Effects of a soy protein product on serum and tissue cholesterol concentrations in swine fed high-fat, high-cholesterol diets

Specialized protein products in broiler chicken nutrition: A review

In poultry nutrition, most attention is given to protein products, due to the importance of protein as a major constituent of the biologically active compounds in the body. It also assists in the synthesis of body tissue, for that renovation and growth of the body. Furthermore, protein exists in form of enzymes and hormones which play important roles in the physiology of any living organism. Broilers have high dietary protein requirements, so identification of the optimum protein concentration in broiler diets, for either maximizing broiler performance or profit, requires more knowledge about birds' requirements for protein and amino acids and their effects on the birds' growth performance and development. It also requires knowledge about the protein sources available that can be used in poultry diets. The broad aim of this review is to highlight the importance of some of the available high-quality specialized protein products of both animal and plant origins which can be explored for feeding broiler chickens. Minimization of the concentration of anti-nutritional factors (ANFs) and supplementation with immunologically active compounds are the main focus of gut health-promoting broiler diets. These diet characteristics are influenced by feed ingredient composition and feed processing. The general hypothesis is that these protein products are highly digestible and devoid of or contain less ANFs. Feeding these products to broiler chicks, especially at an earlier age, can assist early gut development and digestive physiology, and improve broiler growth performance and immunity.

Dietary raw peas (Pisum sativum L.) reduce plasma total and LDL cholesterol and hepatic esterified cholesterol in intact and ileorectal anastomosed pigs fed cholesterol-rich diets

Previous studies demonstrated the cholesterol-lowering effect of dietary legumes (mainly soybeans) in animals and humans, but the mechanisms by which they exert this effect are not completely understood. The contribution of the hindgut to this hypocholesterolemic effect is also not well documented. The present work was undertaken to investigate the effect of cholesterol-enriched (2.8 g/kg) casein (C) and raw pea seed (RP) diets on the cholesterol metabolism of intact (I) and ileorectal anastomosed (IRA) growing pigs. Four groups of 6 pigs were allocated to the treatments (C-I, C-IRA, RP-I, and RP-IRA pigs) for 3 wk. Plasma total cholesterol was lowered by the RP diet through a significant decrease in LDL cholesterol. The RP diet also decreased the hepatic concentration of esterified cholesterol and increased 3-hydroxy-3-methylglutaryl CoA reductase activity and LDL receptor synthesis. The biliary total cholesterol and bile acid concentrations were greater in RP- than in C-fed pigs. In addition, fecal bile acid output was higher in RP-fed pigs. The cecum-colon by-pass inhibited cholesterol and beta-sitosterol microbial transformation, lowered the bile acid output, and increased the primary to secondary bile acid output ratio, but its influence on cholesterolemia was negligible. These results suggest a hypocholesterolemic effect of the raw pea diet probably due to increased fecal bile acid output and an increased biliary bile acid concentration.

Soy proteins reduce progression of a focal lesion and lipoprotein oxidiability in rabbits fed a cholesterol-rich diet

The effects of different dietary proteins on the progression of a focal atheromatous lesion and on lipoprotein oxidiability were studied in male New Zealand rabbits. Focal lesions were induced on common carotid arteries by applying an electric current, using a bipolar microcoagulator. After surgery, animals were fed for 90 days two different diets, both with 1% cholesterol, 15% saturated fatty acids and 20% protein: the protein source was constituted in one group (SOY) by 16% soy protein isolate plus 4% milk whey proteins, in the other (CASEIN) by 16% casein plus 4% milk whey proteins. Lower levels of plasma cholesterol and triglycerides (-47 and -65%, respectively) (P < 0.05) were detected in the SOY versus the CASEIN group at the end of treatment. Cryosection analyses of the carotids, indicated a highly significant reduction (-39%; P < 0.05) in the focal lesion progression in the SOY versus the CASEIN group. Copper-mediated oxidation of low-density lipoprotein (LDL) from rabbits fed the two different diets, performed in vitro by analysis of conjugated diene formation, showed a significantly longer lag phase in the SOY (150 +/- 5 min) versus the CASEIN animals (20 +/- 3 min) (P < 0.05). These data, while confirming the well-known lipid lowering properties of soy proteins, indicate, in this animal model, a remarkable activity on a focal atheromatous lesion, possibly also linked to a powerful antioxidant activity.

Consumption of soy protein reduces cholesterol absorption compared to casein protein alone or supplemented with an isoflavone extract or conjugated equine estrogen in ovariectomized cynomolgus monkeys

Dietary intake of soy protein is associated with reductions in plasma cholesterol. Isoflavones are thought to be active components of soy and responsible for the beneficial effects because of their structural similarities to estrogen. The purposes of this study were to determine if i) soy protein or a semipurified soy extract, rich in isoflavones, is responsible for improving the lipid profile and ii) altered intestinal cholesterol metabolism is one mechanism for hypocholesterolemic effects. Ovariectomized adult female cynomolgus monkeys (40) were assigned to groups fed diets containing i) casein-lactalbumin (CAS) ii) intact soy protein (SOY), iii) CAS plus an isoflavone-rich semipurified soy extract similar in isoflavone content as SOY (ISO) or iv) CAS plus conjugated equine estrogen (CEE) for 20 wk. Cholesterol absorption was determined using the fecal isotope ratio method. Bile acid excretion was measured using the 3alpha-hydroxysteroid dehydrogenase assay. The SOY group had significantly lower total- and VLDL + LDL-cholesterol compared to the other three groups and significantly higher HDL-cholesterol compared to the CAS and CEE groups. Cholesterol absorption was significantly lower in the SOY group compared to the other groups, but bile acid excretion was not significantly affected. The hypocholesterolemic effect of soy protein appears to be mediated in part by decreased cholesterol absorption. The semipurified soy extract, rich in isoflavones, added to casein protein did not have lipid-lowering effects. Other components of soy such as saponins, phytic acid or the amino acid composition may be involved in the hypocholesterolemic effects seen in this study.

Comparative effects of four legume species on plasma lipids and faecal steroid excretion in hypercholesterolaemic pigs

The effect of four species of legume seeds on plasma cholesterol levels and faecal steroid excretion was studied in pigs. Thirty-six growing boars were randomly allocated in groups of six to six diets which they ate continuously for 42 d. The diets fed were: 1, a semi-purified (SP; control group 1) diet; 2, SP + 10 g cholesterol/kg (control group 2); 3, 4, 5, 6, SP + cooked legumes (70:30, w/w; respectively baked beans (Phaseolus vulgaris), peas (Pisum sativum), lentils (Lens culinaris Medik.), butter beans (Phaseolus lunatus)) + 10 g cholesterol/kg. Fasting blood samples were taken on days 0, 14, 28, and 42 for the determination of total plasma cholesterol, high-density-lipoprotein (HDL)-cholesterol and triacylglycerols. Between days 7 and 11 and days 28 and 32 complete 5 d faecal collections were made for the measurement of neutral, acidic and conjugated steroids. After 42 d total cholesterol and HDL-cholesterol levels were raised significantly in all groups, but to different extents. In comparison with control group 2, diet-induced hypercholesterolaemia was significantly inhibited in the groups consuming baked beans, peas and butter beans, although HDL-cholesterol levels were maintained. Faecal steroid excretion by the legume groups was not significantly different from that of control group 2. The results suggest that the mechanism for the hypocholesterolaemic effect does not involve increased hepatic bile acid synthesis and thereby increased cholesterol clearance via the intestinal route.

Low density lipoprotein receptor activity is modulated by soybean globulins in cell culture

The effects of major storage globulins from soybean on cholesterol homeostasis were investigated in vitro and in vivo systems. The low density lipoprotein (LDL) uptake and degradation was studied both in human skin fibroblasts (HSF) and in a human hepatoma cell line (Hep G2). In Hep G2 cells a dose-dependent increase of both uptake and degradation of 125I-LDL was induced by the 7S globulin, whereas the 11S globulin exerted a lesser effect that was not dose-related. In HSF cells the 11S globulin increased the uptake of 125I-LDL to a greater extent than did 7S globulin; in this cell line, LDL degradation was not stimulated by either of the globulins. Rats fed a casein-cholesterol diet were treated daily with the 11S or 7S globulins for 2 wk. The administration of soybean globulins significantly reduced cholesterolemia (-35 and -34% with 7S and 11S globulins, respectively, vs. controls). Liver membrane preparations from the casein-cholesterol-fed rats showed a nonsignificant increase in the maximal binding of labeled cholesterol-rich lipoprotein fraction (beta-VLDL) to high affinity receptors.

The hypocholesterolemic effect of dietary soybean protein vs. casein in hamsters fed cholesterol-free or cholesterol-enriched semipurified diets

Golden Syrian hamsters fed a cholesterol-free diet containing 25% casein had higher plasma total triglyceride and cholesterol levels and VLDL + LDL cholesterol levels than animals fed a 25% soybean protein diet. Hamsters fed the cholesterol-free casein diet also had higher HDL cholesterol levels than animals fed the soybean protein diet, but these differences were not statistically significant. Addition of cholesterol to the diets caused even greater mean differences between the animals fed different types of protein, but the increased inter-animal variability of response to the added cholesterol resulted in less statistically significant differences. Although less responsive than the nonhybrid Golden Syrian hamsters, hybrid F1B hamsters showed similar effects of dietary casein vs. soybean protein on plasma lipids. These results indicate that the hamster may be a useful model to examine the effect of different types of protein and the interaction with dietary cholesterol on various plasma lipids and lipoproteins.

Plasma amino acids and cholesterol following consumption of dietary casein or soy protein in minipigs

Numerous investigators have claimed that protein-induced differences in plasma cholesterol are mediated by differences in amino acid composition. We have explored whether the venous postprandial amino acid profile reflects differences in the amino acid composition of the protein consumed. Six adult Göttingen miniature pigs were fed a semisynthetic diet based on either casein or soy protein isolate. Frequent blood sampling was performed over a whole day after consumption of each diet for 6 wk. Postprandial plasma amino acid concentrations reached their maxima within the first 3 h. A group of eight protein amino acids (Met, Arg, Tyr, Val, Trp, Leu, Lys and Cys) exhibited the most marked and significant protein-dependent differences during this early postprandial phase, whereas Thr and His showed less marked differences. With one exception (Ser) all protein amino acids exhibited venous plasma concentration changes in qualitative accordance with their content in the dietary protein consumed. In quantitative terms, however, venous plasma amino acid changes were less marked than expected from the amino acid composition of the dietary proteins. We conclude that neither the considerable number of amino acids showing differences as reported herein nor the multitude of contradictory reported by others concerning single amino acids affecting serum cholesterol favor the hypothesis that one or several amino acid(s) cause protein-induced hypercholesterolemia.

Intestinal apolipoprotein B-48 synthesis and lymphatic cholesterol transport are lower in swine fed high fat, high cholesterol diet with soy protein than with casein

Effects of dietary proteins on intestinal lipoproteins were studied in 8 Yorkshire swine fed a high fat, high cholesterol diet with either casein or soy protein. After 5 weeks of feeding, the casein group exhibited moderately elevated levels of serum cholesterol (334 +/- 46 mg/dl). The soy protein group showed significantly less hypercholesterolemia as compared to the casein group (122 +/- 8 mg/dl). Swine were subjected to cannulation of mesenteric lymph duct under halothane anesthesia. A single dose of 250 microCi [14C]cholesterol and 10 mCi [3H]leucine was infused into the upper jejunum 2 h after one-fifth of daily food was given. The 3-h lymphatic transport of cholesterol in casein-fed swine was significantly higher than in those fed soy protein. Triglyceride transport values were similar in the 2 groups. The [3H]leucine incorporation study revealed that transport of apo B-48 bore a significant positive relationship to transport of cholesterol in both chylomicron and VLDL fractions of mesenteric lymph. A greater apo B-48 secretion with higher specific activity was probably responsible for the greater transport of cholesterol in chylomicrons in casein-fed than in soy protein-fed swine. Similarly, the transport of lymph VLDL cholesterol in swine fed casein or soy protein paralleled the amount of accompanying apo B-48. Dietary proteins probably influence the intestinal synthesis of apo B-48 which in turn affects cholesterol transport into the lymphatics.

Effects of dietary beef and soy protein on tissue composition and low density lipoprotein uptake in young pigs

To study effects of dietary protein source on plasma cholesterol homeostasis, six littermate pairs of 8-wk-old, castrated male pigs were assigned randomly to high fat diets containing either lean beef or soy protein isolate, with beef tallow as the major fat source in both diets. Diets were fed for 6 wk, with blood samples taken weekly and analyzed for lipid composition. At 6 wk, each pig was injected with [3H]cholesterol- and [14C]sucrose-labeled low density lipoproteins, and serial blood samples were taken. Pigs were then killed, and several tissues were sampled. Results show that dietary beef or soy protein, when fed with beef tallow as a fat source, has differential effects on rates of uptake of intact LDL by heart, M. sartorius muscle and subcutaneous adipose tissue, and on rates of uptake of LDL cholesterol by net free cholesterol exchange in subcutaneous and perirenal adipose tissues. Dietary protein source affected the composition of only two tissues analyzed. Pigs fed the beef-based diet had greater lipid concentrations in M. sartorius muscle, whereas pigs fed the soy protein-based diet had greater lipid concentrations in heart. Source of dietary protein did not influence in vivo kinetics of LDL cholesterol removal from blood plasma.

Plasma, tissue and fecal cholesterol of young pigs fed restricted or liberal amounts of beef, soy or conventional diets

Cholesterol disposition (tissue deposition + fecal excretion) was determined in young pigs fed restricted (trial 1) or liberal (trial 2) amounts of beef-based, soy-based or conventional swine diets. Cholesterol content of diet is greater than average United States consumption per kilogram body weight but is very similar on a per-kilocalorie intake basis. Both beef and soy diets contained more cholesterol (0.09% by weight vs. 0%) and fat (40-50% of calories vs. 8-9%) than did conventional diets. Dried egg yolk was the source of cholesterol in the soy diets. Beef- and soy-fed pigs had greater plasma, HDL and LDL cholesterol concentrations than did conventionally fed pigs; beef-fed pigs had greater plasma, HDL and LDL cholesterol concentrations than did soy-fed pigs in trial 2 only. Final HDL-to-LDL cholesterol ratios did not differ. Neutral steroid and bile acid excretion was twofold greater in soy-fed than in conventionally or beef-fed pigs in trial 2 only. Differences in cholesterol concentrations were found in liver (soy, beef greater than conventional) and heart (soy greater than beef, conventional) in trial 1 and in liver (soy, beef greater than conventional), adipose tissue (soy greater than conventional greater than beef) and aorta and other viscera (conventional greater than soy, beef) in trial 2. In both trials, soy-fed pigs had greatest whole-body cholesterol concentrations. Thus, in both trials, disposition of cholesterol was similar in conventionally fed and beef-fed pigs, despite greater cholesterol intake in the latter, but was greater soy-fed pigs.

Dietary protein effects on cholesterol and lipoprotein concentrations: a review

Different dietary proteins exert different effects on plasma cholesterol concentrations. Animal studies have shown that animal proteins, most notably casein, increase plasma total cholesterol concentrations compared with vegetable proteins, such as soy. Soy protein has been shown to be hypocholesterolemic in rats, swine, primates, and rabbits. Epidemiologic studies have disclosed that vegetarians have lower mean plasma cholesterol concentrations than populations consuming diets of mixed proteins, but it is unclear whether this effect results specifically from the animal or vegetable nature of the protein. In human clinical experiments, substituting soy protein for mixed protein reduces plasma total cholesterol concentration in hypercholesterolemic subjects, but it causes only a small, nonsignificant change in persons with normal plasma cholesterol concentrations. The mechanism responsible for the effects of different proteins on plasma cholesterol concentrations has not been established. One hypothesis suggests that animal proteins, which have a greater content of phosphorylated amino acids than vegetable proteins, interfere with bile acid reabsorption. Another hypothesis suggests that the amino acid content of the protein affects cholesterol absorption, tissue storage, synthesis, and excretion. The dietary protein may also alter cholesterol metabolism by affecting plasma hormone concentrations, either postprandially or over weeks to months. Among the hormones thought to be affected by dietary protein source are insulin, glucagon, and thyroid hormones. Gastrointestinal hormones, such as gastrointestinal inhibitory polypeptide, may also be affected by dietary protein.

Cholesterol transport and uptake in miniature swine fed vegetable and animal fats and proteins. 2. LDL uptake and cholesterol distribution in tissues

In a 2 X 2 factorial arrangement, miniature pigs were fed four diets containing vegetable protein/fat (soybean) and animal protein (egg white)/fat (beef tallow) to demonstrate the effects of protein and fat source on tissue cholesterol concentrations, uptake of intact low density lipoproteins (LDL) and free cholesterol exchange from LDL to tissues. Soybean oil feeding, compared with beef tallow feeding, resulted in greater concentrations of cholesterol in aorta, heart, and large and small intestines. Similar trends were seen in liver, adipose tissue and skeletal muscle. Dietary protein source had little or no effect on tissue cholesterol concentrations. Uptake of intact LDL, as measured by using [14C]sucrose-LDL, tended to be greater in pigs fed soybean oil or soy protein. Net exchange of free cholesterol from LDL, as measured with [3H]cholesterol, tended to be greater when vegetable products were fed. Relative contributions of whole tissues to total uptake by either mechanism were not influenced by diet. Mechanisms in addition to uptake of cholesterol from LDL seem to be involved in the greater accumulation of tissue cholesterol resulting from polyunsaturated fat feeding.

Influence of dietary casein and soy protein isolate on intestinal cholesterol and bile acid concentration

This study reports quantitative and qualitative differences in intestinal bile acids and cholesterol in miniature pigs following dietary casein or soy protein isolate. The total amount of bile acids in the small intestine was significantly higher when soy protein isolate was fed in comparison to casein. The values were (mean +/- SEM) 4.51 +/- 0.39 mmol and 2.43 +/- 0.08 mmol, respectively, when the proteins were given as the sole component of the diet. When the proteins were given as part of a semi-purified diet, these values were 6.44 +/- 1.04 mmol and 3.95 +/- 0.39 mmol, respectively. Hyocholic acid amounted to 39.6%, hyodeoxycholic acid to 31%, and chenodeoxycholic acid to 27.6% of total bile acids in the small intestine when casein was fed. The soy-fed animals tended to have more secondary bile acids. The total small bowel chymus content, on a wet weight basis, was 63% higher in the soy group. In all experimental conditions studied, there was a close correlation between small bowel chyme content and bile acid content. The distribution of bile acids in the small intestine showed that the soy fed animals tended to have more bile acids in the distal parts of the jejunum. The intestinal cholesterol contents were not significantly different between dietary groups.

Plasma lipid and lipoprotein cholesterol levels in swine. Modification of protein-induced response by added cholesterol and soy fiber

Piglets, aged 8 weeks and weighing 12-18 kg, were fed semi-purified casein or soy protein diets, with or without cholesterol and soy hull fiber, for 2 months. In addition to observing the effects of the dietary treatments on growth, the modification of the primary hypocholesterolemic action of soy protein by cholesterol and soy fiber was studied. Pigs fed the soy protein or casein diets grew normally with no difference in weight gain. Plasma triglyceride and phospholipid levels, as well as several plasma metabolic indices examined, were not significantly affected by dietary treatment. However, plasma total cholesterol was higher (but not significantly) in pigs fed casein than in those fed soy protein alone. Cholesterol feeding induced markedly significant (P less than 0.05) hypercholesterolemia with either protein source, compared to feeding the proteins without added cholesterol. Dietary soy fiber fed simultaneously with cholesterol decreased the cholesterol-induced hypercholesterolemia, but the reduction was significantly greater (P less than 0.05) with soy protein than with casein in the diet. Analyses of the lipoprotein cholesterol indicated that LDL cholesterol was much more sensitive to the changes induced by feeding cholesterol and soy fiber than either HDL or VLDL cholesterol. These findings suggest a beneficial role of dietary soy fiber in hypercholesterolemia.

Effects of dietary proteins on the regulation of liver lipoprotein receptors in rats

Female rats fed a 1.2% cholesterol diet with animal proteins (casein) develop a significant hypercholesterolemia, with a marked increase of very low density lipoprotein (VLDL)-associated cholesterol. Substitution of soy proteins for casein in the diet counteracts the increase of both total and VLDL cholesterol. Studies of liver receptor activity were carried out with both casein and soybean-cholesterol diets, to define the site of action of soy proteins. Binding of a cholesterol-rich lipoprotein fraction (beta-VLDL) to hepatic membranes is normal when a soybean-cholesterol diet is administered, and markedly reduced with casein-cholesterol. The activity of receptor-linked enzymes, HMG-CoA reductase, cholesterol 7 alpha-hydroxylase and acyl-CoA:cholesterol O-acyltransferase (ACATase), is differently affected by the two diets. HMG-CoA reductase activity is reduced by both diets with, however, significantly higher enzyme activities in the soybean-cholesterol-fed group. Both 7 alpha-hydroxylase and ACATase activity levels are significantly raised by casein-cholesterol but are in a normal range with soybean-cholesterol. These findings suggest that the hepatic receptor regulation of cholesterol metabolism is differently affected by animal and vegetable proteins in the diet.

Hypocholesterolemic effect of dietary soy protein versus casein in rhesus monkeys (Macaca mulatta)

Ten mature female rhesus monkeys were alternately fed semipurified diets containing casein or soy protein for periods of 13 to 17 wk. Each diet was fed for two periods. When the animals were changed from the commercial diet to the semipurified diet containing soy protein, a significant elevation in serum cholesterol occurred. The serum cholesterol levels gradually increased further, when the soy protein in the diet was replaced by casein. However, when subsequently the casein in the diet was replaced by soy protein, a significant decrease in serum cholesterol levels was observed. Finally, when the animals were changed back to the casein diet, a significant increase in serum cholesterol again occurred. Changes in serum cholesterol due to modulations in the type of protein in the diet were reflected mainly by changes in low-density lipoprotein cholesterol. Thus, the results of this study clearly show that the type of protein in the diet markedly affects serum cholesterol levels not only in experimental animals such as the rabbit, as is well known, but also in the rhesus monkey, which is more akin to man.

The complementary interaction of epidemiological and experimental animal studies: a key foundation of the preventive effort

This overview will examine the contributions made by animal models of atherosclerosis to our understanding of its pathogenesis and will describe the principles for prevention of this disease process. In addition, some of the recent biochemical and cell biological discoveries, many utilizing animal cells and animal lipoproteins, will be discussed. Further, the increasing knowledge brought to worldwide efforts for the prevention and regression of atherosclerosis by the aforementioned research approaches will be reviewed. The results of some of the most promising animal studies of advanced atherosclerotic plaque regression will be briefly summarized, emphasizing the quantitation of changes. The prospects for verifying some of these findings in quantitative studies of human atherosclerosis will be presented along with some of the obstacles to be overcome.

Effect of infant formuLas on blood and tissue cholesterol, bone calcium, and body composition in weanling pigs

Weanling pigs were fed four commercial infant formulas to determine effects on blood and tissue cholesterol parameters and on body composition. Two milk protein (MP)-based formulas and two soy protein isolate (SPI)-based isocaloric formulas were fed in concentrated liquid form for 32 days. A commercial sow's milk replacer fed to a fifty group of pigs served as a control diet. Pigs fed SPI-based formula had significantly less cholesterol in the plasma than did pigs fed MP-based formula. Whole-body and adipose tissue cholesterol concentrations were greatest in pigs fed formulas containing a relatively high concentration of polyunsaturated fatty acids (PUFA). Liver cholesterol concentration was inversely related to plasma cholesterol concentrations. Bone calcium, measured as percentage of dry, fat-free bone (femur), and whole-carcass ash were significantly less in pigs fed SPI-based formula than in pigs fed MP-based formula. Similar growth and development were observed in pigs fed SPI-based or MP-based formulas; however, pigs fed SPI-based formulas had significantly less bone calcium.

The effect of age on the development of hypercholesterolemia in rabbits fed semipurified diets containing casein

Young and adult male rabbits were alternately fed semipurified diets and a commercial diet over a period of 57 weeks. The semipurified diets, containing either casein or soy protein, and the commercial diet were fed either ad libitum or on a restricted basis. When a restricted feeding regime was applied, both in the young and adult rabbits, significantly higher levels of serum cholesterol were observed in the animals fed casein compared with their counterparts fed soy protein. However, during the first period of feeding the semipurified diets, the hypercholesterolemic response of the casein diet was significantly greater in the young than in the adult rabbits. During the second and third period, no significant differences in cholesterolemic response were observed between young and adult rabbits fed casein diets. Further, the cholesterolemic response to semipurified diets containing casein was progressively lower during the second and third period. Similar results were found when the rabbits were fed ad libitum. However, in the adult rabbits no significant differences were observed between the rabbits fed casein and soy protein. Thus, the results of this study show that adult rabbits are less susceptible to the induction of hypercholesterolemia by feeding casein diets than are young ones.

Fecal cholesterol excretion studies in type II hypercholesterolemic patients treated with the soybean protein diet

The fecal steroid elimination profile was studied in 7 type II hyperlipoproteinemic patients given a low-lipid diet with textured soybean proteins, in order to define the mechanism of the hypocholesterolemic activity of this new dietary regimen. Four of the patients followed a 3- + 3-week cross-over protocol, comparing the soybean diet with a reference low-lipid diet with animal proteins. In these, fecal neutral steroids and bile acids were analyzed by chromatography during the two dietary periods. In spite of the clear hypocholesterolemic effect, no significant differences in steroid output were noted between the two dietary periods. In the 3 remaining patients, a chromatographic + isotopic method (by injecting 14C-labelled cholesterol i.v. 4-6 weeks prior to the dietary study) was employed. Again, no marked changes were noted in the fecal neutral steroid and bile acid outputs and the slope of the decay curve of the plasma cholesterol-specific activity was not changed by the experimental diet, in spite of the remarkable decrease in plasma cholesterol. The reported results do not provide a definitive contribution to the mode of action of the soybean protein diet. They suggest, however, that it is not an effect mediated by undigestible dietary components. The possibility of a cholesterol redistribution from plasma to tissue pools should be considered.

The hypocholesterolemic effect of dietary soy protein in rats

The serum cholesterol-lowering effect of dietary soy protein was examined in hypercholesterolemic rats. The inclusion of soy protein in a diet containing cholesterol and casein brought about a reduction in the serum cholesterol levels. A further cholesterol-lowering effect was achieved by increasing the proportion of soy protein in the diet. Conversely, the incorporation of increasing proportions of casein in the diet resulted in an elevation of the serum cholesterol concentration. Changes in serum cholesterol were predominantly reflected in different cholesterol concentrations in the very low density lipoproteins (VLDL). The concentrations of liver cholesterol paralleled the concentrations of cholesterol in the serum. Thus, this study clearly demonstrates that dietary soy protein is able to reduce the levels of cholesterol in the serum and the liver, whereas dietary casein has the opposite effect. Moreover, the cholesterolemic properties of both casein and soy protein can be enhanced by the incorporation of higher proportions of these proteins in the diet.

The effect of semipurified diets containing different proportions of either casein or soybean protein on the concentration of cholesterol in whole serum, serum lipoproteins and liver in male and female rats

Male and female lean Zucker strain rats were fed cholesterol-enriched semipurified diets containing 2 levels (20% and 50%, w/w) of either casein or soybean protein for a period of 14 weeks. In the female rats, the feeding of casein diets resulted in significantly higher levels of serum cholesterol than when diets containing soybean protein were fed. In addition, the hypercholesterolemic effect of dietary casein could be enhanced by increasing the proportion of this protein in the diet. Modulations in the proportion of dietary soybean protein did not significantly affect the serum cholesterol levels. In the male rats, however, no such differential effects were observed, indicating a difference between male and female rats in susceptibility to the induction of changes in serum cholesterol levels by dietary means. Upon feeding casein diets, both the male and female rats exhibited a shift of cholesterol from the high density lipoproteins to the lipoproteins with a lower density. This effect was more pronounced in the female than in the male rats. Liver cholesterol concentrations were markedly affected by modulations both in the type and proportion of dietary protein in both sexes. The concentration of cholesterol in the liver of the rats was highest in those fed the 50% casein diet and progressively lower in the animals on diets containing 20% casein, 20% soybean protein and 50% soybean protein.

Effects of casein versus soy protein diets on serum cholesterol and lipoproteins in young healthy volunteers

The effects of casein and soy protein on serum cholesterol levels and lipoprotein composition were studied in 69 healthy volunteers (18 to 28 yr of age) under strict dietary control. Subjects were fed for 6 wk on diets containing 13% of energy as protein, 38% as fat (P/S ratio = 0.6) and about 380 mg cholesterol per day. Of the protein in the diets 65% consisted of casein or soy protein or a 2:1 mixture of casein and soy protein. After a control period of 10 days during which all the subjects received the casein-soy diet, 20 subjects continued on this diet for the next 4 wk as a base-line control, 25 subjects switched to the casein diet, and the remaining 24 subjects switched to the soy diet. Both food records and chemical analysis of double portions revealed that the diets were completely identical except for the type of protein. Average serum cholesterol levels at the end of the control period were 152 +/- 27 mg/dl (3.93 +/- 0.69 mmol/l) and 153 +/- 23 mg/dl (3.95 +/- 0.60 mmol/l) (mean +/- SD) for the casein and soy group, respectively. At the end of the test period the levels were 149 +/- 24 and 150 +/- 23 mg/dl, respectively; thus there was no significant change on either diet. On the casein diet there was no change in the low-density lipoprotein cholesterol concentration, and only a slight, nonsignificant increase in the high-density lipoprotein cholesterol concentration. On the soy diet, however, there was a significant decline in low-density lipoprotein-cholesterol (-6.6 mg/dl; -0.17 mmol/l) and a significant increase in high-density lipoprotein-cholesterol (+5.8 mg/dl; +0.15 mmol/l). The decline in low-density lipoprotein cholesterol in the soy group was significantly different from the small change in the casein group, but the difference in increase in high-density lipoprotein cholesterol in the soy and the casein group was only weakly significant. This suggest that soy protein could have a slight beneficial effect on the distribution of cholesterol over the various lipoprotein fractions, even at constant total cholesterol concentration.

Further studies on the hypocholesterolaemic effect of soya-bean protein in rats

1. The hypocholesterolaemic effect of soya-bean protein compared with that of casein, when fed at 200 g/kg diet for 3 weeks, was studied in rats. 2. Using a cholesterol-free low-fat (10 g maize oil/kg) diet, the hypocholesterolaemic effect was demonstrated not only with soya-bean protein but also with an amino acid mixture simulating this protein. The addition of lysine to these diets did not modify their intrinsic effects on serum cholesterol. 3. By feeding the vegetable protein or its amino acid mixture, both high-density-lipoprotein-and very-low-density-lipoprotein plus low-density-lipoprotein-cholesterol decreased to a similar extent, and the concentration of serum apolipoprotein A--I decreased and that of apolipoprotein B increased. 4. Although rats given soya-bean protein excreted more neutral and acidic steroids, the difference disappeared when the amino acid mixture was fed, indicating that the hypocholesterolaemic effect of the vegetable protein is not ascribed only to the increased elimination of steroids. 5. It is likely that the difference in the amino acid composition between animal and vegetable proteins is in fact responsible for the different response of serum cholesterol.

The effect of different proportions of casein in semipurified diets on the concentration of serum cholesterol and the lipoprotein composition in rabbits

The effect of different proportions of casein in semipurified diets on the concentration of serum cholesterol and the lipoprotein composition was studied in rabbits. Low-casein diets (10% w/w) resulted in serum cholesterol levels and growth rates that were lower than high-casein diets (40%). An intermediate proportion of casein (20%) produced intermediate concentrations of serum cholesterol, but only minor differences in food intake and weight gain, compared with the high-casein group. In the animals with the highest values of total serum cholesterol (the 40% casein group), most of the serum cholesterol was transported in the very low density lipoproteins, whereas with moderate hypercholesterolemia (the 20% casein group), the low density lipoproteins were the main carriers of cholesterol. Elevation in lipoprotein cholesterol was associated in all groups with an increased ratio of cholesterol to protein, suggesting the formation of particles relatively rich in cholesterol. When the rabbits on the diet containing 10% casein were subsequently transferred to the 40% casein diet, a steep increase in the level of serum cholesterol occurred. Conversely, switching the rabbits on the 40% casein diet to the 10% casein diet resulted in a decrease in the level of serum cholesterol.

Multicentre study of soybean protein diet for outpatient hyper-cholesterolaemic patients

The animal proteins in a low-lipid, low-cholesterol diet were substituted with a textured soybean preparation for 127 outpatients with stable type II hyperlipoproteinaemia selected from eight Italian and one Swiss lipid clinics. Eight weeks of the modified diet reduced plasma cholesterol by 23.1% in the 67 participating male patients and by 25.3% in the 60 females. No significant changes in plasma triglycerides, high-density lipoprotein cholesterol, and body weight were recorded. Better reductions in plasma cholesterol occurred in non-familial cases and in very young male patients. The acceptable taste of the soybean preparation used in this study, and its easy handling, indicate that this type of dietary treatment may be suitable for outpatients.