Open Access Articles- Top Results for Triglyceride
Endocrinology & Metabolic SyndromeCommon Sequence Variants in CD163 Gene are Associated with Plasma Triglyceride and Total Cholesterol Levels in Severely Obese Individuals
Research & Reviews: Journal of Medical and Health SciencesSequels of Smoking on Blood Lipid Levels in a Rural Population of South India
Journal of Metabolic SyndromeHypertriglyceridemia Masking Hyperglycemia
Pancreatic Disorders & TherapyStudies of the Mechanisms Causing Pancreatitis in Severe Hypertriglyceridemia
Medicinal ChemistryDiabetic Dyslipidemia - Role of Saroglitazar
A triglyceride (TG, triacylglycerol, TAG, or triacylglyceride) is an ester derived from glycerol and three fatty acids. As a blood lipid, it helps enable the bidirectional transference of adipose fat and blood glucose from the liver. There are many triglycerides: depending on the oil source, some are highly unsaturated, some less so.
Saturated compounds are "saturated" with hydrogen — all available places where hydrogen atoms could be bonded to carbon atoms are occupied. Unsaturated compounds have double bonds (C=C) between carbon atoms, reducing the number of places where hydrogen atoms can bond to carbon atoms. Saturated compounds have single bonds (C-C) between the carbon atoms, and the other bond is bound to hydrogen atoms (for example =CH-CH=, -CH2-CH2-, etc.).
Triglycerides are formed by combining glycerol with three fatty acid molecules. Alcohols have a hydroxyl (HO-) group. Organic acids have a carboxyl (-COOH) group. Alcohols and organic acids join to form esters. The glycerol molecule has three hydroxyl (HO-) groups. Each fatty acid has a carboxyl group (-COOH). In triglycerides, the hydroxyl groups of the glycerol join the carboxyl groups of the fatty acid to form ester bonds:
- HOCH2CH(OH)CH2OH + RCO2H + R'CO2H + R''CO2H → RCO2CH2CH(O2CR')CH2CO2R'' + 3H2O
The three fatty acids (RCO2H, R'CO2H, R''CO2H in the above equation) are usually different, but many kinds of triglycerides are known. The chain lengths of the fatty acids in naturally occurring triglycerides vary, but most contain 16, 18, or 20 carbon atoms. Natural fatty acids found in plants and animals are typically composed of only even numbers of carbon atoms, reflecting the pathway for their biosynthesis from the two-carbon building-block acetyl CoA. Bacteria, however, possess the ability to synthesise odd- and branched-chain fatty acids. As a result, ruminant animal fat contains odd-numbered fatty acids, such as 15, due to the action of bacteria in the rumen. Many fatty acids are unsaturated, some are polyunsaturated, e.g., those derived from linoleic acid.
Most natural fats contain a complex mixture of individual triglycerides. Because of this, they melt over a broad range of temperatures. Cocoa butter is unusual in that it is composed of only a few triglycerides, derived from palmitic, oleic, and stearic acids.
The pancreatic lipase acts at the ester bond, hydrolysing the bond and "releasing" the fatty acid. In triglyceride form, lipids cannot be absorbed by the duodenum. Fatty acids, monoglycerides (one glycerol, one fatty acid), and some diglycerides are absorbed by the duodenum, once the triglycerides have been broken down.
In the intestine, following the secretion of lipases and bile, triglycerides are split into monoacylglycerol and free fatty acids in a process called lipolysis. They are subsequently moved to absorptive enterocyte cells lining the intestines. The triglycerides are rebuilt in the enterocytes from their fragments and packaged together with cholesterol and proteins to form chylomicrons. These are excreted from the cells and collected by the lymph system and transported to the large vessels near the heart before being mixed into the blood. Various tissues can capture the chylomicrons, releasing the triglycerides to be used as a source of energy. Liver cells can synthesize and store triglycerides. When the body requires fatty acids as an energy source, the hormone glucagon signals the breakdown of the triglycerides by hormone-sensitive lipase to release free fatty acids. As the brain cannot utilize fatty acids as an energy source (unless converted to a ketone), the glycerol component of triglycerides can be converted into glucose, via gluconeogenesis by conversion into Dihydroxyacetone phosphate and then into Glyceraldehyde 3-phosphate, for brain fuel when it is broken down. Fat cells may also be broken down for that reason, if the brain's needs ever outweigh the body's.
Triglycerides cannot pass through cell membranes freely. Special enzymes on the walls of blood vessels called lipoprotein lipases must break down triglycerides into free fatty acids and glycerol. Fatty acids can then be taken up by cells via the fatty acid transporter (FAT).
Triglycerides, as major components of very-low-density lipoprotein (VLDL) and chylomicrons, play an important role in metabolism as energy sources and transporters of dietary fat. They contain more than twice as much energy (approximately 9 kcal/g or 38 kJ/g ) as carbohydrates (approximately 4 kcal/g or 17 kJ/g ).
Role in disease
In the human body, high levels of triglycerides in the bloodstream have been linked to atherosclerosis and, by extension, the risk of heart disease and stroke. However, the relative negative impact of raised levels of triglycerides compared to that of LDL:HDL ratios is as yet unknown. The risk can be partly accounted for by a strong inverse relationship between triglyceride level and HDL-cholesterol level.
|Level mg/dL||Level mmol/L||Interpretation|
|<150||<1.70||Normal range – low risk|
|150-199||1.70-2.25||Slightly above normal|
|500 or higher||>5.65||Very high – high risk|
These levels are tested after fasting 8 to 12 hours. Triglyceride levels remain temporarily higher for a period after eating.
Reducing triglyceride levels
|This section needs more medical references for verification or relies too heavily on primary sources. (October 2014)|
Diets high in refined carbohydrates, with carbohydrates accounting for more than 60% of the total energy intake, can increase triglyceride levels. Of note is how the correlation is stronger for those with higher BMI (28+) and insulin resistance (more common among overweight and obese) is a primary suspect cause of this phenomenon of carbohydrate-induced hypertriglyceridemia.
Adverse changes associated with carbohydrate intake, including triglyceride levels, are stronger risk factors for heart disease in women than in men.
Carnitine has the ability to lower blood triglyceride levels. In some cases, fibrates have been used to bring down triglycerides substantially. AstraZeneca has developed Epanova (omega-3-carboxylic acids) to treat high triglycerides.
Heavy alcohol consumption can elevate triglycerides levels.
Linseed oil and related oils are important components of useful products used in oil paints and related coatings. Linseed oil is rich in di- and triunsaturated fatty acid components, which tend to harden in the presence of oxygen. This heat-producing hardening process is peculiar to these so-called "drying oils". It is caused by a polymerization process that begins with oxygen molecules attacking the carbon backbone.
Triglycerides are also split into their components via transesterification during the manufacture of biodiesel. The resulting fatty acid esters can be used as fuel in diesel engines. The glycerin has many uses, such as in the manufacture of food and in the production of pharmaceuticals.
Staining for fatty acids, triglycerides, lipoproteins, and other lipids is done through the use of lysochromes (fat-soluble dyes). These dyes can allow the qualification of a certain fat of interest by staining the material a specific color. Some examples: Sudan IV, Oil Red O, and Sudan Black B.
Interactive pathway map
Click on genes, proteins and metabolites below to link to respective articles. [§ 1]
- The interactive pathway map can be edited at WikiPathways: "Statin_Pathway_WP430".
- Diglyceride acyltransferase – enzyme responsible for triglyceride biosynthesis
- Medium-chain triglycerides
- Lipid profile
- Vertical Auto Profile
- "Nomenclature of Lipids". IUPAC-IUB Commission on Biochemical Nomenclature (CBN). Retrieved 2007-03-08.
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- Drummond et al. (2014) Nutrition for Foodservice and Culinary Professionals 8th Ed., John Wiley & Sons
- "Boston scientists say triglycerides play key role in heart health". The Boston Globe. Retrieved 2014-06-18.
- "Triglycerides". MedlinePlus. Archived from the original on 26 October 2012. Retrieved 2015-04-23.
- "What's considered normal?". Triglycerides: Why do they matter?. Mayo Clinic. 28 September 2012.
- "AHA: What Cholesterol levels mean – Triglycerides tab". Heart.org. Retrieved 2012-10-24.
- Parks, E.J. (2002). "Dietary carbohydrate’s effects on lipogenesis and the relationship of lipogenesis to blood insulin and glucose concentrations". British Journal of Nutrition 87: S247–S253. PMID 12088525. doi:10.1079/BJN/2002544.
Those with a body mass index (BMI) equal to or greater than 28 kg/m2 experienced a 30% increase in TAG concentration, while those whose BMI was less than 28, experienced no change...These data demonstrate that certain characteristics (e.g., BMI) can make some individuals more sensitive with respect to lipid and lipoprotein changes when dietary CHO is increased. Such characteristics that have been identified from previous work in this field and include BMI, insulin sensitivity (Coulston et al. 1989), concentration of TAG before the dietary change is made (Parks et al. 2001), hormone replacement therapy (Kasim-Karakas et al. 2000), and genetic factors (Dreon et al. 2000).
- "Focusing on Fiber?". Drweil.com. Retrieved 2010-08-02.
- "Dietary Glycemic Load and Index and Risk of Coronary Heart Disease in a Large Italian Cohort". Archives of internal medicine. Retrieved 2010-05-01.
- GILL, Jason; Sara HERD; Natassa TSETSONIS; Adrianne HARDMAN (Feb 2002). "Are the reductions in triacylglycerol and insulin levels after exercise related?". Clinical Science 102: 223–231. PMID 11834142. doi:10.1042/cs20010204. Retrieved 2 March 2013.
- Davidson, Michael H. (28 January 2008). "Pharmacological Therapy for Cardiovascular Disease". In Davidson, Michael H.; Toth, Peter P.; Maki, Kevin C. Therapeutic Lipidology. Contemporary Cardiology. Cannon, Christopher P.; Armani, Annemarie M. Totowa, New Jersey: Humana Press, Inc. pp. 141–142. ISBN 978-1-58829-551-4.
- Balch, Phyllis A. Prescription for nutritional healing. 4th ed. New York: Avery, 2006. p. 54 Carnitine
- "Fibrates: Where Are We Now?: Fibrates and Triglycerides". Medscape.com. Retrieved 2010-08-02.
- Hemat, R A S (2003). Principles of Orthomolecularism. Urotext. p. 254. ISBN 1-903737-06-0.
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