Hypocholesterolaemic effect of milk

A double-blind placebo-controlled study of the effects of Lactobacillus acidophilus on plasma lipids

OBJECTIVE

To select a probiotic bacteria that would reduce serum lipids in hypercholesterolaemic volunteers.

DESIGN

A strain of lactobacillus was selected for its ability to metabolise cholesterol under varying conditions in vitro. Freeze-dried Lactobacillus acidophilus or placebo were then given in a double-blind randomised crossover study to volunteers with high cholesterols.

SUBJECTS

A total of 80 volunteers with elevated cholesterols.

INTERVENTIONS

Volunteers were randomly allocated to receive either two capsules containing freeze-dried L. acidophilus 3 x 10(10) CFU or placebo three times a day for 6 weeks. After a 6-week washout period, volunteers were crossed over to another 6 weeks of capsules. Serum lipids were measured at the beginning and end of each interventional period.

RESULTS

L. acidophilus was able to reduce cholesterol and survive in an acid and bile environment. No changes in anthropomorphic measurements or in dietary records were seen between the baseline and final records or between the two sets of baseline records. There were no changes in serum lipids seen throughout the study.

CONCLUSION

Despite the ability in vitro for L. acidophilus to reduce cholesterol, no effect was seen in volunteers.

Influence of yogurt and acidophilus yogurt on serum cholesterol levels in mice

The effects of yogurt and acidophilus yogurt on the weight gain, serum cholesterol, high density lipoprotein cholesterol, low density lipoprotein cholesterol, triglycerides, and the numbers of fecal lactobacilli and coliforms were investigated in mice assigned to three dietary treatments for 56 d: 1) commercial rodent chow and water (control), 2) commercial rodent chow and yogurt made from milk inoculated with a 3% (vol/vol) liquid culture of Streptococcus thermophilus and Lactobacillus delbrueckii ssp. bulgaricus (yogurt), and 3) commercial rodent chow plus yogurt made from milk inoculated with a 0.01% (wt/vol) freeze-dried culture of Streptococcus thermophilus plus Lactobacillus acidophilus. The weight gains of mice receiving yogurt or acidophilus yogurt were higher than those of the mice in the control group. The mean values for serum cholesterol concentrations and LDL cholesterol concentrations were significantly decreased when acidophilus yogurt was fed on d 28 and 56. High density lipoprotein cholesterol and triglycerides were not affected by yogurt or acidophilus yogurt. The highest number of fecal lactobacilli was found in mice receiving acidophilus yogurt, and the number of fecal coliforms of that group was also lower than in the other two groups.

Anticarcinogenic, hypocholesterolemic, and antagonistic activities of Lactobacillus acidophilus

Lactobacillus acidophilus is considered to possess health-promoting attributes. These include anticarcinogenic and hypocholesterolemic properties and antagonistic action against intestinal and food-born pathogens. L. acidophilus can also survive the hostile environment and establish in the complex ecosystem of the gastrointestinal tract. Therefore, the beneficial effects of ingesting L. acidophilus accrue over a longer period than those organisms that cannot colonize the gut. However, the exact mechanisms of these attributes are not known. Presumably, the anticarcinogenic activity may be attributed to production of compounds and/or conditions that inhibit the proliferation of tumor cells, suppression of microorganisms that convert procarcinogens to carcinogens, and degradation of carcinogens formed. They hypocholesterolemic effect is probably exerted by inhibition of 3-hydroxy-3-methylglutaryl CoA reductase, which is a rate-limiting enzyme in endogenous cholesterol biosynthesis in the body and by promoting the excretion of dietary cholesterol in feces as a result of coprecipitation in the presence of deconjugated bile acids in the intestine and/or adsorption by the organisms. The antagonistic effect against pathogens and other organisms is possibly mediated by competition for nutrients and adhesion sites, formation of metabolites such as organic acids, hydrogen peroxide, and production of antibiotic-like compounds and bacteriocins.

Short-term effect of whole milk and milk fermented by Pseudomonas fluorescens on plasma lipids in adult boars

The short-term effects of whole milk and milk fermented by Pseudomonas fluorescens, of the amino acid composition of the diet and of feeding frequency on the level of plasma lipids, were investigated in six 1-year-old adult boars. The experimental diets contained equal amounts of protein, carbohydrates, fat and cholesterol. After an adaptation period of 5 d for each experimental treatment, blood was collected at regular intervals during 48 h and plasma levels of cholesterol, triacylglycerol, high-density-lipoprotein (HDL)-cholesterol and low-density-lipoprotein (LDL)-cholesterol were examined. All variables except HDL-cholesterol showed distinct diurnal fluctuations, which were substantially influenced by feeding frequency. Variations in the amino acid composition of the experimental diets, which were within a physiological range, had no effect on the level of plasma lipids. Plasma lipid levels were significantly lower when the animals received the diets containing milk instead of the diet without milk: cholesterol, triacylglycerol, and LDL-cholesterol were reduced by 5.6, 5.8 and 10% respectively (pondered means) while HDL-cholesterol remained unaffected. Fermentation of whole milk by P. fluorescens reduced the lipid-lowering effect. Our findings suggest that the intake of diets containing milk results in a lower plasma cholesterol and LDL-cholesterol level than the intake of diets with a similar nutrient content which do not contain milk.

[Effect of milk constituents on lipid metabolism]

The cholesterol lowering effect of various milk constituents was examined in six trials with growing pigs. Each trial is described. By means of main component analysis 44 factors were tested in order to see whether they influenced the lipid metabolism. We observed that there was no specific component in the milk which showed a cholesterol lowering effect. Milk and milk constituents change the nutrient composition of the food and can, e.g. by means of the changed amino acid pattern, indirectly lower the lipid content in the blood.

Human breast milk stimulates rat liver cholesterol 7 alpha-hydroxylase activity in vitro

Human breast milk at concentrations of (40 microliter/ml) markedly stimulates the activity of cholesterol 7 alpha-hydroxylase (rate limiting enzyme involved in cholesterol catabolism) in rat liver microsomal preparations. This activity persisted after a) cold acetone extraction (to remove cholesterol) b) dialysis and c) boiling and trypsin treatment of milk. Homogenized cow's milk and infant formula (Similac) also possessed the stimulating activity. These results suggest that milk might provide some factor(s) for the development of cholesterol catabolic process which is immature at birth.

Human breast milk stimulates low density lipoprotein (LDL) binding to human skin fibroblasts in culture

Human breast milk incorporated at 1% concentration into the culture medium significantly (p less than 0.05) increased the binding of 125I-LDL to receptors of human skin fibroblasts in culture. Homogenized cows milk and infant formula (Similac) also possessed this stimulating property. The stimulating activity of milk persisted after dialysis and extraction with cold acetone. These preliminary studies suggest that milk might contain potent factor(s) influencing cholesterol metabolic process in early life.