Luteolin and quercetin affect the cholesterol absorption mediated by epithelial cholesterol transporter niemann-pick c1-like 1 in caco-2 cells and rats

PLoS One. 2014 May 23;9(5):e97901. doi: 10.1371/journal.pone.0097901. eCollection 2014.

Abstract

Niemann-Pick C1-Like 1 (NPC1L1) mediates cholesterol absorption, and ezetimibe is a potent NPC1L1 inhibitor applicable for medication of hypercholesterolemia. Epidemiological studies demonstrated that consumption of polyphenols correlates with a decreased risk for atherosclerosis due to their antioxidant effect. This activity can hardly be attributable to the antioxidant activity only, and we hypothesized that polyphenols inhibit intestinal transport of cholesterol. We elucidated the kinetic parameters of intestinal cholesterol absorption, screened several polyphenols for their ability to specifically inhibit intestinal cholesterol absorption, and determined the inhibitory effects of selected flavonoids in vitro and in vivo. The concentration-dependent uptake of cholesterol by Caco-2 cells obeyed a monophasic saturation process. This indicates the involvement of an active-passive transport, i.e., NPC1L1. Parameters of cholesterol uptake by Caco-2 cells were as follows: Jmax, Kt, and Kd were 6.89±2.96 19.03±11.58 µM, and 0.11±0.02 pmol/min/mg protein, respectively. Luteolin and quercetin inhibited cholesterol absorption by Caco-2 cells and human embryonic kidney 293T cells expressing NPC1L1. When preincubated Caco-2 cells with luteolin and quercetin before the assay, cholesterol uptake significantly decreased. The inhibitory effects of these flavonoids were maintained for up to 120 min. The level of inhibition and irreversible effects were similar to that of ezetimibe. Serum cholesterol levels significantly decreased more in rats fed both cholesterol and luteolin (or quercetin), than in those observed in the cholesterol feeding group. As quercetin induced a significant decrease in the levels of NPC1L1 mRNA in Caco-2 cells, the in vivo inhibitory effect may be due to the expression of NPC1L1. These results suggest that luteolin and quercetin reduce high blood cholesterol levels by specifically inhibiting intestinal cholesterol absorption mediated by NPC1L1.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biological Transport / drug effects
  • Caco-2 Cells
  • Cholesterol / metabolism*
  • Drug Evaluation, Preclinical
  • Epithelial Cells / drug effects
  • Epithelial Cells / metabolism
  • Gene Expression Regulation / drug effects
  • HEK293 Cells
  • Humans
  • Hypercholesterolemia / drug therapy
  • Hypercholesterolemia / metabolism
  • Intestinal Absorption / drug effects*
  • Luteolin / pharmacology*
  • Luteolin / therapeutic use
  • Male
  • Membrane Proteins / genetics
  • Membrane Proteins / metabolism*
  • Membrane Transport Proteins / genetics
  • Membrane Transport Proteins / metabolism*
  • Quercetin / pharmacology*
  • Quercetin / therapeutic use
  • Rats

Substances

  • Membrane Proteins
  • Membrane Transport Proteins
  • NPC1L1 protein, human
  • NPC1L1 protein, rat
  • Cholesterol
  • Quercetin
  • Luteolin

Grants and funding

This work was supported by the Japan Society for the Promotion of Science, a Grant-Aid for C (22700761). This work was supported in part by Research Project on Development of Agricultural Products and Foods with Health-promoting benefits (NARO). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.