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Dietary monounsaturated fat activates metabolic pathways for triglyceride-rich lipoproteins that involve apolipoproteins E and C-III.

The American journal of clinical nutrition
August 1, 2008
Chunyu Zheng et al. (5 authors)
Journal ArticleRandomized Controlled TrialResearch Support, N.I.H., ExtramuralHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine how monounsaturated fat (MUFA) affects triglyceride-rich lipoprotein (TRL) metabolism, specifically the roles of apolipoproteins E and C-III.

Results Summary

The MUFA-rich diet increased secretion and rapid clearance of TRLs containing apo E and apo C-III while reducing secretion of TRLs without these apolipoproteins, which are major precursors of LDL. It also enhanced TRL fractional catabolic rate and shifted metabolism toward clearance rather than LDL conversion.

Population

Twelve adults

Effective Dosage

24% MUFAs in the MUFA-rich diet (vs. 8% in the carbohydrate-rich diet)

Duration

3 weeks per diet

Interactions

None mentioned

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
MUFA diet
increase
secretion of VLDLs and IDLs containing both apo E and apo C-III (E+CIII+)
Twelve adults
approximately 4-6-fold
increased by approximately 4-6-fold
#1
MUFA diet
decrease
secretion of the TRLs without apo E or apo C-III
Twelve adults
60%
decreased by 60%
#2
MUFA diet
decrease
flux to LDLs from TRLs without apo E or apo C-III
Twelve adults
-
decreased
#3
MUFA diet
no change
Total LDL flux
Twelve adults
-
did not change
#4
MUFA diet
increase
flux to LDL from E-CIII+ TRLs
Twelve adults
-
increased
#5
MUFA diet
increase
TRL fractional catabolic rate
Twelve adults
50%
significantly increased by 50%
#6
MUFA diet
increase
percentage of TRLs that were cleared rather than being converted to LDLs
Twelve adults
doubled
doubled
#7
MUFA intake
increase
synthetic and rapid catabolic pathways for TRL metabolism that involve apo E and apo C-III
Twelve adults
-
activates
#8
MUFA intake
decrease
metabolism of more slowly metabolized VLDLs and IDLs, which do not contain these apolipoproteins
Twelve adults
-
suppresses
#9
Abstract

BACKGROUND: Dietary monounsaturated fat (MUFA) and complex carbohydrates have different effects on triglyceride-rich lipoprotein (TRL) metabolism. OBJECTIVE: We hypothesized that apolipoprotein (apo) E and apo C-III might be involved in these dietary effects because of their crucial role in TRL metabolism. DESIGN: Twelve adults consumed, for 3 wk each, 2 isocaloric diets: first a carbohydrate-rich diet (48% complex carbohydrate, 8% MUFAs) and then a MUFA-rich diet (31% complex carbohydrate, 24% MUFAs) 12 mo later. The dietary composition of other macronutrients in the 2 diets was similar. Body weight was kept constant. Postprandial apo B kinetic studies using stable-isotope tracers were performed after each dietary intervention. Multiple VLDL, intermediate-density lipoprotein (IDL), and LDL fractions were prepared on the basis of apo E and apo C-III contents. RESULTS: The MUFA diet increased by approximately 4-6-fold, the secretion of VLDLs and IDLs containing both apo E and apo C-III (E+CIII+) (P < 0.05). These are TRLs that mostly cleared from the circulation and are minor precursors of LDL. The MUFA diet also decreased by 60% (P < 0.05) the secretion of the TRLs without apo E or apo C-III (major precursors of LDL in plasma) and decreased their flux to LDLs. Total LDL flux did not change because the MUFA diet increased the flux to LDL from E-CIII+ TRLs, a process that requires the removal of apo C-III. In addition, the MUFA diet significantly increased the TRL fractional catabolic rate by 50% and doubled the percentage of TRLs that were cleared rather than being converted to LDLs. CONCLUSION: MUFA intake activates synthetic and rapid catabolic pathways for TRL metabolism that involve apo E and apo C-III and suppresses the metabolism of more slowly metabolized VLDLs and IDLs, which do not contain these apolipoproteins.

Medical Subject Headings (MeSH)
Apolipoprotein C-IIIApolipoproteins ECholesterol, LDLCholesterol, VLDLCross-Over StudiesDietDietary CarbohydratesDose-Response Relationship, DrugFatty Acids, MonounsaturatedFemaleHumansKineticsLipidsLipoproteinsMaleMiddle AgedTriglycerides
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality78/10
Citation Metrics
Total Citations39
Citations/Year2.3
Relative Citation Ratio1.01
NIH Percentile50.6%
Research Impact Scores
APT Score0.75
Weight Score1.13
Normalized Score0.70
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