96 Introduction to Human Nutrition
Re-esterifi cation of triacylglycerols in
the enterocyte
Once LCFAs have entered the cell they are activated
by acyl-CoA and are re-esterifi ed with glycerol back
into TAG and phospholipids by two distinct bio-
chemical pathways, the 2-MAG and glycerol-3-
phosphate (G-3-P) pathways. The difference between
these two pathways lies in:
● their substrates of activation
● the former using 2-MAG and the latter
α-glycero-3-phosphate
● their location within different cellular organelles:
the 2-MAGs reside in the smooth endoplasmic
reticulum and the G-3-P in the rough endoplasmic
reticulum
● the periods during which they are most active.
The 2-MAG pathway is quantitatively of greater
importance in the enterocyte of the intestine and thus
predominates in the postprandial period, whereas the
G-3-P pathway is more active in the postabsorptive
phase in tissues such as liver, muscle, and adipose
tissue. Following the absorption of a fatty meal and
uptake of 2-MAG into the enterocyte, up to 90% of
these molecules are rapidly acylated back to 1,2-dia-
cylglycerol and fi nally TAGs by the sequential actions
of three enzymes: CoA ligase, monoglycerol acyl-
transferase, and diacylglycerol acyltransferase. In a
similar fashion, lysophosphatidylcholine, produced
by the action of pancreatic phospholipase ‘A’ on
dietary phospholipids, is absorbed by the enterocyte
and re-esterifi ed back to phosphatidylcholine in the
enterocyte by direct acetylation (Figure 6.7). The bulk
of free cholesterol absorbed from the intestinal lumen
is also re-esterifi ed in the enterocyte by the enzyme
ACAT.
Lipoprotein assembly and secretion
Plasma lipoproteins are a family of spherical, macro-
molecular complexes of lipid and protein, the princi-
pal function of which is to transport endogenous
lipids (synthesized in the liver) and exogenous
lipids (synthesized in the gut from dietary fats)
from these sites of production and absorption to
peripheral sites of utilization (e.g., oxidation in
muscle, incorporation in membranes, or as precur-
sors of biologically active metabolites) and storage
(e.g., adipose tissue).
Via lymph
FA
FA
Energy in
muscle
TAG in
adipose tissue
VLDL
VLDL
IDL
LDL
50% 50%
80% 20%
Capillary
Exogenous lipid transport pathway Endogenous lipid transport pathway
Intestine
Liver Liver Other tissues
Liver
CM
CM
Energy in
muscle
TAG in
adipose tissue
CM
remnant
Lipoprotein
lipase
Lipoprotein
lipase
Hepatic
lipase
Figure 6.7 Re-esterifi cation of triacylglycerides in enterocytes. CM, chylomicron; FA, fatty acid; IDL, intermediate-density lipoprotein; LDL, low-
density lipoprotein; TAG, triacylycerol; VLDL, very low-density lipoprotein. (Reproduced from Mangiapane EH, Salter AM, eds. Diet, Lipoproteins
and Coronary Heart Disease. A Biochemical Perspective. Nottingham University Press, Nottingham, 1999, with permission of Nottingham University
Press.)