original papers - Advances in Clinical and Experimental Medicine
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original papers - Advances in Clinical and Experimental Medicine
ORIGINAL PAPERS Adv Clin Exp Med 2008, 17, 3, 293–305 ISSN 1230−025X © Copyright by Silesian Piasts University of Medicine in Wrocław BOŻENA REGULSKA−ILOW1, RAFAŁ ILOW1, PRZEMYSŁAW KOWALSKI2 The Influence of Quercetin on Plasma Lipid Profile of Laboratory Rats Fed Fresh and Oxidized Fats Wpływ kwercetyny na profil lipidowy osocza szczurów doświadczalnych na diecie z tłuszczem świeżym i utlenionym 1 2 Department of Food Science and Nutrition, Silesian Piasts University of Medicine in Wrocław, Poland Department of Pathological Anatomy, Silesian Piasts University of Medicine in Wrocław, Poland Abstract Background. Lipids contained in the diet affect the composition of cell membranes in organs and organelles and influence their permeability, which may condition the bioactivity of quercetin. Objectives. The aim of the study was to evaluate the effect of quercetin on plasma lipid profile of experimental rats under conditions of oxidative stress caused by oxidized dietary fats. Material and Methods. Using rats fed a diet with an 8% fat content, the influence of quercetin on total lipid (TL), triglyceride (TG), total cholesterol (TCH), HDL−cholesterol (HDL−CH), and phospholipid concentrations in the plasma were assessed. The atherogenic index was calculated according to the formula (TCH – HDL−CH)/HDL− CH. The source of pro−oxidants in the rats’ diet was either oxidized sunflower oil or oxidized lard. The four−week experiment involved 80 male Buffalo rats, of which 40 received 0.075% quercetin as a supplement to their diet (60 quercetin per mg/kg of the rat’s body mass). Results. Increased levels of TG were observed in the plasma of the rats fed a diet with quercetin and fresh oil (141.4 ± 11.3 vs. 62.4 ± 17.4 mg/dl) and quercetin and oxidized oil (112.0 ± 12.1 vs. 55.8 ± 11.8 mg/dl) compared with the respective controls. The mean plasma TL level increased from 2.5 ± 0.6 to 3.5 ± 0.3 g/l in the rats fed quercetin and fresh oil compared with the control animals. Rats fed a diet with quercetin and fresh oil revealed a decreased HDL cholesterol level (34.3 ± 6.3 vs. 27.1 ± 3.0 mg/dl), while the level increased in the rats fed a diet including fresh lard and quercetin (27.4 ± 2.7 vs. 35.1 ± 3.8 mg/dl) compared with the groups on diets without quercetin. Decreased plasma HDL cholesterol levels were observed in the rats fed oxidized fats and quercetin, i.e. oil (38.1 ± 8.0 vs. 30.6 ± 3.7 mg/dl) or lard (33.2 ± 3.3 vs. 27.9 ± 3.1 mg/dl), compared with the groups on diets without quercetin. Rats on a diet with oxidized oil had increased atherogenic index after quercetin addition (1.12 ± 0.2 vs. 0.59 ± 0.3). Quercetin did not affect the plasma levels of TCH and phospholipids in either of the investigated groups. Compared with those of controls, the livers of the animals fed a diet with quercetin and fresh oil revealed accumulation of lipids, which was manifested by increased values of lipid metabolism parameters and confirmed by histopathological evaluation of liver samples. Conclusions. Under the experimental conditions, quercetin did not show any beneficial effect on plasma lipid pro− file in animals fed diets with oxidized fats (oil and lard). The addition of quercetin to the diet resulted in a number of unfavorable effects of oxidized fat consumption in the animals which were not observed in the rats fed diets without quercetin (Adv Clin Exp Med 2008, 17, 3, 293–305). Key words: rats, quercetin, oxidized fats, lipids profile, histopathology. Streszczenie Wprowadzenie. Tłuszcze zawarte w diecie, warunkując skład błon komórkowych narządów i organelli, wpływa− ją na ich przepuszczalność, co może być czynnikiem, od którego zależy aktywność biologiczna kwercetyny. Cel pracy. Ocena wpływu kwercetyny na profil lipidowy osocza szczurów doświadczalnych w warunkach stresu oksydacyjnego wywołanego utlenionymi tłuszczami pokarmowymi. Materiał i metody. Podawano szczurom diety z 8% zawartością tłuszczu i 0,5% dodatkiem cholesterolu i ocenia− no wpływ kwercetyny na stężenie lipidów ogólnych (TL), triglicerydów (TG), cholesterolu całkowitego (TCH), HDL−cholesterolu (HDL−CH) i fosfolipidów w osoczu. Źródłem prooksydantów w diecie szczurów były utlenio− ne: olej słonecznikowy i smalec. Czterotygodniowe doświadczenie żywieniowe przeprowadzono z udziałem 80 294 B. REGULSKA−ILOW, R. ILOW, P. KOWALSKI szczurów, samców, rasy Buffalo, których 40 otrzymywało 0,075% dodatek kwercetyny jako suplement diety (60 mg kwercetyny/kg masy ciała). Wyniki. Obserwowano wzrost stężenia TG w osoczu szczurów na diecie z kwercetyną i olejem świeżym (141,4 ± 11,3 vs 62,4 ± 17,7 mg/dl) oraz kwercetyną i olejem utlenionym (112,0 ± 12,1 vs 55,8 ± 11,8 mg/dl) w stosunku do od− powiedniej grupy kontrolnej. Wzrosło średnie stężenie TL, z 2,5 ± 0,6 do 3,5 ± 0,3 g/l, w osoczu szczurów na die− cie z kwercetyną i świeżym olejem w porównaniu do grupy kontrolnej. W osoczu szczurów na diecie z kwercety− ną i świeżym olejem nastąpił spadek stężenia frakcji HDL cholesterolu (34,3 ± 6,3 vs 27.1 ± 3.0 mg/dl), a w oso− czu szczurów na diecie ze świeżym smalcem i kwercetyną wzrost stężenia frakcji HDL cholesterolu (27,4 ± 2,7 vs 35,1 ± 3,8 mg/dl) w stosunku do grup na diecie bez kwercetyny. Obserwowano obniżenie stężenia frakcji HDL cholesterolu w osoczu szczurów karmionych utlenionymi tłuszczami i kwercetyną, olejem (38,1 ± 8,0 vs 30,6 ± ± 3,7 mg/dl) lub smalcem (33,2 ± 3,3 vs 27,9 ± 3,1) w stosunku do grup na diecie bez kwercetyny. Nastąpił wzrost współczynnika aterogenności w grupie szczurów na diecie z utlenionym olejem (1,12 ± 0,2 vs 0,59 ± 0,3). Kwer− cetyna nie wpływała na stężenia TCH i fosfolipidów w osoczu szczurów doświadczalnych w żadnej z badanych grup. W wątrobach zwierząt na diecie z kwercetyną i świeżym olejem w porównaniu z grupą kontrolną obserwo− wano kumulację lipidów wyrażoną wzrostem wartości wskaźników przemian lipidowych i potwierdzonych wyni− kami badania histopatologicznego wycinków wątrobowych. Wnioski. W warunkach doświadczenia kwercetyna nie wykazywała działania korzystnego na profil lipidowy w osoczu zwierząt na diecie z utlenionymi tłuszczami (olejem i smalcem). Dodatek kwercetyny do diet spowodo− wał wystąpienie u zwierząt niekorzystnych skutków spożywania tłuszczów utlenionych, których nie stwierdzono u szczurów na diecie bez kwercetyny (Adv Clin Exp Med 2008, 17, 3, 293–305). Słowa kluczowe: szczury, kwercetyna, profil lipidowy, histopatologia. Quercetin is a commonly and abundantly con− sumed flavonoid [1, 2]. Its daily intake is associated with the alimentary habits of a given population and ranges from several to several dozen milligrams per day [3]. The main source of quercetin in Denmark, Holland, and Japan is tea [1, 4, 5], in Finland, Greece, and Yugoslavia onions and apples [3], in the USA tea and citrus fruit [5], and in Italy and France red wine [6]. Large amounts of this compound are found in red wine, onion, chives, savoy cabbage, cranberries, and apples [7, 8]. This dietary compo− nent exerts a diversified biological effect, which has been widely described in the literature [2, 8, 9]. It reveals anti−oxidative properties and is a strong “sweeper” of free radicals [10]. It also affects the activity of many enzymes, e.g. cyclo− and lipoxyge− nase, elongase, and desaturase, thus affecting fatty− acid metabolism and leukotriene and prostaglandin synthesis [11, 12]. An inverse correlation has been observed between flavonoid intake and ischemic heart disease and cancers [1, 3, 13]. Experimental studies suggest that plasma lipid profile and the composition of fatty acids in the cell− membrane phospholipids undergo modification under the influence of diet and reflect their content in consumed fats [14, 15]. An adequate level of polyunsaturated fatty acids in the lipids of the cell membrane conditions its fluidity, permeability, and the transport of dietary components to the cell’s cytosol [16, 17]. Fats subjected to oxidation differ in the amount of fatty acids and polar fraction content from their fresh counterparts. Results of studies on the effect of oxidized fats on lipid metab− olism are contradictory [18–20]. According to some authors they are risk factors of ischemic heart dis− ease due to their hypercholesterolemic and oxida− tive stress−evoking activities [20, 21]. However, other experiments did not confirm their atherogenic effect [19, 22, 23]. According to some authors, quercetin decreases the level of plasma lipid com− ponents [24–26], while others maintain that flavonoids exert a hypercholesterolemic effect [26]. The lack of studies on the effect of dietary components that could modify the effect of quercetin prompted the present experiment. It was assumed that the factors that may affect the activ− ity of querectin include the kind (plant or animal) and quality (fresh or oxidized) of consumed fat. The quality of oxidized fat in the diet, evaluated on the basis of peroxide and anisidine indices and the content of the polar fraction, corresponded to the quality of frying oil in fast−food restaurants. The content of quercetin corresponded to the amount consumed in the human diet. Material and Methods Experimental Design The study was carried out on eighty male Buffalo rats with an initial mean body mass of 147 ± ± 28.3 g and a final body mass of 226.0 ± 28.4 g. For the four weeks of the experiment the rats were kept in appropriate conditions (room temperature, 12 hour light−dark rhythm). All the procedures for the animal experiments were approved by the local authorities. The animals were divided into eight groups with 10 animals per group. Half of the rats (n = 40) were given a diet with an 8% sunflower oil content, while the other half (n = 40) were given a diet with an 8% pork lard content. Within these two supergroups receiving sunflower oil or Influence of Quercetin on Lipid Profile of Rats Fed Fresh and Oxidized Fats 295 Table 1. Ingredients of the diets used in the experiments, containing 8% fat Tabela 1. Skład diety doświadczalnej zawierającej 8% tłuszczu Diet ingredients (Składniki diety) Amount in g/kg diet (Zawartość w g/kg diety) Casein Fat (oil or lard) Grain starch Potato starch Sucrose Vitamin supplement (solid) Vitamin supplement (liquid) Mineral supplement Vitamin E Cholesterol Distilled water 252 80 100 50 380.7 5 5* 50 0.3* 5 100* Components of the mineral supplement: (Skład mieszanki mineralnej:) NaH2PO4 · 2 H2O Mg SO4 NaCl KCl FeSO4 · 7 H2O CuSO4 · 5 H2O MnSO4 · 1 H2O ZnCO3 Na2MoO4 · 2 H2O KJO3 CaCO3 25.16 2.95 1.27 3.43 0.62 0.31 0.15 0.50 0.00648 0.0003 17.5 Components of the solid vitamin supplement: (Skład mieszanki witaminowej stałej:) inositol p−aminobenzoic acid Nicotinic acid (vitamin PP) Riboflavin (vitamin B2) Pyridoxal (vitamin B6) Folic acid D−calcium pantothenate Thiamin (vitamin B1) Vitamin K Grain starch amount in g/60 kg diet (zawartość w g/60 kg diety) 6.60 6.60 6.60 1.32 1.32 0.12 4.08 1.32 0.60 complete to 300 g Components of the liquid vitamin supplement: (Skład mieszanki witaminowej płynnej:) Vitamin A Vitamin D3 Vitamin B12 Distilled water amount in U/60 kg diet (zawartość U/60 kg diety) 1 200 000 132 000 1.8 mg complete to 300 cm3 * Amount in cm3. * Zawartość w cm3. lard, half (n = 20) had a diet with oxidized sun− flower oil or lard and the other half with fresh fat. Half of the rats (n = 10) eating a diet with fresh fat and half of the rats eating a diet with oxidized fat also had the bioflavonoid quercetin. The supple− ment came to 0.75 g per kilo of diet (60 quercetin per mg/kg rat body mass). The experiment was performed using Quercetin dihydrate reagent (Fluka, cat. no. 83370). The rats had unlimited access to the fodder and to water. Their consump− tion of fodder and water was checked every two days and their body mass measured once per week. The diet was prepared according to the method described in [27] (Table 1). Preparation of Oxidized Fat for Use as an Ingredient of the Diet Two equal portions of pork lard and two of refined sunflower oil were prepared. One portion of each was kept fresh, while the other was subjected 296 B. REGULSKA−ILOW, R. ILOW, P. KOWALSKI • TCH, HDL−CH, and TG levels using the Biosystems enzymatic diagnostic tests TCH (cat. no. 11539), HDL−CH (cat. no. 11523), and TG (cat. no. 11529); • phospholipid concentration by the enzy− matic method using the bioMerieux Inc. diagnos− tic test (cat. no. 61491); • total lipid content by the enzymatic method using the Lachema diagnostic tests (cat. no. 1135801); • histopathology examination: for light microscopy the liver samples were fixed in buffered 10% formalin and embedded in paraffin. All cytoplasmic vesicular lesions visible micro− scopically in H−E (hematoxylin−eosin)−stained liver slides were considered to be fat changes. The intensity of fatty changes in hepatocytes was esti− mated semi−quantitatively. To confirm the pres− ence of fats, frozen liver samples were stained with oil red and Sudan III; • the percentage of fat droplet volume inside hepatocytes was assessed in ten random high− power views; • the total number of fat−storing hepatocytes was calculated as the percentage of total cells; • the atherogenic index was calculated according to the formula (CHC – HDL choles− terol)/ HDL cholesterol [21]. to thermal oxidation. The oxidation process was carried out by heating the fat under a quartz lamp for 65 hours. A 2.5−cm−thick layer of fat was placed in a porcelain dish, 21 × 29 cm. The quartz lamp was 14 cm from the surface of the fat. The initial temperature of the fat was 50ºC and its final temperature was no higher than 75ºC. The oxidation conditions were established based on the report of Ziemlański et al. [28]. In the fresh and oxidized fats, the content of the polar fraction was determined and the fatty acid component and the content of prima− ry and secondary products of oxidation were mea− sured as the peroxide and anisidine values (Table 2). Preparation of the Biological Material for Analysis After completion of the feeding stage of the experiment, the rats underwent light ether anesthe− sia and blood was taken directly from their hearts into test tubes containing heparin. After the rats had been sacrificed, their livers were prepared. The livers were rinsed in a physiological salt solu− tion, blotted dry, and weighed. Parameters Determined from the Biological Material The following parameters were determined from analyses of the biological material: Table 2. Changes in quality parameters of fresh and oxidized fats Tabela 2. Zmiany wskaźników jakości tłuszczów świeżych i utlenionych Kind of fat/Quality parameter (Rodzaj tłuszczu/wskaźniki jakości) Superoxide number: (Liczba nadtlenkowa:) meq O2/kg mg O2/100g Fresh lard (Świeży smalec) Oxidized lard (Utleniony smalec) Fresh sunflower oil (Świeży olej słonecznikowy) Oxidized sunflower oil (Utleniony olej słonecznikowy) 1.5 ± 0.0 0.05 169.3 ± 0.2 5.3 3.4 ± 0.0 0.11 666.7 ± 0.0 20.8 Anisidine number (Liczba anizydynowa) 0.5 ± 0.2 39.1 ± 0.4 4.5 ± 0.0 68.8 ± 0.8 Polar fraction % (Frakcja polarna) % 1.3 16.9 2.1 36.5 43.3 43.6 8.6 24.5 45.1 45.5 22.3 30.6 10.7 9.8 68.2 42.9 0.9 1.1 0.9 2.0 Fatty acid type: % (Suma kwasów tłuszczowych: %) saturated (nasycone) monounsaturated (jednonienasycone) polyunsaturated (wielonienasycone) unidentified (niezidentyfikowane) Influence of Quercetin on Lipid Profile of Rats Fed Fresh and Oxidized Fats Statistical Assessment of the Results The normality of the distributions in the exam− ined groups were assessed by Shapiro− Wilk’s W test. In case of lack of a normal distrib− ution, logarithmic transformation was applied. The significance of the differences between the aver− age values in the examined groups was assessed using one−way analysis of variance (p < 0.05). Data were tested for homogeneity of variances by Levene’s test. To assess the influence of differ− ences on the analysis of variance (the average comparison post hoc), Tukey’s Honest Significant Difference test (HSD) was applied. Cochrane− −Cox’s test was used in case of a normal distribu− tion of variables but lack of homogeneity of the variance. The nonparametric Kruskal−Wallis test was used for comparisons in case of lack of a nor− mal distribution as well as a lack of homogeneity of the variance of variables. All the statistical cal− culations were done with the STATISTICA 6.0 PL (StatSoft. Inc., USA). Results Fat Added to Fodder The polar fraction content, oxidation parame− ters, and fatty acid content in the fats added to the rats’ fodder are presented in Table 2. The peroxide index of the sunflower oil increased after oxida− tion 196 times and that of lard 113 times. Oxidation also increased the anisidine index, which was 15 times higher in oil and 78 times higher in lard. The oxidation conditions used in the experiment resulted in a significant decomposition of the polyunsaturated fatty acids in the sunflower oil. Their content in the oxidized oil was 37% lower. On the other hand, the content of monoun− saturated acids in the oxidized oil increased by 37% and that of saturated fatty acids by 185%. The composition of fatty acids in the oxidized lard underwent a slight change in comparison to its fresh counterpart. The polar fraction content in the fats increased by factors of 13 in lard and 17 in oil after oxidation. The Effect of Quercetin on Plasma Lipid Profile In the rats which were given quercetin in their diet, plasma TG levels increased statistically signifi− cantly only when the dietary source of the fat includ− ed fresh oil (141.4 ± 11.3 vs. 62.4 ± 17.4 mg/dl) or oxidized oil (112.0 ± 12.1 vs. 55.8 ± 11.8 mg/dl). 297 The results are presented in Table 3. The addition of quercetin resulted in a significant increase in the total lipid level, from 2.5 ± 0.6 to 3.5 ± 0.3 g/l, in the plasma of rats on a diet with fresh oil. No changes in this parameter were observed in the remaining groups compared with the controls. The plasma levels of the HDL fraction revealed reverse changes in the rats fed quercetin and fresh fats, oil or lard, compared with the respective controls. The plasma levels of HDL cholesterol in the rats given fresh oil decreased (34.3 ± 6.3 vs. 27.1 ± 3.0 mg/dl) and in the rats fed fresh lard increased (27.4 ± 2.7 vs. 35.1 ± 3.8 mg/dl). The addition of quercetin produced similar changes, i.e. a decrease in plasma HDL cholesterol levels in the rats fed oxidized fats (oil: 38.1 ± 8.0 vs. 30.6 ± 3.7 mg/dl, lard: 33.2 ± 3.3 vs. 27.9 ± 3.1 mg/dl). Quercetin produced a significant increase in the atherogenic index in the the group of rats fed oxidized oil (1.12 ± 0.2 vs. 0.59 ± 0.3). The addition of querectin did not have any effect on the plasma levels of total cholesterol and phospholipids in either of the experimental groups. The Effect of the Kind and Quality of Dietary Fat on Plasma Lipid Profile Oil vs. Lard Compared with the control group fed oil (Diet 1), the control group of rats fed lard (Diet 2) revealed significantly higher levels of plasma lipid components, such as triglycerides, total choles− terol, and total lipids, which were, respectively, 2.25, 1.22, and 1.44 times higher. The atherogenic index also increased by 93%. On the other hand, HDL cholesterol level was significantly lower, by 20%. The findings are presented in Table 3. Rats fed oxidized lard (Diet 6) had significantly higher plasma triglycerides levels (2 times) and athero− genic index (59%) than the rats fed oxidized oil (Diet 5), while the phospholipid level was signifi− cantly lower (23%). Fresh vs. Oxidized Fat Rats receiving a diet with oxidized oil (Diet 5) demonstrated significantly lower total cholesterol levels (1.32 times) and atherogenic index (56%) than the control animals fed fresh oil (Diet 1). In comparison with the control group given fresh lard (Diet 2), rats fed oxidized lard (Diet 6) had signif− icantly lower levels of lipid components, with the exception of HDL cholesterol. The atherogenic index was also significantly lower, by 64%. The triglyceride, total cholesterol, and phospholipid levels decreased, respectively, 1.25, 1.52, and 140.4 ± 20.7 b e 97.0 ± 9.2 b e 27.4 ± 2.7 a b e 1.3 ± 0.1 b 3.6 ± 0.5 e 2.59 ± 0.6 b e 62.4 ± 17.4 a e 79.2 ± 9.6 b e 34.3 ± 6.3 a e 1.2 ± 0.1 2.5 ± 0.6 a e 1.34 ± 0.3 b e Triglycerides mg/dl (Triglicerydy mg/dl) Total cholesterol mg/dl (Cholesterol całk. mg/dl) HDL−cholesterol mg/dl (HDL−cholesterol mg/dl) 1.60 ± 0.5 3.5 ± 0.3 a c 1.1 ± 0.1 27.1 ± 3.0 a 69.4 ± 9.8 141.4 ± 11.3 a c Sunflower oil + quercetin (Olej słoneczniko− wy + kwercetyna) diet 3 (dieta 3) 1.77 ± 0.3 c 4.1 ± 0.7 c 1.3 ± 0.1 35.1 ± 3.8 a c 96.6 ± 6.1 c 143.1 ± 14.9 c Lard + quercetin (Smalec + kwercetyna) diet 4 (dieta 4) a – statystyczna różnica między 1 i 3 lub 2 i 4. b – statystyczna różnica między 1 i 5 lub 2 i 6. c – statystyczna różnica między 3 i 7 lub 4 i 8. d – statystyczna różnica między 5 i 7 lub 6 i 8. e – statystyczna różnica między 1 i 2 lub 5 i 6. * wskaźnik aterogenności = (cholesterol całkowity – HDL−cholesterol)/HDL−cholesterol [21]. x ± SD – średnia ± odchylenie standardowe. a – statistically significant difference between 1 and 3 and 2 and 4. b – statistically significant difference between 1 and 5 and 2 and 6. c – statistically significant difference between 3 and 7 and 4 and 8. d – statistically significant difference between 5 and 7 and 6 and 8. e – statistically significant difference between 1 and 2 and 5 and 6. * atherogenic index = (total cholesterol – HDL cholesterol)/HDL cholesterol [21] X ± SD – mean ± standard deviation Atherogenic index* (Aterogenny indeks*) Total lipids g/l (Lipidy całkowite g/l) Phospholipids g/l (Fosfolipidy g/l) Control – lard (Grupa kontrol− na – smalec) diet 2 (dieta 2) Control – sunflower oil (Grupa kontrol− na – olej sło− necznikowy) diet 1 (dieta 1) Variable (Zmienne) X ± SD Tabela 3. Wpływ różnych diet na profil lipidowy w surowicy szczurów doświadczalnych Table 3. The influence of the type of diet on the lipid profile of the plasma of the laboratory rats 0.59 ± 0.3 b d e 3.0 ± 0.5 1.3 ± 0.1 e 38.1 ± 8.0 59.7 ± 10.2 b 55.8 ± 11.8 d e Oxidized sunflower oil (Utleniony olej słonecznikowy) diet 5 (dieta 5) 0.94 ± 0.3 b e 3.1 ± 0.6 1.0 ± 0.2 b e 33.2 ± 3.3 b 64.0 ± 9.0 b 112.4 ± 29.4 b e Oxidized – lard (Utleniony smalec) diet 6 (dieta 6) 1.12 ± 0.2 d 2.7 ± 0.6 c 1.2 ± 0.1 30.6 ± 3.7 64.5 ± 8.3 112.0 ± 12.1 c d Oxidized sunflower oil + quercetin (Utleniony olej słonecznikowy + kwercetyna) diet 7 (dieta 7) 0.99 ± 0.4 c 2.9 ± 0.2 c 1.1 ± 0.1 27.9 ± 3.1 c 54.8 ± 7.9 c 113.4 ± 17.1c Oxidized lard + quercetin (Utleniony smalec + kwercetyna) diet 8 (dieta 8) 298 B. REGULSKA−ILOW, R. ILOW, P. KOWALSKI 68.0 ± 0.0 e 30.0± 6.2 eb 43.5 ± 16.2 e 40.0 ± 0.0 abe 5.0 ± 0.0 a e 1.0 ± 0.0 ae Total lipids mg/g (Lipidy całkowite) 52.5 ± 15.5 a 33.5 ± 7.8 a 63.0 ± 22.3 28.0 ± 6.7 67.0 ± 0.1 3.5 ± 0.5 12.3 ± 2.3 Lard + quercetin (Smalec + kwercetyna) diet 4 (dieta 4) a – statystyczna różnica między 1 i 3 lub 2 i 4. b – statystyczna różnica między 1 i 5 lub 2 i 6. c – statystyczna różnica między 3 i 7 lub 4 i 8. d – statystyczna różnica między 5 i 7 lub 6 i 8. e – statystyczna różnica między 1 i 2 lub 5 i 6. * wskaźnik aterogenności = (cholesterol całkowity – HDL−cholesterol)/HDL−cholesterol [21]. x ± SD – średnia ± odchylenie standardowe. a – statistically significant difference between 1 and 3 and 2 and 4. b – statistically significant difference between 1 and 5 and 2 and 6. c – statistically significant difference between 3 and 7 and 4 and 8. d – statistically significant difference between 5 and 7 and 6 and 8. e – statistically significant difference between 1 and 2 and 5 and 6. * atherogenic index = (total cholesterol – HDL cholesterol)/HDL cholesterol [21] X ± SD – mean ± standard deviation Number of liver cells accumulating fat % (Liczba komórek wątroby gromadząca tłuszcz) Volume of liver cells occupied by fat [%] (Objętość komórki wątroby zajęta przez tłuszcz) 3.6 ± 0.3 a 3.7 ± 0.5 1.7 ± 0.1 a Total cholesterol (Cholesterol całk.) mg/g 73.0 ± 0.0 a 18.9 ± 4.0 a c 9.6 ± 1.1 e b 4.1 ± 0.5 a e Triglycerides mg/g (Triglicerydy) Sunflower oil + quercetin (Olej słoneczniko− wy + kwercetyna) diet 3 (dieta 3) Control – lard (Grupa kontrol− na – smalec) diet 2 (dieta 2) Control – sunflower oil (Grupa kontrol− na – olej sło− necznikowy) diet 1 (dieta 1) Variable (Zmienne) X ± SD 1.4 ± 1.3 3.8 ± 1.9 46.0 ± 0.0 d b 1.9 ± 0.2 3.9 ± 0.4 e Oxidized sunflower oil (Utleniony olej słonecznikowy) diet 5 (dieta 5) Tabela 4. Wpływ różnych diet na profil lipidowy w wątrobie i wyniki badań histopatologicznych wątrób szczurów doświadczalnych 8.7 ± 6.4 13.5 ± 5.8 b 68.0 ± 0.0 d 3.0 ± 0.3 15.3 ± 2.3 b e Oxidized – lard (Utleniony smalec) diet 6 (dieta 6) Table 4. The influence of the type of diet on the lipid profile of the livers and histopathological examination of the livers of laboratory rats 1.4 ± 1.3 5.5 ± 1.6 50.0 ± 0.0 d 2.2 ± 0.2 5.5 ± 0.9 c Oxidized sunflower oil + quercetin (Utleniony olej słonecznikowy + kwercetyna) diet 7 (dieta 7) 16.0 ± 5.2 18.0 ± 2.6 79.0 ± 0.0 d 3.7 ± 0.7 17.8 ± 2.7 Oxidized lard + quercetin (Utleniony smalec + kwercetyna) diet 8 (dieta 8) Influence of Quercetin on Lipid Profile of Rats Fed Fresh and Oxidized Fats 299 300 B. REGULSKA−ILOW, R. ILOW, P. KOWALSKI 1.3 times, while the level of HDL cholesterol increased significantly, 1.2 times. extracts. Analysis of the histopathological prepa− rations confirmed these observations. The Effect of Quercetin on Lipid Profile in the Livers of the Experimental Animals Histopathological Assessments Compared with those of the control group (Diet 1), the livers of the animals fed a diet with quercetin and fresh oil (Diet 3) revealed an accu− mulation of lipids in the form of a 4.6−fold increase in triglyceride level, a 2.1−fold increase in total cholesterol level, and a 1.8−fold increase in total lipid level (Table 4). The histopathological evaluation of the liver sections revealed a 6.7−fold increase in the volume of the liver cells occupied by fat and 52.5−fold increase in liver cells accu− mulating fats (Table 4). Quercetin did not have any effect on the accumulation of lipids in the livers of the rats fed a diet with lard, as evaluated by the levels of TG, TCH, and total lipids in the liver Histopathological sections of the liver revealed the presence of steatosis only in the form of fat storage in the hepatocytes (Table 4, Fig. 1–8). Changes associated with steatosis degenerativa were not observed; there was no degradation of cytoplasmic structures, lysis of cells in the steatot− ic tissues, fibrosis around the steatotic cells, or the formation of fat pseudocysts. The accumulation of fat was mainly of the microvesicular type. Depending on the size of the steatosis, small droplets initially collected around the circumfer− ence of the cell and then, as the steatosis pro− gressed, the size of the droplets increased and they began to occupy the area approximate to the nucle− us, or even filled the entire cell. However, no coarse−droplet steatosis was observed and there were no single large drops forcing the nuclei to the Fig. 1. Oil – control Fig. 3. Oil + quercetin Ryc. 1. Olej – badanie kontrolne Ryc. 3. Olej + kwercetyna Fig. 2. Lard – control Fig. 4. Lard + quercetin Ryc. 2. Smalec – badanie kontrolne Ryc. 4. Smalec + kwercetyna Influence of Quercetin on Lipid Profile of Rats Fed Fresh and Oxidized Fats 301 Fig. 5. Oxidized oil Fig. 7. Oxidized oil + quercetin Ryc. 5. Olej utleniony Ryc. 7. Olej utleniony + kwercetyna Fig. 6. Oxidized lard Fig. 8. Oxidized lard + quercetin Ryc. 6. Smalec utleniony Ryc. 8. Smalec utleniony + kwercetyna edges of the cells. Besides this, there were single cases of very scant changes in the liver in the form of minimal proliferations of the membranes of indi− vidual bile canals and very scant fibrosis around the blood vessels. Inflammatory infiltration was also visible and widespread. In the majority of the samples, this consisted of single or at most several scattered cells of chronic inflammatory infiltration. However, they were nonspecific and were found on a few occasions to be more widespread in the con− trol rats than in the rats of the other groups. tract, but the products of their metabolism, i.e. aldehydes and ketones, are easily absorbed from the digestive tract and are toxic. It is worth noting that in oxidized lard, the secondary products of oxidation are prevalent in the total content of oxi− dation products, i.e. in the polar fraction. The polar fraction content in the oxidized oil, and also in the oxidized lard, disqualified these fats from being consumable, as their allowable level should not exceed 24% [30]. The unfavorable effect of satu− rated fatty acids on the lipid profile is well under− stood and well documented in a number of studies [31–34]. The reference information on the effect of oxidized fat on the level of plasma lipid com− ponents is contradictory. The results of our exper− iment demonstrated that the oxidized fats, both oil and lard, had a more beneficial effect on the plas− ma lipid profile than their fresh counterparts. This seemingly paradoxical effect may be explained by the decreased assimilability of oxidatively altered fats. Similar results were obtained by Lo and Lu [19], but opposite results by Ziemlański et al. [28]. Discussion The fat added to the diets, either sunflower oil and lard, oxidized according to the procedure described by Ziemlański [28], was characterized by oxidation parameters which are observed in fast−food restaurants after five days of frying [29]. Peroxides are hardly absorbed from the alimentary 302 B. REGULSKA−ILOW, R. ILOW, P. KOWALSKI According to numerous reports [23, 24, 33], quercetin exerts a beneficial effect on the lipid pro− file. Studies performed by Hayek at al. [35], evalu− ating the effect of flavonoids in mice with athero− sclerotic changes, did not demonstrate any signifi− cant improvement in the plasma content of lipid fractions, but confirmed a decreased size of the ath− erosclerotic plaque in the aorta. Reports on the influence of flavonoids on the direction of plasma lipid profile changes in rats on diets including fresh fats demonstrate that their effect depends on the dose and kinds of dietary bioflavonoids as well as on the amount of dietary fat [26, 36, 37]. Zduńczyk et al. [36] investigated the effect of bioflavonoids from chokeberry, skullcap, broad bean, and tea on lipid metabolism and confirmed that the range of changes in the level of plasma lipids correlated with the kinds of flavonoids in the diet. Supplementation of diet with flavonoid extracts from skullcap, anthocyanins from chokeberry, and condensed tannin extracts from faba beans did not decrease total cholesterol and its LDL fraction. Skullcap extract, however, decreased triglyceride and HDL cholesterol content. The Effect of Quercetin on Plasma Lipid Profile The results of the present study confirmed that quercetin affects lipid metabolism in the plasma of experimental animals. In this experiment, lipid metabolism was evaluated on the basis of the lev− els of TG, HDL cholesterol, TCH, and TL as well as the atherogenic index. Under the experimental conditions, quercetin was shown to modify the plasma lipid profile in rats at a rate depending on the kind and amount of fat in the diet. The levels of the above parameters of plasma lipid metabolism in the rats fed a diet with fresh lard were statisti− cally significantly higher, except for phospholipids, than the same parameters in the rats fed fresh oil. Quercetin added to a diet including oil and lard affected the direction of changes in the lipid metabolism, which depended on the kind of the dietary fat. Quercetin exerted an unfavorable effect on the plasma lipid profile in rats fed sun− flower oil. The unfavorable effects were more pro− nounced in the plasma of rats on fresh oil than in those on oxidized oil. The unfavorable effect of quercetin on plasma lipid profile in rats fed fresh oil was manifested by a significant increase in the total lipid level and in the level of their compo− nent, i.e. triglycerides, as well as by a significant decrease in HDL cholesterol level, which was not accompanied by changes in the total cholesterol level compared with the control group. The consequences of the effect of quercetin on total cholesterol and HDL cholesterol levels included an insignificant increase in the athero− genic index. Quercetin added to the diet including sunflower oil (Diet 3) resulted in an increase in triglyceride and total lipid levels to those observed in the rats fed lard (Diet 2). The investigated para− meters of the lipid profile in the plasma of rats in both groups had similar magnitudes. Moreover, similar levels of lipid metabolism parameters were found in the plasma of rats fed oxidized lard (Diet 6) and oxidized oil with addition of quercetin (Diet 7). Quercetin elevated the investigated parameters to the levels observed in rats fed a diet with oxi− dized lard. The most beneficial lipid profile was observed in the plasma of rats fed a diet which included fresh (Diet 1) or oxidized (Diet 5) oil. After the addition of quercetin to the diet with oil, fresh or oxidized, it appeared that quercetin unfavorably modified the plasma lipid profile. The parameters of lipid metabolism approached the values of the parameters observed in fresh (Diet 2) and oxidized (Diet 6) lard. The diet became more atherogenic. A significant increase in the atherogenic index as a consequence of the effect of quercetin on total cholesterol and HDL cholesterol levels was observed in the rats fed a diet with oxidized fat. Moreover, the rats in this group revealed a signifi− cant increase in the level of triglycerides. Quercetin added to a diet including lard affect− ed only one of the investigated parameters, i.e. the plasma HDL cholesterol level. The directions of changes in the HDL cholesterol level were opposite in the plasma of rats fed fresh lard compared with oxidized lard. Quercetin added to the fresh lard diet caused an elevation of HDL cholesterol level which was not accompanied by changes in the level of total cholesterol compared with the con− trols. This resulted in an insignificant decrease in the atherogenic index in this group. The remaining parameters of lipid metabolism remained unaffect− ed by quercetin. In the group of rats fed a diet with oxidized lard, quercetin lowered the HDL choles− terol level and this was an unfavorable effect. The quality of dietary lard and sunflower oil had an effect on the atherogenic index. Its value was lower in the groups of rats fed oxidized fats. This seemingly paradoxical effect may be explained by reduced assimilability of the ther− mally altered fats. It seems that oxidized fats are not used as a source of energy as intensively as their fresh counterparts, probably due to the poly− merization of fatty acids, which is more intense in sunflower oil and less intense in lard. The effect of fat on the organism was more ben− eficial the lower the observed atherogenic index. Influence of Quercetin on Lipid Profile of Rats Fed Fresh and Oxidized Fats Consistent with expectations, the sunflower oil had a more favorable effect on the lipid fractions in the blood plasma; a lower atherogenic index was calcu− lated in the rats fed fodder including oil. The Effect of Quercetin on Lipid Fraction Content in Rats Fed Diets with Oxidized Fats The effect of flavonoids on lipid metabolism in animals fed oxidized fats is poorly understood and has not been frequently analyzed by other authors [39]. The results obtained in the present experiment showed that the effect of quercetin on plasma lipid components depends on the kind of oxidized fat. No differences in the composition of the plasma lipid fraction between animals fed oxi− dized lard (Diet 6) and oxidized lard and quercitin (Diet 8) were demonstrated. However, an unfavor− able, 100% higher triglyceride concentration and a 90% higher atherogenic index were observed in the group fed fodder containing oxidized oil and quercetin (Diet 7) compared with rats fed oxidized oil (Diet 5). Flavonoids possess anti−atherosclerotic prop− erties, mainly as a result of their protection of LDL particles against oxidation. Accumulation of cho− lesterol on the arterial wall precedes the formation of foam cells formed from oxidized LDL [38]. Thus the presence of antioxidants in the diet should have a favorable effect on the lipid profile; however, the findings of the present study proved otherwise. The cholagogic effect of quercetin probably caused a higher absorption of fat, which was observed only in those animals which were fed fodder with oil. The plasma level of triglyc− erides was increased, similarly to animals fed fod− der containing fresh oil and the flavonoid. Available data on the effect of quercetin on the components of plasma lipids in the presence of various toxic factors are contradictory. The effect of flavonoids depends on the applied dose and the kind of toxic factor. An experiment on rats [39] fed 303 oxidized oil and a 0.4% addition of grapefruit extract, which investigated the effect of quercetin on lipid metabolism in rats subjected to the pro− longed effect of ammonium fluoride vapors, demonstrated a decreased content of total choles− terol and triglycerides as well as a hepatoprotec− tive effect of the flavonoid. In this experiment, the dose of quercetin was 89 and 22 times lower than in the present experiment. The authors concluded that under the experi− mental conditions, querectin did not appear to have a favorable effect on plasma lipid profile in animals fed a diet with oxidized fat. The addition of quercetin to the diet resulted in a number of unfavorable effects of oxidized fat consumption in the animals which was not observed in the rats which were on diets without quercetin. Quercetin probably enhanced the production of bile by the liver, which facilitated the digestion of oxidized fats and the absorption of toxic products of oxida− tion from the polar fraction. Under the experimen− tal conditions, unfavorable effects of quercetin on the plasma lipid profile were observed. Their man− ifestation included first of all an unfavorable increase in the atherogenic index as well as increased levels of certain lipid components of the plasma. Quercetin revealed a positive effect (it increased plasma HDL cholesterol level, while the total cholesterol level remained unchanged) only in the rats on a diet with fresh lard. In the remain− ing groups of animals, this positive effect was lacking. A more beneficial composition of the lipid fraction was observed in the groups of rats on diets with oxidized fats compared with those fed their fresh counterparts. 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Nutr Res 2000, 20, 1007–1015. [38] Meyer AS, Heinonen M, Frankel EN: Antioxidant interactions of catechin, cyanidin, caffeic acid, quercetin, and ellagic acid on human LDL oxidation. Food Chem 1998, 61, 71–75. [39] Juśkiewicz J, Zduńczyk J, Wróblewska M, Oszmiański J, Hernandez T: The response of rats to feeding with diets containing grapefruit flavonoid extract. Food Res Int 2002, 35, 201–205. Address for correspondence: Bożena Regulska−Ilow Department of Food Science and Nutrition Silesian Piasts University of Medicine pl. Nankiera 1 50−140 Wrocław Poland Tel.: +48 71 784 02 09 E−mail: [email protected] Conflict of interest: None declared Received: 11.01.2008 Revised: 6.03.2008 Accepted: 29.05.2008