Very Low Density Lipoprotein
Very Low-Density Lipoproteins (VLDL) are a type of lipoprotein produced primarily by the liver. They are responsible for the transportation of triglycerides, a type of fat, from the liver to various tissues in the body. VLDLs belong to a larger family of lipoproteins which includes chylomicrons, intermediate-density lipoproteins (IDL), low-density lipoproteins (LDL), and high-density lipoproteins (HDL).
VLDLs are characterized by their low density, which is due to their high triglyceride content relative to protein content. The structure of VLDLs includes a core of triglycerides and cholesterol esters, surrounded by a shell composed of phospholipids, free cholesterol, and specific proteins known as apolipoproteins. The main apolipoproteins present in VLDLs are Apolipoprotein B-100, Apolipoprotein E, and Apolipoprotein C.
The primary function of VLDL is the transport of triglycerides synthesized in the liver to adipose tissue and muscle where they are utilized as an energy source or stored for later use. Once VLDL delivers its triglyceride load, it is converted into IDL, and eventually into LDL, which carries cholesterol to tissues throughout the body.
The metabolism of VLDL involves several steps. Initially, VLDLs are secreted into the bloodstream by the liver. As they circulate, they interact with lipoprotein lipase, an enzyme found on the endothelial surface of capillaries in adipose and muscle tissues. This enzyme hydrolyzes the triglycerides in VLDL into free fatty acids and glycerol, which are then taken up by tissues. The remnants of VLDL are further processed into IDL and eventually into LDL.
Elevated levels of VLDL are associated with an increased risk of atherosclerosis, a condition characterized by the buildup of fatty deposits in the arteries, which can lead to cardiovascular disease. This is due to the role that VLDL, and its metabolic byproducts like LDL, play in transporting cholesterol throughout the body. Consequently, VLDL is often referred to as a type of "bad" cholesterol alongside LDL.