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Search Results (559)

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Journal = Nutrients
Section = Lipids

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4 pages, 187 KiB  
Editorial
Dietary Fatty Acids and Metabolic Health
by Éva Szabó
Nutrients 2025, 17(15), 2512; https://doi.org/10.3390/nu17152512 - 31 Jul 2025
Viewed by 259
Abstract
Fatty acids are essential in human physiology, serving as primary energy sources, forming membrane lipids, and acting as cellular signaling molecules, thereby playing a significant role in the etiology of metabolic syndrome [...] Full article
(This article belongs to the Special Issue Dietary Fatty Acids and Metabolic Health)
18 pages, 8017 KiB  
Article
Flavone C-Glycosides from Dianthus superbus L. Attenuate Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) via Multi-Pathway Regulations
by Ming Chu, Yingying Tong, Lei Zhang, Yu Zhang, Jun Dang and Gang Li
Nutrients 2025, 17(15), 2456; https://doi.org/10.3390/nu17152456 - 28 Jul 2025
Viewed by 238
Abstract
Background: The metabolic dysfunction-associated steatotic liver disease (MASLD) represents an escalating global health concern, with effective treatments still lacking. Given its complex pathogenesis, multi-targeted strategies are highly desirable. Methods: This study reports the isolation of four flavone C-glycosides (FCGs) from Dianthus superbus L. [...] Read more.
Background: The metabolic dysfunction-associated steatotic liver disease (MASLD) represents an escalating global health concern, with effective treatments still lacking. Given its complex pathogenesis, multi-targeted strategies are highly desirable. Methods: This study reports the isolation of four flavone C-glycosides (FCGs) from Dianthus superbus L. and explores their potential in treating MASLD. The bioactivity and underlying mechanisms of FCGs were systematically evaluated by integrating network pharmacology, molecular docking, and zebrafish model validation. Results: Network pharmacology analysis revealed that FCGs may modulate multiple MASLD-related pathways, including lipid metabolism, insulin signaling, inflammation, and apoptosis. Molecular docking further confirmed strong binding affinities between FCGs and key protein targets involved in these pathways. In the zebrafish model of MASLD induced by egg yolk powder, FCGs administration markedly attenuated obesity, hepatic lipid accumulation, and liver tissue damage. Furthermore, FCGs improved lipid metabolism and restored locomotor function. Molecular analyses confirmed that FCGs upregulated PPARγ expression to promote lipid metabolism, restored insulin signaling by enhancing INSR, PI3K, and AKT expression, and suppressed inflammation by downregulating TNF, IL-6 and NF-κB. Additionally, FCGs inhibited hepatocyte apoptosis by elevating the BCL-2/BAX ratio. Conclusions: These findings highlight the multi-pathway regulatory effects of FCGs in MASLD, underscoring its potential as a novel therapeutic candidate for further preclinical development. Full article
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24 pages, 4347 KiB  
Article
Diatomaceous Earth Supplementation as a Bioavailable Silicon Source Modulates Postprandial Lipid Metabolism in Healthy Female Rats
by Rocío Redondo-Castillejo, Marina Hernández-Martín, Jousef Ángel Issa-García, Aránzazu Bocanegra, Alba Garcimartín, Adrián Macho-González, Sara Bastida, Francisco J. Sánchez-Muniz, Juana Benedí and M. Elvira López-Oliva
Nutrients 2025, 17(15), 2452; https://doi.org/10.3390/nu17152452 - 28 Jul 2025
Viewed by 313
Abstract
Background/Objectives: Diatomaceous earth (DE), a natural substance rich in amorphous silica and recognized as a food additive, is gaining attention as a dietary silicon supplement. However, its bioavailability and impact on lipid digestion and absorption remain poorly characterized. This study aimed to investigate [...] Read more.
Background/Objectives: Diatomaceous earth (DE), a natural substance rich in amorphous silica and recognized as a food additive, is gaining attention as a dietary silicon supplement. However, its bioavailability and impact on lipid digestion and absorption remain poorly characterized. This study aimed to investigate silicon bioavailability after short-term DE supplementation and its effects on postprandial glycemia and triglyceridemia, the expression of lipid metabolism-related proteins, and the modulation of the intestinal mucosal barrier. Methods: Female Wistar rats received daily oral supplementation of DE (equivalent to 2 or 4 mg silicon/kg body weight) for one week. Silicon digestibility, excretion, and hepatic accumulation were quantified. Postprandial glycemia and triglyceridemia were monitored. Lipid profile was analyzed by HPSEC in gastric and intestinal contents. Jejunal morphology and mucin-secreting cells were assessed histologically. Lipid metabolism markers were evaluated by immunohistochemistry and Western blot in both intestinal and hepatic tissues. Results: DE supplementation enhanced silicon absorption and increased hepatic levels. Fecal output and moisture content were also elevated, especially at the higher dose. DE significantly reduced postprandial triglyceridemia and consequently increased luminal triglyceride retention. These changes were associated with decreased jejunal levels of IFABP, ACAT2, and MTP, as well as reduced hepatic levels of MTP and LDLr, alongside increased levels of ABCG5/G8 and LXRα/β, indicating a partial blockage of lipid absorption and enhanced cholesterol efflux. The effects on the intestinal barrier were evidenced by villi shortening and an increase in mucin-producing cells. Conclusion: Food-grade DE is a bioavailable source of silicon with hypolipidemic potential, mainly by reducing intestinal lipid absorption. This is supported by lower postprandial triglycerides, increased luminal lipid retention, and decreased expression of lipid transport proteins. The study in healthy female rats underscores the importance of sex-specific responses and supports DE as a dietary strategy to improve lipid metabolism. Full article
(This article belongs to the Section Lipids)
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19 pages, 2368 KiB  
Article
Hepatic OLFR734 Deficiency Worsens Hepatic Glucose Metabolism and Induces MASLD in Mice
by Eva Prida, Diego Muñoz-Moreno, Eva Novoa, Tamara Parracho, Laura Diaz-Garzón Dopico, Raquel Perez-Lois, Miguel Bascoy-Otero, Ana Senra, Sergio Romero-Rodriguez, Beatriz Brea-García, Jaime Dobarro, Adrián Fernández Marcos, Javier Baltar, Fernando Santos, Amaia Rodríguez, Gema Frühbeck, Ruben Nogueiras, Luisa María Seoane, Mar Quiñones and Omar Al-Massadi
Nutrients 2025, 17(15), 2426; https://doi.org/10.3390/nu17152426 - 25 Jul 2025
Viewed by 332
Abstract
Background/Objectives: Asprosin is the endogenous ligand of the olfactory Olfr734 receptor linked to MASLD and glucose metabolism. Despite the involvement of asprosin in these processes, little has been published on the specific role of Olfr734 in liver function. The aim of this work [...] Read more.
Background/Objectives: Asprosin is the endogenous ligand of the olfactory Olfr734 receptor linked to MASLD and glucose metabolism. Despite the involvement of asprosin in these processes, little has been published on the specific role of Olfr734 in liver function. The aim of this work is therefore to study the specific role of the olfactory Olfr734 receptor in MASLD and glucose metabolism. Methods: To achieve this objective, we performed a genetic inhibition specifically to inhibit Olfr734 in the livers of male mice. We then studied the progression of MASLD in DIO mice. In addition, we studied the glucose metabolism in hypoglycemia states and postprandial glucose production in standard diet-fed mice. Finally, analyses of liver biopsies from patients with obesity and with or without T2DM were conducted. Results: We found that hepatic Olfr734 levels vary according to changes in nutritional status and its knockdown effect in the liver is to increase the hepatic lipid content in DIO mice. Our results also showed that OLFR734 expression is involved in the adaptive response in terms of glucose production to nutrient availability. Finally, the hepatic human Olfr734 ortholog named OR4M1 has been observed to be at significantly higher levels in male patients with T2DM. Conclusions: This study increases understanding of the mechanisms by which the modulation of Olfr734 expression affects liver function. Full article
(This article belongs to the Special Issue Dietary Patterns, Lipid Metabolism and Fatty Liver Disease)
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72 pages, 2617 KiB  
Review
Obtaining and Characterization of Nutraceuticals Based on Linoleic Acid Derivatives Obtained by Green Synthesis and Their Valorization in the Food Industry
by Cristina Adriana Dehelean, Casiana Boru, Ioana Gabriela Macașoi, Ștefania-Irina Dumitrel, Cristina Trandafirescu and Alexa Ersilia
Nutrients 2025, 17(15), 2416; https://doi.org/10.3390/nu17152416 - 24 Jul 2025
Viewed by 667
Abstract
Background/Objectives: As an essential polyunsaturated fatty acid, linoleic acid (LA) plays an important role in maintaining the integrity of cellular membranes, modulating inflammatory responses, and mediating intracellular signaling. This review explores the structure, properties, and nutritional significance of LA and its bioactive derivatives, [...] Read more.
Background/Objectives: As an essential polyunsaturated fatty acid, linoleic acid (LA) plays an important role in maintaining the integrity of cellular membranes, modulating inflammatory responses, and mediating intracellular signaling. This review explores the structure, properties, and nutritional significance of LA and its bioactive derivatives, with particular attention to sustainable production methods and their potential applications. Methods: A comprehensive review of the recent literature was conducted, emphasizing the use of green synthesis techniques, such as enzyme-catalyzed biocatalysis and microbiological transformations, in order to obtain LA-derived nutraceuticals. Analyses were conducted on the key aspects related to food industry applications, regulatory frameworks, and emerging market trends. Results: Through green synthesis strategies, LA derivatives with antioxidant, anti-inflammatory, and antimicrobial properties have been developed. There is potential for these compounds to be incorporated into health-oriented food products. In spite of this, challenges remain regarding their stability and bioavailability. Furthermore, there are inconsistencies in international regulatory standards which prevent these compounds from being widely adopted. Conclusions: The development of functional and sustainable food products based on linoleic acid derivatives obtained using ecological methods offers significant potential. Research is required to optimize production processes, enhance compound stability, and clinically validate health effects. The integration of the market and the safety of consumers will be supported by addressing regulatory harmonization. Full article
(This article belongs to the Section Lipids)
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25 pages, 18172 KiB  
Article
Sea Cucumber Egg Oligopeptides Ameliorate Cognitive Impairments and Pathology of Alzheimer’s Disease Through Regulating HDAC3 and BDNF/NT3 via the Microbiota–Gut–Brain Axis
by Guifeng Zhang, Yanjie Dou, Huiwen Xie, Dan Pu, Longxing Wang, Renjun Wang and Xiaofei Han
Nutrients 2025, 17(14), 2312; https://doi.org/10.3390/nu17142312 - 14 Jul 2025
Viewed by 565
Abstract
Background: Oligopeptides from sea cucumber eggs (SCEPs) are rarely studied for their neuroprotective effects. Methods: Therefore, we prepared SCEPs via simulated gastrointestinal digestion and then administered them to an Alzheimer’s disease (AD) mouse model via gavage. Behavior tests, gut–brain histopathology and fecal microbiota [...] Read more.
Background: Oligopeptides from sea cucumber eggs (SCEPs) are rarely studied for their neuroprotective effects. Methods: Therefore, we prepared SCEPs via simulated gastrointestinal digestion and then administered them to an Alzheimer’s disease (AD) mouse model via gavage. Behavior tests, gut–brain histopathology and fecal microbiota transplantation (FMT) experiments were conducted, and gut microbiota and metabolite short-chain fatty acids (SCFAs) were evaluated via 16sRNA gene sequencing and LC-MS. Results: The results showed that both the SCEP and FMT groups experienced improvements in the cognitive impairments of AD and showed reduced levels of Aβ, P-Tau, GFAP, and NFL in the brain, especially in the hippocampus. SCEP remodeled the gut microbiota, increasing the relative abundances of Turicibacter and Lactobacillus by 2.7- and 4.8-fold compared with the model at the genus level. In the SCEP and FMT treatments, four SCFA-producing bacteria obtained from gut microbiota profiling showed consistent trends, indicating that they may be involved in mediating the neuroprotective effects of SCEP. Mechanically, SCEP regulated the SCFA distribution in feces, blood, and the brain, greatly increased the content of SCFAs in the brain up to 2000 μg/mg, eased gut–brain barrier dysfunction, inhibited HDAC3 overexpression, and upregulated BDNF/NT3 levels. Conclusions: This study provides a promising candidate for preventing AD and a reference for applying SCEP. Full article
(This article belongs to the Section Lipids)
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13 pages, 2287 KiB  
Article
Imbalance of ω3 and ω6 Fatty Acids in Breast Milk of Overweight/Obese Women
by Michael G. Ross, Manasa P. Kavasery, Guang Han, MacKenzie K. Cervantes, Lihiri Bora, Kevin J. Williams and Mina Desai
Nutrients 2025, 17(13), 2158; https://doi.org/10.3390/nu17132158 - 28 Jun 2025
Viewed by 569
Abstract
Background/Objectives: Studies demonstrate better health outcomes for infants consuming milk with higher concentrations of ω3 (ALA and DHA) and negative health outcomes associated with higher ω6 (LA and AA) PUFAs. We studied the relationship between maternal BMI and PUFA levels in maternal [...] Read more.
Background/Objectives: Studies demonstrate better health outcomes for infants consuming milk with higher concentrations of ω3 (ALA and DHA) and negative health outcomes associated with higher ω6 (LA and AA) PUFAs. We studied the relationship between maternal BMI and PUFA levels in maternal plasma and breast milk. Methods: Women at 7–8 weeks postpartum were grouped according to normal BMI (18–24.9 kg/m2) and overweight/obese (OW/OB; ≥25 kg/m2). Maternal blood and continuous breast milk samples obtained from foremilk to hindmilk were analyzed for lipidomics. Results: The plasma levels of ω3 and ω6 PUFA were significantly lower in OW/OB subjects, with a total ω3 and ω6 FA level of 50% for women with normal BMI. Conversely, breastmilk levels of total ω3 and ω6, including their respective precursors of LCFAs (ALA and LA), were significantly increased in both foremilk and hindmilk samples of OW/OB. Despite this, DHA (ω3 PUFA) levels in OW/OB women were similar in foremilk and significantly decreased in hindmilk samples as compared to normal BMI women. Consequently, the ratio of DHA/Total ω3 significantly decreased in foremilk and hindmilk samples of OW/OB women. However, proinflammatory AA (ω6 PUFA) levels increased, resulting in an increased ratio of AA/DHA in OW/OB women. Breast milk DHA was positively correlated, whereas AA was negatively correlated with maternal plasma. Conclusions: Marked differences in maternal plasma and breast milk ω3 and ω6 FA concentrations among women with OW/OB indicate significant differences in nutritional exposures for their infants. Reduced milk DHA may be a consequence of reduced mammary peroxisomal conversion of ALA to DHA due to increased insulin/reactive species within the maternal obese environment. The imbalance of ω3 and ω6 FAs suggests that DHA supplementation and approaches to limit plasma to breast milk AA transfer in OW/OB subjects may be of value. Full article
(This article belongs to the Section Lipids)
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14 pages, 5669 KiB  
Article
Preventive Effects of Medium-Chain Fatty Acid Intake on Muscle Atrophy
by Madoka Sumi, Takuro Okamura, Tomoyuki Matsuyama, Tomoki Miyoshi, Hanako Nakajima, Naoko Nakanishi, Ryoichi Sasano, Masahide Hamaguchi and Michiaki Fukui
Nutrients 2025, 17(13), 2154; https://doi.org/10.3390/nu17132154 - 28 Jun 2025
Viewed by 877
Abstract
Background/Objectives: Medium-chain fatty acids (MCFAs), abundant in coconut oil, have attracted considerable attention in recent years owing to their potential impact on muscle atrophy. However, the mechanisms underlying their effects remain inadequately understood. This study aimed to examine the impact of coconut-oil-derived [...] Read more.
Background/Objectives: Medium-chain fatty acids (MCFAs), abundant in coconut oil, have attracted considerable attention in recent years owing to their potential impact on muscle atrophy. However, the mechanisms underlying their effects remain inadequately understood. This study aimed to examine the impact of coconut-oil-derived MCFAs on skeletal muscle in a mouse model administered a high-fat diet. Methods: C57BL/6J mice were assigned to a normal diet, lard diet, or coconut oil diet and maintained for a duration of 12 weeks. A glucose tolerance test was conducted, and biochemical parameters, muscle histological analysis, and gene expression in muscle tissue were assessed. MCFA concentrations in serum and muscle were quantified utilizing gas chromatography–mass spectrometry. An in vitro experiment was conducted by treating mouse C2C12 myotube cells with lauric acid and palmitic acid, followed by a gene expression evaluation. Results: Mice fed a coconut-oil-based diet exhibited reduced body weight gain and lower blood glucose and total cholesterol levels compared to those fed a lard-based diet. The coconut-oil-fed group showed increased concentrations of MCFAs in both serum and muscle tissue, along with an improvement in relative grip strength. The expression levels of proteins and genes associated with muscle atrophy were reduced in muscle tissue. These findings were corroborated in vitro using C2C12 myotube cells. Conclusions: Coconut oil may preserve muscle strength by increasing MCFA concentrations in serum and muscle tissue, while suppressing the expression of muscle-atrophy-related proteins and genes. These findings suggest that coconut oil may be beneficial in preventing muscle atrophy induced by long-chain fatty acids. Full article
(This article belongs to the Section Lipids)
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16 pages, 570 KiB  
Article
Dietary Fats Substitution and Blood Pressure Levels: A Longitudinal Study in Mexican Adults
by Paola Villaverde, Berenice Rivera-Paredez, Rafael Velázquez-Cruz, Anna D. Argoty-Pantoja and Jorge Salmerón
Nutrients 2025, 17(13), 2096; https://doi.org/10.3390/nu17132096 - 24 Jun 2025
Viewed by 423
Abstract
Background: Dietary patterns impact blood pressure (BP) levels, but the potential impact of replacing specific types of fats with proteins or carbohydrates, in isocaloric models, on BP remains unclear. Objective: This study evaluates the longitudinal association between the substitution of different types of [...] Read more.
Background: Dietary patterns impact blood pressure (BP) levels, but the potential impact of replacing specific types of fats with proteins or carbohydrates, in isocaloric models, on BP remains unclear. Objective: This study evaluates the longitudinal association between the substitution of different types of fats with proteins or carbohydrates and changes in BP in a Mexican population. Methods: We analyzed data from 1448 adults (mean age at baseline: 45 years; 73.3% women) from the Health Workers Cohort Study, followed over 13 years. Trained personnel measured systolic (SBP) and diastolic (DBP) blood pressure following standard procedures and techniques at baseline and follow-up. Macronutrient intake was assessed with a validated semi-quantitative food frequency questionnaire. Generalized Estimating Equations (GEE) for hypertension and fixed-effects linear regression for BP were conducted using isocaloric substitution models. Each estimate reflects the effect of a 3% energy substitution of specific fats for carbohydrates or proteins. Results: Substituting 3% of energy intake of polyunsaturated fat (PUFA) in place of vegetable protein (β = −2.94, 95% CI: −5.02, −0.86), animal protein (β = −2.68, 95% CI: −4.73, −0.63), low glycemic index (LGI) carbohydrates (β = −2.63, 95% CI: −4.40, −0.86), and high glycemic index (HGI) carbohydrates (β = −2.52, 95% CI: −4.31, −0.74) was associated with a significant reduction in SBP. Substituting 3% of the energy intake of PUFA in place of different types of carbohydrates was associated with lower odds of hypertension. PUFA was not associated with changes in DBP. Conclusions: Our findings suggest that exchanging PUFA for carbohydrates or proteins is associated with reduced SBP and a lower risk of hypertension, highlighting the importance of macronutrient composition independent of total energy intake and other fat types, which may have a substantial impact at the population level. Full article
(This article belongs to the Section Lipids)
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14 pages, 303 KiB  
Article
Red Blood Cell Omega-6 Fatty Acids and Biomarkers of Inflammation in the Framingham Offspring Study
by Heidi T. M. Lai, Nathan A. Ryder, Nathan L. Tintle, Kristina H. Jackson, Penny M. Kris-Etherton and William S. Harris
Nutrients 2025, 17(13), 2076; https://doi.org/10.3390/nu17132076 - 22 Jun 2025
Viewed by 3154
Abstract
Background/Objectives: Chronic inflammation is recognized as an important risk factor for a variety of health disorders. Omega-6 polyunsaturated fatty acids (n-6 PUFAs), particularly linoleic (LA) and arachidonic acid (AA), have been shown to be either pro- or anti-inflammatory, and researchers have [...] Read more.
Background/Objectives: Chronic inflammation is recognized as an important risk factor for a variety of health disorders. Omega-6 polyunsaturated fatty acids (n-6 PUFAs), particularly linoleic (LA) and arachidonic acid (AA), have been shown to be either pro- or anti-inflammatory, and researchers have advocated both for and against reducing their dietary intake. This study sought to correlate the levels of ten inflammation-related biomarkers across multiple pathways with red blood cell (RBC) membrane levels of the major dietary and circulating n-6 PUFAs. Methods: We included 2777 participants (mean age: 66 ± 9 years, 54% women, 9.8% minorities) from the Framingham Offspring and minority-enriched Omni cohorts, and calculated partial correlation coefficients. Results: After multivariable adjustment, RBC LA was inversely correlated (all p ≤ 0.05) with five markers of inflammation, receptors, or pathways: C-reactive protein (r = −0.06); soluble interleukin-6 (r = −0.15); intercellular adhesion molecule-1 (r = −0.09); monocyte chemoattractant protein-1 (r = −0.07); and P-selectin (r = −0.07). RBC AA was inversely correlated (all p ≤ 0.05) with soluble interleukin-6 (r = −0.10); intercellular adhesion molecule-1 (r = −0.14); monocyte chemoattractant protein-1, and (r = −0.06); and osteoprotegerin (r = −0.07). Lipoprotein-associated phospholipase-A2 mass and activity, urinary isoprostanes, and tumor necrosis factor receptor-2 were not significantly correlated with LA or AA. Conclusions: In our large community-based study, we observed weak but statistically significant inverse associations between several types of inflammatory biomarkers with RBC n-6 PUFAs. Our findings do not support the hypothesis that omega-6 fatty acids are pro-inflammatory. Full article
(This article belongs to the Section Lipids)
19 pages, 2450 KiB  
Article
ω9 Monounsaturated and Saturated Colostrum Fatty Acids May Benefit Newborns in General and Subtle Hypothyroid Stages
by Meric A. Altinoz, Muhittin A. Serdar, Selim M. Altinoz, Mustafa Eroglu, Murat Muhcu, Pinar Kumru and Aysel Ozpinar
Nutrients 2025, 17(12), 2017; https://doi.org/10.3390/nu17122017 - 17 Jun 2025
Viewed by 445
Abstract
Objectives: This study analyzed correlations of colostrum fatty acids (FAs), newborns’ and mothers’ thyroid hormones (THs), and birth weight, all crucially important in neonatal health. Methods: LC-MS/MS was used to measure 22 FAs in the colostrum of 78 healthy mothers who delivered term [...] Read more.
Objectives: This study analyzed correlations of colostrum fatty acids (FAs), newborns’ and mothers’ thyroid hormones (THs), and birth weight, all crucially important in neonatal health. Methods: LC-MS/MS was used to measure 22 FAs in the colostrum of 78 healthy mothers who delivered term babies. FT3, FT4, and TSH levels were determined in the mothers’ serum, and newborns’ TSH was measured in heel-pricked specimens. Correlations were defined in the whole cohort and the subsets, which were separated according to ranges of birth weight, thyroid hormones, and mothers’ body mass index. Phyton Software was used for statistics. Results: The colostrum’s total FA content was highly variable and correlated positively with the percentage values of arachidic, gondoic, and nervonic acids. Five FAs all positively correlated with birth weight for the entire cohort—including ω9 gondoic, erucic, and nervonic acids as well as saturated behenic and lignoceric acids—all produced with the same elongases. These correlations were relevant to gondoic, nervonic, behenic, and lignoceric acids when mothers with low FT4 levels were evaluated separately and to erucic acid in the subset comprising mothers with high TSH values. Conclusions: The priming of breast epithelia to adjust the colostrum quality starts prenatally, whose regulatory mechanisms partially overlap with fetal fat accretion. Thus, colostrum content may undergo modifications to compensate for the harm of subtle TH deficiencies on neonates’ thermoregulation and development. Considering the previous findings showing that milk ω9 FAs are highest in colostrum, and even higher when mothers deliver preterm, our current results indicate their possible protective functions. Full article
(This article belongs to the Section Lipids)
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23 pages, 858 KiB  
Article
An Adapted Cardioprotective Diet with or Without Phytosterol and/or Krill Oil Supplementation in Familial Hypercholesterolemia: Results of a Pilot Randomized Clinical Trial
by Erlon Oliveira de Abreu-Silva, Rachel Helena Vieira Machado, Bianca Rodrigues dos Santos, Flávia Cristina Soares Kojima, Renato Hideo Nakagawa Santos, Karina do Lago Negrelli, Letícia Barbante Rodrigues, Pedro Gabriel Melo de Barros e Silva, Andressa Gusmão de Lima, João Gabriel Sanchez, Fernanda Jafet El Khouri, Ângela Cristine Bersch-Ferreira, Adriana Bastos Carvalho, Thaís Martins de Oliveira, Maria Cristina Izar, Geni Rodrigues Sampaio, Nágila Raquel Teixeira Damasceno, Marcelo Macedo Rogero, Elizabeth Aparecida Ferraz da Silva Torres, Flávia De Conti Cartolano, Julia Pinheiro Krey, Patrícia Vieira de Luca, Cristiane Kovacs Amaral, Elisa Maia dos Santos, Rodrigo Morel Vieira de Melo, Eduardo Gomes Lima, André de Luca dos Santos, Thiago Gomes Heck, Ana Paula Perillo Ferreira Carvalho, Silvia Bueno Garofallo, Alexandre Biasi Cavalcanti and Aline Marcadentiadd Show full author list remove Hide full author list
Nutrients 2025, 17(12), 2008; https://doi.org/10.3390/nu17122008 - 15 Jun 2025
Viewed by 1178
Abstract
Background/Objectives: Familial hypercholesterolemia (FH) is an increasingly common inherited disorder that increases cardiovascular risk. Despite the importance of lifestyle interventions, adherence to a healthy diet among individuals with FH remains suboptimal. This pilot, multicenter, double-blind, placebo-controlled randomized trial aimed to evaluate the feasibility [...] Read more.
Background/Objectives: Familial hypercholesterolemia (FH) is an increasingly common inherited disorder that increases cardiovascular risk. Despite the importance of lifestyle interventions, adherence to a healthy diet among individuals with FH remains suboptimal. This pilot, multicenter, double-blind, placebo-controlled randomized trial aimed to evaluate the feasibility and preliminary effects of a culturally adapted cardioprotective diet (DICA-FH), alone or in combination with phytosterol and/or krill oil supplementation, on lipid parameters in Brazilian adults with probable or definitive FH. Methods: Between May and August 2023, 58 participants were enrolled across nine Brazilian centers and randomized (1:1:1:1) into four groups: DICA-FH + phytosterol placebo + krill oil placebo; DICA-FH + phytosterol 2 g/day + krill oil placebo; DICA-FH + phytosterol placebo + krill oil 2 g/day; and DICA-FH + phytosterol 2 g/day + krill oil 2 g/day. Interventions lasted 120 days. The primary outcomes were mean low-density lipoprotein cholesterol (LDL-c) and lipoprotein(a) (Lp[a]) levels, as well as adherence to treatment at follow-up. Secondary outcomes included mean levels of other lipids, frequency of adverse events, and assessment of protocol implementation components. All data were presented separately for the allocation groups: phytosterol vs. placebo and krill oil vs. placebo. Results: Mean age was 54.5 ± 13.7 years, and 58.6% were women. Both adherence to protocol (91.8% attendance; 79.1% investigational product intake) and retention (86.2%) were high. No significant differences between groups were found for LDL-c or Lp(a). However, regardless of allocation to active supplementation or placebo, a significant reduction in Lp(a) concentrations was observed following the DICA-FH intervention (median difference: −3.8 mg/dL [interquartile range: −7.5 to −1.2]; p < 0.01). Significant reductions in oxidized LDL (LDL-ox) and LDL-ox/LDL-c ratio were also observed in the overall sample (p < 0.01). Although not statistically significant, all groups showed improvements in diet quality after 120 days. No serious adverse events related to the interventions were reported. Additionally, most protocol implementation components were successfully achieved. Conclusions: The DICA-FH strategy, with or without supplementation, was safe and well-tolerated. Although not powered to detect clinical efficacy (which is acceptable in exploratory pilot trials), the study supports the feasibility of a larger trial and highlights the potential of dietary interventions in the management of HF. Full article
(This article belongs to the Special Issue Lipids and Lipoproteins in Cardiovascular Diseases)
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27 pages, 1212 KiB  
Review
Alginate Oligosaccharide and Gut Microbiota: Exploring the Key to Health
by Meiling Song, Lin Chen, Chen Dong, Minghui Tang, Yuan Wei, Depeng Lv, Quancai Li and Zhen Chen
Nutrients 2025, 17(12), 1977; https://doi.org/10.3390/nu17121977 - 11 Jun 2025
Viewed by 823
Abstract
Alginate oligosaccharide (AOS), a degradation product of alginate derived from marine brown algae, has attracted significant attention due to its potent ability to modulate gut microbiota and enhance human health. This review aims to systematically introduce current evidence on the interactions between AOS [...] Read more.
Alginate oligosaccharide (AOS), a degradation product of alginate derived from marine brown algae, has attracted significant attention due to its potent ability to modulate gut microbiota and enhance human health. This review aims to systematically introduce current evidence on the interactions between AOS and gut microbial communities, focusing on how AOS improves health through regulating gut microbiota. Initially, the structural factors of AOS that influence their functions are highlighted, including molecular weight, monomer composition, terminal structure, and chemical modifications. Importantly, AOS primarily exerts beneficial effects by adjusting gut microbiota community and outputs, which include the promotion of probiotics, the inhibition of pathogens, the balance of microbiota composition, and the increase of short-chain fatty acid production. Moreover, the discovered mechanisms underlying AOS-mediated health promotion via microbiota modulation are detailed comprehensively, specifically emphasizing intestinal barrier maintenance, antioxidation, dual-regulation of immune and inflammatory responses, pathogenic infection inhibition, metabolic improvement, uric acid excretion promotion, anti-tumor effects, and anti-skin aging. Such beneficial effects make AOS valuable in keeping healthy, preventing disorders, and intervening in diseases. Despite these findings and research progress, there are yet limitations in studying AOS–gut microbiota interactions, such as precise microbiota-targeted structural optimization, personalized nutritional interventions based on microbial characteristics, and broadening the horizon of microbiota-derived metabolic metabolomic profiles. In conclusion, advancing our understanding of the gut microbiota-centered mechanisms of AOS would probably facilitate novel nutritional strategy development for health promotion. Full article
(This article belongs to the Special Issue Bioactive Lipids and Metabolic Disease)
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2 pages, 138 KiB  
Reply
Reply to Klevay, L.M. Comment on “Huang et al. Influence of Varied Dietary Cholesterol Levels on Lipid Metabolism in Hamsters. Nutrients 2024, 16, 2472”
by Chung-Hsiung Huang, Hung-Sheng Hsu and Meng-Tsan Chiang
Nutrients 2025, 17(12), 1945; https://doi.org/10.3390/nu17121945 - 6 Jun 2025
Viewed by 329
Abstract
Thank you for your insightful comments and suggestions [...] Full article
(This article belongs to the Section Lipids)
3 pages, 143 KiB  
Editorial
Lipid Metabolism and Relevance to Chronic Disease
by Harald Mangge
Nutrients 2025, 17(11), 1936; https://doi.org/10.3390/nu17111936 - 5 Jun 2025
Viewed by 599
Abstract
Lipid metabolism is involved in the development and progression of widespread chronic diseases, making it a crucial area of study in medicine and public health [...] Full article
(This article belongs to the Special Issue Lipid Metabolism and Relevance to Chronic Disease)
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