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SN5 SHORT NOTE 5M

Describe lipoprotein lipase with its site, activator and significance.

Biochemistry · 1st Professional — Pre-Clinical

Definition

Lipoprotein lipase (LPL) = the enzyme on the luminal surface of capillary endothelium that hydrolyses triglyceride in chylomicrons and VLDL, releasing free fatty acids for uptake by tissues.

Site and Properties

FeatureDetail
LocationAnchored by heparan sulphate to capillary endothelium
TissuesAdipose tissue, skeletal and cardiac muscle, lactating mammary gland
ActivatorApo C-II — essential
InhibitorApo C-III
Released byHeparin — hence the old name "clearing factor lipase"
Induced byInsulin (adipose tissue)

Tissue-specific KM — How One Enzyme Does Two Jobs

TissueKmConsequence
Adipose tissueHighActive only when triglyceride is plentiful, as after a meal → fat is stored
Cardiac and skeletal muscleLowActive even when triglyceride is scarce, as in fasting → fat is used for energy
  • The same enzyme therefore directs fat to storage after a meal and to oxidation during fasting, purely through its kinetic properties
  • No hormone is needed to make the switch — the Km difference does it automatically

Related Lipases

EnzymeSiteSubstrateRegulation
Lipoprotein lipaseCapillary endotheliumChylomicron and VLDL triglycerideInsulin ↑; apo C-II
Hormone-sensitive lipaseInside the adipocyteStored triglycerideGlucagon and adrenaline ↑ (phosphorylation); insulin ↓
Hepatic lipaseLiver sinusoidsIDL and HDL triglyceride—
Pancreatic lipaseIntestinal lumenDietary triglycerideNeeds colipase and bile salts

CLINICAL PEARL

Do not confuse the two adipose enzymes: lipoprotein lipase brings fat IN to the fat cell and is stimulated by insulin; hormone-sensitive lipase sends fat out and is inhibited by insulin.

Applied Aspects

  • Type I hyperlipoproteinaemia — deficiency of lipoprotein lipase or apo C-II → massive chylomicronaemia, eruptive xanthomas, lipaemia retinalis and recurrent acute pancreatitis
  • Post-heparin lipolytic activity is measured to diagnose LPL deficiency
  • In uncontrolled diabetes low insulin means low LPL activity → chylomicrons and VLDL are cleared poorly → hypertriglyceridaemia
  • Fibrates lower triglyceride partly by inducing lipoprotein lipase through PPAR-α

All questions in Lipid Metabolism

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  3. Q3Describe the de novo synthesis of fatty acids. Explain the citrate shuttle, the role of acetyl-CoA carboxylase, and compare it with β-oxidation. ★
  4. Q4Describe the biosynthesis and regulation of cholesterol. Give its functions, transport and fate. Add a note on hypercholesterolaemia. ★
  5. Q5Classify the plasma lipoproteins. Describe their metabolism and the role of apolipoproteins. Add a note on the hyperlipoproteinaemias. ★
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  8. SN3Define essential fatty acids. Give their sources, functions and the features of deficiency. ★
  9. SN4Describe the synthesis and actions of the eicosanoids. Explain the action of aspirin. ★
  10. SN5Describe lipoprotein lipase with its site, activator and significance.
  11. SN6Classify phospholipids and describe their functions. Add a note on lung surfactant. ★
  12. SN7Describe the biochemical basis of atherosclerosis and the lipid risk factors. ★

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