Remnant lipoprotein metabolism: key pathways involving cell-surface heparan sulfate proteoglycans and apolipoprotein E
Open accessAbstract
The plasma clearance of intestinally derived remnant lipoproteins by the liver is a process that likely involves three steps. Our model suggests that the initial rapid clearance by the liver begins with sequestration of the remnants within the space of Disse, where apolipoprotein E secreted by hepatocytes enhances remnant binding and uptake. Heparan sulfate proteoglycans (HSPG), which are also abundant in the space of Disse, mediate this enhanced binding. Next, the remnants undergo further processing in the space of Disse by hepatic and lipoprotein lipases, which may also serve as ligands mediating remnant uptake. The final step, endocytosis by hepatocytes, appears to be mediated, at least in part, by the low density lipoprotein (LDL) receptor and by the LDL receptor-related protein (LRP). Cell-surface HSPG play a critical role in remnant uptake, not only in the important initial sequestration or capture step in the space of Disse, but also as an essential or integral component of the HSPG-LRP pathway. In addition, HSPG appear to function alone as a receptor and display unique handling properties for specific isoforms of apolipoprotein E.
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Interactions with GAGs are a rate-limiting step in the interaction of APOE protein with some receptors.
“Interactions with GAGs are a rate-limiting step in the interaction of the apolipoprotein E (APOE) protein with some receptors12, whereas the role of GAGs in RELN activity has not been fully resolved10,13.”
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There may be functional redundancy among LDL receptor family members.
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The APOE gene influences lipid metabolism and disease risk.
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From ApoE Plasma Levels and Risk of Cardiovascular Mortality in Old Age (2006) · cites this paper as [1]
ApoE is the main ligand for clearance of VLDLs and chylomicron remnants, and affects circulating concentrations of lipoproteins and plasma levels of cholesterol and triglycerides.
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From ApoE Plasma Levels and Risk of Cardiovascular Mortality in Old Age (2006) · cites this paper as [1]
Binding of apoE to HSPG is an initial step in the localization of apoE-enriched remnant lipoproteins to the cell surface, followed by internalization into hepatocytes through receptor-mediated processes or through interaction with HSPG alone.
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- Authors
- Mahley, R. W., & Ji, Z.-S.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Mahley, Robert W.
- ORCID
- Mahley, Robert W.
- Venue
- Journal of Lipid Research
- Publisher
- Elsevier BV
- Published
- 1999-01
- Volume
- 40
- Issue
- 1
- Pages
- 1-16
- ISSN
- 0022-2275 (ISSN-L)
- OpenAlex
- W2150436995
- Cited by
- 693
- References
- 132
- Citations by year
- 2026: 16 · 2025: 15 · 2024: 9 · 2023: 16 · 2022: 15 · 2021: 20 · 2020: 15 · 2019: 17 · 2018: 20 · 2017: 12 · 2016: 15 · 2015: 22 · 2014: 27 · 2013: 26 · 2012: 23
- FWCI
- 34.41
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Lipid Research (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institutes of Health (5p01hl047660-10)
- National Heart, Lung, and Blood Institute (HL-41633, P01HL041633, HL-47660)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
- Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Keywords
- heparan sulfate proteoglycans, apolipoprotein E, space of Disse, lipoprotein lipase, hepatic lipase, LDL receptor, LDL receptor-related protein, endocytosis, hepatocytes, intestinal lipoproteins
- MeSH terms
- Alzheimer Disease, Animals, Apolipoproteins E, Biological Transport, Active, Cell Membrane, Chylomicrons, Endocytosis, Humans, Hyperlipoproteinemia Type III, Lipase, Lipoprotein Lipase, Lipoproteins, Liver, Receptors, Immunologic, Receptors, LDL, Heparan Sulfate Proteoglycans, Low Density Lipoprotein Receptor-Related Protein-1
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