Sialic acids are a family of amino sugars that are commonly found as termin
al oligosaccharide residues on glycoproteins and glycolipids. Plasma lipopr
oteins are sialylated on their apolipoprotein and glycolipid constituents.
The function of sialic acid on apolipoproteins is not completely understood
but has been associated with secretion, lipid-binding, and plasma clearanc
e for some apolipoproteins. The sialic acid content of individual apolipopr
oteins can Vary in response to physiological conditions while the sialic ac
id content of individual sialylated glycolipids (gangliosides) is constant.
Thus, the sialic acid content of plasma lipoproteins can differ considerab
ly as a result of (1) variations in the sialylation of their apolipoprotein
constituents, (2) variations in their content of sialylated apolipoprotein
s and gangliosides, and (3) modifications of the sialic acid on lipoprotein
constituents while circulating in plasma. The significance of sialic acid
on lipoproteins is not fully understood although associations have been mad
e between sialic acid and charge (very low density lipoprotein), lipoprotei
n solubility, receptor binding and uptake, and interactions with vascular m
atrix (low density lipoprotein and Lp(a)) and with cholesterol efflux (high
density lipoprotein). Further studies identifying sites of sialylation on
apolipoproteins and characterizing the structures of sialylated oligosaccha
rides will aid in determining the enzymes responsible for their sialylation
. Manipulations of the sialylation of apolipoproteins and of the quantity o
f apolipoproteins and gangliosides on lipoproteins will be useful methods i
n determining the role of lipoprotein sialic acid in the development of ath
erosclerosis. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.