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GUT: 乳极性脂质可降低绝经后超重女性的脂质心血管事件风险

2019-10-05 不详 MedSci原创

本项研究旨在探讨乳极性脂质(PL)是否会影响人体肠道脂质的吸收,代谢,微生物群以及对于心血管事件的发生风险。

背景及目的

本项研究旨在探讨乳极性脂质(PL)是否会影响人体肠道脂质的吸收,代谢,微生物群以及对于心血管事件的发生风险。


方法

研究人员进行了一项涉及58名绝经后妇女的双盲,随机对照,为期4周的研究来评估食用PL(每天0、3或5 g-PL)对脂质代谢和肠道菌群的慢性影响。回肠造口术患者使用示踪剂在一项随机对照交叉研究中评估了牛奶PL对肠道吸收和胆固醇代谢的急性作用。


结果

在4周内,PL显着降低了患者禁食和餐后血浆胆固醇的浓度,并替代了心血管疾病风险的脂质标志物,包括总/高密度脂蛋白胆固醇和载脂蛋白(Apo)B / ApoA1的比率。最高的PL剂量优先引起肠道来源的乳糜微粒减少。同样,PL会增加粪便中前列腺素(coprostanol)的排泄物损失,这是肠道的胆固醇代谢产物。但是无论剂量如何,PL都不会影响主要细菌种群和粪便短链脂肪酸。回肠造口术患者急性摄入乳汁PL显示,乳汁PL降低了胆固醇的吸收,并增加了胆固醇回肠的外排。


结论

本项研究表明PL可以通过减少几种脂质心血管标志物来改善心脏代谢健康,特别是通过减少肠道胆固醇的吸收而不会干扰肠道菌群的主要细菌种类。


原始出处:

Cécile Vors. Et al. Milk polar lipids reduce lipid cardiovascular risk factors in overweight postmenopausal women: towards a gut sphingomyelin-cholesterol interplay. GUT.2019.


本文系梅斯医学(MedSci)原创编译整理,转载需授权!


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