MedStudy · Organic Chemistry
TMU MBBS 1st Year · Semester 2
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Chapter 10 · Organic Chemistry

Lipids, Fats & Steroids

Atherosclerosis is a lipid storage disease. Steroid hormones control reproduction, stress response, and immunity. Every cell membrane is a phospholipid bilayer. Lipid chemistry connects directly to cardiovascular disease, endocrinology, and cell biology — the most clinically loaded chapter in OC.

Saturated vs unsaturated fatty acids Triacylglycerols Saponification Phospholipid bilayer Cholesterol structure Steroid hormones
10.1

Classification of Lipids

Lipids are a chemically diverse class of biomolecules united by one property: they are hydrophobic (water-insoluble) and dissolve readily in non-polar organic solvents. They are not polymers built from a single monomer type — unlike proteins (amino acids) or nucleic acids (nucleotides). Instead “lipid” is a solubility classification, encompassing fats, oils, waxes, phospholipids, steroids, and fat-soluble vitamins.

Major Lipid Classes
Fats & oils (triacylglycerols): energy storage; 3 fatty acids + glycerol
Phospholipids: membrane components; 2 fatty acids + glycerol + phosphate + head group
Steroids: cholesterol, bile acids, steroid hormones; 4-ring backbone
Waxes: long-chain fatty acid + long-chain alcohol; protective coatings
Fat-soluble vitamins: A, D, E, K — stored in fatty tissue
Test yourself — 10.1
• What property unites all lipids? → Hydrophobicity — water insoluble, dissolve in organic solvents.
• Are lipids polymers? → No — lipids are a solubility class, not a polymer family.
10.2

Fatty Acids

Fatty acids are long-chain carboxylic acids, typically with an even number of carbons (4–24). The chain length and the number and position of double bonds determine the physical properties. A saturated fatty acid has no double bonds — its carbon chain is fully saturated with hydrogen. Because the chain is straight, saturated fatty acids pack tightly together, giving animal fats (lard, butter) their solid, waxy consistency at room temperature.

Unsaturated fatty acids have one or more C=C double bonds. The double bonds in naturally occurring unsaturated fatty acids are almost always cis (Z) configuration — this introduces a kink in the chain. The kinked chains cannot pack as tightly, so unsaturated fats are liquid at room temperature (oils). Polyunsaturated fatty acids (PUFAs) with multiple cis double bonds are especially fluid. Trans fats, however, have trans double bonds — the chain stays straight, packs like saturated fat, and has the same (or worse) cardiovascular effects.

Key Fatty Acids
NameCarbonsDouble bondsTypeNote
Palmitic acidC16:00SaturatedMost common saturated FA
Stearic acidC18:00SaturatedSolid fat; tallow
Oleic acidC18:1 (Δ9)1 (cis)MonounsaturatedOlive oil; omega-9
Linoleic acidC18:2 (Δ9,12)2 (cis)PolyunsaturatedEssential (omega-6)
α-Linolenic acidC18:33 (cis)PolyunsaturatedEssential (omega-3)
Arachidonic acidC20:44 (cis)PolyunsaturatedPrecursor of prostaglandins
Notation: C18:1 means 18 carbons, 1 double bond. Δ9 means double bond between C-9 and C-10.
Clinical — Trans Fats and Cardiovascular Risk
Partially hydrogenated vegetable oils (margarine, shortening) contain trans fatty acids formed during industrial hydrogenation. Trans fats raise LDL cholesterol and lower HDL cholesterol — a double cardiovascular hit. They have been effectively banned in many countries (FDA ban in the US, 2018). Natural trans fats from ruminant animal fat (vaccenic acid, conjugated linoleic acid) appear to have neutral or beneficial effects — industrial vs natural trans fats are very different biologically.
Test yourself — 10.2
• Why are saturated fats solid at room temperature? → Straight chains pack tightly → strong van der Waals interactions → higher melting point.
• Why are cis unsaturated fats liquid (oils)? → Cis double bonds introduce kinks → poor packing → lower melting point.
• Why are trans fats cardiovascularly harmful? → Raise LDL, lower HDL — straight-chain geometry mimics saturated fats in packing.
• Name two essential fatty acids (cannot be synthesised by humans). → Linoleic acid (omega-6, C18:2) and α-linolenic acid (omega-3, C18:3).
10.3

Triacylglycerols (Triglycerides)

A triacylglycerol (TAG, also called triglyceride) is three fatty acids esterified to the three hydroxyl groups of glycerol. It is the main form of energy storage in adipose tissue. Fats contain approximately 9 kcal/g — more than twice the energy density of carbohydrates or protein (4 kcal/g each) — because fat is highly reduced (more C–H bonds, more oxidisable). A person with 15 kg of body fat stores enough energy to walk to the moon and back (roughly).

Triacylglycerol Structure
Glycerol (3 –OH groups) + 3 fatty acids → triacylglycerol + 3 H₂O
Each fatty acid is joined by an ester bond (–COO–) to glycerol
The three fatty acids may be the same (simple TAG) or different (mixed TAG)
Hydrolysis of TAG: lipase (pancreatic) + H₂O → glycerol + 3 fatty acids
Triacylglycerol (Triglyceride) Structure Glycerol –OH –OH –OH –O–C(=O)– –O–C(=O)– –O–C(=O)– ~~~~~ ~~~~~ ~~~~~ FA1 FA2 FA3 3 ester bonds (–COO–) Key Properties • 9 kcal/g (2× carbs/protein) • Hydrolysis: pancreatic lipase • Saponification: NaOH → soap • Stored in adipose (anhydrous) • Simple TAG = 3 identical FA Each ester bond formation releases one molecule of H₂O · total: 3 H₂O lost
A triacylglycerol has three fatty acids joined to glycerol through ester bonds (–COO–). The high C:O ratio (compared to carbohydrates) gives fat its high energy density — more C–H bonds means more electrons available for ATP generation.
Fats vs Oils
Fats: predominantly saturated fatty acids → straight chains → tight packing → solid at room temp (butter, lard, coconut oil)
Oils: predominantly unsaturated fatty acids → kinked chains → loose packing → liquid at room temp (olive oil, sunflower oil)
Hydrogenation: adding H₂ across C=C double bonds (Ni catalyst) converts oils to solid fats — used to make margarine; may produce trans fats as a byproduct
Test yourself — 10.3
• What bonds join fatty acids to glycerol in a TAG? → Ester bonds (–COO–).
• Why do fats have more than twice the caloric density of carbohydrates? → Fats are more reduced (higher C:O ratio, more C–H bonds) → more electrons available for oxidation → more ATP per gram.
• What enzyme digests triacylglycerols in the gut? → Pancreatic lipase.
10.4

Saponification of Fats

When a fat (triacylglycerol) is heated with NaOH (or KOH), the ester bonds are hydrolysed in an irreversible reaction to give glycerol and three fatty acid sodium salts — soap. This is the same saponification reaction covered in Chapter 6, applied to fats. The sodium (or potassium) salts of long-chain fatty acids are soaps: they have a hydrophilic ionic head (–COO⁻ Na⁺) and a long hydrophobic tail, making them amphipathic and able to emulsify fats in water.

Why Soap Works
The fatty acid tail is non-polar and inserts into fat droplets. The ionic head faces water. Soap molecules aggregate around fat droplets forming micelles — spherical clusters with fat inside and ionic heads outside, making the fat water-dispersible and washable. Phospholipids in membranes work on the same amphipathic principle.
Test yourself — 10.4
• Products of saponification of a fat with NaOH? → Glycerol + 3 sodium fatty acid salts (soaps).
• What makes soap amphipathic? → Long non-polar hydrocarbon tail + polar/ionic carboxylate head (–COO⁻).
• What is a micelle? → Spherical aggregate of soap/detergent molecules: hydrophobic tails in the core, hydrophilic heads on the surface.
10.5

Phospholipids & the Cell Membrane

Phospholipids are the structural basis of all cell membranes. They differ from triacylglycerols in one crucial way: the third position on glycerol is occupied not by a fatty acid but by a phosphate group linked to a polar “head group.” The most common head group is choline (making phosphatidylcholine, also called lecithin). This gives the phospholipid two distinct regions: a non-polar, hydrophobic tail (two fatty acid chains) and a polar, hydrophilic head (phosphate + head group).

In water, phospholipids spontaneously organise into a bilayer — two sheets of phospholipids with the hydrophobic tails facing each other (away from water) and the hydrophilic heads facing the aqueous environment on both sides. This is the basic structure of every plasma membrane. The bilayer is fluid (phospholipids can move laterally), and the degree of fluidity is regulated by cholesterol content and the proportion of unsaturated fatty acids.

Phosphatidylcholine (Lecithin) Structure
Glycerol backbone: C-1 and C-2 = fatty acid ester bonds; C-3 = phosphodiester to choline
Amphipathic: hydrophobic tails (2 fatty acids) + hydrophilic head (phosphocholine)
Bilayer: tails face inward; heads face aqueous environment outside and inside cell
Fluidity: ↑ unsaturated FA = more fluid; ↑ cholesterol = more rigid (plugs gaps between tails)
Clinical — Surfactant and ARDS
Pulmonary surfactant is 70% dipalmitoylphosphatidylcholine (DPPC) — a phospholipid that reduces alveolar surface tension, preventing alveolar collapse on expiration. Premature infants lack surfactant → respiratory distress syndrome (RDS). Treatment: exogenous surfactant (beractant, poractant alfa) + antenatal corticosteroids to induce surfactant synthesis. Adults with ARDS have surfactant dysfunction, contributing to alveolar flooding.
Test yourself — 10.5
• How does a phospholipid differ from a triacylglycerol? → Position 3 of glycerol has phosphate + head group instead of a third fatty acid.
• Why do phospholipids form bilayers in water? → Amphipathic structure: hydrophobic tails aggregate away from water; hydrophilic heads face water.
• What happens to membrane fluidity as unsaturated FA content increases? → Fluidity increases (cis double bonds prevent tight packing).
• What role does surfactant play in the lung? → Reduces alveolar surface tension → prevents alveolar collapse.
10.6

Steroids & Cholesterol

Steroids are lipids built from a characteristic four-ring hydrocarbon backbone — three six-membered rings (A, B, C) fused to one five-membered ring (D). This rigid, flat tetracyclic structure is unlike any other lipid class. Cholesterol is the most important steroid in humans: it is a component of cell membranes (regulates fluidity by plugging between phospholipid tails), the precursor of all steroid hormones (via the mevalonate pathway), and the precursor of bile acids and vitamin D.

Cholesterol has a hydroxyl group at C-3, a double bond at C-5/C-6, an 8-carbon hydrocarbon side chain at C-17, and methyl groups at C-10 and C-13. It is transported in blood as lipoprotein complexes (LDL, HDL, VLDL) because free cholesterol is insoluble in blood. LDL delivers cholesterol to tissues (high LDL → atherosclerosis); HDL removes cholesterol from tissues back to the liver for excretion (high HDL = protective).

Key Steroids and Their Functions
SteroidClassFunction
CholesterolSterolMembrane fluidity; precursor of all below
CortisolGlucocorticoidStress response; anti-inflammatory; from adrenal cortex
AldosteroneMineralocorticoidNa⁺/K⁺ balance (kidneys); from adrenal cortex
TestosteroneAndrogenMale sex characteristics; from testes
EstradiolEstrogenFemale sex characteristics; from ovaries
ProgesteroneProgestogenPregnancy maintenance; from corpus luteum
Vitamin D₃SecosteroidCa²⁺/phosphate regulation; bone metabolism
Bile acidsSteroid acidFat emulsification in gut; from cholesterol
Clinical — Statins and Cholesterol
Statins (atorvastatin, simvastatin, rosuvastatin) inhibit HMG-CoA reductase, the rate-limiting enzyme of cholesterol synthesis in the mevalonate pathway. They lower LDL cholesterol by 30–50%. The liver, starved of cholesterol, upregulates LDL receptors, pulling more LDL from the blood. Side effect: myopathy (muscle pain/weakness) — because mevalonate pathway also produces coenzyme Q10 (ubiquinone), which muscles need for electron transport. Statin myopathy is dose-dependent and reversible on stopping.
Test yourself — 10.6
• Describe the steroid backbone. → Three fused six-membered rings (A, B, C) + one five-membered ring (D) — tetracyclic flat structure.
• Three functions of cholesterol. → (1) Membrane fluidity regulator; (2) precursor of steroid hormones; (3) precursor of bile acids and vitamin D.
• LDL vs HDL: which is protective? → HDL — removes cholesterol from tissues to liver (reverse cholesterol transport). High LDL → atherosclerosis.
• Statin mechanism? → Inhibit HMG-CoA reductase (rate-limiting step of cholesterol synthesis).
10.7

Waxes & Fat-soluble Vitamins

Waxes are esters of long-chain fatty acids with long-chain alcohols (rather than glycerol). They are very non-polar and water-repellent — the waterproofing on leaves, the coating on apple skin, the wax of beeswax (myricyl palmitate), and the ear wax (cerumen). They are metabolically inert compared to fats.

The fat-soluble vitamins (A, D, E, K) are stored in adipose tissue and the liver, unlike water-soluble vitamins which are excreted in urine. This storage ability means they can accumulate to toxic levels with excess supplementation — hypervitaminosis A and D are real clinical concerns. Fat malabsorption (cystic fibrosis, coeliac disease, cholestasis) leads to deficiency of all four simultaneously.

Fat-soluble Vitamins (ADEK)
VitaminDeficiencyToxicity
A (retinol)Night blindness, xerophthalmiaTeratogenic (high dose in pregnancy)
D (calciferol)Rickets (children), Osteomalacia (adults)Hypercalcaemia, nephrolithiasis
E (tocopherol)Haemolytic anaemia, peripheral neuropathyRelatively low toxicity
K (phylloquinone)Bleeding disorders (clotting factor synthesis)Haemolysis (K₃ — menadione)
Test yourself — 10.7
• What is a wax chemically? → Ester of a long-chain fatty acid with a long-chain alcohol (not glycerol).
• Why do fat-soluble vitamins accumulate to toxic levels more easily than water-soluble? → Stored in adipose tissue/liver; not excreted in urine — excess builds up.
• Which fat-soluble vitamin deficiency causes bleeding? → Vitamin K (essential for activation of clotting factors II, VII, IX, X).
• Fat malabsorption causes deficiency of which vitamins? → All fat-soluble: A, D, E, K.
🎓

Past-paper Drill

1. Olive oil is liquid at room temperature while butter is solid. Explain using fatty acid chemistry.
Olive oil is rich in oleic acid (C18:1, cis monounsaturated) — the cis double bond introduces a 30° kink in the chain, preventing close packing; weak van der Waals interactions → low melting point → liquid. Butter contains mostly palmitic (C16:0) and stearic (C18:0) saturated fatty acids — straight chains pack tightly → strong intermolecular forces → high melting point → solid.
2. Write the saponification reaction of tripalmitin (glyceryl tripalmitate, C₅₁H₉₈O₆) with NaOH.
C₅₁H₉₈O₆ + 3 NaOH → C₃H₈O₃ (glycerol) + 3 C₁₅H₃₁COONa (sodium palmitate, a soap). The three ester bonds are hydrolysed; NaOH deprotonates the fatty acid products → sodium carboxylate salts (soaps).
3. How do statins lower blood LDL cholesterol? Name the enzyme they inhibit.
Statins inhibit HMG-CoA reductase (3-hydroxy-3-methylglutaryl-CoA reductase), the rate-limiting enzyme of cholesterol biosynthesis in the liver. Reduced intracellular cholesterol → liver upregulates LDL receptor expression → increased LDL uptake from blood → lower plasma LDL.
4. A premature neonate at 28 weeks develops respiratory distress immediately after birth. What is deficient, and what is the treatment?
Deficiency of pulmonary surfactant (primarily dipalmitoylphosphatidylcholine, DPPC). Insufficient surfactant → increased alveolar surface tension → alveolar collapse on expiration → respiratory distress syndrome. Treatment: endotracheal surfactant replacement therapy + mechanical ventilation. Prevention: antenatal betamethasone to accelerate surfactant synthesis.
Chapter 10 Master Summary
Fatty acids: saturated = solid, straight; unsaturated (cis) = liquid, kinked; trans = bad (raises LDL)
TAG: 3 FA + glycerol via ester bonds; 9 kcal/g; saponification → glycerol + soaps
Phospholipids: 2 FA + glycerol + phosphate head → bilayer (amphipathic)
Steroids: 4-ring backbone; cholesterol → hormones + bile acids + vit D; statin = HMG-CoA reductase inhibitor
Fat-soluble ADEK: stored in fat → toxicity risk; deficiency in fat malabsorption