Fish oil is a potent triglyceride (TG)-lowering agent in humans. The goal o
f the present study was to assess the contribution of decreased triglycerid
e synthesis and of apoE in mediation of the triglyceride-lowering effect of
fish oil. To this end, apoE-deficient mice and wild-type control mice were
supplemented with either coconut oil, sunflower oil, or fish oil (20% wt/w
t) for 2 weeks. Compared with coconut oil and sunflower oil, fish oil reduc
ed the concentrations of cholesterol and triglycerides in the wild-type mic
e, whereas it had no effect on cholesterol concentration and it had a trigl
yceride-raising effect in apoE-deficient mice. The latter was due to increa
sed triglyceride concentrations in the d<1.019 g/mL plasma density fraction
. In apoE-deficient mice, but not in wild-type mice, the postprandial trigl
yceride area under the curve was higher after an intragastric load of fish
oil than after a sunflower oil load. These data indicate an impairment of t
riglyceride metabolism in the fish oil-fed apoE-deficient mice. Compared wi
th coconut oil and sunflower oil, fish oil lowered triglyceride production
rates measured with the Triton method in both wild-type (P<0.0001) and apoE
-deficient mice (P<0.0001). Similarly, in vitro lipoprotein lipase-mediated
lipolysis of VLDL was lowered in the fish oil-fed wild-type and apoE-defic
ient mice, suggesting an alteration in VLDL lipolysis independent of the mi
ce genotype. In conclusion, fish oil does not decrease triglyceride concent
rations in apoE-deficient mice despite reducing triglyceride production rat
es, suggesting that decreased triglyceride synthesis is not sufficient to l
ower triglyceride concentrations in mice. ApoE appears to be necessary for
fish oil to lower plasma triglyceride concentrations, indicating a critical
role of apoE in this process.