MCAT® ExamBiological and Biochemical Foundations of Living SystemsEasy

A patient is diagnosed with a rare genetic disorder characterized by the inability to properly synthesize certain steroid hormones. Further investigation reveals a defect in the smooth endoplasmic reticulum (SER) of their adrenal cortical cells. Which of the following functions of the SER is most likely impaired in this patient?

  1. AProtein synthesis and modification
  2. BLipid and steroid hormone synthesis
  3. CStorage and release of calcium ions
  4. DDetoxification of drugs and poisons
Show answer & explanation

Correct answer: B. Lipid and steroid hormone synthesis

The smooth endoplasmic reticulum is primarily responsible for the synthesis of lipids, including steroid hormones, and also for detoxification and calcium storage. A defect in steroid hormone synthesis directly points to an impairment in the SER's lipid synthesis function.

Why the other options are wrong

  • A. Protein synthesis and modification primarily occur in the rough endoplasmic reticulum and ribosomes.
  • C. The SER does store and release calcium ions, but this function is not directly linked to the synthesis of steroid hormones mentioned in the patient's symptoms.
  • D. While the SER is involved in detoxification, the primary symptom described is related to steroid hormone synthesis, not detoxification.

Smooth Endoplasmic Reticulum (SER)

A network of membranes involved in various metabolic processes, including lipid synthesis, detoxification, and calcium storage, but lacking ribosomes.

  • Lacks ribosomes, hence 'smooth'.
  • Synthesizes lipids, phospholipids, and steroids.
  • Metabolizes carbohydrates.
  • Detoxifies drugs and poisons.
  • Stores calcium ions.

Memory trick: Smooth SER: Steroids, Storage, Synthesis, and S-Detox (Smooth Detox)

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