Cholesterol oxidation products (oxysterols) in duce macrophage lipid l
oading and accumulate in early arterial fatty streaks. The origin of l
esion oxysterols has not been elucidated. The absorption of oxysterols
from the diet and transport to the arterial wall by postprandial lipo
protein remnants may be a significant source. This study aimed to inve
stigate the extent of oxysterol absorption and the effect on chylomicr
on composition. Cholesterol was heat-treated, causing 30% oxidation; t
he major oxidation products were 7 beta-hydroxycholesterol, 7-ketochol
esterol, 5 alpha,6 alpha-epoxycholesterol, and 5 beta,6 beta-epoxychol
esterol. Conscious lymph-cannulated rats were given a bolus gastric in
fusion of 50 mg oxidized cholesterol or 50 mg purified cholesterol in
a vehicle of triglyceride. In the rats given the oxidized cholesterol,
6% of the oxysterol load was absorbed and incorporated into lymph chy
lomicrons. Rats given pure cholesterol had no increase in oxysterols a
bove baseline levels. The incorporation of oxysterols into lymph chylo
microns differed over time with 7 beta-hydroxycholesterol, having peak
absorption at 3 h, followed by 7-ketocholesterol at 4 h and 5 alpha,6
alpha-epoxycholesterol at 5 h. The absorption of oxysterols in animal
s given the oxidized cholesterol gastric infusate was associated with
lymph chylomicron compositional changes at 2-4 h. The oxidized cholest
erol-treated group had a twofold increase in the cholesterol (890 +/-
84 mu g vs. 440 +/- 83 mu g at 3 h) and triglyceride content (19.76 +/
- 3.4 mu g vs. 8.49 +/- 3.8 mu g at 3 h). This led to a doubling of ch
ylomicron size over this postprandial period, with particles having a
mean diameter of 294 nm in the oxidized cholesterol treated animals, c
ompared to 179 nm in the purified cholesterol group. In conclusion, di
etary oxysterols appear to influence postprandial lipoprotein particle
size and composition. These changes may have effects on the clearance
of chylomicrons from plasma, arterial delivery of oxysterols, and pos
sible deposition in arterial lesions.