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J Clin Invest. 1981 January; 67(1): 156–162.
doi: 10.1172/JCI110008.
PMCID: PMC371583
Cholesterol and bile acid balance in Macaca fascicularis. Effects of alfalfa saponins.
M R Malinow, W E Connor, P McLaughlin, C Stafford, D S Lin, A L Livingston, G O Kohler, and W P McNulty
Abstract
We determine the effects of alfalfa top saponins on cholesterol and bile acid balance in eight cynomolgus macaques (Macaca fascicularis). The monkeys ate semipurified food containing cholesterol with or without added saponins. The saponins decreased cholesterolemia without changing the levels of high density lipoprotein-cholesterol; hence, they reduced the total cholesterol/high density lipoprotein-cholesterol ratio. Furthermore, they decreased intestinal absorption of cholesterol, increased fecal excretion of endogenous and exogenous neutral steroids and bile acids, and decreased the percent distribution of fecal deoxycholic and lithocholic acids. The fecal excretion of fat was also slightly increased, but steatorrhea did not occur. We saw no signs of toxicity in the monkeys after 6 or 8 wk of saponin ingestion. The data suggest that alfalfa top saponins may be of use in the treatment of patients with hypercholesterolemia, but long-term studies on possible toxicity are needed before this therapy can be recommended for humans.
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Selected References
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  • Malinow MR, McLaughlin P, Papworth L, Stafford C, Kohler GO, Livingston AL, Cheeke PR. Effect of alfalfa saponins on intestinal cholesterol absorption in rats. Am J Clin Nutr. 1977 Dec;30(12):2061–2067. [PubMed]
  • Malinow MR, McLaughlin P, Kohler GO, Livingston AL. Prevention of elevated cholesterolemia in monkeys. Steroids. 1977 Jan;29(1):105–110. [PubMed]
  • COULSON CB, EVANS RA. The effect of saponin, sterols and linoleic acid on the weight increase of growing rats. Br J Nutr. 1960;14:121–134. [PubMed]
  • Oakenfull DG, Fenwick DE. Adsorption of bile salts from aqueous solution by plant fibre and cholestyramine. Br J Nutr. 1978 Sep;40(2):299–309. [PubMed]
  • Malinow MR, McLaughlin O, Papworth L, Naito HK, Lewis L, McNulty WP. A model for therapeutic interventins on established coronary atherosclerosis in a nonhuman primate. Adv Exp Med Biol. 1976;67(00):3–31. [PubMed]
  • Livingston AL, Whitehand LC, Kohler GO. Microbiological assay for saponin in alfalfa products. J Assoc Off Anal Chem. 1977 Jul;60(4):957–960. [PubMed]
  • Rudel LL, Morris MD. Determination of cholesterol using o-phthalaldehyde. J Lipid Res. 1973 May;14(3):364–366. [PubMed]
  • Burstein M, Scholnick HR, Morfin R. Rapid method for the isolation of lipoproteins from human serum by precipitation with polyanions. J Lipid Res. 1970 Nov;11(6):583–595. [PubMed]
  • Connor WE, Witiak DT, Stone DB, Armstrong ML. Cholesterol balance and fecal neutral steroid and bile acid excretion in normal men fed dietary fats of different fatty acid composition. J Clin Invest. 1969 Aug;48(8):1363–1375. [PMC free article] [PubMed]
  • Connor William E, Witiak Donald T, Stone Daniel B, Armstrong Mark L. Cholesterol balance and fecal neutral steroid and bile acid excretion in normal men fed dietary fats of different fatty acid composition. J Clin Invest. 1969 Aug;48(8):1363–1375. [PMC free article] [PubMed]
  • MIETTINEN TA, AHRENS EH, Jr, GRUNDY SM. QUANTITATIVE ISOLATION AND GAS--LIQUID CHROMATOGRAPHIC ANALYSIS OF TOTAL DIETARY AND FECAL NEUTRAL STEROIDS. J Lipid Res. 1965 Jul;6:411–424. [PubMed]
  • GRUNDY SM, AHRENS EH, Jr, MIETTINEN TA. QUANTITATIVE ISOLATION AND GAS--LIQUID CHROMATOGRAPHIC ANALYSIS OF TOTAL FECAL BILE ACIDS. J Lipid Res. 1965 Jul;6:397–410. [PubMed]
  • Malinow MR, McLaughlin P, Kohler GO, Livingston AL. Prevention of elevated cholesterolemia in monkeys. Steroids. 1977 Jan;29(1):105–110. [PubMed]
  • GRIMINGER P, FISHER H. Dietary saponin and plasma cholesterol in the chicken. Proc Soc Exp Biol Med. 1958 Nov;99(2):424–426. [PubMed]
  • Morgan B, Heald M, Brooks SG, Tee JL, Green J. The interactions between dietary saponin, cholesterol and related sterols in the chick. Poult Sci. 1972 Mar;51(2):677–682. [PubMed]
  • Malinow MR, McLaughlin P, Stafford C. Prevention of hypercholesterolemia in monkeys (Macaca fascicularis) by digitonin. Am J Clin Nutr. 1978 May;31(5):814–818. [PubMed]
  • Cookson FB, Altschul R, Fedoroff S. The effects of alfalfa on serum cholesterol and in modifying or preventing cholesterol-induced atherosclerosis in rabbits. J Atheroscler Res. 1967 Jan–Feb;7(1):69–81. [PubMed]
  • Cookson FB, Fedoroff S. Quantitative relationships between administered cholesterol and alfalfa required to prevent hypercholesterolaemia in rabbits. Br J Exp Pathol. 1968 Aug;49(4):348–355. [PubMed]
  • Barichello AW, Fedoroff S. Effect of ileal bypass and alfalfa on hypercholesterolaemia. Br J Exp Pathol. 1971 Feb;52(1):81–87. [PubMed]
  • Yanaura S, Sakamoto M. [Effect of alfalfa meal on experimental hyperlipidemia] Nippon Yakurigaku Zasshi. 1975 Jul;71(5):387–393. [PubMed]
  • Malinow MR, McLaughlin P, Naito HK, Lewis LA, McNulty WP. Effect of alfalfa meal on shrinkage (regression) of atherosclerotic plaques during cholesterol feeding in monkeys. Atherosclerosis. 1978 May;30(1):27–43. [PubMed]
  • Reshef G, Gestetner B, Birk Y, Bondi A. Effect of alfalfa saponins on the growth and some aspects of lipid metabolism of mice and quails. J Sci Food Agric. 1976 Jan;27(1):63–72. [PubMed]
  • Gestetner B, Assa Y, Henis Y, Tencer Y, Rotman M, Birk Y, Bondi A. Interaction of leucerne saponins with steroids. Biochim Biophys Acta. 1972 May 23;270(1):181–187. [PubMed]
  • Oakenfull DG, Fenwick DE, Hood RL, Topping DL, Illman RL, Storer GB. Effects of saponins on bile acids and plasma lipids in the rat. Br J Nutr. 1979 Sep;42(2):209–216. [PubMed]
  • Balmer J, Zilversmit DB. Effects of dietary roughage on cholesterol absorption, cholesterol turnover and steroid excretion in the rat. J Nutr. 1974 Oct;104(10):1319–1328. [PubMed]
  • Castelli WP, Doyle JT, Gordon T, Hames CG, Hjortland MC, Hulley SB, Kagan A, Zukel WJ. HDL cholesterol and other lipids in coronary heart disease. The cooperative lipoprotein phenotyping study. Circulation. 1977 May;55(5):767–772. [PubMed]