Skip to main content
Gut logoLink to Gut
. 1986 Jan;27(1):29–36. doi: 10.1136/gut.27.1.29

Effects of the fibre components pectin, cellulose, and lignin on bile salt metabolism and biliary lipid composition in man.

L C Hillman, S G Peters, C A Fisher, E W Pomare
PMCID: PMC1433181  PMID: 3005138

Abstract

Randomised crossover studies in three separate groups of 10 healthy volunteers were undertaken to determine the effects of biliary lipid composition and bile salt metabolism of daily dietary supplementation for four weeks with the purified fibre components pectin (12 g/day), cellulose (15 g/day) and lignin (12 g/day). The subjects' biles were initially unsaturated with cholesterol and no significant changes in the lithogenic indices or mean percentages of cholesterol, phospholipid, or total bile acids after any of the supplements were observed. After pectin, the mean (+/- SD) percentage of cholic acid decreased significantly from 42.8 (+/- 10.8) to 39.0 (+/- 11.2), the mean (+/- SD) percentage of deoxycholic acid increased significantly from 18.2 (+/- 13.7) to 25.4 (+/- 13.5) and C14-deoxycholate metabolites were raised significantly by 65%. After cellulose, the mean (+/- SD) percentage of chenodeoxycholic acid was increased significantly from 33.6 (+/- 6.3) to 35.4 (+/- 7.0), the mean (+/- SD) percentage of deoxycholic acid decreased significantly from 18.6 (+/- 9.6) to 14.2 (+/- 8.3) and C14-deoxycholate metabolites halved. Lignin did not exert any significant effects. Though these results show that individual fibre components are associated with quite different effects on bile acid metabolism, in the short term no significant effect on biliary cholesterol saturation was observed in bile initially unsaturated with cholesterol. The bile acid changes most likely result from the different effects on colonic metabolism induced by the individual fibre components.

Full text

PDF
31

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ahlberg J., Angelin B., Einarsson K., Hellstrom K., Leijd B. Influence of deoxycholic acid on biliary lipids in man. Clin Sci Mol Med. 1977 Sep;53(3):249–256. doi: 10.1042/cs0530249. [DOI] [PubMed] [Google Scholar]
  2. Barnard D. L., Heaton K. W. Bile acids and vitamin A absorption in man: the effects of two bile acid-binding agents, cholestyramine and lignin. Gut. 1973 Apr;14(4):316–318. doi: 10.1136/gut.14.4.316. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Bolton C. H., Low-Beer T. S., Pomare E. W., Wicks A. C., Yeates J., Heaton K. W. A simplified procedure for the analysis of cholesterol, phospholipids and bile salts in human bile. Clin Chim Acta. 1978 Feb 1;83(1-2):177–181. doi: 10.1016/0009-8981(78)90222-x. [DOI] [PubMed] [Google Scholar]
  4. Carulli N., Ponz de Leon M., Loria P., Iori R., Rosi A., Romani M. Effect of the selective expansion of cholic acid pool on bile lipid composition: possible mechanism of bile acid induced biliary cholesterol desaturation. Gastroenterology. 1981 Sep;81(3):539–546. [PubMed] [Google Scholar]
  5. Cummings J. H., Southgate D. A., Branch W. J., Wiggins H. S., Houston H., Jenkins D. J., Jivraj T., Hill M. J. The digestion of pectin in the human gut and its effect on calcium absorption and large bowel function. Br J Nutr. 1979 May;41(3):477–485. doi: 10.1079/bjn19790062. [DOI] [PubMed] [Google Scholar]
  6. Eastwood M. A., Hamilton D. Studies on the adsorption of bile salts to non-absorbed components of diet. Biochim Biophys Acta. 1968 Jan 10;152(1):165–173. doi: 10.1016/0005-2760(68)90018-0. [DOI] [PubMed] [Google Scholar]
  7. Falaiye J. M. The dietary fibre theory and bile salt pattern in Nigerians. Afr J Med Med Sci. 1978 Sep;7(3):151–155. [PubMed] [Google Scholar]
  8. Falk J. D., Nagyvary J. J. Exploratory studies of lipid-pectin interactions. J Nutr. 1982 Jan;112(1):182–188. doi: 10.1093/jn/112.1.182. [DOI] [PubMed] [Google Scholar]
  9. Heaton K. W., Austad W. I., Lack L., Tyor M. P. Enterohepatic circulation of C14-labeled bile salts in disorders of the distal small bowel. Gastroenterology. 1968 Jul;55(1):5–16. [PubMed] [Google Scholar]
  10. Heaton K. W. The epidemiology of gallstones and suggested aetiology. Clin Gastroenterol. 1973 Jan;2(1):67–83. [PubMed] [Google Scholar]
  11. Hepner G. W. Altered bile acid metabolism in vegetarians. Am J Dig Dis. 1975 Oct;20(10):935–946. doi: 10.1007/BF01070879. [DOI] [PubMed] [Google Scholar]
  12. Hillman L., Peters S., Fisher A., Pomare E. W. Differing effects of pectin, cellulose and lignin on stool pH, transit time and weight. Br J Nutr. 1983 Sep;50(2):189–195. doi: 10.1079/bjn19830088. [DOI] [PubMed] [Google Scholar]
  13. Hofmann A. F., Grundy S. M., Lachin J. M., Lan S. P., Baum R. A., Hanson R. F., Hersh T., Hightower N. C., Jr, Marks J. W., Mekhjian H. Pretreatment biliary lipid composition in white patients with radiolucent gallstones in the National Cooperative Gallstone Study. Gastroenterology. 1982 Oct;83(4):738–752. [PubMed] [Google Scholar]
  14. Hofmann A. F. The enterohepatic circulation of bile acids in man. Clin Gastroenterol. 1977 Jan;6(1):3–24. [PubMed] [Google Scholar]
  15. Holloway W. D., Tasman-Jones C., Lee S. P. Digestion of certain fractions of dietary fiber in humans. Am J Clin Nutr. 1978 Jun;31(6):927–930. doi: 10.1093/ajcn/31.6.927. [DOI] [PubMed] [Google Scholar]
  16. Holloway W. D., Tasman-Jones C., Maher K. Towards an accurate measurement of dietary fibre. N Z Med J. 1977 May 25;85(588):420–423. [PubMed] [Google Scholar]
  17. Holzbach R. T., Marsh M., Olszewski M., Holan K. Cholesterol solubility in bile. Evidence that supersaturated bile is frequent in healthy man. J Clin Invest. 1973 Jun;52(6):1467–1479. doi: 10.1172/JCI107321. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Huijbregts A. W., Van Berge-Henegouwen G. P., Hectors M. P., Van Schaik A., Van der Werf S. D. Effects of a standardized wheat bran preparation on biliary lipid composition and bile acid metabolism in young healthy males. Eur J Clin Invest. 1980 Dec;10(6):451–458. doi: 10.1111/j.1365-2362.1980.tb02084.x. [DOI] [PubMed] [Google Scholar]
  19. Huijbregts A. W., Van Schaik A., Van Berge-Henegouwen G. P., Van der Werf S. D. Serum lipids, biliary lipid composition, and bile acid metabolism in vegetarians as compared to normal controls. Eur J Clin Invest. 1980 Dec;10(6):443–449. doi: 10.1111/j.1365-2362.1980.tb02083.x. [DOI] [PubMed] [Google Scholar]
  20. Low-Beer T. S., Nutter S. Colonic bacterial activity, biliary cholesterol saturation, and pathogenesis of gallstones. Lancet. 1978 Nov 18;2(8099):1063–1065. doi: 10.1016/s0140-6736(78)91800-7. [DOI] [PubMed] [Google Scholar]
  21. Low-Beer T. S., Pomare E. W. Can colonic bacterial metabolites predispose to cholesterol gall stones? Br Med J. 1975 Feb 22;1(5955):438–440. doi: 10.1136/bmj.1.5955.438. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Midtvedt T., Norman A. Parameters in 7-alpha-dehydroxylation of bile acids by anaerobic lactobacilli. Acta Pathol Microbiol Scand. 1968;72(2):313–329. doi: 10.1111/j.1699-0463.1968.tb01345.x. [DOI] [PubMed] [Google Scholar]
  23. Pomare E. W., Heaton K. W., Low-Beer T. S., Espiner H. J. The effect of wheat bran upon bile salt metabolism and upon the lipid composition of bile in gallstone patients. Am J Dig Dis. 1976 Jul;21(7):521–526. doi: 10.1007/BF01464757. [DOI] [PubMed] [Google Scholar]
  24. Pomare E. W., Heaton K. W. The effect of cholecystectomy on bile salt metabolism. Gut. 1973 Oct;14(10):753–762. [PMC free article] [PubMed] [Google Scholar]
  25. Pomare E. W., Low-Beer T. S. The selective inhibition of chenodeoxycholate synthesis by cholate metabolites in man. Clin Sci Mol Med. 1975 Apr;48(4):315–321. doi: 10.1042/cs0480315. [DOI] [PubMed] [Google Scholar]
  26. Roovers J., Evrard E., Vanderhaeghe H. An improved method for measuring human blood bile acids. Clin Chim Acta. 1968 Mar;19(3):449–457. doi: 10.1016/0009-8981(68)90272-6. [DOI] [PubMed] [Google Scholar]
  27. Rotstein O. D., Kay R. M., Wayman M., Strasberg S. M. Prevention of cholesterol gallstones by lignin and lactulose in the hamster. Gastroenterology. 1981 Dec;81(6):1098–1103. [PubMed] [Google Scholar]
  28. Stanley M. M., Paul D., Gacke D., Murphy J. Effects of cholestyramine, metamucil, and cellulose on fecal bile salt excretion in man. Gastroenterology. 1973 Dec;65(6):889–894. [PubMed] [Google Scholar]
  29. Stephen A. M., Cummings J. H. Mechanism of action of dietary fibre in the human colon. Nature. 1980 Mar 20;284(5753):283–284. doi: 10.1038/284283a0. [DOI] [PubMed] [Google Scholar]
  30. Tadesse K., Eastwood M. A. Metabolism of dietary fibre components in man assessed by breath hydrogen and methane. Br J Nutr. 1978 Sep;40(2):393–396. doi: 10.1079/bjn19780136. [DOI] [PubMed] [Google Scholar]
  31. Tarpila S., Miettinen T. A., Metsäranta L. Effects of bran on serum cholesterol, faecal mass, fat, bile acids and neutral sterols, and biliary lipids in patients with diverticular disease of the colon. Gut. 1978 Feb;19(2):137–145. doi: 10.1136/gut.19.2.137. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Thornton J. R., Heaton K. W. Do colonic bacteria contribute to cholesterol gall-stone formation? Effects of lactulose on bile. Br Med J (Clin Res Ed) 1981 Mar 28;282(6269):1018–1020. doi: 10.1136/bmj.282.6269.1018. [DOI] [PMC free article] [PubMed] [Google Scholar]
  33. Watts J. M., Jablonski P., Toouli J. The effect of added bran to the diet on the saturation of bilein people without gallstones. Am J Surg. 1978 Mar;135(3):321–324. doi: 10.1016/0002-9610(78)90059-4. [DOI] [PubMed] [Google Scholar]
  34. White B. A., Paone D. A., Cacciapuoti A. F., Fricke R. J., Mosbach E. H., Hylemon P. B. Regulation of bile acid 7-dehydroxylase activity by NAD+ and NADH in cell extracts of Eubacterium species V.P.I. 12708. J Lipid Res. 1983 Jan;24(1):20–27. [PubMed] [Google Scholar]
  35. Wicks A. C., Yeates J., Heaton K. W. Bran and bile: time-course of changes in normal young men given a standard dose. Scand J Gastroenterol. 1978;13(3):289–292. doi: 10.3109/00365527809179822. [DOI] [PubMed] [Google Scholar]
  36. van der Linden W., Bergman F. An analysis of data on human hepatic bile. Relationship between main bile components, serum cholesterol and serum triglycerides. Scand J Clin Lab Invest. 1977 Dec;37(8):741–747. doi: 10.3109/00365517709101859. [DOI] [PubMed] [Google Scholar]

Articles from Gut are provided here courtesy of BMJ Publishing Group

RESOURCES