Soybean Protein Hydrolysate Improves Plasma and
Liver Lipid Profiles in Rats Fed High-Cholesterol Diet
Suh-Ching Yang, PhD, Shih-Ming Liu, MS, Hsin-Yi Yang, MS, Yun-Ho Lin, MD, Jiun-Rong Chen, PhDDepartment of Nutrition and Health Sciences (S.Y., S.L., H.Y., J.C.), Department of Pathology (Y.L.), Taipei Medical University, Taipei, TAIWAN
Key words: soybean protein, hydrolysate, hypercholesterolemia, 7␣-hydroxylase, lipid metabolism, rat
Objective: This investigation attempted to clarify the hypolipidemic effects of non-dialyzed soybean protein hydrolysate (NSPH), which is hydrolyzed by pepsin from soybean acid-precipitated protein (APP), in rats fed a cholesterol-rich diet.
Methods: Forty Sprague-Dawley rats were divided into four groups as the control group (19.7% casein), the APP group (14.7% casein⫹ 5% APP), the NSPH group (14.7% casein ⫹ 5% NSPH), and the ISO group (19.7% casein⫹ 0.0013% soy isoflavone).
Results: After 12-week experimental period, the APP and NSPH groups had a significant lower plasma total cholesterol, triglycerides, and LDL-cholesterol concentrations compared with the control group. Additionally, the atherosclerosis index in APP and NSPH group had also markedly decreased. Liver cholesterol and triglyceride contents of the APP and NSPH group were significantly lower than those of the control group. There were no different in plasma LDL-C, liver cholesterol and triglycerides between the ISO group and control group. Fecal excretion of neutral steroids and nitrogen compounds was significantly higher in the APP and NSPH groups than that in the control group. An in vitro study also showed that NSPH, compared with casein, obviously decreased cholesterol micellar solubility.
Conclusion: These results suggested that NSPH may decrease lipid accumulation in the liver and have a hypolipidemic effect by enhancing excretion and inhibiting absorption of lipids.
INTRODUCTION
Cardiovascular disease (CVD), which is often associated with hypercholesterolemia, has become the major cause of death in many countries [1]. Dietary lipids and cholesterol are important factors that affect lipid metabolism. Although the primary emphasis has traditionally been put on the quality and quantity of lipid intake, effects of other food components on lipid metabolism should not be ignored [2– 4].
Soybean and soybean products have been widely used in the oriental countries as an important dietary proteins source for more then 1000 years [5]. According to epidemiological sur-veys, researchers suggested that the lower incidence of CVD in Asia countries than western countries might be related with the greater consumption of soybean foods [6]. In 1999, the US Food and Drug Administration also published a health claim in
which indicated that a daily intake of 25 g of soybean protein could prevent CVD [7].
Soybean protein hydrolyzed by certain enzymes, such as pepsin or trypsin, can be separated into the digestible low-molecular-weight fraction (LMF) and the undigestible high-molecular-weight fraction (HMF). Sugano et al. [8] indicated that LMF increases plasma cholesterol concentrations, but HMF obviously lowers plasma cholesterol. Furthermore, HMF reduced plasma cholesterol to a greater extent than intact soy-bean protein, and promoted fecal steroid excretion [9]. Non-dialyzed soybean protein hydrolysate (NSPH), a product of peptic-digested soybean protein which contains mostly the high-molecular weight fraction, has been reported that replac-ing 5% casein in rat diet by NSPH effectively lowered plasma cholesterol concentration [10], but the mechanism still re-mained unknown.
Soy isoflavones, a kind of phytoestrogens, have similar
Address correspondence to: Jiun-Rong Chen, PhD, Department of Nutrition and Health Sciences, Taipei Medical University, Taipei 110, TAIWAN. E-mail: [email protected]
Journal of the American College of Nutrition, Vol. 26, No. 5, 416–423 (2007) Published by the American College of Nutrition
structure to mammalian estrogen and was reported to have cholesterol-lowering effects [11]. However, some studies have also shown that soy isoflavone extracts diminish the lipid-lowering effects of soybean protein [12]. The aim of the study is to investigate the mechanism of the hypolipidemic effects of NSPH in rats fed a cholesterol-rich diet and to clarify the effects of isoflavones in the beneficial effects of soy protein.
MATERIALS AND METHODS
Preparation of Soybean Acid-Precipitated Protein
Soybean acid-precipitated protein (APP) was prepared from Glycine max using the method of Iwabuchi and Yamauchi [13]. Fifty grams of defatted soybean powder was dissolved in 500 mL Tris-HCl buffer (0.03 M, pH 8.0), and the solution was mixed well and centrifuged for 20 min (12,000⫻g, 30 °C). The precipitates were discarded and the pH value of the superna-tants was adjusted to 4.6. After 60 min in a 4 °C ice-bath, the solution was centrifuged for 20 min (10,000⫻g, 4 °C) and then the precipitates were dissolved in 0.05 M PBS buffer (pH 7.6). After dialyzing against water for 48 h, the APP was lyophilized and stored at 4 °C until use.
Preparation of NSPH
Fifty grams of APP was dissolved in 1 L of deionized water. The pH of the solution was adjusted to 2.0 with 2 N HCl, and 0.15 g of pepsin (from porcine gastric mucosa, EC.3.4.23.1, Merck, Darmstadt, Germany) was added. After 24 h of digestion at 37°C, the hydrolysates were neutralized against water for 48 h. The NSPH fraction was lyophilized
and stored at 4 °C until use. The isoflavone concentration was determined using high-performance liquid chromatog-raphy with UV detection by the method of Klump et al. [14]. APP and NSPH used in this study contained 262g/g and 102 g/g isoflavone, respectively. The in vitro micellar solubility of cholesterol with various proteins was measured by the method of Ikeda et al. [15].
Animals, Diets, and Experimental Design
Forty male Sprague-Dawley rats were purchased from the National Laboratory Animal Breeding and Research Center (Taipei, Taiwan). Rats were individually housed in a room maintained at 23⫾ 2 °C with 55% ⫾ 10% humidity and a 12-h light/dark cycle. Investigators followed Taipei Medical Univer-sity Laboratory Animal Center as described in the guide for the care and use of laboratory animals. Animals were fed a stan-dard rat chow diet (Rodent Laboratory Chow 5001, Purina Mills, Inc., St. Louis, MO) for 1 week, and then randomly divided into four groups (n⫽ 10). Rats were then given control or experimental diets with 0.5% cholesterol for 12 weeks. Rats were fed a casein control diet (19.7% casein; the control group), a 5% APP-replaced diet (14.5% casein⫹ 5% APP; the APP group), a 5% NSPH-replaced diet (15% casein ⫹ 5% NSPH; the NSPH group), or an isoflavone-treated diet (19.7% casein⫹ 0.0013% soy isoflavone; the ISO group) which con-tained the same amount of isoflavone as the APP group; other components were mixed in appropriate proportions based on an AIN-93M diet [16] (Table 1). Energy contents of all diets were 17.85 kJ/g. Food intake and body weight were recorded daily during the experimental period.
Table 1. Composition of the Experimental Diets (%)
Ingredients1
Group
Control APP NSPH ISO
Maize starch 51 51 51 51 Casein 19.7 14.7 14.7 19.7 APP - 5 - -NSPH - - 5 -Sucrose 10.9 10.9 10.9 10.9 Soybean oil 10.5 10.5 10.5 10.5 Mineral 4 4 4 4 Cellulose 2 2 2 2 Vitamin 1 1 1 1 Cholesterol 0.5 0.5 0.5 0.5 Methionine 0.3 0.3 0.3 0.3 Choline 0.05 0.05 0.05 0.05 Cholic acid 0.05 0.05 0.05 0.05 Isoflavone2 - - - 0.0013
1Casein (high nitrogen), sucrose (food grade), soybean oil, mineral mixture (AIN-93M mineral mixture), cellulose (non-nutritive bulk), and vitamin mixture (AIN-93M
vitamin mixture) were obtained from ICN Biochemicals (Aurora, OH). Maize starch was purchased from Samyang Genex Corp. (Seoul, Korea). Cholesterol, choline bitartrate, and cholic acid were obtained from Sigma (St. Louis, MO). APP, soybean acid precipitated protein. NSPH, non-dialyzed soybean protein hydrolysate.
2Contains 58% genistin, 30% diazin, 6% ginistein, and 6% diazein, and was purchased from Sigma (St. Louis, MO). The isoflavones profile is similar to soybean acid
Sample Collection and Analysis
Blood was collected from the tail vein of rats every 2 weeks for lipid analysis. At the end of the experiment, rats were fasted for 12 h and then sacrificed. Blood was collected from an abdominal vein. Plasma total cholesterol (TC) and triglyceride (TG) concentrations were assayed enzymatically using the method described by Richmond [17] and Mcgowan et al. [18], respectively. The plasma from animals was collected in EDTA tubes for lipoprotein separation according to the method de-scribed by Rayssiguier et al. [19]. Samples were supplemented with different densities of NaBr (d⫽ 1.006, 1.055 and 1.210) and ultracentrifugation was performed at 4 °C and 120,000⫻ g for 6 h. Lipoproteins were then stored at ⫺20 °C until analysis. Liver was perfused with cold normal saline before excision. One part of the liver was excised and soaked in 10% formaldehyde, and the rest part was stored at⫺70 °C for lipids analysis. Liver samples fixed with 10% formaldehyde were sliced and then stained with haematoxylin and eosin stain. Degrees of fatty liver was measured according to the method of Teramoto et al. [23] by a pathologist. Liver lipids were ex-tracted by the method of Folch et al. [20]. Cholesterol and triglyceride concentrations in the liver were determined with diagnostic kits (Randox Laboratories, Antrim, UK) with cho-lesterol and glycerol as standards, respectively. The activity of 7␣-hydroxylase was determined by the method of Rudel et al. [21]. Briefly, microsomes were separated from the livers and then quick-frozen in liquid nitrogen and stored at⫺70 °C until the assay. An RP-HPLC method was used for the 7 ␣-hydrox-ylase assay based on Ogishima & Okuda [22]. Feces samples were collected for 2 days every 4 weeks during the experimen-tal period, dried for 48 h and stored at⫺70 °C till analysis. Fecal neutral steroids and bile acids concentrations were ana-lyzed according to the method of Suckling et al. [24] and Chezem & Story [25], respectively. Fecal nitrogen compounds were determined using the Kjeldahl method.
Statistical Analysis
Results were analyzed by SAS (Version 8.0, Clay, NC). One-way ANOVA and Duncan’s multiple range test were
used to determine the treatment effect among three groups and the differences between two groups, respectively. Dif-ferences were analyzed at each time point. All values were shown as mean ⫾ SD. A difference of p ⬍ 0.05 was considered significant.
RESULTS
Food Intake, Body Weight, and Feeding Efficiency
As shown in Table 2, none of the experimental diets sig-nificantly affected food intake, feeding efficiency, or liver weight (p ⬎ 0.05). However, the final body weight and the daily weight gain of the ISO group were significantly lower than those of the NSPH group (p⬍ 0.05).
Micellar Solubility
APP and NSPH both significantly decreased the micellar solubility of cholesterol compared to the control group (p ⬍ 0.05), and that of the NSPH group was obviously lower than the APP group (p⬍ 0.05, Table 3). However, there were no significant differences in the micellar solubility of bile acids for all proteins (p⬎ 0.05).
Blood Lipids
As shown in Fig. 1, plasma total cholesterol concentration significantly increased (p ⬍ 0.05) after animals were fed a
Table 2. Changes in Body Weight, Daily Food Intake, Feeding Efficiency, and Liver Weight of SD Rats Fed Different Diets1
Diet group
Control APP NSPH ISO
Initial body weight (g) 228.9⫾ 11.9 231.4⫾ 16.1 231.1⫾ 13.3 230.8⫾ 12.9 Final body weight (g) 613.3⫾ 40.3ab 602.8⫾ 44.8ab 618.8⫾ 21.5a 581.9⫾ 40.6b
Daily weight gain (g) 4.5⫾ 0.5ab 4.4⫾ 0.5ab 4.6⫾ 0.4a 4.1⫾ 0.5b
Daily food intake (g) 24.0⫾ 1.2 23.8⫾ 1.1 24.2⫾ 0.6 23.8⫾ 0.8 Feeding efficiency2(%) 18.8⫾ 1.8 18.3⫾ 1.4 18.8⫾ 1.2 17.4⫾ 2.3
Liver weight (g) 26.6⫾ 4.4 23.0⫾ 4.1 24.6⫾ 2.7 23.2⫾ 5.0
Hepatosomatic index3(%) 4.3⫾ 0.6 3.8⫾ 0.4 4.0⫾ 0.4 4.0⫾ 0.7
1
Data are expressed as the mean⫾ SD (n ⫽ 10); values in a row with different superscripts significantly differ (p ⬍ 0.05) as analyzed by Duncan’s multiple range test.
2
Feeding efficiency: (daily weight gain/daily food intake)⫻ 100%.
3
Relative liver weight: (liver weight/body weight)⫻ 100%.
Table 3. Levels of Cholesterol and Bile Acid Micellar
Solubility of Different Proteins in Feces1
Micellar solubility (mmol/L) Protein Casein APP NSPH Cholesterol 0.48⫾ 0.03a 0.40⫾ 0.02b 0.20⫾ 0.04c Bile acid 5.62⫾ 0.20 5.52⫾ 0.28 5.57⫾ 0.19
1Data are expressed as the mean⫾ SD (n ⫽ 3); values in a row with different
superscripts significantly differ (p⬍ 0.05) as analyzed by Duncan’s multiple range test.
cholesterol-rich diet. Plasma total cholesterol concentrations of the APP and NSPH groups were significantly lower than that of the control group since week 4 (p ⬍ 0.05, Fig. 1a). Plasma triglyceride concentrations of the APP and NSPH groups were significantly lower than that of the control group from week 4 to the end of the experiment (p⬍ 0.05, Fig. 1b). However, the plasma triglyceride concentration of the ISO group was signif-icantly lower than that of the control group since week 8 (p⬍ 0.05). There were significant differences in HDL-cholesterol concentrations between the NSPH and control groups (p ⬍ 0.05, Fig. 1c). Additionally, NSPH obviously decreased LDL-cholesterol concentrations and the atherosclerosis index (AI, as
the LDL/HDL-cholesterol ratio; Potter, 1995) from weeks 4 to 12 when compared with the control group (p⬍ 0.05, Fig. 1d, e).
Liver
Different diets had no significant effect on the liver weight or the relative liver weight of any group (p⬎ 0.05, Table 2). Liver total cholesterol and triglyceride concentrations of the APP and NSPH groups were both significantly lower than those of the control group (p⬍ 0.05, Table 4). Nevertheless, there were no significant differences in 7␣-hydroxylase activity among the groups (p⬎ 0.05, data not shown). The extents of Fig. 1. Effects of different diets on plasma total cholesterol (a), triglyceride (b), HDL-cholesterol (c), and LDL-cholesterol (d) concentrations (mmol/L), and the atherosclerosis index (e) in SD rats. Data are expressed as the mean⫾ SD (n ⫽ 10); values in a row with different superscripts significantly differ (p⬍ 0.05) as analyzed by Duncan’s multiple range test.
䡩ⴝ Control group, ⴝ APP group, Œⴝ NSPH group, ● ⴝ ISO group.
Table 4. Changes in Liver Total Cholesterol and Triglyceride Concentrations of SD Rats Fed Different Diets1
Diet group
Control APP NSPH ISO
Total cholesterol mol/g liver 30.5⫾ 4.2a 23.7⫾ 5.3b 24.0⫾ 3.3b 29.6⫾ 6.0a mol/liver 726.6⫾ 176.8a 562.7⫾ 121.6b 527.5⫾ 133.4b 752.1⫾ 164.2a Triglyceride mol/g liver 44.9⫾ 11.3a 35.3⫾ 6.4b 35.2⫾ 5.6b 38.4⫾ 5.9ab mol/liver 1090.2⫾ 228.0a 867.6⫾ 169.9bc 808.4⫾ 173.4c 1025.6⫾ 281.2ab
fatty liver of the APP and NSPH groups were both grade 2, while those of the ISO and control groups were both grade 4. Additionally, there were significant differences between the APP/NSPH and the ISO/control groups (p⬍ 0.05, Fig. 2).
Feces
Fecal wet weights of the APP and NSPH groups were significantly higher than that of the control group (p⬍ 0.05, Table 5). Results for fecal dry weight were similar to wet weight, but that of the NSPH group was significantly higher than the control group at week 12. Moreover, APP and NSPH replacement to the diet significantly increased fecal neutral steroid excretion compared to the control group in weeks 8 and 12 (p ⬍ 0.05, Fig. 3a). However, fecal bile acid excretion showed no significant differences among all groups (p⬎ 0.05, Fig. 3b). APP and NSPH also significantly enhanced the ex-cretion of fecal nitrogen compounds compared to the control and ISO groups since week 4 (p⬍ 0.05, Fig. 3c).
DISCUSSION
In the present study, APP and NSPH both significantly reduced plasma total cholesterol and LDL-cholesterol concen-tration (p⬍ 0.05). Previous studies had reported that people who consumed more soybean products had lower plasma total cholesterol concentrations and they suggested that the lipid-lowering effect were caused by their protein contents [26]. Sugano et al. [27] also indicated that the high-molecular-weight fraction derived from soybean protein isolate effectively low-ered plasma lipids even when there was no cholesterol con-tained in diet. Moreover, we found that neither the soybean protein nor the soy isoflavones had effect on the growth of experimental animals. The results showed that the hypocholes-terolemic effects of soybean protein might be mainly from the undigestible portion of soybean protein for because NSPH was the non-dialyzed high-molecular-weight fraction prepared from pepsin-digested APP and the hypolipidemic effects of soybean protein was not caused by affecting normal growth. Besides,
Fig. 2. Representative micrographs (⫻200) of liver stained by haematoxylin and eosin were samples per group. CC, control group; APP, APP group; NSPH, NSPH group; ISO, ISO group.
we found that the ISO group had no effect on total cholesterol and LDL-C. Anderson et al. [11] reported a dose-dependant response in hypocholesterolemic effects of soy isoflavones, Nestel et al. [28] indicated that highly purified soy isoflavones had no hypolipidemic effects. Our study was also in coinci-dence with the recent study that adding isoflavone supplement in diet had no improvement in cholesterol metabolism [29].
Dewell et al. [30] showed that soybean protein isolate did not affect plasma HDL-cholesterol levels of moderately hyper-cholesterolemic patients after an 8-week experiment. On con-trary, Greaves et al., [31] stated that after consuming soybean protein for 20 weeks, HDL-cholesterol concentrations of fe-male cynomolgus monkeys increased. The inconsistency of theses study may be caused by animal species, the experimental period, or the quantity of protein used in animal diet. In our study, we found that the NSPH group but the ISO group reduced plasma LDL/HDL cholesterol ratio and the atheroscle-rosis index (AI), which is related to CVD risk [32]. Thus, we suggested that NSPH might be useful in the prevention of CVDs. As for isoflavones, as Clarkson [33] stated, there is still
no definite experimental evidence existing currently to estab-lish that the cardiovascular benefits of soy protein are ac-counted for by its isoflavones.
High fat intake may result in the accumulation of lipids in the liver and we found that both APP and NSPH reduced cholesterol and triglyceride contents in the liver. Besides, the pathological analysis found that APP and NSPH retarded fatty vesicle accumulation in the liver. Iritani et al. [34] reported that soybean protein lowered fatty acid synthesis and lipogenic enzyme activities in the liver of Wistar rats. Additionally, soybean protein possibly enhanced plasma lipoprotein lipase activity when compared with casein [35]. Liver cholesterol metabolism was related to the excretion of fecal neutral steroids and bile acids. Previous studies showed that soybean protein reduced blood cholesterol by inhibiting cholesterol absorption [2] or increasing fecal bile acid excretion [27], thus affecting the enterohepatic circulation and accelerating cholesterol me-tabolism [36]. In consistency, we found that APP and NSPH, especially NSPH, increased the excretion of fecal neutral steroids. NSPH is the hydrophobic high-molecular-weight
Table 5. Changes in Fecal Weight of SD Rats Fed Different Diets1
g/d
Diet group
Control APP NSPH ISO
Week 0 Wet weight 5.18⫾ 0.78 5.22⫾ 0.82 5.19⫾ 0.53 5.28⫾ 0.58 Dry weight 3.29⫾ 0.43 3.21⫾ 0.39 3.35⫾ 0.49 3.37⫾ 0.53 Week 4 Wet weight 2.42⫾ 0.34 2.45⫾ 2.62 2.41⫾ 0.77 2.28⫾ 1.76 Dry weight 2.09⫾ 0.30 2.11⫾ 1.42 2.17⫾ 0.59 1.91⫾ 1.42 Week 8 Wet weight 2.54⫾ 0.83a 3.40⫾ 0.77b 3.38⫾ 0.26b 2.70⫾ 0.96ab Dry weight 2.03⫾ 0.83a 2.85⫾ 0.69b 2.73⫾ 0.52bc 2.11⫾ 0.85ac Week 12 Wet weight 2.65⫾ 0.83a 3.51⫾ 0.74b 3.39⫾ 0.33b 2.82⫾ 0.96ab Dry weight 2.16⫾ 0.83a 2.96⫾ 0.71b 2.90⫾ 0.39b 2.23⫾ 0.83a 1
Data are expressed as the mean⫾ SD (n ⫽ 10); values in a row with different superscripts significantly differ (p ⬍ 0.05) as analyzed by Duncan’s multiple range test.
Fig. 3. Effects of different diets on concentrations of fecal neutral steroids (a), bile acids (b), and nitrogen compounds (c) in SD rats. Data are expressed as the mean⫾ SD (n ⫽ 10); values in a row with different superscripts significantly differ (p ⬍ 0.05) as analyzed by Duncan’s multiple range test.
fraction of soybean protein peptic hydrolysate. In the present study, we determined fecal nitrogen compounds and found that both APP and NSPH increased their excretion and this sug-gested that NSPH might play a role similar to dietary fiber in the gut.
Furthermore, we also measured the micellar solubility of cholesterol and bile acids in vitro and found that APP and NSPH significantly reduced the micellar solubility of choles-terol. The absorption of increate cholesterol suppressed the synthesis of cholesterol in the liver, and inhibited LDL-receptor activity [37] and exogenous cholesterol must be emulsified before it can be absorbed. Nagaoka et al. [38] indicated that soybean protein peptic hydrolysate lowers the micellar solubil-ity of cholesterol to a greater extent than casein tryptic hydro-lysate. Additionally, soybean protein peptic hydrolysate inhib-ited the absorption of micellar cholesterol in Caco-2 cells. However, APP and NSPH had no effects on the micellar solubility of bile acids and no significant differences in the activities of 7␣-hydroxylase, the rate-limiting enzyme of bile acid synthesis, among the groups were found in this study. This suggested that APP and NSPH did not affect the reabsorption of bile acids in the enterohepatic circulation. Although Madani et al. [39] stated that dietary bile acids inhibit 7␣-hydroxylase activity and our experimental diets contained 0.05% bile acids, the effect of bile acid might be neutralized by the exogenous cholesterol. Thus, there were no obvious effects on 7 ␣-hydrox-ylase. Additionally, NSPH is the non-dialyzed high-molecular-weight fraction of soybean protein peptic hydrolysate and is not easily absorbed into the blood circulation to reach the liver where it had influence on enzyme activities. These results suggested that the hypocholesterolemic effects of NSPH might caused by binding to cholesterol or bile acid in the gut, and increasing their excretion, thus lowering plasma cholesterol concentrations.
CONCLUSION
We postulate that soy protein, based on the NSPH study group, binds cholesterol in the small intestine thereby inhibiting its absorption and also enhanced the emulsification of choles-terol secreted in the entrohepatic circulation, both of which reduce the liver content of cholesterol. Similar effects, how-ever, were not found in the isoflavones group, which further suggests that protein in soy foods is the critical ingredient for lowering serum cholesterol and total body load.
REFERENCES
1. Law MR, Wald NJ: An ecological study of serum cholesterol and ischaemic heart disease between 1950 and 1990. Eur J Clin Nutr 48:305–325, 1994.
2. Potter SM: Overview of proposed mechanisms for the hypocho-lesterolemic effect of soy. J Nutr 125:606S–611S, 1995. 3. Dreon DM, Fernstrom HA, Williams PT, Krauss RM: Reduced
LDL particle size in children consuming a very-low-fat diet is related to parental LDL-subclass patterns. Am J Clin Nutr 71: 1611–1616, 2000.
4. Krauss RM, Eckel RH, Howard B, Appel LJ, Daniels SR, Deck-elbaum RJ, Erdman JW, Kris-Etherton P, Goldberg IJ, Kotchen TA, Lichtenstein AH, Mitch WE, Mullis R, Robinson K, Wylie-Rosett S, Suttie J, Tribble DL, Bazzarre TL: AHA Dietary Guide-lines: revision 2000: A statement for healthcare professionals from the Nutrition Committee of the American Heart Association. Stroke 31:2751–2766, 2000.
5. Hodgson JM, Croft KD, Puddey IB, Mori TA, Beilin LJ: Soybean isoflavanoids and their metabolic products inhibit in vitro lipopro-tein oxidation in serum. J Nutr Biochem 7:664–669, 1996. 6. Roberts, W. C. Preventing and arresting coronary atherosclerosis.
Am Heart J 130:580–600, 1995.
7. Food and Drug Administration: Food labeling, health claims, soy protein, and coronary heart disease. Federal Register 57:699–733, 1999.
8. Sugano M, Yamada Y, Yoshida K, Hashimoto Y, Matsuo T, Kimoto M: The hypocholesterolemic action of the undigested fraction of soybean protein in rats. Atherosclerosis 72:115–122, 1988.
9. Wang MF, Yamamoto S, Chung HM, Chung SY, Miyatani S, Mori M, Okita T, Sugano M: Antihypercholesterolemic effect of undi-gested fraction of soybean protein in young female volunteers. J Nutr Sci Vitaminol 41:187–195, 1995.
10. Chen JR, Chiou SF, Shieh MJ, Yang SC: The effects of soybean protein-derived hydrolysate on lipid metabolism in rats fed a high cholesterol diet. J Food Biochem 26:431–442, 2002.
11. Anderson JJ, Anthony MS, Cline JM, Washburn SA, Garner SC: Health potential of soy isoflavones for menopausal women. Public Health Nutr 2:489–504, 1999.
12. Nestel P: Isoflavones: their effects on cardiovascular risk and functions. Curr Opin Lipidol 14:3–8, 2003.
13. Iwabuchi S, Yamauchi F: Determination of glycinin and -con-glycinin in soybean proteins by immunological methods. J Agric Food Chem 35:200–205, 1987.
14. Klump SP, Allred MC, McDonald JL, Ballam JM: Determination of isoflavones in soy and selected foods containing soy by extrac-tion, saponificaextrac-tion, and liquid chromatography: collaborative study. J AOAC Int 84:1865–1883, 2001.
15. Ikeda I, Tanaka K, Sugano M, Vahouny GV, Gallo LL: Inhibition of cholesterol absorption in rats by plant sterols. J Lipid Res 29:1573–1582, 1988.
16. Reeves PG, Nielsen FH, Fahey GC: AIN-93 purified diets for laboratory rodents: final report of the American Institute of Nutri-tion ad hoc writing committee on the reformulaNutri-tion of the AIN-76A rodent diet. J Nutr 123:1939–1951, 1993.
17. Richmond W: Preparation and properties of a cholesterol oxidase from Nocardia sp. and its application to the enzymatic assay of total cholesterol in serum. Clin Chem 19:1350–1356, 1973. 18. McGowan MW, Artiss JD, Strandbergh DR, Zak B: A
peroxidase-coupled method for the colorimetric determination of serum tri-glycerides. Clin Chem 29:538–542, 1983.
the susceptibility of lipoproteins and tissues to peroxidation in rats. J Nutr 123:1343–1348, 1993.
20. Folch J, Lees JM, Solane-Stanley GH: A simple method for the isolation and purification of total lipids from animal tissues. J Biol Chem 226:497–509, 1957.
21. Rudel L, Deckelman C, Wilson M, Scobey M, Anderson R: Dietary cholesterol and downregulation of cholesterol 7 ␣-hydroxylase and cholesterol absorption in African green monkeys. J Clin Invest 93:2463–2472, 1994.
22. Ogishima T, Okuda K: An improved method for assay of choles-terol 7␣-hydroxylase activity. Anal Biochem 158:228–232, 1986. 23. Teramoto K, Bowers JL, Kruskal JB, Clouse ME: Hepatic micro-circulatory changes after reperfusion in fatty and normal liver transplantation in the rat. Transplantation 56:1076–1082, 1993. 24. Suckling KE, Benson GM, Bond B, Gee A, Glen A, Haynes C,
Jackson B: Cholesterol lowering and bile acid excretion in the hamster with cholestyramine treatment. Atherosclerosis 89:183– 190, 1991.
25. Chezem JC, Story JA: Development of an updated method for fecal bile acid and neutral steroid analysis. Am Clin Lab 16:20–21, 1997.
26. Nagata C, Takatsuka N, Kurisu Y, Shimizu H: Decreased serum total cholesterol concentration associated with high intake of soy products in Japanese men and women. J Nutr 128:209–213, 1998. 27. Sugano, M, Ishiwaki, N.; Nakashima, K: Dietary protein-dependent modification of blood cholesterol level in rats. Ann Nutr Metab 28:192–199, 1984.
28. Nestel PJ, Yamashita T, Sasahara T, Pomeroy S, Dart A, Kome-saroff P, Owen A, Abbey M: Soy isoflavones improve systemic arterial compliance but not plasma lipids in menopausal and peri-menopausal women. Arterioscler Thromb Vasc Biol 17:3392– 3398, 1997.
29. Wagner JD, Schwenke DC, Greaves KA, Zhang L, Anthony MS, Blair RM, Shadoan MK, Williams JK: Soy protein with isofla-vones, but not an isoflavone-rich supplement, improves arterial low-density lipoprotein metabolism and atherogenesis. Arterio-scler thromb vasc biol 23:2241–2246, 2003
30. Dewell A, Hollenbeck CB, Bruce B: The effects of soy-derived phytoestrogens on serum lipids and lipoproteins in moderately hypercholesterolemic postmenopausal women. J Clin Endocrinol Metab 87:118–121, 2002.
31. Greaves KA, Wilson MD, Rudel LL, Williams JK, Wagner JD: Consumption of soy protein reduces cholesterol absorption com-pared to casein protein alone or supplemented with an isoflavone extract or conjugated equine estrogen in ovariectomized cyno-mologous monkeys. J Nutr 130:820–826, 2000.
32. Friedman M, Brandon DL: Nutritional and health benefits of soy proteins. J Agric Food Chem 49:1069–1086, 2001.
33. Clarkson TB: Soy, soy phytoestrogens and cardiovascular disease. J Nutr 132:566S–569S
34. Iritani N, Suga A, Fukuda H, Katsurada A, Tanaka T: Effects of dietary casein and soybean protein on triglyceride turnover in rat liver. J Nutr Sci Vitaminol 34:309–315, 1998.
35. Demonty I, Lamarche B, Deshaies Y, Jacques H: Role of soy isoflavones in the hypotriglyceridemic effect of soy protein in the rat. J Nutr Biochem 13:671–677, 2002.
36. Fumagalli R, Soleri L, Farini R: Fecal cholesterol excretion in type 2 hypercholesterolemic patients treated with soybean protein diet. Atherosclerosis 43:341–353, 1986.
37. Giroux I, Laigne C, Moorjani S, Jacques H: Simvastatin further enhances the hypocholesterolemic effect of soy protein in rabbits. J Am Coll Nutr 16:166–174, 1997.
38. Nagaoka S, Miwa K, Eto M, Kuzuya Y, Hori G, Yamamoto K: Soy protein peptic hydrolysate with bound phospholipids decreases micellar solubility and cholesterol absorption in rats and Caco-2 cells. J Nutr 129:1725–1730, 1999.
39. Madani S, Lopez S, Blond JP, Prost J, Belleville J: Highly purified soybean protein is not hypocholesterolemic in rats but stimulates cholesterol synthesis and excretion and reduces polyunsaturated fatty acid biosynthesis. J Nutr 128:1084–1091, 1998.