1994
DOI: 10.1016/0005-2760(94)90230-5
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Interaction of bile acids and cholesterol with non-systemic agents having hypocholesterolemic properties

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Cited by 85 publications
(44 citation statements)
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“…Increased blood lipid and serum cholesterol concentra tions contribute to the etiology of cardiovascular dis ease (1). The possibility of lowering the plasma cholesterol concentration by interfering with the absorption of cholesterol and bile acids has been exten sively investigated using either compounds of natural origin (e.g., gel-forming fibers, resistant starch, phy tosterols, and saponins) or synthetic remedies such as cholestyramine (2).…”
mentioning
confidence: 99%
“…Increased blood lipid and serum cholesterol concentra tions contribute to the etiology of cardiovascular dis ease (1). The possibility of lowering the plasma cholesterol concentration by interfering with the absorption of cholesterol and bile acids has been exten sively investigated using either compounds of natural origin (e.g., gel-forming fibers, resistant starch, phy tosterols, and saponins) or synthetic remedies such as cholestyramine (2).…”
mentioning
confidence: 99%
“…This suggests that potato and soy peptides are effective in depressing the absorption of exogenous cholesterol in rats. The mechanisms of inhibition of cholesterol absorption, in which viscosity is an important contributor, have been well documented; they include disturbance of micelle formation [12,35], slowing of cholesterol transfer to the brush border across the unstirred layer, and inhibition of ileal bile acid reabsorption [36]. However, the differences observed in the mRNA level, faecal sterol excretion, and serum lipids between the two peptide diets may be due to the differences in amino acid sequences, and support the hypothesise that the two peptide preparations are acting via two different mechanisms [11].…”
Section: Discussionmentioning
confidence: 99%
“…However, this polymeric resin also binds anionic drugs, vitamins, and salts ( Johansson et al 1978;Harmon & Seifert 1991). The competition for cholestyramine binding sites in the digestive tract decreases the binding capacity for bile acids, so large doses are required for the effective sorption (Stedronsky 1994). In some patients, the large doses of cholestyramine required to produce the desired cholesterol level lowering can cause serious side effects.…”
mentioning
confidence: 99%