Two putative probiotic strains improve diet-induced hypercholesterolemia through modulating intestinal cholesterol uptake and hepatic cholesterol efflux

J Appl Microbiol. 2022 Jan;132(1):562-570. doi: 10.1111/jam.15181. Epub 2021 Jul 14.

Abstract

Aims: Two putative probiotic strains, Lacticaseibacillus (Lc.) rhamnosus BFE5264 and Lactiplantibacillus (Lp.) plantarum NR74, have been shown to suppress cholesterol uptake and promote cholesterol efflux in Caco-2 cells. However, an in vivo beneficial effect of these strains on plasma cholesterol levels has not been verified yet; neither have the underlying mechanisms of regulating cholesterol metabolism clarified thus far. This study has focused on these two aspects.

Methods and results: A murine model has been used, and the animals receiving a high-fat/high-cholesterol diet showed elevated plasma cholesterol levels. However, supplementation of Lc. rhamnosus BFE5264 and Lp. plantarum NR74 resulted in the down regulation of Niemann-Pick C1-like 1 (NPC1L1) in the intestine in addition to counteracting the diet-induced suppression of low-density lipoprotein receptor expression in the liver. ATP Binding Cassette Subfamily A Member 1 (ABCA1) was only significantly increased upon administration of Lc. rhamnosus BFE5264.

Conclusions: The present findings demonstrate that supplementation with Lc. rhamnosus BFE5264 and Lp. plantarum NR74 may improve diet-induced hypercholesterolemia by suppression of cholesterol absorption in the small intestine and by supporting the regulation of cholesterol metabolism in the liver.

Significance and impact of the study: This work contributes to understanding the beneficial effects of probiotics on host cholesterol metabolism and underlying mechanisms related to hypercholesterolemia.

Keywords: ABCA1; NPC1L1; cholesterol efflux; cholesterol uptake; cholesterol-lowering; lactic acid bacteria.

MeSH terms

  • Animals
  • Caco-2 Cells
  • Cholesterol / metabolism
  • Diet
  • Humans
  • Hypercholesterolemia* / metabolism
  • Intestinal Absorption
  • Intestines
  • Liver / metabolism
  • Membrane Transport Proteins / metabolism
  • Mice
  • Probiotics*

Substances

  • Membrane Transport Proteins
  • Cholesterol