PMID: 9191485Oct 1, 1996Paper

Reverse cholesterol transport: its contribution to cholesterol catabolism in normal and disease states

The Canadian Journal of Cardiology
K C Loh, M H Tan

Abstract

To review the reverse cholesterol transport (RCT) model and its contribution to cholesterol catabolism in normal and disease states. Pertinent articles were identified through a MEDLINE search of the English language literature from 1983 to 1995, followed by a manual search of the bibliographies of pertinent articles. Review articles, laboratory and clinical studies and case reports. The physiology of the RCT pathway as well as alterations observed in individuals with diseases or lifestyle changes were reviewed. Data were derived mainly from laboratory studies and clinical observations. The RCT model is proposed to explain the removal of excess cholesterol from extrahepatic tissues and its delivery to liver for catabolism. This involves several regulated steps mediated by the plasma apolipoproteins and two key enzymes, lecithin:cholesterol acyltransferase (LCAT) and cholesteryl ester transfer protein (CETP). In essence free cholesterol in peripheral tissues is taken up by nascent high density lipoprotein (HDL) particles, converted to cholesteryl esters (by LCAT), and then transferred to apo B-containing lipoproteins (by CETP) for hepatic removal. Altered cholesterol catabolism may occur in individuals with disorders of a geneti...Continue Reading

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