SummaryThe purpose of this study was to examine whether retrograded tapioca starch (RS3-tapioca) prevents ovarian hormone deficiency-induced hypercholesterolemia. Sixmonth-old Wistar female rats were subjected to sham-operation or ovariectomy, and fed a cholesterol-free purified diet with or without RS3-tapioca (150 g/kg diet) instead of digestible cornstarch for 28 d. Body weight gain and food intake increased in ovariectomized rats (OVX-rats). Plasma total cholesterol concentration was lowered by RS3-tapioca in OVX rats, but not in sham-operated rats. Liver lipids increased in OVX-rats, but liver cholesterol concentration was not affected by ovariectomy and RS3-tapioca. CYP7A1 activity, small intestinal and cecal bile acid content, and fecal bile acid excretion were increased by RS3-tapioca. The ratio of cholic acid groups to chenodeoxycholic acid groups in the bile acid of the small intestine was increased by RS3-tapioca. Thus, the preventive effect of RS3-tapioca on the ovarian hormone deficiency-associated increase in plasma cholesterol concentration appears to be mediated by accelerated fecal excretion of bile acid and an increase in the intestinal pool of bile acid. Key Words retrograded tapioca starch (RS3-tapioca), ovariectomized rats, plasma cholesterol Resistant starch (RS) is, by definition, the sum of starch and the products of starch degradation not absorbed in the small intestine of healthy individuals ( 1 ). RS is now organized into four categories: physically inaccessible starch (RS1), resistant granules and high amylose starches (RS2), retrograded starches (RS3) and chemically modified starches (RS4) ( 2 ). RS appears to have various physiological effects, such as a decrease in postprandial glycemic and insulinemic responses, reduction of plasma cholesterol and triglyceride concentrations, an improvement in whole body insulin sensitivity, an increase in satiety, and a reduction in fat storage ( 3 ).Menopause, whether natural or surgically induced, is associated with elevated concentrations of circulating total cholesterol and low-density lipoprotein-cholesterol, Placing postmenopausal women at greater risk of coronary heart disease (CHD) ( 4 -7 ). Estrogen replacement therapy (ERT) in postmenopausal women reduces the risk of CHD, in part, by modulating plasma cholesterol; however ERT and cholesterol-lowering pharmacological agents may have side effects.Starch consists of a mixture of two polymers, amylose and amylopectin. Different starches have different relative ratios of amylose and amylopectin. The properties of a starch are highly influenced by the structure of its components. The different properties depend on the crystalline ultra-structure, which differs according to the origin of the starch. X-ray diffraction has been used to characterize the crystalline/amorphous nature of starches. The X-ray diffraction pattern of tapioca starch is C type, while that of corn, potato and rice starch is A, B and A type, respectively. The physical and chemical properties of RS3-tapioca may differ from t...