Cited by 155Lipid metabolism and disordersLipid metabolism and biosynthesisCholesterol and Lipid Metabolism

The DOI matches its Crossref record; 187 of the 187 references it cites were found in a registry or an index; 129 of the 370 sources its claims cite were checked for support.

Regulation of lipoprotein metabolism by ANGPTL3, ANGPTL4, and ANGPTL8

Open access
Sylvers-Davie, Kelli L., Davies, Brandon S. J.·2021·American Journal of Physiology-Endocrinology and Metabolism

Abstract

Triglyceride-rich lipoproteins deliver fatty acids to tissues for oxidation and for storage. Release of fatty acids from circulating lipoprotein triglycerides is carried out by lipoprotein lipase (LPL), thus LPL serves as a critical gatekeeper of fatty acid uptake into tissues. LPL activity is regulated by a number of extracellular proteins including three members of the angiopoietin-like family of proteins. In this review, we discuss our current understanding of how, where, and when ANGPTL3, ANGPTL4, and ANGPTL8 regulate lipoprotein lipase activity, with a particular emphasis on how these proteins interact with each other to coordinate triglyceride metabolism and fat partitioning.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This review synthesizes how ANGPTL3, ANGPTL4, and ANGPTL8 regulate lipoprotein lipase (LPL) and triglyceride partitioning across fasting, feeding, thermogenesis, and disease. It updates the A3-4-8 model, emphasizing that ANGPTL3-ANGPTL8 complexes are the key endocrine inhibitor of LPL in oxidative tissues, while adipose ANGPTL4 acts locally during fasting and is suppressed by ANGPTL8 in the fed state.

Key findings

  • ANGPTL4 is fasting-induced in adipose tissue and inhibits LPL locally, reducing triglyceride uptake into adipose; adipose-specific ANGPTL4 knockout increases adipose LPL activity but not other tissues.
  • ANGPTL8 does not inhibit LPL on its own; it forms a complex with ANGPTL3 with apparent stoichiometry of 3 ANGPTL3:1 ANGPTL8, and this complex inhibits LPL far more potently than either protein alone.
  • ANGPTL8 also binds ANGPTL4 (apparent 1:1 stoichiometry), but ANGPTL4-ANGPTL8 complexes are substantially poorer at inhibiting LPL than ANGPTL4 alone, suggesting ANGPTL8 suppresses ANGPTL4 inhibition during feeding.
  • Therapeutic targeting data cited: Evinacumab lowered triglycerides by 76%, LDL-cholesterol by 23.2%, and HDL-cholesterol by 18.4% in healthy individuals; Vupanorsen was associated with a 33%–63% decrease in triglycerides.

Methods

  • Narrative review of published animal models (Table 1) and human genetic studies on ANGPTL3, ANGPTL4, and ANGPTL8 in lipoprotein metabolism.
  • Synthesizes mechanistic, physiological, and therapeutic literature to revisit the 2016 A3-4-8 model of LPL regulation across fasted, fed, thermogenic, and high-fat-diet/obesity states.
  • No new primary data, systematic search strategy, or meta-analysis are reported.

Limitations

  • Stated: the mechanism by which ANGPTL3-ANGPTL8 complexes inhibit LPL remains unresolved; the structural basis for ANGPTL8’s opposite effects on ANGPTL3 and ANGPTL4 is unknown, and only C-terminal fibrinogen domains of ANGPTL3/ANGPTL4 have been solved.
  • Stated: many metabolic states are understudied, including exercise, starvation, chronic inflammation, aging, and chronic high-fat feeding; whether ANGPTL-regulated partitioning shifts occur in obesity is unclear.
  • Evident: as a narrative review, it does not systematically assess bias or study quality, and several conclusions depend on cited in vitro studies that may use supraphysiological ANGPTL3 concentrations or lack ANGPTL8.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1152/ajpendo.00195.2021

Cites

187 of 187 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

129 of 370 cited sources checked · 78 supported · 3 flagged · accuracy not yet measured

Show all 130 claims

  • Probably not a substantial claim. 24
  • It may state two separate claims as one. 74
87 of 87
  • The paper relies on this without support.

    Fatty acids liberated by LPL-mediated lipolysis are largely taken up by the tissue in which LPL is located.

    “The fatty acids liberated by LPL-mediated lipolysis are largely taken up by the tissue in which LPL is located.”
  • The paper relies on this without support.

    The tissue distribution of fatty acids shifts according to metabolic state and is important for maintaining metabolic homeostasis.

    “The tissue distribution of fatty acids, often referred to as fatty acid partitioning, shifts according to metabolic state and is important for maintaining metabolic homeostasis.”
  • The paper relies on this without support.

    The mouse models used in the cited studies are adequate models for human ANGPTL biology and lipid metabolism.

    “Like mice, humans deficient in ANGPTL3, ANGPTL4, or ANGPTL8 have lower plasma triglycerides (56–58, 163–166).”
  • The paper relies on this without support.

    The detrimental effects of ANGPTL4 inhibition observed in mice and monkeys predict similar risks in humans.

    “Given the detrimental effects observed in mice and monkeys, targeting ANGPTL4 in humans certainly warrants caution, but it should be noted that thus far these detrimental effects have not been reported in humans with ANGPTL4 deficiency.”
  • The paper relies on this without support.

    Endothelial lipase, pancreatic lipase, and hepatic lipase all contribute to plasma lipoprotein metabolism.

    “As endothelial lipase, pancreatic lipase, and hepatic lipase all contribute to plasma lipoprotein metabolism”
5 of 5

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Opposite effects of ANGPTL4 on glucose intolerance

    Minor

    The paper says ANGPTL4 overexpression impaired glucose intolerance, which would mean reducing it. The next sentence instead says ANGPTL4 increases glucose intolerance.

1 of 1

Cited works that were retracted

Works this paper cites that were later retracted, from the retraction notices publishers deposit. Major when the notice came out before this paper was published.

  • Cites a retracted work: 10.1016/j.cell.2013.04.008

    Major

    The cited work was retracted on 2017-01-01 (notice 10.1016/j.cell.2016.12.017), before this paper was published (2021-10-01). Its authors could have known.

    Cited work 10.1016/j.cell.2013.04.008 · retracted 2017-01-01 · notice 10.1016/j.cell.2016.12.017 · this paper published 2021-10-01

  • Cites a retracted work: 10.5551/jat.40212

    Info

    The cited work was retracted on 2021-10-05 (notice 10.5551/jat.rt40212), not before this paper was published (2021-10-01).

    Cited work 10.5551/jat.40212 · retracted 2021-10-05 · notice 10.5551/jat.rt40212 · this paper published 2021-10-01

2 of 2

Citations

Cites

2 retracted

Flagged first, then by citations

Show all 186 references

Research works printed but not linked: 1

  1. 10.1016/j.molmet.2020 · DOI

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Metadata

Authors
Sylvers-Davie, K. L., & Davies, B. S. J.
Affiliations
University of Iowa (US)
Corresponding author
Davies, Brandon S. J.
Venue
American Journal of Physiology-Endocrinology and Metabolism
Published
2021-10-01
Volume
321
Issue
4
Pages
E493-E508
ISSN
  • 0193-1849 (ISSN-L)
  • 1522-1555
OpenAlex
W3189264236
Cited by
154
References
186
Citations by year
2026: 38 · 2025: 43 · 2024: 36 · 2023: 29 · 2022: 5 · 2021: 3
FWCI
3.58
Type
journal article
Language
en
Open access
Locations
  • American Journal of Physiology-Endocrinology and Metabolism (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
HHS | NIH | National Heart, Lung, and Blood Institute (R01HL130146, R01HL134787)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Lipid metabolism and biosynthesis
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Cholesterol and Lipid Metabolism
Keywords
ANGPTL3, ANGPTL4, ANGPTL8, angiopoietin-like proteins, lipoprotein lipase, triglyceride-rich lipoproteins, lipoprotein metabolism, triglyceride metabolism, fat partitioning, fatty acid uptake
MeSH terms
Angiopoietin-like Proteins, Angiopoietin-Like Protein 4, Angiopoietin-Like Protein 3, Angiopoietin-Like Protein 8, Humans, Lipoproteins, Triglycerides, Peptide Hormones, Lipid Metabolism

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