & salt. 7-dehydrocholestrol in the skin has its B-ring cleaved by UV light to form provitamin-D which spontaneously rearranges into cholcalciferol |
| Bile acids/salts | Ionized salts at physiological pH, detergent that solubilises lipids |
| Intoxication liver cholestasis | Inhibition of canalicular bile salt export pumps causes high intracellular concentrations. This solubilises hepatocyte cell membranes & membrane-bound organelles |
| Bile acids as signalling molecules | Can bind to nuclear FXR receptors to suppress bile synthesis, increase lipid & glucose metabolism, increase energy expenditure, & create a feedback loop to prevent toxicity |