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. 2017 Jan 3;3:57. doi: 10.3389/fnut.2016.00057

Table 4.

Impact of proanthocyanidins on enzymes and transporters involved in the digestion and absorption of lipids.

Type of PACs Type of interaction Model Effect Reference
Water grape seed extract (WGSE, 26.7 mg PACs/g) and ethanol grape seed extract (EGSE, 32.6 mg PACs/g) of red grape seeds Inhibition of pancreatic lipase (PL) in vitro Extract concentration: 400, 800, 1,300, and 1,800 ppm
Substrate: olive oil emulsion
Inhibition of lipase:
52.66% EGSE; 45.44% WGSE (at 1,800 ppm) (enzyme preincubated with extract)
61.41% EGSE; 42.63% WGSE (at 1,800 ppm) (substrate preincubated with extract)
(106)

Apple polyphenol extract (AP) and the procyanidins (PCs) contained in the extract Inhibition of PL in vitro Substrate: 4MUO Inhibition of lipase [IC50 (μg/ml)]: PCs (1.4 µg/ml) > AP (5.6 µg/ml) > other polyphenol fraction (115.9 µg/ml) (135)

Triglyceride (TG) absorption in mice 1,000 mg/kg of AP compared with control (water) and 10 ml/kg body weight of corn oil AP completely prevent the increase of plasma TG level

TG absorption in humans 600 mg of AP and 40 g of TG Inhibition of TG elevation at 6 h after ingestion

Cocoa (PCs) (>85% purity) [degree of polymerization (DP) between 2 and 10] Inhibition of PL and secreted phospholipase A2 (PLA2) in vitro PL: PCs: 0–20µM and 4-NPB as substrate. Orlistat as control
PLA2: PCs: 0–100μM and Red/Green BODIPY PC-A2, 1.67µM as substrate
PCs with DP ≥ 5 inhibited PL by 37 to 53% at 20µM. Orlistat 72% at 10µM
PCs with DP between 2 and 5 inhibited PLA2 by 46–74% at 100µM
PCs with DP between 6 and 10 inhibited PLA2 by approximately 90% at 50µM (IC50 < 5µM)
(136)

Tannins from persimmon Capacity to bind primary and secondary bile acids in vitro and in vivo Tannins concentration: 1% (w/v). Bile acids concentration: 1 mM solutions. Cholestyramine positive control Tannins adsorbed approximately 80% of all bile acids (cholic, taurocholic, glycocholic, and deoxycholic acid), similar to a cholestyramine (138)

Mice supplemented for 14 days with a tannins diet [1% (w/w)] Cholestyramine as positive control Tannin supplementation: twofold more excretion of bile acids in feces compared with a control (without supplementation)

Grape seed extract (GSE, 49.8% PCs) Inhibition of PL GSE 4.75–0.62 mg/ml. Orlistat as positive control Inhibitory activity: GSE (IC50 44.5 mg/ml); Orlistat (IC50 3.7 mg/ml) (139)

Inhibition of pancreatic cholesterol (CS) esterase GSE 50–3.12 µg/ml. Simasvatin as positive control Inhibitory activity: GSE (IC50 27.27 µg/ml); Simasvatin (IC50 0.08 µg/ml)

Effect on CS micellization GSE at 10, 20, and 40 mg/ml on artificially micelles. Gallic acid as positive control Inhibition of CS solubility: gallic acid (27.26%) > GSE 40 mg/ml (11.87%) > GSE 20 mg/ml (6.84%) > GSE 10 mg/ml (3.18%)

Capacity to bind bile acid GSE 1 mg/ml. Bile acid 2 mM. Cholestyramine as positive control % Bile acid binding: glycodeoxycholic (70%) > taurocholic (25%), both similar to cholestyramine. Taurodeoxycholic acid was slightly bound

Serum TG and CS concentrations Oral administration of 5 ml/kg body weight of olive oil emulsion (3.33 ml of olive oil, 44.3 mg of cholic acid, 0.48 g of CS, and 1.67 ml of distilled water)
GSE: 100, 250, and 500 mg/kg
↓ in serum TG concentrations (2–6 h after administration) at 250 and 500 mg/kg GSE [area under the curve (AUC) 19 and 27% lower than control group, respectively]
Suppression of the increase in serum CS concentration (after 4 h of loading fat emulsion) at 250 and 500 mg/kg (AUC 8 and 11% lower than in control group, respectively)

Aqueous CE
(4.1% type-A polymers)
Expression of genes of Niemann–Pick C1-like protein 1 (NPC1L1) and CD36 Enterocytes treated with 10 or 100 µg/ml of CE for 0, 0.5, 2, and 4 h ↓ NPC1L1 mRNA at 2 h (10 µg/ml) and at 4 h (100 µg/ml)
↓ CD36 mRNA at 4 h (10 µg/ml) and at 0.5 h (100 µg/ml)
(140)

Grape seed proanthocyanidin extract (GSPE) Intestinal expression of NPC1L1 and CD36 Rats fed with lard (2,5 ml/kg of body weight), supplemented or not with GSPE (250 mg/kg of body weight) Lard induces a decrease in the expression of all genes evaluated. GSPE do not induce changes in the expression of genes (141)

Polyphenol extracts from grape (41% PACs), cranberry (32% PACs), avocado (29% PACs), and apple (22% PACs) Inhibitory activity on PL in vitro Lipase: 2 mg/ml. PACs extracts: 0; 0.065; 0.125; 0.25; 0.5; and 1 mg/ml. Substrate: 4-MUO (4-metilumbeliferil oleate) (0.1mM) Inhibitory activity:
Grape > cranberry > avocado > apple
(137)

Plasma TG concentrations in vivo Subjects: normal weight (NW) and overweight/obese (OW/Ob)
Extract: 1 g of extract or placebo
High-fat test meal: 63 g fat
Absorption of TG was 2 times higher in the OW/Ob than in the NW subjects and was unaffected by the treatment