Any of an important class of naturally occurring lipids, esters in which three molecules of fatty acids are linked to glycerol. The three fatty acids may be all the same kind or different kinds. The types of triglycerides in animals vary with the species and the fats in their food. In mammals they are stored in adipose tissue until needed and then broken down to the glycerol and fatty acids. Many vegetable triglycerides (oils) are liquid at room temperature, unlike those of animals, and tend to contain a greater variety of fatty acids. In alkali, triglycerides break down to form glycerol and three molecules of soap (saponification).
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Triglycerides are formed from a single molecule of glycerol, combined with three fatty acids on each of the OH groups, and make up most of fats digested by humans. Ester bonds form between each fatty acid and the glycerol molecule. This is where the enzyme pancreatic lipase acts, 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.
The chemical formula is RCOO-CH2CH(-OOCR')CH2-OOCR", where R, R', and R" are longer alkyl chains. The three fatty acids RCOOH, R'COOH and R"COOH can be all different, all the same, or only two the same.
Chain lengths of the fatty acids in naturally occurring triglycerides can be of varying lengths but 16, 18 and 20 carbons are the most common. Natural fatty acids found in plants and animals are typically composed only of even numbers of carbon atoms due to the way they are bio-synthesised from acetyl CoA. Bacteria, however, possess the ability to synthesise odd- and branched-chain fatty acids. Consequently, ruminant animal fat contains odd numbered fatty acids, such as 15, due to the action of bacteria in the rumen.
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, one of which contains palmitic, oleic and stearic acids in that order. This gives rise to a fairly sharp melting point, causing chocolate to melt in the mouth without feeling greasy.
Triglycerides cannot pass through cell membranes freely. Special enzymes on the walls of blood vessels called lipoprotein lipases must break down triglycerides into fatty acids and glycerol. Fatty acids can then be taken up by cells via the fatty acid transporter (FAT).
Another disease caused by high triglycerides is pancreatitis.
| Level mg/dL | Level mmol/L | Interpretation |
| <150 | <1.69 | Normal range, low risk |
| 150-199 | 1.70-2.25 | Borderline high |
| 200-499 | 2.26-5.65 | High |
| >500 | >5.65 | Very high: high risk |
When some fatty acids are converted to ketone bodies, overproduction can result in ketoacidosis in diabetics.
Unlike Japan, it is generally admitted that most populations in western countries are lacking omega-3 nutritional sources. As a result ingesting of excessively high levels of saturated or monounsaturated fatty acids in order to assimilate enough omega-6 fatty acids is common. The ideal ratio ω_6/ω_3 is almost never met and is most often too high (about 12 in France, up to 80 in the caucasian population of the US and Canada), and unused high levels of saturated or monounsaturated fatty acids accumulate in the body in the form of triglycerides that do not participate in the needed syntheses in the body.
In some cases Fibrates have been used as they can bring down TGs substantially. However they are not used as a first line measure as they can have unpleasant or dangerous side effects. In one case due to an increase in mortality, clofibrate was withdrawn from the North American market.
Alcohol abuse can cause elevated levels of triglycerides.