Ml. Fernandez, DISTINCT MECHANISMS OF PLASMA LDL LOWERING BY DIETARY FIBER IN THE GUINEA-PIG - SPECIFIC EFFECTS OF PECTIN, GUAR GUM, AND PSYLLIUM, Journal of lipid research, 36(11), 1995, pp. 2394-2404
Pectin (PE), guar gum (CG), and psyllium (PSY) lower plasma low densit
y lipoprotein (LDL) cholesterol concentrations ill guinea pigs with di
fferent orders of magnitude by inducing defined alterations in hepatic
cholesterol homeostasis (Fernandez et al. 1994. Am. J. Clin. Nutr. 59
: 869-879; 61: 127-134 and 1995. J. Lipid Res. 36: 1128-1138). To furt
her explore specific mechanisms responsible for the differences in pla
sma and hepatic cholesterol lowering, the effects of these fibers were
evaluated on cholesterol absorption, hepatic cholesterol 7 alpha-hydr
oxylase activity, the rate-limiting enzyme of bile acid synthesis, and
in vivo LDL transport to target specific primary and secondary mechan
isms accounting for the observed responses. Fibers were fed with physi
ological (0.04%), low cholesterol (LC), or pharmacological high choles
terol (HC) (0.25%) levels to assess whether cholesterol intake influen
ces plasma LDL lowering mechanisms. Intake of PE, GG, or PSY with LC o
r HC diets lowered plasma and hepatic cholesterol concentrations (P <
0.001). PE and PSY up-regulated 7 alpha-hydroxylase activity 3-fold wi
th LC and PE by 5-fold with HC diets. In contrast, GG intake had no ef
fect on 7 alpha-hydroxylase activity. Cholesterol absorption was reduc
ed 30% by PE intake while no differences were found between control an
d PSY groups. GG reduced cholesterol absorption only with HC diets. In
take of PE, GG, or PSY with HC diets resulted in faster plasma LDL fra
ctional catabolic rates (FCR) (P < 0.01) with no effect on LDL apoB fl
ux rates (FR) or pool size, suggesting that fiber reduced LDL choleste
rol concentration without decreasing the number of LDL particles. In a
ddition to reducing LDL apoB FR, PE and PSY increased LDL FCR with HC
diets while cc effects were limited to lowering LDL apoB FR. These res
ults indicate that the distinctive reductions in hepatic cholesterol i
nduced by PE, GG, and PSY associated with plasma cholesterol lowering
result from different mechanisms specific to each fiber and that the l
evels of dietary cholesterol contribute to the different metabolic res
ponses.