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Effect of Dietary Cholesterol and Fat on Cell Cholesterol Transfer to Postprandial Plasma in Hyperlipidemic Men

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Lipids

Abstract

Postprandial chylomicrons are potent ultimate acceptors of cell membrane cholesterol and are believed to accelerate reverse cholesterol transport (RCT). We compared the effects of meals rich in polyunsaturated fat (PUFA) and either high (605 mg) or low (151 mg) in cholesterol and a meal rich in dairy fat (DF) in the form of cream on net in vitro transport of red blood cell (RBC) membrane cholesterol to 4 and 6 h postprandial plasma in eight normotriglyceridemic (NTG-H) and eight hypertriglyceridemic (HTG-H) men with mild to moderate hypercholesterolemia. In HTG-H men, cell cholesterol accumulation in 6-h postprandial plasma was significantly (P = 0.02) less after the PUFA-HC meal compared with the other meals. The significant (P < 0.001) increase in cell plus endogenous cholesterol accumulation in the triglyceride-rich lipoprotein (TRL) fraction of 4 h postprandial plasma incubated with RBC was significantly (P = 0.007) higher after the PUFA-HC meal compared with DF meal in HTG-H men. In NTG-H men, cholesterol accumulation in plasma and plasma lipoproteins in the presence and absence of RBC was not significantly affected by the type of meal ingested. These data suggest that addition of large amounts of cholesterol to a PUFA meal may impair diffusion-mediated transport of cell membrane cholesterol to postprandial plasma and that replacing DF with PUFA in a meal increases postprandial lipemia and may potentially increase cholesterol accumulation in atherogenic postprandial TRL in HTG-H men.

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Abbreviations

apoB:

Apolipoprotein B

ABCA1:

ATP binding cassette A1

ABCG1:

ATP binding cassette G1

CE:

Cholesteryl esters

CETP:

Cholesteryl ester transfer protein

DF:

Dairy fat

HDL:

High density lipoprotein

HTG-H:

Hypertriglyceridemic and hypercholesterolemic

LCAT:

Lecithin:cholesterol acyltransferase

LDL:

Low density lipoprotein

MUFA:

Monounsaturated fatty acids

NTG-H:

Normotriglyceridemic and hypercholesterolemic

PUFA-HC:

Polyunsaturated fatty acid-high cholesterol

PUFA-LC:

Polyunsaturated fatty acid-low cholesterol

RBC:

Red blood cells

RCT:

Reverse cholesterol transport

SAFA:

Saturated fatty acids

SRB1:

Scavenger receptor B1

TG:

Triglycerides

TC:

Total cholesterol

TRL:

Triglyceride-rich lipoproteins

UC:

Unesterified cholesterol

VLDL:

Very low density lipoproteins

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Acknowledgments

The authors are grateful to the participants in the study. We are also grateful to Wendy Aitken in the Department of Human Nutrition for help in recruiting subjects. This study was supported by a Laurenson Award from the Otago Medical School Research Foundation.

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Correspondence to Wayne H. F. Sutherland.

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Sutherland, W.H.F., de Jong, S.A. & Walker, R.J. Effect of Dietary Cholesterol and Fat on Cell Cholesterol Transfer to Postprandial Plasma in Hyperlipidemic Men. Lipids 42, 901–911 (2007). https://doi.org/10.1007/s11745-007-3101-1

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  • DOI: https://doi.org/10.1007/s11745-007-3101-1

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