Paraoxonase is an enzyme associated with HDL in human serum that:hydrolyzes
oxidized phospholipids and inhibits LDL oxidation, which is an important s
tep in atherogenesis. In animals, addition of oxidized Lipids to the circul
ation reduces paraoxonase activity, and diets rich in oxidized fat accelera
te the development of atherosclerosis. The current randomized, crossover st
udy was designed to compare the effect of a meal rich in oxidized lipids in
the form of fat that had been used for deep-frying in a fast food restaura
nt and a control meal rich in the corresponding unused fat on postprandial
serum paraoxonase (arylesterase) activity and peroxide content of LDL and i
ts susceptibility to copper ion catalyzed oxidation in 12 healthy men. Four
hours into the postprandial period, serum paraoxonase activity had decreas
ed significantly after the used fat meal (-17%, P=0.005) and had increased
significantly after the meal rich in unused fat (14%, P=0.005). These chang
es were significantly (P=0.003) different. A time-course study indicated th
at serum paraoxonase activity remained lower than baseline for up to 8 hour
s after the used fat meal. Serum apoA1 concentration tended to decrease aft
er the unused fat meal and tended to increase after the used fat meal. Thes
e changes were different at a marginal level of significance (P=0.07). Also
, a significantly (P=0.03) greater decrease in apoA1 content of postprandia
l HDL was recorded after the unused fat meal. The peroxide content. of LDL
tended to decrease after the used fat meal and tended to increase after the
control meal. These changes were significantly (P=0.04) different. Suscept
ibility of isolated LDL to copper ion oxidation and plasma levels of malond
ialdehyde were unchanged during the study. These data suggest that in the p
ostprandial period after a meal rich in used cooking fat, the enzymatic pro
tection of LDL against accumulation of peroxides and atherogenic oxidative
modification may be reduced, possibly due to factors associated with apoA1,
without acutely affecting the intrinsic resistance of LDL to in vitro oxid
ation.