What are the functions of cholesterol?
Structural component of cell membranes and myelin
Precursor for steroid hormone synthesis
What proportion of a) cholesterol and b) triglycerides are synthesised/derived from diet?
a) Almost entirely synthesised
b) Equal split
How are cholesterol/triglycerides transported?
As lipoproteins
What are the 4 types of lipoprotein?
Chylomicrons
VLDLs
LDLs
HDLs
What are the functions of VLDL/LDL?
Transport hepatically derived TG to tissues
What is the function of HDL?
Transports excess cholesterol to liver
What are the clinical signs of hyperlipidaemia?
Ocular - lipaemia retinalis, arcus lipoides, lipaemic aqueous, (lipid keratopathy)
Abdominal pain
Atherosclerosis
Neurological
What are the ddx for hyperlipidaemia? Are they predominantly associated with triglyceride or cholesterol)?
Primary
Secondary
- PLN (C)
- Pancreatitis (T>C)
- Hypothyroidism (T+C)
- HAC (T+C)
- DM (T+C)
- Cholestasis (C)
- Obesity
Drugs (steroids, oestrogens, cholestyramine, methimazole, phb)
What breeds are associated with primary hyperlipidaemia? Are they predominantly associated with triglyceride or cholesterol)?
Dogs - T only - MS , Brittany Spaniels
C only - Rough Collies, Briards, Dobermanns, Shetland Sheepdog, Rottweilers
Mixed - Beagles
Cats - T only - DSH, Persian, Himalayan, Siamese
If a blood sample if refrigerated for 12 hours and a creamy layer forms at the top of the sample, what is suggested?
The presence of chylomicrons