Fainaru M, Funke H, Boyles J K, Ludwig E H, Innerarity T L, Mahley R W
Department of Pathology, University of California, San Francisco.
Arteriosclerosis. 1988 Mar-Apr;8(2):130-9. doi: 10.1161/01.atv.8.2.130.
Cholesteryl ester-rich beta-very low density lipoproteins (beta-VLDL) are beta-migrating lipoproteins that accumulate in the plasma of cholesterol-fed animals and of patients with type III hyperlipoproteinemia. There are two distinct fractions: fraction I beta-VLDL are chylomicron remnants of intestinal origin, and fraction II beta-VLDL are cholesterol-rich VLDL of hepatic origin. The liver rapidly clears fraction I beta-VLDL from the plasma of both normal and cholesterol-fed dogs. The liver also clears fraction II beta-VLDL rapidly and efficiently from the plasma of normal dogs by receptor-mediated uptake. In cholesterol-fed dogs the clearance is biphasic: an initial rapid die-away of about 30% to 40% of the injected dose within 5 minutes, followed by a slow clearance of plasma radioactivity (a half-life of more than 20 hours). The rapid, initial phase of fraction II beta-VLDL clearance appears to be related to sequestration of the lipoproteins presumably on endothelial cells and is apparently associated with lipolytic processing. Treatment of the fraction II beta-VLDL with lipoprotein lipase abolishes this rapid phase. In the cholesterol-fed dog, the slow, late phase of clearance corresponds to the conversion of fraction II beta-VLDL to the smaller, denser intermediate and low density lipoproteins (IDL and LDL), which are slowly cleared from the plasma. It is concluded that fraction II beta-VLDL are catabolized in the normal dog by rapid uptake mediated at least in part by the apo B,E(LDL) receptor of hepatic parenchymal cells. In cholesterol-fed dogs, in which these receptors are markedly down-regulated, fraction II beta-VLDL are apparently initially bound to endothelial cells and converted to IDL and LDL by lipolytic processing.
富含胆固醇酯的β-极低密度脂蛋白(β-VLDL)是在喂食胆固醇的动物和III型高脂蛋白血症患者血浆中积聚的β迁移脂蛋白。有两个不同的组分:I组分β-VLDL是肠道来源的乳糜微粒残余物,II组分β-VLDL是肝脏来源的富含胆固醇的VLDL。肝脏能迅速从正常和喂食胆固醇的犬类血浆中清除I组分β-VLDL。肝脏还能通过受体介导的摄取迅速而有效地从正常犬类血浆中清除II组分β-VLDL。在喂食胆固醇的犬类中,清除是双相的:在5分钟内初始快速清除约30%至40%的注射剂量,随后血浆放射性缓慢清除(半衰期超过20小时)。II组分β-VLDL清除的快速初始阶段似乎与脂蛋白可能在内皮细胞上的隔离有关,并且显然与脂解过程相关。用脂蛋白脂肪酶处理II组分β-VLDL可消除这个快速阶段。在喂食胆固醇的犬类中,清除的缓慢后期阶段对应于II组分β-VLDL转化为较小、密度更高的中间密度和低密度脂蛋白(IDL和LDL),它们从血浆中缓慢清除。结论是,II组分β-VLDL在正常犬类中通过至少部分由肝实质细胞的载脂蛋白B、E(LDL)受体介导的快速摄取而被分解代谢。在喂食胆固醇的犬类中,这些受体明显下调,II组分β-VLDL显然最初与内皮细胞结合,并通过脂解过程转化为IDL和LDL。