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              Lipoprotein/Cholesterol Metabolism                                                          649






































                     FIGURE 6 The VLDL → IDL → LDL pathway. VLDL is secreted by the liver directly into the bloodstream. Like
                     chylomicrons, VLDL triglyceride is a substrate for lipoprotein lipase and is hydrolyzed while at the luminal surface
                     of adipose tissue and muscle capillaries. The VLDL remnant (IDL), unlike the chylomicron remnant, can give rise to
                     LDL. Some IDL is also directly cleared by the liver. LDL is cleared by the liver and by extrahepatic tissues.

                                                                  VLDL is synthesized in the liver and secreted directly

                                                                  into the bloodstream.
                                                                  As occurs with chylomicrons, VLDL is acted upon by

                                                                  lipoprotein lipase, on the surface of adipose and
                                                                  muscle capillaries. Unlike chylomicrons, VLDL
                                                                  remnants (IDL) are both cleared from the circulation
                                                                  and converted to LDL. This branch point is a factor
                                                                  that determines the rate of LDL production.

                                                                  Whether or not a particle carries apo-B48 or apo-B100
              FIGURE 7 Chylomicrons contain a different form of apoB than
                                                                has physiological importance. The carboxy-terminal half
              VLDL or LDL. In the intestine, an RNA editing event introduces
              a stop codon in apo-B, resulting in a truncated protein product,  of apo-B is required for receptor recognition. Thus, apo-
              apo-B48. VLDL is secreted with full-length apoB, apo-B100, and  B100 can bind to cellular receptors (described below);
              thus gives rise to LDL particles with apo-B100. The receptor-  apo-B48 cannot. For this reason, chylomicron remnants
              binding domain of apoB is at the C-terminal half of the protein,  cannot be cleared from the circulation via apo-B48. In-
              thus apo-B48 cannot bind to the LDL receptor; chylomicrons de-  stead, chylomicron remnant clearance is mediated by an-
              pend upon apo-E for receptor binding. Note: the particles are not
              drawn to scale; chylomicrons are about five times larger than LDL  other receptor ligand, apo-E. Indeed, genetic deficiency of
              particles.                                        apo-E leads to massive accumulation of cholesterol ester-
                                                                rich chylomicron remnants and IDL in the bloodstream.
                                                                  If chylomicrons and VLDL contain apo-E, why are they
                Main Features of VLDL and IDL Metabolism
                                                                not cleared before they are acted upon by lipoprotein li-
                The liver is an important lipogenic tissue and exports  pase? One explanation is that the apo-E on chylomicrons

                newly synthesized triglyceride in VLDL particles.  and VLDL is masked by another protein, apoC-III. During
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