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Published on: November 24, 2020
Microsomal Triglyceride Transfer Protein: From Lipid Metabolism to Metabolic Diseases
Jahangir Iqbal1, Zainab Jahangir2, Ali Ahmed Al-Qarni3
1King Abdullah International Medical Research Center, King Saud bin Abdulaziz University Health Sciences, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Al Ahsa, Saudi Arabia. iqbalja@ngha.med.sa.
Abstract:
Microsomal triglyceride transfer protein (MTP) was first identified as an endoplasmic reticulum (ER) resident protein that helps in the transfer of neutral lipids to nascent apolipoprotein B (apoB). Its critical role in the assembly and secretion of apoB-containing lipoproteins was identified in abetalipoproteinemia patients who have mutations in MTP and completely lack apoB-containing lipoproteins in the circulation. It has been established now that MTP not only is involved in the transfer of neutral lipids but also plays a role in cholesterol ester and cluster of differentiation 1d (CD1d) biosynthesis. Besides neutral lipids, MTP may also help in the transfer of sphingolipids such as ceramides and sphingomyelin to the apoB-containing lipoproteins. MTP is a multifunctional protein, and its deregulation during pathophysiological conditions gives rise to different metabolic conditions. This book chapter discusses the physiological role and regulation of MTP to maintain the homeostasis of lipids and lipoproteins. It also reviews the regulation of MTP during certain pathophysiological conditions and provides a brief overview of therapeutic interventions that can be possibly used to target its activity or expression to alleviate some of these metabolic diseases.
Insights
Microsomal triglyceride transfer protein (MTP) is crucial for lipid and lipoprotein metabolism. This review explores MTP
Area of Science:
- Biochemistry
- Molecular Biology
- Metabolic Diseases
Background:
- Microsomal triglyceride transfer protein (MTP) is an endoplasmic reticulum protein essential for apolipoprotein B (apoB)-lipoprotein assembly and secretion.
- Deficiency in MTP leads to abetalipoproteinemia, characterized by a lack of circulating apoB-lipoproteins.
- MTP's functions extend beyond neutral lipid transfer to include cholesterol ester and CD1d biosynthesis, and potentially sphingolipid transfer.
Purpose of the Study:
- To elucidate the physiological roles and regulatory mechanisms of MTP in maintaining lipid and lipoprotein homeostasis.
- To review MTP regulation in various pathophysiological conditions.
- To provide an overview of potential therapeutic strategies targeting MTP for metabolic diseases.
Main Methods:
- Literature review of MTP's function, regulation, and therapeutic targeting.
- Analysis of studies on MTP in genetic disorders like abetalipoproteinemia.
- Exploration of MTP's involvement in lipid biosynthesis pathways.
Main Results:
- MTP facilitates the transfer of neutral lipids, cholesterol esters, and potentially sphingolipids to apoB.
- MTP deregulation is implicated in various metabolic disorders.
- MTP's multifaceted role in lipid metabolism is critical for overall metabolic health.
Conclusions:
- MTP is a key regulator of lipid and lipoprotein metabolism with diverse functions.
- Understanding MTP's regulation is vital for addressing metabolic diseases.
- Targeting MTP activity or expression offers potential therapeutic avenues for metabolic disorders.
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