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LIPID TRANSPORT DR. TISCHLER OBJECTIVES 1. List the lipid components of the diet. 2. Describe the five steps of digestion and absorption of lipids including the important enzymes and location where each step occurs. 3. Describe the general structure of a lipoprotein 4. Name the 4 main classes of lipoproteins and a) indicate whether each is in the exogenous or the endogenous system. b) identify the major lipid component in each. c) describe their lipid-transport functions. d) list their key apoproteins and the functions of these apoproteins OBJECTIVES 5. Discuss the function of lipoprotein lipase. 6. Outline the steps in the processing of: a) chylomicrons from their synthesis in the intestinal cell to the delivery of cholesterol in chylomicron remnants to the liver. b) VLDL from its synthesis in the liver to the delivery of cholesterol to cells via the low-density-lipoprotein (LDL) receptor including the cellular uptake and processing of cholesterol via LDL. 7. Describe how defects in the LDL receptor are associated with familial hypercholesterolemia and atherosclerosis Fat (lipid) makes up 37% of the calories in the American diet Fat is energy rich and provides 9 kcal/gm Dietary lipids are 90% triacylglycerols, but also include cholesterol esters, phospholipids, essential unsaturated fatty acids and fat soluble vitamins Normally essentially all (98%) of the fat consumed is absorbed, and most is transported to adipose for storage. Figure 1 Five steps of lipid digestion and absorption Lipids: Triacylglycerol Cholesterol esters Phospholipids Lingual Lipase STEP 1 Gastric Lipase STEP 2 Pancreas releases: Lipase (+colipase) cholesterol esterase pancreas phospholipase A2 STEP 3 Liver releases bile acids to solubilize lipid products in mixed micelles liver stomach small intestine STEP 4 Lipids absorbed from micelles into epithelial cells STEP 5 Chylomicrons form and travel through lymphatics Table 1. Steps of lipid digestion and absorption Step Location Enzymes 1. Minor digestion (TAGs DAGs + FFA) mouth and stomach lingual/ gastric lipase lumen of the small intestines pancreatic lipase (+colipase) cholesterol esterase phospholipase A2 lumen of the small intestines N/A 2. Major digestion (all) TAG MAG + 2FFA (PL) CE chol. + ester (CE) PL FA + lysoPL (PLA) 3. Formation of mixed micelles (uses bile salts as biological detergent) 4. Passive absorption of into intestinal lipolytic products epithelial cell N/A 5. Assembly and export of chylomicrons N/A from intestinal cells to the lymphatics Figure 2. Model of low density lipoprotein. Other lipoproteins have a similar structure differing in the core content of lipid and the type of apoproteins on the surface of the molecule Table 2. The major classes of lipoproteins and their relative content of triacylglycerol, cholesterol and protein Class Triacylglycerol Cholesterol Protein >95% 3% 2% Very Low Density Lipoprotein (VLDL) 70% 20% 10% Low Density 20% 55% 25% High Density 15% 35% 50% Chylomicrons I N T E S T I N E Lymph system: ApoB48 helps with chylomicron chylomicron interacts with lipoprotein lipase removing FFA chylomicrons acquire apo CII (C) and E (E) from HDL non-hepatic tissues CE CE CE CE CE CE CE CE CE chylomicron remnants travel to liver C E E EC E C EE E Liver: apo E on remnants bind receptor Cholesterol deposited in liver LIVER Figure 3. Exogenous pathway of lipid transport. Chylomicrons carry dietary fatty acids to tissues and remnants take cholesterol to the liver B100 (B) helps assemble and export nascent VLDL VLDL acquires apo CII (C) and E (E) from HDL VLDL interacts with LPL Produce LDL non-hepatic tissues LIVER CE bile acids CE CE CE CE C EC E CECE LDL travels to tissues B100 binds to receptors Apo E binds to receptor BB C C EB E B B B BB B BB LDL into cell delivers cholesterol Figure 4. Endogenous pathway of lipid transport. HDL scavenges cholesterol Recycling Recyclingofof clathrin clathrinand receptor LDL receptor Ligand/receptor dissociate in sorting endosome transport vesiclelysosome fuse forming late endosome lysosome clathrincoated pit o o o o o o endocytosis vesicle Golgi late endosome NPC-1 mediated free pool of transfer cholesterol CEcholesterol B100 a. acids ACAT CE stored in droplets CE CE LDL CE Figure 5. Steps in the cellular uptake of cholesterol via the LDL receptor. Table 3. Summary of lipoprotein functions Lipoprotein Function Chylomicron deliver fatty acids as part of triacylglycerol, from dietary fat to muscle, adipose Chylomicron remnants deliver dietary cholesterol to the liver VLDL deliver fatty acids, attached to triacylglycerol, derived from liver synthesis to non-hepatic tissues (e.g., muscle, adipose) LDL from VLDL; delivers cholesterol, derived from liver synthesis to various tissues HDL collects (scavenges) cholesterol from nonhepatic tissues and delivers to the liver Table 4. Summary of apoproteins and their characteristics Lipoprotein Apoprotein Function Chylomicron B-48 CII E chylomicron formation activates LPL transferred to remnants Chylomicron remnants E binds liver receptor for remnants to enter cell VLDL B-100 CII E assembly of VLDL activates LPL binds liver receptor for VLDL to enter cell LDL B-100 binds LDL receptor for LDL to enter cell HDL A1 CII E facilitates cholesterol efflux from cells HDL stored, transfer to chylos/VLDL binds liver receptor for HDL to enter cell