Dietary Influences on Lipid Metabolism: Hepatic and Postprandial Responses to Circulating Triglycerides ABSTRACT
Triglycerides (TG) are the primary form of fatty acid storage and transport within cells and plasma. This dissertation aimed to investigate TG metabolism in the context of a polyphenol and high fat meal (HFM) interventions.
The first study investigated the effects of flavan-3-ol (-)-epicatechin (EC) on hepatic TG using both in vivo and in vitro models. Male C57BL/6J mice (8 weeks old) were fed either a control diet (10% calories from fat) or the same diet supplemented with 2 or 20 mg EC/kg body weight for 24 weeks. Also, human HepG2 hepatocytes were treated with low and high concentrations (1–10 μM) of EC and its main plasma metabolites. Only the mice receiving the higher amount of EC (20mg/kg body weight) showed elevated hepatic TG content without evidence of hepatic inflammation or oxidative stress. This was accompanied by increased hepatic expression of diacylglycerol acyltransferase 2 (DGAT2), a key TG synthesis enzyme, and PPARα. HepG2 cells treated with high EC concentrations showed no changes in TG accumulation or DGAT2 expression. Overall, findings from the first chapter highlight the safety of EC regarding TG metabolism and liver health if administered in doses rational for humans.
As for the second aim of this dissertation, we investigated the extent of plasma TG increments following a HFM and changes in plasma metabolic parameters and global gene expression in peripheral blood mononuclear cells (PBMCs), and how this relates to overall risk of cardiovascular disease (CVD) and type 2 diabetes (T2D). Healthy participants between 18 to 40 years old with a body mass index (BMI) between 21 and 29.9 kg/m2 were given a single HFM, with blood samples collected before and for 5 h post-meal. Plasma (0-5 h) and PBMCs (3 h) were isolated immediately for analysis. Participants were categorized into two groups based on their postprandial plasma TG response with low TG responders (LPTG, <170 mg/dL x 5 h) and high TG responders (HPTG, >700 mg/dL x 5 h). Plasma was analyzed for TG, cholesterol, glucose, insulin, and lipopolysaccharide-binding protein (LBP) concentrations. PBMC mRNA was isolated for genomic and qPCR analysis. HPTG individuals showed exaggerated plasma responses in parameters of lipid and glucose metabolism compared to LPTG individuals. We also observed changes in protein-coding and non-coding RNAs involved in immune response, inflammation, and metabolism. The biochemical and genomic findings suggest that the large postprandial TG increments are linked to potentially greater risk of CVD and T2D.
Following up on the previous aim, as for the third chapter, our analysis showed significant sex-dependent differences in postprandial responses. We further investigated these differences in biochemical markers of postprandial dysmetabolism as well as global gene expression in PBMCs. While large increases in postprandial TG responses occurred in both females and males, only male HPTG individuals showed higher postprandial plasma insulin and LBP concentrations compared to LPTG counterparts, suggesting a sex specific effect. In addition, pathway enrichment analysis of KEGG and Wikipathways for both protein-coding and non-coding RNAs showed more differences than similarities between sexes, with males showing a generally higher risk for CVD. The last aim concluded that females and males show distinct metabolic and genomic responses to HFM consumption, potentially influenced by estrogen’s anti-inflammatory effects in females.
In conclusion, this dissertation contributes valuable insights into TG metabolism in the context of EC and HFM. Findings indicate that while consuming EC-rich foods appears to be safe, caution is necessary regarding long-term and high-dose EC supplementation until further clinical evidence is available. Also, individuals with normal or mildly elevated fasting TG levels but large postprandial responses, particularly males, may face a higher risk for CVD.