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Journal of Lipid Research, Vol. 9, 155-167, March 1968
Copyright © 1968 by Lipid Research, Inc.
Department of Medicine and Regional Primate Research Center, University of Washington, Seattle, Washington 98105
Evidence for the existence of a plasma lecithin : cholesterol acyltransferase is reviewed with emphasis not only on the lipid reactants, but also on the lipoprotein "substrates" and "products." The cholesteryl esters of all major lipoprotein classes become labeled when plasma is incubated with cholesterol-14C. However, the smaller, lecithin-rich high density lipoproteins appear to be preferred substrates. Most studies of factors that influence the acyltransferase reaction have not adequately distinguished between effects on the enzyme and effects on the lipoprotein substrates. However, the fact that cholesterol esterification is diminished in plasma from eviscerated animals or from patients with reduced liver function suggests that the liver may regulate both the level of the enzyme and that of the substrates. Several indications exist that the acyltransferase reaction is the major source of plasma esterified cholesterol in man. Furthermore, the reaction may have a broader, extracellular function. One possibility is that it plays a role in the transport of cholesterol from peripheral tissues to the liver.
Supplementary key words acyltransferase • plasma • lecithin • cholesterol • cholesteryl ester • lysolecithin • lipoproteins • cholesterol transport • peripheral tissues • liver
Submitted on October 4, 1967
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