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5-phytosterols and phytostanols in humans
Divisions of 1 Endocrinology, Diabetes and Metabolism, and 2 Gastroenterology, Department of Medicine, Washington University School of Medicine, and 3 Department of Molecular Biology and Pharmacology, Washington University, St. Louis 63110; 4 Lifeline Technologies Inc., Chesterfield, Missouri 63017; and 5 Seres Laboratories, Santa Rosa, California 95403
Our
objective was to measure the systemic absorption of lecithin-emulsified
5-phytosterols and phytostanols during test meals by
use of dual stable isotopic tracers. Ten healthy subjects underwent two
single-meal absorption tests in random order 2 wk apart, one with
intravenous dideuterated
5-phytosterols and oral
pentadeuterated
5-phytosterols and the other with the
corresponding labeled stanols. The oral-to-intravenous tracer ratio in
plasma, a reflection of absorption, was measured by a sensitive
negative ion mass spectroscopic technique and became constant after 2 days. Absorption from 600 mg of
5-soy sterols given with
a standard test breakfast was 0.512 ± 0.038% for sitosterol and
1.89 ± 0.27% for campesterol. The absorption from 600 mg of soy
stanols was 0.0441 ± 0.004% for sitostanol and 0.155 ± 0.017% for campestanol. Reduction of the double bond at position 5 decreased absorption by 90%. Plasma t1/2 for stanols was significantly shorter than that for
5-sterols. We conclude that the efficiency of
phytosterol absorption is lower than what was reported previously and
is critically dependent on the structure of both sterol nucleus and
side chain.
diet; sitosterol; campesterol; sitostanol; campestanol; clinical study; mass spectrometry; deuterium; cholesterol
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