Studies in humans on the in vivo metabolism of apolipoprotein (apo) Cs have
been hampered by the highly complex nature of lipoprotein metabolism, whic
h can be influenced by multiple genetic and environmental factors, in order
to gain new insights into the function of the individual apoCs in lipoprot
ein metabolism, several laboratories have created mouse models lacking or o
verexpressing the respective APOC genes through the technologies of gene ta
rgeting and transgenesis. Until now, the only well-established in vivo meta
bolic function of apoC-I has been its inhibitory action on the uptake of ve
ry low-density lipoprotein (VLDL) via hepatic receptors, particularly the l
ow-density lipoprotein (LDL) receptor-related protein. Consequently the pre
sence of apoC-I on the lipoprotein particle may prolong its residence time
in the circulation and subsequently facilitate its conversion to LDL. ApoC-
II, on the other hand, is a major activator of lipoprotein lipase, which is
required for an efficient processing of triglyceride-rich lipoproteins in
the circulation. However; an excess of apoC-II on the lipoprotein particle
has been suggested to inhibit the lipoprotein-lipase-mediated hydrolysis of
triglycerides. From studies with APOC3 transgenic and ApoC3-knockout mice,
it appears that apoC-III inhibits the lipolysis of triglyceride-rich lipop
roteins by hampering the interaction of these lipoproteins with the heparan
sulfate proteoglycan-lipoprotein lipase complex. Subsequently the poorly l
ipolyzed apoC-III-containing lipoprotein particles may accumulate in plasma
because of their lower binding affinity towards hepatic receptors due to a
change in lipid composition, particle size or the presence of apoC-III on
the particle itself From these data it can thus be concluded that ail C apo
lipoproteins specifically modulate the metabolism of triglyceride-rich lipo
proteins, which may contribute to the development of hyperlipidemia and oth
er lipoprotein abnormalities in humans.