Sharma Hari, Zhang Xiaoying, Dwivedi Chandradhar
Center for Integrative Medicine and Department of Pathology, The Ohio State University, Columbus, OH 43210, USA.
Ayu. 2010 Apr;31(2):134-40. doi: 10.4103/0974-8520.72361.
Ghee, also known as clarified butter, has been utilized for thousands of years in Ayurveda as a therapeutic agent. In ancient India, ghee was the preferred cooking oil. In the last several decades, ghee has been implicated in the increased prevalence of coronary artery disease (CAD) in Asian Indians due to its content of saturated fatty acids and cholesterol and, in heated ghee, cholesterol oxidation products. Our previous research on Sprague-Dawley outbred rats, which serve as a model for the general population, showed no effect of 5 and 10% ghee-supplemented diets on serum cholesterol and triglycerides. However, in Fischer inbred rats, which serve as a model for genetic predisposition to diseases, results of our previous research showed an increase in serum total cholesterol and triglyceride levels when fed a 10% ghee-supplemented diet. In the present study, we investigated the effect of 10% dietary ghee on microsomal lipid peroxidation, as well as serum lipid levels in Fischer inbred rats to assess the effect of ghee on free radical mediated processes that are implicated in many chronic diseases including cardiovascular disease. Results showed that 10% dietary ghee fed for 4 weeks did not have any significant effect on levels of serum total cholesterol, but did increase triglyceride levels in Fischer inbred rats. Ghee at a level of 10% in the diet did not increase liver microsomal lipid peroxidation or liver microsomal lipid peroxide levels. Animal studies have demonstrated many beneficial effects of ghee, including dose-dependent decreases in serum total cholesterol, low density lipoprotein (LDL), very low density lipoprotein (VLDL), and triglycerides; decreased liver total cholesterol, triglycerides, and cholesterol esters; and a lower level of nonenzymatic-induced lipid peroxidation in liver homogenate. Similar results were seen with heated (oxidized) ghee which contains cholesterol oxidation products. A preliminary clinical study showed that high doses of medicated ghee decreased serum cholesterol, triglycerides, phospholipids, and cholesterol esters in psoriasis patients. A study on a rural population in India revealed a significantly lower prevalence of coronary heart disease in men who consumed higher amounts of ghee. Research on Maharishi Amrit Kalash-4 (MAK-4), an Ayurvedic herbal mixture containing ghee, showed no effect on levels of serum cholesterol, high density lipoprotein (HDL), LDL, or triglycerides in hyperlipidemic patients who ingested MAK-4 for 18 weeks. MAK-4 inhibited the oxidation of LDL in these patients. The data available in the literature do not support a conclusion of harmful effects of the moderate consumption of ghee in the general population. Factors that may be involved in the rise of CAD in Asian Indians include the increased use of vanaspati (vegetable ghee) which contains 40% trans fatty acids, psychosocial stress, insulin resistance, and altered dietary patterns. Research findings in the literature support the beneficial effects of ghee outlined in the ancient Ayurvedic texts and the therapeutic use of ghee for thousands of years in the Ayurvedic system of medicine.
酥油,又称澄清黄油,在阿育吠陀医学中作为治疗剂已被使用了数千年。在古印度,酥油是首选的烹饪油。在过去几十年里,由于酥油中含有饱和脂肪酸和胆固醇,以及加热后的酥油中含有胆固醇氧化产物,酥油被认为与亚洲印度人冠状动脉疾病(CAD)患病率的上升有关。我们之前以斯普拉格 - 道利远交系大鼠为一般人群模型进行的研究表明,添加5%和10%酥油的饮食对血清胆固醇和甘油三酯没有影响。然而,以对疾病具有遗传易感性的费希尔近交系大鼠为模型,我们之前的研究结果显示,喂食添加10%酥油的饮食时,血清总胆固醇和甘油三酯水平会升高。在本研究中,我们调查了10%的饮食酥油对费希尔近交系大鼠微粒体脂质过氧化以及血清脂质水平的影响,以评估酥油对涉及包括心血管疾病在内的许多慢性疾病的自由基介导过程的影响。结果表明,喂食4周10%的饮食酥油对费希尔近交系大鼠的血清总胆固醇水平没有显著影响,但确实会增加甘油三酯水平。饮食中10%的酥油水平并未增加肝脏微粒体脂质过氧化或肝脏微粒体脂质过氧化物水平。动物研究已经证明了酥油的许多有益作用,包括血清总胆固醇、低密度脂蛋白(LDL)、极低密度脂蛋白(VLDL)和甘油三酯的剂量依赖性降低;肝脏总胆固醇、甘油三酯和胆固醇酯的降低;以及肝脏匀浆中非酶诱导的脂质过氧化水平降低。含有胆固醇氧化产物的加热(氧化)酥油也有类似结果。一项初步临床研究表明,高剂量的药用酥油可降低银屑病患者的血清胆固醇、甘油三酯、磷脂和胆固醇酯。一项针对印度农村人口的研究显示,食用较多酥油的男性冠心病患病率显著较低。对玛哈希·阿姆里特·卡拉什 - 4(MAK - 4)(一种含有酥油的阿育吠陀草药混合物)的研究表明,摄入MAK - 4 18周的高脂血症患者的血清胆固醇、高密度脂蛋白(HDL)、LDL或甘油三酯水平没有受到影响。MAK - 4抑制了这些患者中LDL的氧化。文献中的现有数据不支持一般人群适度食用酥油会产生有害影响这一结论。亚洲印度人CAD患病率上升可能涉及的因素包括含有40%反式脂肪酸的氢化植物油(植物酥油)的使用增加、心理社会压力、胰岛素抵抗以及饮食模式的改变。文献中的研究结果支持了古代阿育吠陀文献中概述的酥油的有益作用以及酥油在阿育吠陀医学体系中数千年的治疗用途。