The Proof with Simon Hill

Cholesterol, metabolic health and heart disease | Dr Alan Flanagan and Danny Lennon

26 snips
Oct 27, 2022
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INSIGHT

LDL Is The Primary Cholesterol Carrier To Watch

  • LDL and HDL are lipoproteins that transport cholesterol; LDL does forward transport and HDL does reverse transport.
  • LDL circulates longer and contacts arteries more, making it the primary atherogenic lipoprotein.
INSIGHT

ApoB Measures Particle Number, Not Just Cholesterol

  • ApoB counts the number of atherogenic lipoprotein particles because each particle carries one ApoB molecule.
  • ApoB often predicts cardiovascular risk better than LDL-C because it measures particle number, not cholesterol content.
INSIGHT

Particle Size And ApoB Drive Arterial Retention

  • Lipoprotein size determines arterial entry: particles <70–75 nm can penetrate the arterial intima and be retained.
  • Retention plus ApoB 'anchoring' to proteoglycans starts the inflammatory cascade that forms plaque.
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