Chylomicrons: transport of exogenous lipids from the intestine to tissues

Chylomicrons (CMs) are the largest lipoproteins, formed in enterocytes, containing apoB-48. In the lymph and blood, they acquire apoC-II and apoE from HDL. Lipoprotein lipase (LPL) on the capillary endothelium of muscle and adipose tissue hydrolyzes CM triglycerides, releasing fatty acids for tissues. Residual CMs are captured by the liver via apoE receptors. Defects in this system lead to type I hyperchylomicronemia.

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Lipoproteins: General Structure and Functions

Lipids are insoluble in the body's aqueous environments; therefore, specialized supramolecular complexes—lipoproteins—ensure their transport in lymph and blood. Despite their functional diversity, all lipoproteins share a similar structure.

Apolipoproteins: Integral and Peripheral

Apoproteins are divided into two groups based on the nature of their binding to the particle:

Formation of the Immature Chylomicron in the Intestine

Chylomicron — the largest and least dense lipoprotein, specialized in the transport of exogenous (dietary) triacylglycerols and cholesterol. The chylomicron is assembled in the enterocytes of the small intestinal mucosa. At this stage, the particle contains resynthesized triacylglycerols, cholesterol esters, phospholipids, and a single integral apoprotein — apoB-48. Such a particle is called an immature chylomicron. It is secreted into lymphatic capillaries (lacteals) and enters the venous bloodstream via the thoracic duct, bypassing the liver.

Chylomicron Maturation in the Bloodstream

In the blood, the immature chylomicron interacts with high-density lipoproteins (HDL), which act as donors of peripheral apoproteins. From HDL, the chylomicron acquires:

After this, the particle is referred to as a mature chylomicron and acquires the ability to deliver fats to tissues.

Action of Lipoprotein Lipase and Fat Delivery to Tissues

The mature chylomicron circulates until it contacts lipoprotein lipase (LPL), an enzyme anchored to the capillary endothelium of muscle and adipose tissue. ApoC-II on the chylomicron surface activates LPL, after which the enzyme hydrolyzes the triacylglycerols of the core into free fatty acids and glycerol.

Remnant Chylomicrons and Their Hepatic Uptake

As triacylglycerols are released, the particle shrinks and becomes enriched with cholesterol, forming a remnant chylomicron (remnant particle). The remnant is captured by hepatocytes via the apoE receptor. In hepatocyte lysosomes, the particle components are broken down by lysosomal hydrolases into end products: fatty acids, cholesterol, and amino acids, which are subsequently utilized by the cell.

Comparison with Other Lipoprotein Classes

In addition to chylomicrons, four other classes of lipoproteins circulate in the blood, differing in density, composition, and function:

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