Very-low-density lipoprotein size is variable, with diameters ranging from approximately 35 to 70 nm.[4] Some researchers further classify VLDL particles into VLDL1 and VLDL2 based on size (as measured by Svedberg flotation units), where VLDL1 particles are larger and contain more triglycerides, while other researchers create a tripartite system by subdividing VLDL1 into larger VLDL1 and smaller VLDL2 and relabeling VLDL2 as VLDL3.[4]
Nascent VLDL released from the liver contains apolipoprotein B100, apolipoprotein C1 (apoC1), apolipoprotein E (apoE), cholesterol, cholesteryl esters, and triglycerides. As it circulates in blood, it picks up apolipoprotein C-II (apoC-II) and additional apoE donated from high-density lipoprotein (HDL). At this point, nascent VLDL becomes a mature VLDL. Once in circulation, VLDL will come in contact with lipoprotein lipase (LPL) in the capillary beds in the body (adipose, cardiac, and skeletal muscle). LPL will remove triglycerides from VLDL for storage or energy production. VLDL now meets back up with HDL where apoC-II is transferred back to HDL (but keeps apoE). HDL also transfers cholesteryl esters to the VLDL in exchange for phospholipids and triglycerides via cholesterylester transfer protein (CETP). As more and more triglycerides are removed from the VLDL because of the action of LPL and CETP enzymes, the composition of the molecule changes, and it becomes intermediate-density lipoprotein (IDL).[6]
Fifty percent of IDLs are recognized by receptors in the liver cells because of the apolipoprotein B-100 (apoB-100) and apoE they contain and are endocytosed. The other 50% of IDL lose apoE; when their cholesterol content becomes greater than the content of triglyceride, they become LDL, with apoB-100 as the primary apolipoprotein. The LDL is taken into a cell via the LDL receptor via endocytosis, where the contents are either stored, used for cell membrane structure, or converted into other products such as steroid hormones or bile acids.[7]
^Dashty M, Motazacker MM, Levels J, de Vries M, Mahmoudi M, Peppelenbosch MP, Rezaee F (2014). "Proteome of human plasma very-low-density lipoprotein and low-density lipoprotein exhibits a link with coagulation and lipid metabolism". Thromb. Haemost. 111 (3): 518–530. doi:10.1160/TH13-02-0178. PMID24500811. S2CID20566238.
^ abPackard CJ, Shepherd J (1997). "Lipoprotein Heterogeneity and Apolipoprotein B Metabolism". Arteriosclerosis, Thrombosis, and Vascular Biology. 17 (12): 3542–3556. doi:10.1161/01.atv.17.12.3542. PMID9437204.
^Queiroz KC, Tio RA, Zeebregts CJ, Bijlsma MF, Zijlstra F, Badlou B, de Vries M, Ferreira CV, Spek CA, Peppelenbosch MP, Rezaee F (2010). "Human plasma very-low density lipoprotein carries". J Proteome Res. 9 (11): 6052–6059. doi:10.1021/pr100403q. PMID20839884.
^Shelness GS, Sellers JA (2000). "From cholesterol transport to signal transduction: low density lipoprotein receptor, very-low density lipoprotein receptor, and apolipoprotein E receptor-2". Biochim Biophys Acta. 1529 (1–3): 287–298. doi:10.1016/S1388-1981(00)00155-4. PMID11111096.