Key changes in lipoprotein metabolism in type 2 diabetes | |||
Lipoprotein | Quantitative changes | Qualitative changes | Kinetic/metabolic changes |
Chylomicron | • Increased plasma concentration | • Very few data (decreased ApoE content in diabetic rabbits) |
• Increased production • Decreased catabolism |
VLDL | • Increased plasma concentration |
• Greater proportion of larger particles (VLDL1) • Increased palmitic acid-containing species and diacylglycerol, reduced sphingomyelin • Glycation |
• Increased production • Decreased catabolism |
LDL | • No change or slightly increased plasma concentration |
• Greater proportion of small, dense particles (triacylglycerol enrichment) • Increased LDL oxidation • Increased palmitic acid-containing species and diacylglycerol, reduced sphingomyelin • Glycation |
• Decreased catabolism |
HDL | • Decreased plasma concentration |
• Triacylglycerol enrichment • Reduced phospholipids, ApoE and ApoM • Glycation |
• Increased catabolism |