Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-23T19:47:26.588Z Has data issue: false hasContentIssue false

Acute effect of dietary stanyl ester dose on post-absorptive α-tocopherol, β-carotene, retinol and retinyl palmitate concentrations

Published online by Cambridge University Press:  09 March 2007

Heikki Relas
Affiliation:
Division of Internal Medicine, Department of Medicine, University of Helsinki, PO Box 340, FIN-00029 HYKS, Helsinki, Finland
Helena Gylling
Affiliation:
Division of Internal Medicine, Department of Medicine, University of Helsinki, PO Box 340, FIN-00029 HYKS, Helsinki, Finland
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Stanyl esters dissolved in margarine inhibit cholesterol absorption, lower sterol absorption in general, and lower serum total cholesterol, LDL-cholesterol and plant sterol levels. To find out whether stanyl esters inhibit absorption of fat-soluble vitamins and β-carotene in acute experiments, we performed two fat-tolerance tests fortified with vitamins (retinol 0.9–3.7 mg, α-tocopherol 70–581 mg), β-carotene (25–150 mg) and squalene (0.5 g) with and without 1 g of stanyl ester added to the test meal in ten healthy men. The concentrations or areas under the curves (AUC) of cholesterol, triacylglycerols, squalene and α-tocopherol, β-carotene and retinyl palmitate showed typical postprandial changes in serum, chylomicrons, VLDL and VLDL infranatant (intermediate-density lipoproteins, LDL and HDL) over 24 h after the test meal without stanyl esters, and they were not affected by the addition of stanyl esters. The post-absorptive serum campesterol concentration and campesterol : cholesterol were significantly lowered at 6–9 h by stanyl ester supplementation, reflecting reduced sterol absorption efficiency. Changes in vitamin and β-carotene AUC did not correlate with the given doses. In conclusion, the present study shows that stanyl esters dissolved in margarine do not detectably interfere in a short-term study with the absorption of α-tocopherol, β-carotene or retinol measured by a 24 h oral fat-load test.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2001

References

Becker, M, Staab, D & von Bergmann, K (1993) Treatment of severe familial hypercholesterolemia in childhood with sitosterol and sitostanol Journal of Pediatrics 122, 292296.Google Scholar
Biesalski, HK (1997) Bioavailability of vitamin A. European Journal of Clinical Nutrition 51(Suppl. 1), S71-S75.Google ScholarPubMed
Borel, P, Grolier, P, Mekki, N, Boirie, Y, Rochette, Y, Le Roy, B, Alexandre-Gouabau, MC, Lairon, D & Azais-Braesco, V (1998) Low and high responders to pharmacological doses of β-carotene: proportion in the population, mechanisms involved and consequences on β-carotene metabolism. Journal of Lipid Research 39, 22502260.CrossRefGoogle ScholarPubMed
Cornwell, DG, Kruger, FA & Robinson, HB (1962) Studies on the absorption of beta-carotene and the distribution of total carotenoid in human serum lipoproteins after oral administration. Journal of Lipid Research 3, 6570.CrossRefGoogle Scholar
Gallo-Torres, HE (1970) Obligatory role of bile for the intestinal absorption of vitamin E. Lipids 5, 379384.CrossRefGoogle ScholarPubMed
Goodman, DS, Blomstrand, R, Werner, B, Huang, HS & Shiratori, T (1966) The intestinal absorption and metabolism of vitamin A and β-carotene in man. Journal of Clinical Investigation 45, 16151623.CrossRefGoogle ScholarPubMed
Goodman, DS, Huang, HS & Shiratori, T (1965) Tissue distribution and metabolism of newly absorbed vitamin A in the rat. Journal of Lipid Research 6, 390396.CrossRefGoogle ScholarPubMed
Goodman, DS (1969) The conversion of all-trans β-carotene into retinal. In Methods in Enzymology vol. 15, 462475. [Clayton, RB, editors]. New York: Academic Press Inc.Google Scholar
Gylling, H & Miettinen, TA (1994) Postabsorptive metabolism of dietary squalene. Atherosclerosis 106, 169178.Google Scholar
Gylling, H, Puska, P, Vartiainen, E & Miettinen, TA (1999 a) Retinol, vitamin D, carotenes and α-tocopherol in serum of a moderately hypercholesterolemic population consuming sitostanol ester margarine. Atherosclerosis 145, 279285.Google Scholar
Gylling, H, Puska, P, Vartiainen, E & Miettinen, TA (1999) Serum sterols during stanol ester feeding in a mildly hypercholesterolemic population. Journal of Lipid Research 40, 593600.CrossRefGoogle Scholar
Hallikainen, MA, Sarkkinen, ES & Uusitupa, MIJ (2000) Plant stanol esters affect serum cholesterol concentrations of hypercholesterolemic men and women in a dose-dependent manner. Journal of Nutrition 130, 767776.CrossRefGoogle ScholarPubMed
Hallikainen, MA & Uusitupa, MIJ (1999) Effects of two low-fat stanol ester-containing margarines on serum cholesterol concentrations as part of a low-fat diet in hypercholesterolemic subjects. American Journal of Clinical Nutrition 69, 403410.Google Scholar
Hassan, AS & Rampone, AJ (1980) Effect of β-sitostanol (5-α-stigmastan-3β-ol) on cholesterol absorption from micellar solutions in jejunal loops in situ. Steroids 36, 731741.CrossRefGoogle ScholarPubMed
Heinemann, T, Axtmann, G & von Bergmann, K (1993) Comparison of intestinal absorption of cholesterol with different plant sterols in man. European Journal of Clinical Investigation 23, 827831.CrossRefGoogle ScholarPubMed
Heinemann, T, Kullak-Ublick, GA, Pietruck, B & von Bergmann, K (1991) Mechanisms and action of plant sterols on inhibition of cholesterol absorption. Comparison of sitosterol and sitostanol. European Journal of Clinical Pharmacology 40(Suppl. 1), S59-S63.CrossRefGoogle ScholarPubMed
Heinemann, T, Leiss, O & von Bergmann, K (1986) Effect of low-dose sitostanol on serum cholesterol in patients with hypercholesterolemia. Atherosclerosis 61, 219223.CrossRefGoogle ScholarPubMed
Hollander, D (1981) Intestinal absorption of vitamins A, E, D and K. Journal of Laboratory and Clinical Medicine 97, 449462.Google Scholar
Hollander, D, Rim, E & Muralidhara, KS (1975) Mechanism and site of small intestinal absorption of α-tocopherol in the rat. Gastroenterology 68, 14921499.CrossRefGoogle ScholarPubMed
Hollander, D & Ruble, PE (1978) β-carotene intestinal absorption: bile, fatty acid, pH, and flow rate effects on transport. American Journal of Physiology 235, E686-E691.Google ScholarPubMed
Ikeda, I & Sugano, M (1978) Comparison of absorption and metabolism of β-sitosterol and β-sitostanol in rats. Atherosclerosis 30, 227237.Google Scholar
Ikeda, I, Tanabe, Y & Sugano, M (1989) Effects of sitosterol and sitostanol on micellar solubility of cholesterol. Journal of Nutritional Science and Vitaminology 35, 361369.CrossRefGoogle ScholarPubMed
Johnson, EJ, Qin, J, Krinsky, NI & Russell, RM (1997) Ingestion by men of a combined dose of β-carotene and lycopene does not affect the absorption of β-carotene but improves that of lycopene. Journal of Nutrition 127, 18331837.CrossRefGoogle Scholar
Johnson, EJ & Russell, RM (1992) Distribution of orally administered β-carotene among lipoproteins in healthy men. American Journal of Clinical Nutrition 56, 128135.CrossRefGoogle ScholarPubMed
Kanai, M, Raz, A & Goodman, DS (1968) Retinol-binding protein: the transport protein for vitamin A in human plasma Journal of Clinical Investigation 47, 20252044.CrossRefGoogle ScholarPubMed
Mattson, FH, Grundy, SM & Crouse, JR (1982) Optimizing the effect of plant sterols on cholesterol absorption in man. American Journal of Clinical Nutrition 35, 697700.CrossRefGoogle ScholarPubMed
Meydani, M (1995) Vitamin E Lancet 345, 170175.Google Scholar
Miettinen, TA (1988) Cholesterol metabolism during ketoconazole treatment in man. Journal of Lipid Research 29, 4351.Google Scholar
Miettinen, TA, Koivisto, P (1983) Non-cholesterol sterols and bile acid production in hypercholesterolaemic patients with ileal bypass. In Bile Acids and Cholesterol in Health and Disease. pp. 183187 [G, Paumgartner, A, Stiehl & W, Gerok, editors]. Lancaster: MTP Press Ltd.Google Scholar
Miettinen, TA, Puska, P, Gylling, H, Vanhanen, H & Vartiainen, E (1995) Reduction of serum cholesterol with sitostanol-ester margarine in a mildly hypercholesterolemic population. New England Journal of Medicine 333, 13081312.CrossRefGoogle Scholar
O'Neill, ME & Thurnham, DI (1998) Intestinal absorption of β-carotene, lycopene and lutein in men and women following a standard meal: response curves in the triacylglycerol-rich lipoprotein fraction. British Journal of Nutrition 79, 149159.Google Scholar
Pollak, OJ (1953) Reduction of blood cholesterol in man. Circulation 7, 702706.CrossRefGoogle ScholarPubMed
Rasmussen, HM, Dallal, GE, Phelan, E & Russel, RM (1991) Serum concentrations of retinol and retinyl esters in adults in response to mixed vitamin A and carotenoid containing meals. Journal of the American College of Nutrition 10, 460465.CrossRefGoogle ScholarPubMed
Relas, H, Gylling, H & Miettinen, TA (2000) Effect of stanol ester on postabsorptive squalene and retinyl palmitate. Metabolism 49, 473478.Google Scholar
Schäfer Elinder, L & Walldius, G (1992) Simultaneous measurement of serum probucol and lipid-soluble antioxidants. Journal of Lipid Research 33, 131137.CrossRefGoogle ScholarPubMed
Sugano, M, Morioka, H & Ikeda, I (1977) A comparison of hypocholesterolemic activity of β-sitosterol and β-sitostanol in rats. Journal of Nutrition 107, 20112019.CrossRefGoogle ScholarPubMed
Tilvis, RS & Miettinen, TA (1986) Serum plant sterols and their relation to cholesterol absorption. American Journal of Clinical Nutrition 43, 9297.CrossRefGoogle ScholarPubMed
Traber, MG, Burton, GW, Ingold, KU & Kayden, HJ (1990) RRR- and SRR-α-tocopherols are secreted without discrimination in human chylomicrons, but, RRR-α-tocopherol is preferentially secreted in very low density lipoproteins. Journal of Lipid Research 31, 675685.Google Scholar
Traber, MG, Ingold, KU, Burton, GW & Kayden, HJ (1988) Absorption and transport of deuterium-substituted 2R,4′R,8′R-α-tocopherol in human lipoproteins. Lipids 23, 791797.CrossRefGoogle Scholar
Traber, MG, Rader, D, Acuff, RV, Ramakrishnan, R, Brewer, HB & Kayden, H (1998) Vitamin E dose-response studies in humans with use of deuterated RRR-α-tocopherol. American Journal of Clinical Nutrition 68, 847853.Google Scholar
Warnick, GR, AlbertsJJ, JJ, (1982) Quantitation of lipoproteins. In Manual of Laboratory Operations, Lipid Research Clinics Program, Lipid and Lipoprotein Analysis, pp. 6377. [Hainline, A, Karon, JLippel, K, editors]. Bethesda, MD: National Institutes of Health.Google Scholar