1. Interindividual variability in the cholesterol-lowering effect of supplementation with plant sterols or stanols
- Author
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J.M. Bard, Jean-Michel Lecerf, Frédéric Fumeron, Centre de Recherche des Cordeliers (CRC (UMR_S_1138 / U1138)), École pratique des hautes études (EPHE), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU), Mer, molécules et santé EA 2160 (MMS), Université de Nantes - UFR des Sciences Pharmaceutiques et Biologiques, Université de Nantes (UN)-Université de Nantes (UN)-Le Mans Université (UM)-Université de Nantes - UFR des Sciences et des Techniques (UN UFR ST), Université de Nantes (UN)-Université de Nantes (UN), FR 3473 Institut universitaire Mer et Littoral (IUML), Le Mans Université (UM)-Université d'Angers (UA)-Université de Nantes (UN)-École Centrale de Nantes (ECN)-Université de Bretagne Sud (UBS)-Institut Français de Recherche pour l'Exploitation de la Mer (IFREMER)-Centre National de la Recherche Scientifique (CNRS), Centre de Recherche en Nutrition Humaine (CRNH), Centre hospitalier universitaire de Nantes (CHU Nantes), Institut de Cancérologie de l'Ouest [Angers/Nantes] (UNICANCER/ICO), UNICANCER, Institut Pasteur de Lille, Réseau International des Instituts Pasteur (RIIP), École pratique des hautes études (EPHE)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU), Le Mans Université (UM)-Université de Nantes - UFR des Sciences Pharmaceutiques et Biologiques, Université de Bretagne Sud (UBS)-Le Mans Université (UM)-Université d'Angers (UA)-Centre National de la Recherche Scientifique (CNRS)-Institut Français de Recherche pour l'Exploitation de la Mer (IFREMER)-Université de Nantes (UN)-École Centrale de Nantes (ECN), Centre René Gauducheau - ICO, institut de Cancerologie de l'Ouest, Le Mans Université (UM)-Université de Nantes - UFR des Sciences et des Techniques (UN UFR ST), Université de Nantes (UN)-Université de Nantes (UN)-Université de Nantes - UFR des Sciences Pharmaceutiques et Biologiques, and Fumeron, Frédéric
- Subjects
0301 basic medicine ,MESH: Anticholesteremic Agents/administration & dosage ,[SDV]Life Sciences [q-bio] ,MESH: Plant Oils/chemistry ,Medicine (miscellaneous) ,MESH: Dietary Supplements ,MESH: Lipoproteins/genetics ,MESH: Membrane Proteins/blood ,MESH: Vegetables/chemistry ,plant sterols ,Intestinal absorption ,chemistry.chemical_compound ,Vegetables ,cholesterol transporters ,Nuts ,LDL-cholesterol ,genetics ,Food science ,ATP Binding Cassette Transporter, Subfamily G, Member 5 ,MESH: Lipoproteins/blood ,Randomized Controlled Trials as Topic ,MESH: Phytosterols/administration & dosage ,Nutrition and Dietetics ,Anticholesteremic Agents ,intestinal absorption ,Phytosterols ,[SDV] Life Sciences [q-bio] ,Cholesterol ,MESH: Apolipoproteins E/genetics ,Biochemistry ,MESH: ATP Binding Cassette Transporter, Subfamily G, Member 5/blood ,lipids (amino acids, peptides, and proteins) ,MESH: ATP Binding Cassette Transporter, Subfamily G, Member 8/blood ,MESH: Cholesterol/blood ,Cholesterol synthesis ,MESH: ATP Binding Cassette Transporter, Subfamily G, Member 5/genetics ,MESH: ATP Binding Cassette Transporter, Subfamily G, Member 8/genetics ,Lipoproteins ,MESH: Fruit/chemistry ,Biology ,MESH: Membrane Proteins/genetics ,03 medical and health sciences ,Apolipoproteins E ,Meta-Analysis as Topic ,MESH: Diet ,MESH: Polymorphism, Genetic ,Humans ,Plant Oils ,MESH: Meta-Analysis as Topic ,Dietary supplementation ,MESH: Apolipoproteins E/blood ,MESH: Sitosterols/administration & dosage ,Cholesterol absorption ,Polymorphism, Genetic ,MESH: Humans ,030109 nutrition & dietetics ,MESH: Nuts/chemistry ,ATP Binding Cassette Transporter, Subfamily G, Member 8 ,Membrane Proteins ,Membrane Transport Proteins ,Cholesterol lowering ,MESH: Edible Grain/chemistry ,Sitosterols ,Diet ,[SDV.AEN] Life Sciences [q-bio]/Food and Nutrition ,MESH: Randomized Controlled Trials as Topic ,chemistry ,Plant stanol ester ,Fruit ,Dietary Supplements ,Edible Grain ,individual response ,[SDV.AEN]Life Sciences [q-bio]/Food and Nutrition ,Plant sterols - Abstract
International audience; Low-density lipoprotein cholesterol (LDL-C) plays a causal role in atherosclerosis. One way to reduce LDL-C levels is to inhibit cholesterol absorption. Plant sterols and stanols compete with cholesterol for absorption in the intestine and induce an average decrease in LDL-C by 5% to 15% in a dose-dependent manner, but not in all individuals. This review focuses on the interindividual variability in response to dietary supplementation with plant sterols and stanols. Dietary plant sterols and stanols have no significant effects on LDL-C in substantial numbers of individuals. Higher responses, in absolute value and percentage of LDL-C, are observed in individuals with higher cholesterol absorption and a lower rate of cholesterol synthesis. Some data provide evidence of the influence of genetics on the response to plant sterols and stanols. Further studies in large populations are required to extend these conclusions about genetic influences.
- Published
- 2017
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