Postprandial lipids and lipoproteins have been associated with the presence
of cardiovascular disease in a large number of case-control studies. Becau
se the metabolic perturbations around the postprandial situation is a key d
riving force for cholesterol flux between lipoproteins and tissues, togethe
r with the augmented generation of potentially atherogenic cholesterol-rich
remnant lipoproteins, several hypotheses have been formulated to link exce
ssive lipoproteinaemic response to fat intake with cardiovascular disease.
Recent information on the regulation of lipoprotein remnant formation and i
ts relation Ito atherosclerosis will enable us to test a pertinent clinical
question: is there a direct relationship between repeated elevations of po
stprandial lipoproteins and development of atherosclerosis?