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'''High-density lipoprotein''' (HDL) is one of the five principal types of [[lipoproteins]], which are complex assemblies of lipids and proteins that function as vehicles for lipid transport throughout the body's aqueous environment<ref>{{Cite journal|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3315354/|title=HDL: More Than Just Cholesterol|journal=Current Atherosclerosis Reports|date=2012|first=Avinaash|last=Subramanian|volume=14|issue=1|pages=23-30|doi=10.1007/s11883-011-0215-9}}</ref>.
== High-Density Lipoprotein (HDL) ==


== Composition and Structure of HDL ==
[[File:Hdl1.svg|thumb|right|Diagram of High-Density Lipoprotein (HDL) structure]]
HDL particles are typically comprised of 80-100 proteins, predominantly arranged by one, two, or three ApoA proteins. As HDL particles circulate in the bloodstream, they can enlarge by integrating more fat molecules, thereby enabling the transport of hundreds of fat molecules per particle.


== Functions of HDL: Beyond Lipid Transportation ==
High-Density Lipoprotein (HDL) is one of the five major groups of [[lipoproteins]] that enable lipids like [[cholesterol]] and [[triglycerides]] to be transported within the water-based bloodstream. HDL is often referred to as "good cholesterol" due to its role in transporting cholesterol away from the arteries and towards the liver, where it can be processed and excreted from the body.
While HDL is well-known for its role in lipid transport, it has other vital functions. Notably, it plays a crucial role in reverse cholesterol transport, wherein it carries cholesterol from peripheral tissues back to the liver for excretion. This protective mechanism helps prevent the accumulation of cholesterol in the walls of arteries, reducing the risk of [[atherosclerosis]] and [[cardiovascular disease]]<ref>{{Cite journal|url=https://www.ncbi.nlm.nih.gov/pubmed/15051642/|title=HDL and reverse cholesterol transport|journal=Biochimica et Biophysica Acta|date=2004|first=J.E.|last=Schmitz|volume=1631|issue=2|pages=205-15|doi=10.1016/j.bbalip.2003.12.007}}</ref>.
 
== Structure ==
 
HDL particles are the smallest and densest of the lipoproteins. They are composed of a core of [[cholesteryl esters]] and triglycerides surrounded by a shell of [[phospholipids]], free cholesterol, and [[apolipoproteins]], primarily [[Apolipoprotein A-I]] and [[Apolipoprotein A-II]]. The high density of HDL is due to its high protein-to-lipid ratio.
 
== Function ==
 
The primary function of HDL is to mediate [[reverse cholesterol transport]], a process by which cholesterol is removed from tissues and transported back to the liver. This process helps to prevent the accumulation of cholesterol in the arterial walls, thereby reducing the risk of [[atherosclerosis]] and [[cardiovascular disease]].
 
=== Reverse Cholesterol Transport ===
 
In reverse cholesterol transport, HDL particles collect cholesterol from the peripheral tissues and transport it to the liver. This is facilitated by the interaction of HDL with the [[ATP-binding cassette transporter A1]] (ABCA1) and other transporters on the cell surface. Once in the liver, cholesterol can be converted into [[bile acids]] or excreted directly into the bile.
 
== Clinical Significance ==
 
Higher levels of HDL cholesterol are associated with a lower risk of cardiovascular disease. This is because HDL helps to clear cholesterol from the arteries, reducing the risk of plaque formation and subsequent [[heart attack]] or [[stroke]].
 
=== HDL and Cardiovascular Risk ===
 
While high levels of HDL are generally protective, very high levels of HDL may not always confer additional benefits and can sometimes be associated with other health issues. The relationship between HDL levels and cardiovascular risk is complex and influenced by various factors, including genetics and lifestyle.
 
== Related Pages ==
 
* [[Lipoprotein]]
* [[Cholesterol]]
* [[Atherosclerosis]]
* [[Cardiovascular disease]]


== HDL and Health Outcomes ==
Studies have consistently shown a strong inverse correlation between HDL cholesterol levels and the risk of cardiovascular disease. This finding has led to the nickname "good cholesterol" for HDL, contrasting with the "bad cholesterol" label often applied to low-density lipoprotein (LDL). However, recent research has highlighted that it's the functionality of HDL, rather than its quantity, which is crucial in mediating cardiovascular risk<ref>{{Cite journal|url=https://www.ncbi.nlm.nih.gov/pubmed/24355623/|title=HDL cholesterol, very low levels of LDL cholesterol, and cardiovascular events|journal=New England Journal of Medicine|date=2007|first=Philip|last=Barter|volume=357|issue=13|pages=1301-10|doi=10.1056/NEJMoa064278}}</ref>.
== References ==
<references />
{{stub}}
[[Category:Lipoproteins]]
[[Category:Lipoproteins]]
[[Category:Metabolism]]
[[Category:Cardiovascular diseases]]

Latest revision as of 10:59, 15 February 2025

High-Density Lipoprotein (HDL)[edit]

Diagram of High-Density Lipoprotein (HDL) structure

High-Density Lipoprotein (HDL) is one of the five major groups of lipoproteins that enable lipids like cholesterol and triglycerides to be transported within the water-based bloodstream. HDL is often referred to as "good cholesterol" due to its role in transporting cholesterol away from the arteries and towards the liver, where it can be processed and excreted from the body.

Structure[edit]

HDL particles are the smallest and densest of the lipoproteins. They are composed of a core of cholesteryl esters and triglycerides surrounded by a shell of phospholipids, free cholesterol, and apolipoproteins, primarily Apolipoprotein A-I and Apolipoprotein A-II. The high density of HDL is due to its high protein-to-lipid ratio.

Function[edit]

The primary function of HDL is to mediate reverse cholesterol transport, a process by which cholesterol is removed from tissues and transported back to the liver. This process helps to prevent the accumulation of cholesterol in the arterial walls, thereby reducing the risk of atherosclerosis and cardiovascular disease.

Reverse Cholesterol Transport[edit]

In reverse cholesterol transport, HDL particles collect cholesterol from the peripheral tissues and transport it to the liver. This is facilitated by the interaction of HDL with the ATP-binding cassette transporter A1 (ABCA1) and other transporters on the cell surface. Once in the liver, cholesterol can be converted into bile acids or excreted directly into the bile.

Clinical Significance[edit]

Higher levels of HDL cholesterol are associated with a lower risk of cardiovascular disease. This is because HDL helps to clear cholesterol from the arteries, reducing the risk of plaque formation and subsequent heart attack or stroke.

HDL and Cardiovascular Risk[edit]

While high levels of HDL are generally protective, very high levels of HDL may not always confer additional benefits and can sometimes be associated with other health issues. The relationship between HDL levels and cardiovascular risk is complex and influenced by various factors, including genetics and lifestyle.

Related Pages[edit]