Human Metabolism. Keith N. Frayn

Figure 1.17 Lipid metabolism pathways. Importance of lipolysis and esterification pathways in lipid metabolism. Dietary fat, in the form of triacylglycerol, is hydrolysed in the intestinal lumen by pancreatic lipase and the products taken up into enterocytes (more detail in Section 4.2.3.2.3). Within the enterocytes, the fatty acids are re-esterified to glycerol [in fact some are taken up as monoacylglycerols and this is the basis for esterification – see Section 4.3.3]. The triacylglycerol is exported into plasma in the form of large lipoprotein droplets, the chylomicrons. Lipolysis of this circulating triacylglycerol by a lipase bound to endothelial cells (lipoprotein lipase) allows fatty acids to be taken up into cells for further esterification (adipose tissue) or for oxidation (muscle and other tissues). Triacylglycerol stored in adipocytes may be hydrolysed by intracellular lipases (further details in Chapter 5, Figure 5.10) to release fatty acids, which can travel through plasma for delivery to other tissues for oxidation. Most tissues also contain smaller amounts of triacylglycerol, formed by esterification of incoming fatty acids. Lip, lipolysis step; Est, esterification step. Structures are shown very diagrammatically. Fatty acids are represented by short wavy lines (more detail in box) but see Figures 1.4 and 1.9 for more detail.

      Fatty acids are the lipids utilised for energy production in oxidative tissues; however, since they are amphipathic and detergent-like (Figure 1.4) they are potentially toxic, and are stored as triacylglycerol, mainly in specialised cells known as adipocytes. Unlike carbohydrates such as glucose, lipids are (by definition) not water-soluble. As discussed in Figure 1.4, triacylglycerol is very hydrophobic, making it a very dense and efficient energy store. Whilst this is an advantage for energy storage, it necessitates specialised forms of intracellular storage and mechanisms for transport through the plasma.

      Triacylglycerol within cells is stored in the form of lipid droplets, discrete droplets each bounded – and stabilised – by a monolayer of phospholipids, together with some specific proteins (described in more detail later, Box 5.7). This phospholipid coat is similar to the structure of a cell membrane shown in Figure 1.5, but with just the outer layer of phospholipids. In specialised cells for fat storage, adipocytes, there may be just one large lipid droplet, occupying much of the volume of the cell (and discussed in more detail in Chapter 5), but in most cells there are multiple, small lipid droplets.

Plasma fatty acids themselves, not esterified to glycerol, are known as NEFAs, sometimes called free fatty acids (FFAs). In plasma they are mainly bound loosely and non-specifically to the plasma protein albumin. They dissociate from albumin to enter cells. Triacylglycerol is also transported in plasma, usually along with cholesterol. This is achieved by formation of sub-microscopic lipid droplets in which a core of triacylglycerol is stabilised in the aqueous environment of the plasma by a surface monolayer of phospholipids, like intracellular lipid droplets. These droplets, or particles as they are often known, are associated with specific proteins to guide them round the circulation. The whole particle is then known as a lipoprotein. Lipoprotein metabolism will be discussed extensively in Chapter 10. Here we will briefly mention two relevant classes of lipoprotein particles: the chylomicrons and the very-low-density lipoproteins (VLDLs) – the reasons for these names will be explained in Chapter 10.

The reactions involved in interconversion of fatty acids and triacylglycerol are central to lipid metabolism. As shown in Figure 1.4, triacylglycerols consist of three fatty acid molecules esterified to one of glycerol (a trihydric alcohol, CH₂OH-CHOH-CH₂OH). These ester bonds are hydrolysed by lipase enzymes. There are several families of lipases, which will be mentioned where relevant in the text. The reaction is identical to that used in the manufacture of soap, known as saponification. In soap manufacture, a triacylglycerol (usually of vegetable oil origin) is treated with caustic soda (NaOH), resulting in the hydrolysis of ester bonds and the liberation of glycerol and fatty acids (in the form of their sodium salts). In metabolism, however, the hydrolysis is achieved by lipase enzymes (Figure 1.18).