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Lipoprotein:- part 4 – Chylomicron

June 28, 2024Chemical pathologyLab Tests

Table of Contents

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  • Chylomicron
        • What sample is needed for Chylomicron?
        • How will you define chylomicron?
        • How will you discuss the pathophysiology of Chylomicron?
        • How will you discuss the Chylomicron structure?
        • What are the functions of a chylomicron?
        • What is the importance of lipoproteins?
      • Questions and answers:

Chylomicron

What sample is needed for Chylomicron?

  1. The best sample is serum after 10 to 12 hours of fasting.
  2. Plasma can also be used.
  3. The preservative is stable for one week at 4 °C.

How will you define chylomicron?

  1. Chylomicron is in particulate form of lipoprotein, which is responsible for transporting exogenous cholesterol and triglycerides from the small intestine to the adipose tissue after the meal.
  2. A chylomicron is a spherical particle with a core of triglycerides surrounded by a monolayer of phospholipids, cholesterol, and lipoprotein.
  3. Apolipoprotein (apo) B-48 is important for the formation of chylomicrons.
Chylomicron structure

Chylomicron structure

How will you discuss the pathophysiology of Chylomicron?

  1. This is the primary lipoprotein responsible for transporting fat from the diet, which is the exogenous source.
  2. Chylomicron is a class of lipoproteins responsible for transporting exogenous cholesterol and triglyceride from the small intestine to the tissues after a meal.
    1. Chylomicron forms in the endoplasmic reticulum of intestinal epithelial cells.
    2. This consists of a core of triglyceride surrounded by a monolayer of a phospholipid, cholesterol, and apoproteins.
Chylomicron structure

Chylomicron structure

  1. Chylomicron is synthesized from the intestine and released from there.
    1. Triglycerides are the major component.
      1. Apolipoproteins are only 1% to 2%. B-48, AI, AII, AIV, and C are the most common.
      2. The other components, like cholesterol, cholesterol esters, phospholipids, and protein in very small amounts.
    2. Chylomicrons do not enter the portal system but go to the lymphatic system and thoracic duct.
      1. Then, it enters the jugular vein and the main systemic circulation.
      2. Now, lipoprotein lipases hydrolyze the triglyceride into monoglycerol, glycerol, and free fatty acids.
      3. These are taken up at the cellular level for energy metabolism or for synthesizing triglycerides for storage.
Chylomicron metabolism

Chylomicron metabolism

How will you discuss the Chylomicron structure?

  1. Chylomicron also contains cholesterol, cholesterol ester, phospholipids, proteins, and apoproteins.
  2. Chylomicron consists of :
    1. Triglycerides 84%
    2. Cholesterol 2%
    3. Cholesterol esters 5%
    4. Protein 2%
    5. Phospholipids 7%.
Chylomicron composition

Chylomicron composition

What are the functions of a chylomicron?

  1. Chylomicron is responsible for transporting dietary fats from the small intestine to tissues such as adipose, cardiac, and skeletal muscles.
  2. Chylomicron provides energy to the cardiac muscles and skeletal muscles.
Chylomicron role in energy production

Chylomicron’s role in energy production

Chylomicron metabolism

Chylomicron metabolism

What is the importance of lipoproteins?

  1. Associated with a high risk of cardiovascular disease.
  2. LDL, VLDL, and triglycerides lead to atherosclerosis.
  3. High HDL level reduces cholesterol and the risk of heart disease.

Table showing the summary of characteristics of the lipoproteins

Characteristics Chylomicron HDL LDL VLDL
Plasma appearance Creamy layer, slightly turbid Clear Clear or yellow-orange tint Turbid to opaque
Size (diameter nm) >70.0 4 to 10 19.6 to 22.7 25 to 70
Electrophoretic mobility Origin α – region β – region Pre – β region
Molecular weight 0.4 to 30 x 109 3.6 x 109 2.75 x 109 5 to 10 x 109
Synthesized in (Tissue of origin) Intestine Intestine and liver Intravascular Liver and intestine
Composition by weight in %
                     Cholesterol esterified 5 38 49 11 to 14
                    Cholesterol unesterified 2 10 13 5 to 8
                    Triglycerides 84 9 11 44 to 60
                    Phospholipids 7 22 27 20 to 23
                    Proteins 2 21 23 4 to 11
Triglycerides Markedly raised Normal Normal/ Raised Moderately to Markedly raised
Clinical significance of Pancreatitis and acute abdomen Decreased risk of CAD Increased risk of CAD Increased risk of CAD
Functions Transport dietary lipids to tissue Carry cholesterol from tissue to liver Carries cholesterol to tissue

Transport endogenous TG from the

liver to adipose tissue

Questions and answers:

Question 1: What is the main function of the chylomicron?
Show answer
Chylomicron transport fats to adipose tissue and muscles.
Question 2: What is a major component of chylomicron?
Show answer
Triglyceride is the major component of the chylomicron.

Possible References Used
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