INTRODUCTION
L.5.7. Apolipoprotein G
1.6. Lipoprotein synthesis and secretion
1.6.1. Triglyceride-rich
lipoproteinsThe
intestineand the liver of all
species, including human,aÍe
themajor sites of
apolipoprotein synthesisand
secretionof
triglyceride-rich lipoproteins(TRL)
(Jacksonet rl,
1976; Bisgaierand
Glickman, 1983). Thesynthesis
of TRL
occurswithin the
intracellular membrane compartment of intestinal enterocytes andliver
hepatocytes (Havelet
â1, 1980).1.6.1.1.
ChylomicronsThe fatty acids and 2-monoglycerol precursors of
chylomicron triglyceride are takenup by the
enterocyte after being transportedto the
cellsby bile salt micelles
(Westergaardand Dietschy,
1976). Subsequently the monoglyceridesare
re-esterifiedto triglyceride in the
smooth endoplasmicreticulum (SER).
The
synthesisof
triglyceride appearsto
occur independentlyof the
glyceraldehyde 3-phosphate pathway,the
predominant pathway for synthesisof
triglyceridein the liver (Bell et al,
1981).As a
consequence oflittle or no de novo
synthesisof
triglyceridein the
enterocyte chylomicron triglycerides closely resemble thoseof dietary fat
(Zilversmit, 1965). Unliketriglyceride the source of
phospholipidsfor
chylomicronsoriginates
in existing poolsof
mucosal phospholipid (Ardivson and Nilsson, 1972). Dietary cholesterolis also
incorporatedinto
chylomicrons,mainly as
cholesteryl esters synthesizedby
ACAT within the absorptive cells (Norumet al,
1983).The non-polar esters
of
long-chainfatty
acids are synthesized as are thephospholipids
in the SER. From here the lipids are
transportedinto
thecisternal space (Higgins and Hutson, 1984).
At this
stage thereis no
associationberween
lipid and
apolipoprotein (Christiansenet rl,
1983). Apolipoproteinsare
synthesizedon
attached ribosomesof the rough
endoplasmic reticulum (RER). Intestinal cells synthesize apo B4g, apo41,
apofu
andC
apoproteins andperhaps apo
E but only in
minor quantities (Alexanderet
â1, 1972; Marsh andSparks, 1979; Windmueller and Wu, 1981; Imaizumi
et al,
1978).Proteins and
lipid
come together a¡"the point
wherethe
RER and SERcome
into
contact (Alexanderet al,
1976; Claude, 1970). The nascent particle isthen formed as the lipid and protein are
transported towardsthe
Golgiapparatus
(Bell-Quint and Forte, 1981). Upon
reachingthe Golgi,
morephospholipid (Janero
et
â1, 1984) and cholesterol maybe
added and the nascentparticles are
concentratedwithin
secretoryvesicles (Higgins and
Hutson,1984). These vesicles then appear
to
budoff
from the distal endof
the Golgi and fusewith the
basolateral membraneof the cell, from
wherethey are
secretedinto
the lymph (Bisgaier and Glickman, 1983;Miller
and Small, 1987).The
secretionof
chylomicron particlesis
however dependent upon the synthesis and secretionof
apolipoproteins, apoB in
particular (Glickmanet
â1,1986).
The
administrationof
cyclohexamide,an inhibitor of
protein synthesis,blocks the secretion of nascent particles. In the genetic disorder
of abetalipoproteinemia, \ryerethere is a failure of both liver and
intestine toincorporate apo B into lipoproteins, the result is an
accumulation of triglyceride dropletsin
hepatocytesand
enterocytes (Bisgaierand
Glickman,1e83).
1.6.1.2. Very low density
lipoproteinsThe
synthesis and secretionof VLDL is
similarto
thatof
chylomicrons,however there are some
differences.VLDL triglyceride, unlike that
ofchylomicrons,
is
synthesisedvia the
glyceraldehyde 3-phosphate pathway.The fatty
acidswhich are
incorporatedinto VLDL lipids are
derived from multiple sources, namelyde
novo synthesisfrom
acetyl-CoA units produced by carbohydrate utilization, plasmafree fatty
acids, andfrom
hydrolysisof
lipidstransported
to the liver by
remnant lipoprotein particles (Hamiltonet
à1, 1967;Wilcox
et al,
1975). Cholesterol whichis
incorporatedinto
nascentVLDL
maybederived from either plasma
or
de novo synthesis. Dueto
thelow
levelsof
ACATactivity in
hepaticcells
most cholesterolin
nascentVLDL is not
esterified(Erickson cholesterol
1982).
and Cooper,
1980),feeding
and
increasedhowever
theACAT
activityproportion
increases(Dolphin, 1981; Guo
upon
et
al,The progression
of lipid
and apoproteins towardsthe Golgi
apparatus in hepaticcells is the
same asthat in the
enterocyte. Fromthe Golgi
apparatus secretory vesiclesbud off,
migrateto,
andfuse with the
membranesat
thesinusoidal
front, from
where they have accessto
the plasmavia the
sieve-plate fenestraeof the
sinusoidal membrane (Alexanderet al,
1972).Apo B is
essentialnot only for
chylomicron synthesisbut
alsofor
the assemblyof VLDL
which are secreted from hepatic cells. Unlike intestinal cellswhich are able
to
produce both apo B4g and 8100, human hepatic cells produceonly
apo B1OO (Edgeet al,
1985).In
therat
and mouse however, hepatic cellsproduce
comparable amountsof both apo
B¿g
and apo B t oo (Wu
andWindmueller, 1979; Sparks and Marsh, 1981).
Subcellular fractionation studies have demonstrated
a
markedsize
andcompositional heterogeneity
of the Golgi lipoprotein population
(Dolphin, 1981;Howell and
Palade, 1982).It has
been assumedthat
these particlesindicate immature precursors
of VLDL that
haveyet to
acquireall of
theirconstituents (Howell and Palade, 1982) however
this
mayhelp to
explain theheterogeneous nature
of the VLDL
population presentin
plasma.1.6.2. Low density
lipoproteinsLow
density lipoproteinis
normally formed asa
resultof
the catabolismof
VLDLto IDL
and subsequentlyto LDL
(Reardonet al,
1978; Sigurdssonet
al,1975; Ginsberg
et al,
1981).In
addition,in
normal subjects mostof
theLDL
apoB is
derived fromthe
catabolismof VLDL
andIDL.
Howeverin
therat
(Fidge and Poulis, 1978), andpig (Huff et al,
1985) muchof
theLDL
production maynot be
derived fromVLDL or IDL,
and may thereforebe
secreted directly intothe
plasma.This
maybe
supportedby
findingsof
both preformed and newly secretedLDL-like
particlesin the
perfusedrat
(Fainaruet
â1, 1977) and pig (Nakayaet al,
1977) livers.An
alternate explanationto the
direct synthesisof LDL is that
apo Bcould pass through
a
rapidly turning overVLDL
pool (Beltzet al,
1985), whichis not
tracedby the use of
exogenous labels,and be rapidly
converted toparticles
of
bothLDL
size and composition.This
theory may help explain thehigh LDL
apoB
production rateswhich are
generally greater than those ofVLDL in
subjectswith
severe and inherited hypercholesterolemia (Januset
al, 1980; Soutar et al, 1977).1.6.3. High density
lipoproteinsHigh
density lipoproteins appearto be
derivedfrom liver
and intestine,and some may
form from the
redundant surface materialof
chylomicrons andVLDL. Unlike TRL,
nascentHDL
havenot
been successfully identified within subcellular compartmentsor
isolatedfrom Golgi-rich
fractions(Gotto et
â1,1986), although
it
has been proposedthat HDL
maybe
formedby a
processsimilar
to
thatof VLDL
(Melinet al,
1984). Evidenceto
support this has comefrom
hepatic perfusates where nascentHDL
particleshave been
observed(Marsh, 1974; Hamilton, 1984).
HDL
secretedby
culturedrat
hepatocytes are discoidalin
shapeand
are composedof a bilayer of
phospholipids, mainlylecithin (Hamilton
et al,
1976). When LCATis
active nascent HDL particles are spherical, and resemble thosein
plasma (Eisenberg, 1984).High
density lipoproteinsmay
alsobe
formedwithin
plasmafrom
thesurface
material of
chylomicronsand VLDL after lipolysis of
triglycerides(Nicoll et â1, 1980). In vitro
demonstrationshave
shownthat
followinglipolysis
of TRL
spherical complexesof
apoA or
apoC
and phospholipid can beisolated. These particles resemble discoidal