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Wake Forest University School of Medicine, Department of Pathology, Section on Comparative Medicine, Winston-Salem, NC 27157-1040
2To whom correspondence should be addressed.
Dietary intake of soy protein is associated with reductions in plasma
cholesterol. Isoflavones are thought to be active components of soy and
responsible for the beneficial effects because of their structural
similarities to estrogen. The purposes of this study were to determine
if i) soy protein or a semipurified soy extract,
rich in isoflavones, is responsible for improving the lipid profile and
ii) altered intestinal cholesterol metabolism is
one mechanism for hypocholesterolemic effects. Ovariectomized adult
female cynomolgus monkeys (40) were assigned to groups fed diets
containing i) casein-lactalbumin (CAS)
ii) intact soy protein (SOY),
iii) CAS plus an isoflavone-rich semipurified
soy extract similar in isoflavone content as SOY (ISO) or
iv) CAS plus conjugated equine estrogen (CEE) for 20 wk.
Cholesterol absorption was determined using the fecal isotope ratio
method. Bile acid excretion was measured using the 3
-hydroxysteroid
dehydrogenase assay. The SOY group had significantly lower total- and
VLDL + LDL-cholesterol compared to the other three groups and
significantly higher HDL-cholesterol compared to the CAS and CEE
groups. Cholesterol absorption was significantly lower in the SOY group
compared to the other groups, but bile acid excretion was not
significantly affected. The hypocholesterolemic effect of soy protein
appears to be mediated in part by decreased cholesterol absorption. The
semipurified soy extract, rich in isoflavones, added to casein protein
did not have lipid-lowering effects. Other components of soy such
as saponins, phytic acid or the amino acid composition may be involved
in the hypocholesterolemic effects seen in this study.
KEY WORDS: cholesterol absorption cynomolgus monkeys isoflavones menopause soy protein.
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