Target intelligence / Profile preview

Hepatic VLDL Synthesis (VLDL Synthesis)

Target
VLDL Synthesis
Molecular classification
Metabolic Pathway, Lipid Metabolism, Protein trafficking
01

Overview

Hepatic VLDL (very-low-density lipoprotein) synthesis is the process by which liver cells (hepatocytes) assemble and secrete VLDL particles. These lipoproteins transport endogenous triglycerides, cholesterol, and other lipids from the liver to peripheral tissues. The process involves triglyceride mobilization, apolipoprotein B100 synthesis and lipidation (facilitated by MTP), particle maturation, and vesicular transport and secretion. It is regulated by factors such as insulin and caloric intake. Dysregulation of this pathway is implicated in hypertriglyceridemia, atherosclerosis, and NAFLD.

Other names
Hepatic Very-Low-Density Lipoprotein SynthesisVLDL BiogenesisVLDL Assembly and SecretionLiver VLDL Production
02

Mechanism of action

Various, depending on the specific drug. MTP inhibitors directly block VLDL assembly. Insulin sensitizers reduce hepatic glucose production and indirectly affect VLDL synthesis. Lipase inhibitors affect the availability of fatty acids for VLDL synthesis.

03

Biological functions

Triglyceride transportLipid homeostasisEnergy distributionApolipoprotein B100 lipidation
04

Disease associations

HypertriglyceridemiaAtherosclerosisNonalcoholic fatty liver disease (NAFLD)SteatohepatitisCirrhosisCardiovascular disease
05

Safety considerations

MTP inhibitors can cause fatty liverInsulin sensitizers can have cardiovascular side effectsLipase inhibitors can cause gastrointestinal side effectsDysregulation of VLDL synthesis can lead to hepatic steatosis and subsequent liver damage
06

Interacting drugs

MTP inhibitors (e.g., Lomitapide)

3 more in the full profile.

07

Biomarkers

Triglyceride levelsApoB100 levelsLiver enzymes (ALT, AST)Hepatic fat content (measured by MRI or biopsy)

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