This presentation explains metabolism of lipoproteins (Chylomicron, VLDL, LDL, HDL) in very simple way. The presentation contains lots of animation to explain metabolism of individual lipoproteins.
3. Transport of Lipids in the Blood
Fat absorbed from the diet & fat synthesized by the
liver must be transported between the various tissues
& organs for utilization & storage.
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Since lipids are insoluble in water, these are
transported in the form of lipoprotein.
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29. chylomicron
Chylomicron
remnant
Apo C-ll
Apo E
Apo C-ll
Dietary Lipids
HDL
Capillaries
Glycerol
Liver
Lipoprotein
lipase
GIT
Muscle
Adipose tissue
Fat
Fatty acids
Metabolism of
Chylomicrons
Nascent
chylomicron
30. VLDL
Apo C-ll
Apo E
Apo C-ll &
Apo E
HDL
Capillaries
Glycerol
Liver
Lipoprotein
lipase
Muscle
Adipose tissue
Fat
Fatty acids
Metabolism of
VLDL
IDLLDL
Muscle
Nascent
VLDL
39. Lipoprotein (a) - “a little rascal”
• Lp(a) is very strongly associated with myocardial
infarction (MI)
• And is sometimes called the “little rascal”.
• Lp(a), when present, is attached to apo-B-100 by
a disulfide bond.
• Lp(a) is associated with heart attacks at the age
of 30 or 40 years.
“Indians have a higher level of Lp(a) than Western
populations”.
42. LCAT
Lecithin-Cholesterol acyl transferase
[LCAT]
• a plasma enzyme, synthesized in the liver
• LCAT activity is associated with apo A1 of HDL
• It allows trapping of cholesterol in HDL
• It is responsible for the reverse cholesterol
transport.
47. Hyperlipoproteinemia
• Elevation in one or more of the lipoprotein fractions
constitutes hyperlipoproteinemias.
• These disorders may be either…
– Primary Hyperlipoproteinemia or
– Secondary Hyperlipoproteinemia.
• Frederickson’s classification of hyperliporoteinemias
based on the electrophoretic patterns of plasma
lipoproteins—is widely accepted to understand these
disorders.
50. Abetalipoproteinemia
• an autosomal recessive defect
• a genetic defect in the synthesis of apo B.
• The synthesis of lipoproteins that contain apo B
(chylomicron and VLDL).
• As a result, LDL is totally absent in circulation.
• Both apo B-48 and B-100 are affected because
they are inherited from the same gene.
• Fat malabsorption occurs.
• Absorption of fat soluble vitamins is severely
impaired.
• Resulting in degenerative changes in retina which
may lead to blindness.
51. Familial alpha-lipoprotein deficiency
(Tangier disease)
• Due to an inability to synthesize apo A.
• Apo A is the major apolipoprotein of HDL.
• This results in level of HDL in plasma and
• Impair reverse transport of cholesterol.
• This leads to the accumulation of cholesterol
esters in tissue.