Lipoprotein metabolism and transport | Chylomicron, VLDL,IDL, LDL,HDL | Metabolism | Biochemistry

Animated biology With arpan
19 Jun 202017:11

Summary

TLDRThis video delves into the world of lipoproteins, cholesterol transport, and metabolism. It introduces the various lipoproteins, including chylomicrons, VLDL, IDL, LDL, and HDL, highlighting their unique compositions and functions. The script explains the synthesis and metabolism of these particles, emphasizing the role of apolipoproteins and the impact of LDL in cardiovascular health. It also describes HDL as the 'good cholesterol' that helps remove excess cholesterol from arteries, contrasting it with LDL, the 'bad cholesterol.' The video promises a deeper exploration of these topics in future episodes.

Takeaways

  • ๐Ÿงฌ Lipoproteins are complexes of lipids and proteins, including cholesterol, triglycerides, and phospholipids, with specific proteins like apolipoproteins.
  • ๐Ÿš€ There are five main types of lipoproteins: chylomicrons, VLDL (Very Low Density Lipoprotein), IDL (Intermediate Density Lipoprotein), LDL (Low Density Lipoprotein), and HDL (High Density Lipoprotein).
  • ๐Ÿ“š VLDL is characterized by its high triglyceride content, while LDL is known for its high cholesterol content, making it a risk factor for heart disease.
  • ๐Ÿ”ฌ HDL is rich in apolipoproteins, which aids in the transport of cholesterol from tissues back to the liver, earning it the nickname 'good cholesterol'.
  • ๐Ÿ” Chylomicrons are synthesized in the intestine and are responsible for transporting dietary fats, primarily triglycerides, from the intestine to the bloodstream.
  • ๐Ÿ—๏ธ VLDL is produced by the liver and is involved in the transport of endogenous triglycerides and cholesterol to peripheral tissues.
  • ๐Ÿ› ๏ธ Lipoprotein lipase, an enzyme found in adipose tissue, breaks down triglycerides in chylomicrons and VLDL into free fatty acids for storage.
  • ๐Ÿ”„ The metabolism of lipoproteins involves a series of transformations, such as VLDL losing triglycerides to become IDL, which can further transform into LDL.
  • ๐Ÿ›‘ LDL can be harmful when it deposits cholesterol in artery walls, leading to atherosclerosis and increasing the risk of heart disease.
  • ๐Ÿ”ง HDL helps prevent heart disease by picking up excess cholesterol from tissues and transporting it back to the liver for excretion or reuse.
  • ๐Ÿ“ˆ Understanding the roles and metabolism of different lipoproteins is crucial for managing lipid profiles and preventing cardiovascular diseases.

Q & A

  • What is a lipoprotein and what are its main components?

    -A lipoprotein is a complex particle consisting of both lipids and proteins. Its main components include cholesterol, triglycerides, phospholipids, and proteins known as apolipoproteins.

  • What are the different types of lipoproteins mentioned in the script, and what do their abbreviations stand for?

    -The script mentions five types of lipoproteins: Chylomicrons, VLDL (Very Low Density Lipoprotein), IDL (Intermediate Density Lipoprotein), LDL (Low Density Lipoprotein), and HDL (High Density Lipoprotein).

  • What is the primary function of chylomicrons?

    -The primary function of chylomicrons is to transport dietary lipids, mainly triglycerides, from the intestine to other parts of the body, particularly adipose tissue for storage.

  • How does the composition of chylomicrons differ from VLDLs?

    -Chylomicrons contain apolipoproteins C, B-48, and E, whereas VLDLs contain apolipoprotein B-100, C, and E. Chylomicrons are also enriched with triglycerides from the diet, while VLDLs are synthesized de novo in the liver.

  • What is the role of lipoprotein lipase in the metabolism of chylomicrons and VLDLs?

    -Lipoprotein lipase is an enzyme that breaks down triglycerides in chylomicrons and VLDLs into free fatty acids and glycerol. These free fatty acids are then stored in adipose tissue, while the remaining particles continue their metabolic pathways.

  • How does the liver synthesize and secrete VLDL?

    -The liver synthesizes VLDL by combining glycolysis-derived glycerol, free fatty acids from the cytosol, and cholesterol from the smooth endoplasmic reticulum. The VLDL particles, containing apolipoprotein B-100, are then packaged in the Golgi bodies and released into the bloodstream.

  • What is the significance of the LDL receptor and its interaction with apolipoprotein B-100?

    -The LDL receptor on liver hepatocytes recognizes apolipoprotein B-100 on LDL particles, facilitating receptor-mediated endocytosis. This process allows the liver to take up and recycle cholesterol from LDL particles as needed.

  • What is the primary function of HDL, and why is it considered 'good cholesterol'?

    -HDL's primary function is to pick up excess cholesterol from peripheral tissues, including arterial walls, and transport it back to the liver. This process helps prevent cholesterol buildup in arteries, reducing the risk of heart disease, which is why HDL is considered 'good cholesterol'.

  • How does the script compare LDL particles to a garbage truck?

    -The script compares LDL particles to a garbage truck because, like a truck that needs to dump its load in the correct place, LDL should deliver cholesterol to organs that require it. However, if LDL deposits cholesterol in artery walls, it can cause blockages and inflammation, similar to a truck dumping garbage on the highway.

  • What are the major apolipoproteins present in the lipoprotein particles mentioned in the script?

    -The major apolipoproteins include apolipoprotein B-48 in chylomicrons, apolipoprotein B-100 in VLDL, and a variety of apolipoproteins in HDL, which is rich in protein content.

  • What is the biological significance of the different lipoprotein compositions and sources?

    -The different compositions and sources of lipoproteins reflect their distinct functions in lipid transport and metabolism. For example, chylomicrons transport dietary lipids from the intestine, while VLDL and LDL are involved in cholesterol transport from the liver, and HDL is involved in reverse cholesterol transport from peripheral tissues to the liver.

Outlines

00:00

๐Ÿงฌ Lipids and Proteins: The Basics of Lipoproteins

This paragraph introduces the concept of lipoproteins, which are particles composed of lipids and proteins. It explains that lipoproteins contain lipids such as cholesterol, triglycerides, and phospholipids, along with proteins like apolipoproteins. The paragraph also outlines the different types of lipoproteins found in the human body, including chylomicrons, VLDL (Very Low Density Lipoprotein), IDL (Intermediate Density Lipoprotein), LDL (Low Density Lipoprotein), and HDL (High Density Lipoprotein). Each type of lipoprotein has a distinct function and importance, with variations in protein content and lipid composition. For example, HDL has a high protein content compared to VLDL. The paragraph sets the stage for a deeper dive into the roles and metabolism of these particles.

05:00

๐Ÿš€ Chylomicrons and VLDL: Synthesis and Metabolism

The second paragraph delves into the synthesis and metabolism of chylomicrons and VLDL. Chylomicrons are produced in the intestinal epithelial cells and are primarily composed of triglycerides derived from dietary fats. They are responsible for transporting dietary lipids to adipose tissue, where lipoprotein lipase breaks down triglycerides into free fatty acids for storage. The resulting chylomicron remnants are then taken up by the liver. The paragraph also discusses the synthesis of VLDL in the liver, which involves the conversion of glucose to fatty acids and cholesterol. VLDL particles are composed of triglycerides, cholesterol, and apolipoprotein B-100, and they play a role in delivering lipids to peripheral tissues. The interaction between VLDL and HDL is highlighted, with HDL donating apolipoproteins to VLDL, which in turn picks up triglycerides from adipose tissue.

10:01

๐Ÿ”„ LDL: The Transporter of Cholesterol

This paragraph focuses on LDL, which is rich in cholesterol and has a low triglyceride content. It explains the role of LDL in transporting cholesterol from the liver to peripheral tissues, such as the adrenal glands and testes, where it is used for the production of steroid hormones and testosterone. However, the paragraph also points out the potential harm of LDL, as it can deposit excess cholesterol in artery walls, leading to atherosclerosis and increasing the risk of heart disease. The clearance of LDL from the bloodstream is discussed, with LDL particles being recognized by hepatic receptors for apolipoprotein B-100, leading to receptor-mediated endocytosis and cholesterol recycling in the liver.

15:02

๐Ÿ›ก๏ธ HDL: The 'Good' Cholesterol and Its Protective Role

The final paragraph discusses HDL, known as the 'good' cholesterol, which is rich in apolipoproteins and plays a crucial role in reverse cholesterol transport. HDL interacts with VLDL and LDL, exchanging triglycerides for apolipoproteins and picking up excess cholesterol from peripheral tissues, including arterial walls, to prevent cholesterol-mediated damage. The paragraph emphasizes the protective function of HDL in contrast to LDL, which is considered 'bad' cholesterol due to its potential to cause arterial blockages and inflammation. The summary concludes with a brief overview of the main apolipoproteins associated with different lipoprotein particles and their sources, setting the stage for future videos that will explore these topics in greater detail.

Mindmap

Keywords

๐Ÿ’กLipoprotein

Lipoproteins are complex particles that consist of both lipids and proteins, playing a crucial role in transporting lipids such as cholesterol and triglycerides in the bloodstream. In the video, lipoproteins are the central theme, with the script discussing various types and their functions in metabolism and transport.

๐Ÿ’กChylomicron

Chylomicrons are a type of lipoprotein that is primarily responsible for the transport of dietary lipids from the intestine to other parts of the body. They are enriched with triglycerides and are the largest lipoproteins. The script mentions chylomicrons as the first type of lipoprotein discussed, highlighting their role in fat absorption from the diet.

๐Ÿ’กVLDL (Very Low Density Lipoprotein)

VLDL stands for Very Low Density Lipoprotein and is a type of lipoprotein synthesized by the liver. It is involved in transporting endogenous triglycerides. The script explains VLDL's composition, which includes apolipoprotein B-100, and its role in lipid metabolism.

๐Ÿ’กIDL (Intermediate Density Lipoprotein)

IDL, or Intermediate Density Lipoprotein, is a transient lipoprotein that is formed during the metabolic process from VLDL. It has moderate levels of triglycerides and cholesterol and is an intermediate step in the conversion of VLDL to LDL. The script describes the transformation of VLDL into IDL through the action of lipoprotein lipase.

๐Ÿ’กLDL (Low Density Lipoprotein)

LDL, known as Low Density Lipoprotein, is a type of lipoprotein that carries cholesterol to body tissues. It is often referred to as 'bad cholesterol' because high levels can lead to plaque buildup in arteries. The script discusses LDL's high cholesterol content and its potential harmful effects if it accumulates in artery walls.

๐Ÿ’กHDL (High Density Lipoprotein)

HDL, or High Density Lipoprotein, is considered 'good cholesterol' because it helps remove cholesterol from the bloodstream and transport it back to the liver for excretion or reuse. The script emphasizes HDL's high protein content and its role in reverse cholesterol transport.

๐Ÿ’กApolipoprotein

Apolipoproteins are proteins that bind to lipids to form lipoproteins. They play a crucial role in lipid transport and metabolism. The script mentions various apolipoproteins, such as A, B-48, B-100, C, and E, and their specific association with different types of lipoproteins.

๐Ÿ’กTriglycerides

Triglycerides are a type of lipid found in the blood and are a primary source of energy for the body. The script discusses triglycerides in the context of chylomicrons and VLDL, highlighting their high content in these lipoproteins and their role in energy storage and transport.

๐Ÿ’กCholesterol

Cholesterol is a waxy substance found in the blood and is essential for the body's functions, such as hormone production and cell membrane integrity. However, high levels of cholesterol in the blood, particularly LDL cholesterol, can contribute to heart disease. The script explains the varying concentrations of cholesterol in different lipoproteins and its transport by LDL.

๐Ÿ’กLipoprotein Lipase

Lipoprotein lipase is an enzyme that plays a key role in the breakdown of triglycerides in chylomicrons and VLDL. It is activated by apolipoprotein C-II and is found in adipose tissue and muscle. The script describes how lipoprotein lipase helps in the metabolism of triglycerides by converting them into free fatty acids.

๐Ÿ’กReceptor-Mediated Endocytosis

Receptor-mediated endocytosis is a cellular process where specific molecules are taken into the cell via receptors on the cell surface. In the context of the script, it explains how the liver removes LDL from the bloodstream by recognizing apolipoprotein B-100 on the LDL particle's surface and internalizing it.

Highlights

Lipoproteins are a combination of lipids and proteins, including cholesterol, triglycerides, and apolipoproteins.

Chylomicrons, VLDL, IDL, LDL, and HDL are the different types of lipoproteins with distinct functions and compositions.

Chylomicrons are rich in triglycerides and are secreted from the intestinal epithelial cells.

VLDL is secreted by the liver and contains apolipoprotein B100.

HDL is rich in proteins, with over 40% protein content, and is involved in reverse cholesterol transport.

Lipoprotein lipase, activated by apolipoprotein C2, breaks down triglycerides into free fatty acids in adipose tissue.

IDL is a transient form that interacts with HDL and LDL, further reducing its triglyceride content and increasing its cholesterol content.

LDL, known as bad cholesterol, transports cholesterol from the liver to peripheral tissues and can deposit cholesterol in artery walls, leading to coronary artery disease.

HDL, known as good cholesterol, picks up excess cholesterol from arteries and returns it to the liver, protecting against cardiovascular diseases.

Chylomicrons deposit triglycerides in adipose tissue and are then converted to chylomicron remnants, which are taken up by the liver.

VLDL particles acquire apolipoproteins C2 and E from HDL in the bloodstream.

VLDL deposits triglycerides in adipose tissue and converts to IDL, which then becomes LDL.

The major function of LDL is to transport cholesterol to tissues, including the adrenal gland and testes, for hormone synthesis.

LDL receptors in the liver recognize apolipoprotein B100 and mediate endocytosis of LDL particles for recycling.

HDL acts as a reservoir for apolipoproteins and helps in cholesterol esterification, aiding in cholesterol homeostasis.

Transcripts

play00:04

hi everyone in this video we'll be

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talking about right to protein

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metabolism and the transport of

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lipoprotein so what comes in our mind

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when we hear the term lipoprotein so

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it's simply lipid and protein right a

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combination of both so inside the

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lipoprotein particles there would be

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repeats such as cholesterol

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triglycerides phospholipids etc also

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there would be a protein part such as

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Apple lipoproteins a combination of all

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of these is the lipoprotein now let me

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introduce you to the lipoproteins there

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are several types of lipoproteins which

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are found in our body and they have

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their distinct function and importance

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so first lipoprotein that we are going

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to talk about is chylomicron then we

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will talk about VLDL ideal LDL and HDL

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VLDL stands for very low density

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lipoprotein whereas IDL stands for

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intermediate density lipoprotein LDL is

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low density lipoprotein while HDL is

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high density lipoprotein when we say

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some density of the lipoprotein we means

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how much is the protein content or how

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much protein is there for example in HDL

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the protein content is pretty much it is

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way more than the VLDL or very

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low-density lipoprotein in order to

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understand that we need to understand

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what is the composition of these

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particles so let's talk about the major

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Apple lipoproteins present in these

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particles first and then we talked about

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the overall composition so chylomicron

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has Apple iPod protein a Apple B 48 C

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and E whereas VLDL has apolipoprotein B

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100 so this is the difference between

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VLDL and the kind of micron

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it also has apolipoprotein see and

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apolipoprotein e now after that in ideal

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and LDL we both have a Appleby 100 and

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in HDL we have majority of the

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lipoproteins but if you go over the

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overall constant composition of these

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particle we would see that 90% of the

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chylomicron is triglyceride actually the

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triglyceride composition is very high in

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case of VLDL and chylomicron whereas for

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LDL the concentration of cholesterol is

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very high almost 50% of it

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so cholesterol has the highest density

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of cholesterol whereas real deal and

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chylomicron has the highest proportion

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of triglycerides in contrast HDL has

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higher proportion of apolipoproteins

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almost 40% of it so once we have a

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overview of the composition of this

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particle let's see how these particles

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are synthesized one of their functions

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how are they metabolized and what is the

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turnover rate so let's begin let's say

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we eat a food which is enriched in fats

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such as a cheesy burger and it would be

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metabolized inside our GI tract right so

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in the intestine the fact would be

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absorbed in form of my sillies right now

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in the intestinal epithelial cell the

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substance which would be secreted from

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the intestinal epithelial cell is the

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chylomicron so intestinal epithelial

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cell secretes chylomicron which is

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enriched in triglycerides other than

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triglyceride it has cholesterol Apple B

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48 Apple II and Apple lipoprotein C 2

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all of these are the components of

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chylomicron right so chylomicrons are

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exclusively assembled in the intestinal

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mucosal sale and the most important

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thing

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them is they do have triglyceride but

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these triglycerides are coming from our

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diet all the triglyceride cholesterol

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that it has it is coming from our diet

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now triglyceride account for 90% of the

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volume of this chylomicrons so these are

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the two very important points about

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chylomicron so this is the overall

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composition of the chylomicron as we

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have discussed now we wanted to

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understand what is the function of

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chylomicron so chylomicron can circulate

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inside the bloodstream and eventually it

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would encounter in the adipose tissue

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now it's job is to deposit the

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triglyceride

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I mean deposit the fat t acids in the

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triglyceride when it encounters adipose

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tissue so on the adipose tissue there

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would be specific enzymes known as

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lipoprotein lipase now one part of the

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chylomicron which is apolipoprotein c2

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would activate the lipoprotein lipase

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now lipoprotein lipase is an

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extracellular enzyme that is anchored to

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a heparin sulfate on the capillary walls

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of many cell types and tissues but

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majorly it is found in adipose tissue

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and it is very important in terms of

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breaking down of triglycerides so the

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lipoprotein lipase is activated by a

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palapa protein C 2 would be eventually

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breaking down that fry as I whistle into

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free fatty acids and these free fatty

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acids would be stored inside the adipose

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tissues so the major function of

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lipoprotein lipase is to break down fat

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and try as a glycerol and now the fact

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is freed right so we can understand the

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concentration of triacylglycerol is

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reduced in these particle now it is

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known as chylomicron remnant okay and it

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would be up taken by the liver so now we

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talk about another type of lipoprotein

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particle which is known as VLDL or very

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low density

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which is exclusively secreted by the

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liver not by the intestine so let's try

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to understand how we LDL is synthesized

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and secreted so we LDL is generated de

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novo inside the liver right in the liver

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hepatocytes so let's just zoom in to our

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HEPA 2 side and try to understand

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so liver hepatocytes input of blue COEs

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from the bloodstream

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now once glucose enters the liver

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hepatocytes it would undergo glycolysis

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and it would generate pyruvate

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eventually that pyruvate would be

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converted to acetyl co a and acetyl co

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it would eventually give rise to a TCA

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cycle and in to generate ATP in the

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electron transport chain

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now this acetyl co a can also be

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utilized inside the smooth endoplasmic

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reticulum reticulum to make cholesterol

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so cholesterol biogenesis can takes

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place in the smooth endoplasmic

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reticulum now other than that the

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dihydroxyacetone phosphate which is a

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by-product of the glycolysis pathway can

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be eventually used to make glycerol and

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there would be free fatty acids present

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in the cytosol itself so free fatty acid

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visceral would make triacylglycerol

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whereas cholesterol and phospholipid

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would also be packaged inside the Golgi

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bodies and ultimately it would generate

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a lipoprotein particle right and the

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protein part comes from these

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apolipoprotein components and from liver

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the Applebee 100 is the major eco

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lipoprotein on VLDL and it is

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synthesized by a specific gene present

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in the nucleus okay so the

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apolipoprotein be 100 containing v LDL

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particles would be now released into the

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bloodstream

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now VLDL encounters HDL and from HDL

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VLDL obtains other apple ipod protein

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such as apple ipod protein C 2 and

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apolipoprotein e so it is very important

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that VLDL interacts with the

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circulating HDL now as will really pass

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through the circulation it also

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encounters the fatty tissues or the

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adipose tissues and on the adipose

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tissues there would be lipoprotein

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lipase so just like we have seen for the

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chylomicron the lipoprotein lipase would

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break down triglyceride and take it

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right so once we LDL is depositing quite

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a lot of free fatty acid in that opposed

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tissue it would be now

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deficient in terms of triglyceride it

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would have less amount of triglyceride

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so that intermediate compound which has

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less amount of triglyceride moderate

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amount of cholesterol a little bit

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amount of proteins as well is known as

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intermediate density lipoprotein notice

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that they have reduced in size as well

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now this ideal would actually interact

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ideal is a very transient species and it

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would interact with the HDL or high

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density lipoprotein HDL would up take a

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lot of triglyceride further from the

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ideal and in contrast it would give some

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amount of cholesterol and ester fide

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cholesterol to the ideal as a result

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this transient molecule of ideal would

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have high level of cholesterol and it

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further lose the triglyceride so it

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would have no triglyceride very high

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level of cholesterol and it would be now

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known as LDL so LDL has very high level

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of cholesterol and very low triglyceride

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now LDL has several surface components

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obviously it would have apolipoprotein C

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and E it would have a piper between be

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100 but eventually these C and E would

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be taken by the HDL or it would be

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utilized to activate LPL as a result

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what would happen it would be left with

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a PO be 100 now how LDL is metabolized

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and that's the important question okay

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so

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LDLs major function is to transport

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cholesterol from liver to the peripheral

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tissue or otherwise it can return the

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cholesterol into the liver so obviously

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let's say the LDL particle which was

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actually formed by the liver in format

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of real deal would be ventually carrying

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the cholesterol to the testes or to the

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adrenal gland now generated from the

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liver the LDL particle will be useful

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for the adrenal cortex because the

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cholesterol that would be deposited by

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the real it would generate several

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steroid hormones of adrenal cortex

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similarly in case of testes the

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cholesterol would be utilized to

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generate testosterone so in real

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transport cholesterol and it is

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absolutely necessary for the body but

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there is also a harmful side of LDL LDL

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can deposit too much cholesterol in the

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artery walls and that is detrimental it

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would narrow the space of the arteries

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and increase the risk of coronary artery

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disease or many other heart disease now

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this situation is not only detrimental

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and it only block the blood flow but it

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would also create a huge amount of

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inflammation because these macrophages

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or the dendritic cell would secrete

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inflammatory cytokine in that region

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overall it can create several as the

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inflammatory symptoms now I would like

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to imagine this phenomena just like a

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garbage truck

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so LDL particles are like garbage truck

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they need to dump their garbage in the

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dump yard and the garbage would be

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recycled so it will need to dump their

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cholesterol in the organ that require

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cholesterol and it would be utilized so

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no problem with that but the problem

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comes when the garbage truck is dumping

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their loads beside the highway one

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possibility is the highway would be

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blocked and there would be problem with

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transport similarly for LDL when it

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starts to dump the cholesterol on artery

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walls it could be detrimental for the

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body

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it can create inflammation it can create

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obstruction in the blood flow and

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increase the risk of heart disease so

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that was the overview of cholesterol as

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a lipoprotein particle so we have a lot

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of similarity of cholesterol transport

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and cholesterol spatter physiology with

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the dump truck now apart from that

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cholesterol would be eventually taken by

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the liver so in the liver hepatocytes

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there are specific receptors against

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apple b100 the in real receptors which

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would recognize that would be 100

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because coalesced the LDL particle has

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Apple be 100 and ultimately it would

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undergo receptor mediated endocytosis

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and it would be up taken by the liver

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hepatocytes and it would be recycled as

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per demand so definitely the most

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important components here is the Apple B

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100 and the receptor mediated

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endocytosis of LDL particle which

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recognized a per beam 100 now we try to

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understand about HDL now HDL is the

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smallest apple lipoprotein in terms of

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size but they have highest density of

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apolipoproteins

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they have quite a lot of proteins more

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than 40% of HDL is protein so they have

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room to take triglyceride and

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cholesterol so HDL interact with real

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deal and LDL and what they do is

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exchange triglyceride in cost of apple

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lipoproteins so it gives proteins to

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VLDL and LDL whereas picks up

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triglyceride from these triglycerides

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and cholesterol esters from these

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species now the HDL is a resolver for

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apolipoprotein HDL can uptake under

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stiff esterified cholesterol as well as

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esterified now HDL

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helps in the esterification process of

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cholesterol and majorly HDL takes part

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in the diversed cholesterol transport so

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it's a garbage pickup truck so let's say

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even if you have garbage on the side of

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the highway and there's a pickup truck

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which is picking up the garbage then

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it's fine right

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so HDL try to a pick excess amount of

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cholesterol which is dumped on the

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arteries and try to save our body from

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risk of cholesterol mediated damages in

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our artery

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so that is why HDL is also known as good

play15:37

cholesterol while LDL is known as bad

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cholesterol so let's just take a quick

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overview that what we learned in this

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overall video in this video we have a

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clear idea about what are the major

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apolipoproteins presenting these

play15:52

lipoprotein particles right so we have

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seen chylomicron contains apple b48 as a

play16:00

signature apple lipoprotein whereas VLDL

play16:03

has apple b100 now HDL is very rich with

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proteins the composition of all of these

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lipoprotein particle are different now

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chylomicron and VLDL are very enriched

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in try SIV so all whereas LDL is

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enriched in cholesterol and HDL is found

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to be enriched with proteins and we also

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looked at the source from which these

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particles are secreted we have seen

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chylomicron is secreted from intestine

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whereas these veal really ideal angular

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particles are generally coming from the

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liver

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whereas HDL can be secreted from both

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liver and the interesting so that goes

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over all bird's eye view on this

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particular topic but in subsequent

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videos we'll be talking about all of

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these species in lot more details and

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try to understand their characteristics

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pathophysiology and there are biological

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significance so I hope you enjoyed this

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video if you like this video give it a

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big thumbs up don't forget to Like share

play17:04

and subscribe thank you

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Related Tags
LipoproteinsCholesterolMetabolismTriglyceridesHDLLDLVLDLIDLChylomicronLipaseCardiovascular Health