Nicolosi R J
Department of Health and Clinical Sciences, University of Massachusetts-Lowell 01854, USA.
Am J Clin Nutr. 1997 May;65(5 Suppl):1617S-1627S. doi: 10.1093/ajcn/65.5.1617S.
Saturated vegetable oils (coconut, palm, and palm kernel oil) and fats (butter and lard) are hypercholesterolemic relative to monounsaturated and polyunsaturated vegetable oils. The increase in plasma low-density-lipoprotein-cholesterol (LDL-C) concentrations associated with consumption of saturated vegetable oils and fats is largely explained by a decrease in hepatic LDL receptor activity and an increase in the LDL-C production rate. Hepatic LDL receptor activity may be regulated by the messenger RNA concentration of the LDL receptor. The decrease in hepatic LDL receptor activity with saturated fat feeding is associated with decreased hepatic sterol O-acyltransferase activity and, therefore, a reduced inert pool of cholesteryl ester. A putative regulatory pool of cholesterol is increased with saturated fat feeding and suppresses LDL receptor activity, possibly through hepatic messenger RNA regulation. For most studies, an independent effect of a vegetable oil or fat could not be ascertained because there was no neutral control and at least two of the test oils or fats were varied. Animal data for the effects of individual fatty acids on plasma LDL-C concentrations and metabolism are sparse. The evidence suggests that caproic acid (6:0), caprylic acid (8:0), and capric acid (10:0) are neutral with respect to their LDL-C-raising properties and their ability to modulate LDL metabolism. Lauric acid (12:0), myristic acid (14:0), and palmitic acid (16:0) are approximately equivalent in their LDL-C-raising potential by reducing hepatic LDL receptor activity and increasing the LDL-C production rate, apparently via modulation of sterol O-acyltransferase activity. Stearic acid (18:0) appears to be neutral in its LDL-C-raising potential and how it affects LDL metabolism.
相对于单不饱和和多不饱和植物油,饱和植物油(椰子油、棕榈油和棕榈仁油)和脂肪(黄油和猪油)具有高胆固醇血症特性。食用饱和植物油和脂肪导致血浆低密度脂蛋白胆固醇(LDL-C)浓度升高,这在很大程度上是由于肝脏LDL受体活性降低以及LDL-C生成率增加所致。肝脏LDL受体活性可能受LDL受体信使核糖核酸浓度的调节。喂食饱和脂肪后肝脏LDL受体活性降低与肝脏固醇O-酰基转移酶活性降低有关,因此胆固醇酯的惰性池减少。喂食饱和脂肪后,假定的胆固醇调节池增加,并可能通过肝脏信使核糖核酸调节抑制LDL受体活性。在大多数研究中,由于没有中性对照,且至少两种受试油或脂肪有所变化,因此无法确定植物油或脂肪的独立作用。关于个别脂肪酸对血浆LDL-C浓度和代谢影响的动物数据很少。证据表明,己酸(6:0)、辛酸(8:0)和癸酸(10:0)在升高LDL-C特性及其调节LDL代谢的能力方面呈中性。月桂酸(12:0)、肉豆蔻酸(14:0)和棕榈酸(16:0)在升高LDL-C潜力方面大致相当,它们通过降低肝脏LDL受体活性并增加LDL-C生成率来实现,显然是通过调节固醇O-酰基转移酶活性。硬脂酸(18:0)在升高LDL-C潜力及其对LDL代谢的影响方面似乎呈中性。