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.
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.
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
• Are lipids polymers? → No — lipids are a solubility class, not a polymer family.
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.
| Name | Carbons | Double bonds | Type | Note |
|---|---|---|---|---|
| Palmitic acid | C16:0 | 0 | Saturated | Most common saturated FA |
| Stearic acid | C18:0 | 0 | Saturated | Solid fat; tallow |
| Oleic acid | C18:1 (Δ9) | 1 (cis) | Monounsaturated | Olive oil; omega-9 |
| Linoleic acid | C18:2 (Δ9,12) | 2 (cis) | Polyunsaturated | Essential (omega-6) |
| α-Linolenic acid | C18:3 | 3 (cis) | Polyunsaturated | Essential (omega-3) |
| Arachidonic acid | C20:4 | 4 (cis) | Polyunsaturated | Precursor of prostaglandins |
• 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).
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).
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
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
• 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.
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.
• 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.
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.
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)
• 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.
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).
| Steroid | Class | Function |
|---|---|---|
| Cholesterol | Sterol | Membrane fluidity; precursor of all below |
| Cortisol | Glucocorticoid | Stress response; anti-inflammatory; from adrenal cortex |
| Aldosterone | Mineralocorticoid | Na⁺/K⁺ balance (kidneys); from adrenal cortex |
| Testosterone | Androgen | Male sex characteristics; from testes |
| Estradiol | Estrogen | Female sex characteristics; from ovaries |
| Progesterone | Progestogen | Pregnancy maintenance; from corpus luteum |
| Vitamin D₃ | Secosteroid | Ca²⁺/phosphate regulation; bone metabolism |
| Bile acids | Steroid acid | Fat emulsification in gut; from cholesterol |
• 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).
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.
| Vitamin | Deficiency | Toxicity |
|---|---|---|
| A (retinol) | Night blindness, xerophthalmia | Teratogenic (high dose in pregnancy) |
| D (calciferol) | Rickets (children), Osteomalacia (adults) | Hypercalcaemia, nephrolithiasis |
| E (tocopherol) | Haemolytic anaemia, peripheral neuropathy | Relatively low toxicity |
| K (phylloquinone) | Bleeding disorders (clotting factor synthesis) | Haemolysis (K₃ — menadione) |
• 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
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