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               646                                                                        Lipoprotein/Cholesterol Metabolism






























                      FIGURE 2 Lipids of plasma lipoproteins. Virtually all of the triglyceride and cholesterol ester of a lipoprotein is in the
                      interior. Some unesterified cholesterol can also exist in the interior. However, all of the phospholipid is at the surface
                      of the particle and surrounds the hydrophobic core.


               III. CHYLOMICRON METABOLISM                       terol ester-rich chylomicron particles. Triglycerides and
                                                                 cholesterol esters are then packaged into the core of chy-
               Since the intestine is primarily an absorptive organ, it must  lomicrons, which are secreted into the lymphatics. By se-
               have the means of exporting newly absorbed lipids. The  creting chylomicrons into the lymphatics, they gain en-
               enterocyte re-esterifies fatty acids and monoglycerides to  trance into the general circulation via the thoracic duct.
               form triglycerides and phospholipids. Absorbed choles-  This guarantees that extrahepatic tissues, principally adi-
               terol is esterified to form cholesterol esters. Under ordi-  pose tissue and muscle, are the first to be exposed to the
               nary circumstances, the vast majority of the core lipids  newly secreted chylomicrons—if chylomicrons were se-
               in the chylomicron are triglycerides; however, after a  creted directly into the bloodstream, they would first be
               cholesterol-rich meal, the intestine manufactures choles-  delivered to the liver via the portal vein.
                                                                   Chylomicrons are very large (up to 1 µm in diameter).
                                                                 Thus a plasma sample containing chylomicrons is milky
                                                                 in appearance. A sample of fasting plasma is typically
                                                                 clear in appearance, even if there is an elevation in LDL
                                                                 particles—LDL particles are not large enough to scatter
                                                                 light.
                                                                   In terms of net transport, the bulk of lipid flux is triglyc-
                                                                 eride → adipose tissue and muscle. How is the triglyceride

                                                                      TABLE I Buoyant Density and Size of Plasma
                                                                      Lipoproteins
                                                                                      Density      Diameter
                                                                         Class         (g/ml)        (nm)
                                                                      Chylomicrons      0.93        75–1200
                                                                      VLDL           0.93–1.006     30–80
               FIGURE 3 The domain structure of a plasma lipoprotein. The  IDL       1.006–1.019    25–35
               nonpolar lipids triglyceride and cholesterol ester are surrounded  LDL  1.019–1.063  18–25
               by the amphipathic lipids phospholipid and cholesterol. The lat-  HDL2  1.063–1.125   9–12
               ter are stabilized by apolipoproteins. These proteins have amphi-
                                                                      HDL3           1.125–1.210     5–9
               pathic α-helix and amphipathic β-sheet secondary structures.
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