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Correspondence between effects of dietary cholesterol versus plant sterols on plasma cholesterol responsiveness and cholesterol trafficking in healthy humans
Author(s) -
Alphonse Peter AS,
Ramprasath Vanu,
Jones Peter
Publication year - 2015
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.29.1_supplement.248.5
Subject(s) - cholesterol , lathosterol , medicine , endocrinology , placebo , meal , chemistry , population , zoology , sterol , biology , campesterol , alternative medicine , environmental health , pathology
The objective was to determine the degree of correspondence in plasma cholesterol concentration changes caused by dietary cholesterol (DC) versus plant sterols (PS) and their effects on cholesterol trafficking. A randomized, cross‐over, placebo controlled free‐living clinical trial (n=51) with 3 treatment phases of 4 week duration each separated by a 4 week washout was conducted. During each phase, participants consumed one of the three treatments containing 0.6 g DC, 2 g PS/day or a placebo after breakfast meal. Plasma lipid profile was determined and cholesterol absorption (CA) was measured by using a stable isotope [3, 4‐ 13 C]‐labeled cholesterol administered orally. Cholesterol synthesis (CS) was assessed using plasma lathosterol as a surrogate marker. DC intake increased total cholesterol (TC) compared to placebo (0.16 mmol/L; P = 0.037) and PS (0.25 mmol/L; P = 0.005). PS intake reduced (0.20 mmol/L; P = 0.042) LDL‐C only compared to DC. Cholesterol absorption was inhibited ( P = 0.0001) by PS consumption compared to placebo. Results showed that the degree of cholesterol lowering with PS intake was not in concordance with the cholesterol elevating offset caused by DC intake with respect to TC and LDL‐C. The offsets in CA and CS caused by DC and PS did not align with those of LDL‐C and TC. The large inter‐individual variability in the plasma lipid responsiveness to PS and DC intake in the population could be ascribed to the above results.