lipids • They also play an important role in cholesterol and triglyceride metabolism • They undergo a series of complex metabolic processes where changes and exchanges occur in and between various lipoproteins this is referred to as the lipoprotein cascade CHYLOMICRONS
• Transport dietary fat and are synthesized by
and released from the intestinal epithelial cells • Lipid content is derived predominantly from the alimentary tract and is considered exogenous • Major lipid fraction is TG constituting approximately 80 % by weight • 1-2 % of the total particle is made of apolipoproteins notably B-48 , A-I , A- II, A-IV and C • Chylomicrons do not enter portal venous circulation but traverse the lymphatics into the thoracic duct • They directly enter the jugular vein and the main systemic circulation • While traversing the lymphatics they acquire significant quantities of Apo C from HDL • In the systemic circulation Chylomicrons are hydrolyzed by Lipoprotein Lipase (LPL) • The TG component is hydrolyzed to monoglycerides, glycerol and FFAs • Apo A-I , A-II and C are transferred to HDL together with a small amount of lipid • The remainder of the Chylomicron is known as the remnant ( 30 – 80 nm) and is rich in cholesterol esters • The remnants are rapidly removed from circulation ( < 10 min ) by the Apo E receptor in the liver • They are rapidly internalized by receptor- mediated endocytosis and degraded in the hepatic lysosomes VERY LOW DENSITY LIPOPROTEINS (VLDL)
• VLDL is synthesized and released from the liver
• It transports hepatic-synthesized TG and cholesterol derived from dietary precursors such as FFAs, glycerol and CHO • Synthesis is stimulated by energy excess without regard to calorie source • Besides TG , VLDL contains about 10 % cholesterol and functionally important apoproteins • Apo C- II in VLDL is a cofactor of extra hepatic LDL which removes TG from VLDL • Lack of C-II leads to accumulation of Chylomicrons and VLDL • As VLDL is catabolised, Apo C is transferred to HDL • Apo C on HDL is transferred back to Chylomicrons and VLDL to complete the cycle • The half-life of VLDL in serum is 1-3 h INTERMEDIATE - DENSITY LIPOPROTEINS (IDLs)
• After VLDL hydrolysis by LPL, a short-lived IDL particle
which is partly depleted of TG is formed • It contains equal amounts of TG and cholesterol and its major apolipoproteins are B and E • Apo E determines the continued catabolic process (cascade) of IDL to LDL for hepatic uptake and degradation • Disease processes characterized by defective catabolism of chylomicron remnants and IDL metabolism stem from a defect in Apo E LOW DENSITY LIPOPROTEIN
• normally IDL is further delipidated by hepatic
LPL to form LDL • LDL catabolism takes place in the liver and peripheral tissues LDL interacts with high affinity receptor sites located in the cell membrane (coated pits) Bound LDL is internalized by invagination of the pits into the cell and pinched off as endocytic vesicles Vesicles fuse with the intracellular lysosomes and LDL moiety undergoes enzymatic degradation Esterified cholesterol in LDL is hydrolyzed by lysosomal cholesterol esterase and free cholesterol (FC) enters cytoplasm • Release of FC is responsible for 3 regulatory processes assisting cholesterol homeostasis: A) Suppression of the rate limiting step catalyzed by HMGCo reductase and of new cholesterol synthesis B) Activation of ACAT to esterify excess cholesterol for intracellular storage as cholesterol ester droplets C) Modulation of the number of receptors expressed on the membrane • A non-specific pathway (bulk endocytosis) occurs in scavenger cells or macrophages of the reticuloendothelial system HIGH DENSITY LIPOPROTEINS (HDLS)
• Consists of a number of polydisperse and
heterogeneous particles varying in respect to size and lipid content • Three well defined HDL subgroups include: - HDLᶜ - HDL₂ - HDL₃ • Approximately 50 % of the HDL mass is protein, 30 % phospholipid and 20 % cholesterol • The major apoproteins on HDL are Apo A-I and Apo A-II in the ratio of 3:1 by weight • Both the liver and the intestine synthesize HDL • Nascent HDL consists of Apo A-I, A-II, lecithin and FC • The discoidal (nascent) HDL is transformed into the spherical form by the action of the enzyme LCAT • HDL components may arise from Chylomicrons and VLDL during their catabolism • HDL appears to play an important role in cholesterol efflux from the tissues, thereby reducing the amount of cholesterol stored in tissues • From epidemiological studies there seems to be an inverse relationship and development of coronary disease