Role of apolipoprotein C1 in lipoprotein metabolism, atherosclerosis and diabetes: a systematic review.

Role of apolipoprotein C1 in lipoprotein metabolism, atherosclerosis and diabetes: a systematic review.
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DOI:
10.1186/s12933-022-01703-5
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发表时间:
2022-12-05
影响因子:
9.3
通讯作者:
Bouillet, Benjamin
Bouillet, Benjamin
中科院分区:
医学1区
文献类型:
--
作者:
Rouland, Alexia;Masson, David;Lagrost, Laurent;Verges, Bruno;Gautier, Thomas;Bouillet, Benjamin

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载脂蛋白C1(apoC 1)是一种小分子载脂蛋白,其确切作用尚不完全清楚,但似乎对脂蛋白的代谢有显着调节作用。ApoC 1通过抑制极低密度脂蛋白(VLDL)与VLDL受体(VLDL-R)、低密度脂蛋白受体(LDL-R)和LDL受体相关蛋白(LRP)的结合,通过降低脂蛋白脂肪酶(LPL)的活性和通过刺激VLDL产生,参与富含甘油三酯的脂蛋白的代谢,所有这些作用导致血浆甘油三酯增加。ApoC 1还通过抑制胆固醇酯转移蛋白(CETP)参与高密度脂蛋白(HDL)的代谢。apoC 1对CETP活性的功能在糖尿病中受损,这可能至少部分地解释了在糖尿病患者中观察到的血浆CETP活性增加。其对脂蛋白代谢的不同影响以及在炎症调节中的可能作用使得难以弄清楚apoC 1对心脏代谢风险的净影响,并且apoC 1可能被认为是促动脉粥样硬化或抗动脉粥样硬化,这取决于总体代谢背景。由于这种小蛋白的高交换性,很难将总血浆apoC 1水平与心脏代谢疾病的风险联系起来,这种小蛋白的生物学效应可能主要取决于其与VLDL或HDL的结合。apoC 1在人类中的作用尚未完全阐明,需要进一步研究以确定其在脂质代谢中的确切作用及其对炎症和血管壁生物学的可能多效性作用。本文综述了载脂蛋白C1的结构和分布,载脂蛋白C1对VLDL代谢和HDL代谢的影响,以及载脂蛋白C1与动脉粥样硬化和糖尿病的关系。
Apolipoprotein C1 (apoC1) is a small size apolipoprotein whose exact role is not totally clarified but which seems to modulate significantly the metabolism of lipoproteins. ApoC1 is involved in the metabolism of triglyceride-rich lipoproteins by inhibiting the binding of very low density lipoproteins (VLDL) to VLDL-receptor (VLDL-R), to low density lipoprotein receptor (LDL-R) and to LDL receptor related protein (LRP), by reducing the activity of lipoprotein lipase (LPL) and by stimulating VLDL production, all these effects leading to increase plasma triglycerides. ApoC1 takes also part in the metabolism of high density lipoproteins (HDL) by inhibiting Cholesterol Ester Transfer Protein (CETP). The functionality of apoC1 on CETP activity is impaired in diabetes that might account, at least in part, for the increased plasma CETP activity observed in patients with diabetes. Its different effects on lipoprotein metabolism with a possible role in the modulation of inflammation makes the net impact of apoC1 on cardiometabolic risk difficult to figure out and apoC1 might be considered as pro-atherogenic or anti-atherogenic depending on the overall metabolic context. Making the link between total plasma apoC1 levels and the risk of cardio-metabolic diseases is difficult due to the high exchangeability of this small protein whose biological effects might depend essentially on its association with VLDL or HDL. The role of apoC1 in humans is not entirely elucidated and further studies are needed to determine its precise role in lipid metabolism and its possible pleiotropic effects on inflammation and vascular wall biology. In this review, we will present data on apoC1 structure and distribution among lipoproteins, on the effects of apoC1 on VLDL metabolism and HDL metabolism and we will discuss the possible links between apoC1, atherosclerosis and diabetes.
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发表时间: 2010-07-01
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