Rapid turnover of apolipoprotein C-III-containing triglyceride-rich lipoproteins contributing to the formation of LDL subfractions

J Lipid Res. 2007 May;48(5):1190-203. doi: 10.1194/jlr.P600011-JLR200. Epub 2007 Feb 21.

Abstract

The atherogenicity theory for triglyceride-rich lipoproteins (TRLs; VLDL + intermediate density lipoprotein) generally cites the action of apolipoprotein C-III (apoC-III), a component of some TRLs, to retard their metabolism in plasma. We studied the kinetics of multiple TRL and LDL subfractions according to the content of apoC-III and apoE in 11 hypertriglyceridemic and normolipidemic persons. The liver secretes mainly two types of apoB lipoproteins: TRL with apoC-III and LDL without apoC-III. Approximately 45% of TRLs with apoC-III are secreted together with apoE. Contrary to expectation, TRLs with apoC-III but not apoE have fast catabolism, losing some or all of their apoC-III and becoming LDL. In contrast, apoE directs TRL flux toward rapid clearance, limiting LDL formation. Direct clearance of TRL with apoC-III is suppressed among particles also containing apoE. TRLs without apoC-III or apoE are a minor, slow-metabolizing precursor of LDL with little direct removal. Increased VLDL apoC-III levels are correlated with increased VLDL production rather than with slow particle turnover. Finally, hypertriglyceridemic subjects have significantly greater production of apoC-III-containing VLDL and global prolongation in residence time of all particle types. ApoE may be the key determinant of the metabolic fate of atherogenic apoC-III-containing TRLs in plasma, channeling them toward removal from the circulation and reducing the formation of LDLs, both those with apoC-III and the main type without apoC-III.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Apolipoprotein C-III / metabolism*
  • Apolipoproteins E / metabolism
  • Cholesterol, LDL / metabolism*
  • Cholesterol, VLDL / metabolism
  • Female
  • Humans
  • Hypertriglyceridemia / metabolism
  • Liver / metabolism
  • Male
  • Middle Aged
  • Time Factors
  • Triglycerides / metabolism*

Substances

  • Apolipoprotein C-III
  • Apolipoproteins E
  • Cholesterol, LDL
  • Cholesterol, VLDL
  • Triglycerides