Obesity-Related Changes in High-Density Lipoprotein Metabolism and Function

In obese individuals, atherogenic dyslipidemia is a very common and important factor in the increased risk of cardiovascular disease. Adiposity-associated dyslipidemia is characterized by low high-density lipoprotein cholesterol (HDL-C) levels and an increase in triglyceride-rich lipoproteins. Several factors and mechanisms are involved in lowering HDL-C levels in the obese state and HDL quantity and quality is closely related to adiponectin levels and the bioactive lipid sphingosine-1-phosphate. Recent studies have shown that obesity profoundly alters HDL metabolism, resulting in altered HDL subclass distribution, composition, and function. Importantly, weight loss through gastric bypass surgery and Mediterranean diet, especially when enriched with virgin olive oil, is associated with increased HDL-C levels and significantly improved metrics of HDL function. A thorough understanding of the underlying mechanisms is crucial for a better understanding of the impact of obesity on lipoprotein metabolism and for the development of appropriate therapeutic approaches. The objective of this review article was to summarize the newly identified changes in the metabolism, composition, and function of HDL in obesity and to discuss possible pathophysiological consequences.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:21

Enthalten in:

International journal of molecular sciences - 21(2020), 23 vom: 26. Nov.

Sprache:

Englisch

Beteiligte Personen:

Stadler, Julia T [VerfasserIn]
Marsche, Gunther [VerfasserIn]

Links:

Volltext

Themen:

Adiponectin
Bariatric surgery
Cholesterol efflux
HDL subclasses
HDL-C
Journal Article
Lipoproteins, HDL
Obesity
Review
Sphingosine 1-phosphate

Anmerkungen:

Date Completed 04.03.2021

Date Revised 30.03.2024

published: Electronic

Citation Status MEDLINE

doi:

10.3390/ijms21238985

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM318224615