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. 2022 Oct 19;9:1002574. doi: 10.3389/fnut.2022.1002574

TABLE 3.

Effects of dietary sphingomyelin and its metabolites on human physiology and chronic metabolic diseases.

Metabolic disorders SM and its’ metabolites Model Treatment and duration Results References
Normal physiology SLs from ox braina ExHC rats 0.5 and 2% (wt/wt) SLs for 2 weeks c↓ Serum TG and liver CE levels; ↑ serum SM and liver PLs levels
— Liver TG and serum CE levels
(116)
SLs from bovine brainb Donryu rats at 4 weeks old 1% (wt/wt) SLs during two generations ↓ Plasma TC levels; ↑ liver TG levels
— Liver TC and plasma TG levels, tissue SLs and PLs levels
(117)
Milk SM SD rat 6.5–25 μmol/L 3H-SM and 14C-cholesterol for 4 h ↓ Cholesterol absorption (118)
Milk SM Caco-2 cells
C57L/J mice at 7 weeks old
2% (wt/wt) SM for 4 days ↓ Uptake and esterification of cholesterol in Caco-2 cells
↓ Cholesterol absorption in mice
(119)
Egg yolk SM SD rat at 8 weeks old 5 or 10 μmol/h SM and 14C-cholesterol for 8 h ↓ Lymphatic absorption of cholesterol, α-tocopherol and fatty acid in a dose dependent manner (120)
Milk SM and egg yolk SM SD rat at 8 weeks old 80 μmol/h SM and 14C-cholesterol for 8 h ↓ Lymphatic absorption of cholesterol, fat, and other lipids
Milk SM is more is more effective in inhibiting cholesterol absorption than egg SM
(121)
Egg yolk SM Caco-2 monolayer 0.6 mmol/L and 3H-cholesterol for 2 h ↓ Cholesterol transport in a dose dependent manner
alter the physicochemical properties of mixed micelles
↓ NPC1L1, Caveolin 1, SREBP-1/2 mRNA expression
(122)
Milk SM Ten healthy adult males and females (ages 18–45) a randomized crossover study with 4-week washout period
1 g/day milk SM for 14 days
— Serum TG, TC, non-HDL cholesterol levels
— Cholesterol absorption and cholesterol fractional synthesis rate
— Intraluminal cholesterol solubilization
↑ HDL cholesterol levels
(123)
So Caco-2 and HT-29-D4 cells 0–50 μmol/L So and 3H-cholesterol for 4 h ↓ Cholesterol uptake in a dose dependent manner
↓ NPC1L1 mRNA expression
(125)
Obesity Chicken skin SM Zucker rats fed with HFD at 6 weeks old 0.5 and 2% (wt/wt) SM for 45 days ↓ Hepatic lipid, plasma TC and insulin levels
↑ Adipor2, PPARR and Pdk4 mRNA and ↓Scd1 mRNA
(133)
Egg yolk SM C57BL/6 mice fed with HFD 0.3, 0.6, or 1.2% SM (wt/wt) with high-fat diet for 4 weeks ↓ Intestinal cholesterol absorption
↓ Total liver lipids (TC, TG) via the LXR-SREBP-1c pathway
↑ Fecal lipid and cholesterol output
(28)
Milk SM
Egg yolk SM
C57BL/6 mice fed with HFD at 8 weeks old 0.1% (wt/wt) milk or egg yolk SM for 10 weeks ↓ Body weight, serum TC, fasting glucose and liver TC, TG levels
↓ PPARγ-related mRNA expression (Scd1, Pparg2, Cd36, Fabp4, Ccl2)
↓ Epididymal adipose tissue inflammation and skeletal muscle lipid accumulation
(134)
Milk SM
Egg yolk SM
C57BL/6 mice fed with HFD at 8 weeks old 0.25% (wt/wt) milk or egg yolk SM for 4 weeks ↓ Body weight, serum TC, and liver TG via lipid absorption and metabolism regulation
↓ Serum LPS via bifidogenic effects and alterations in distal gut microbiota
(129)
MPL with 25% SM C57BL/6 mice fed with HFD at 8 weeks old 1.1 or 1.6% (wt/wt) MPL for 8 weeks ↓ Body weight gain
– Plasma markers of inflammation
1.6% (wt/wt) MPL: ↓ hepatic gene expression of macrophage marker F4/80 and ↑ Bifidobacterium animalis in cecal microbiota
1.1% (wt/wt) MPL: ↓ Lactobacillus reuteri in cecal microbiota
(135)
Milk SM and Cer KK-Ay mice at 3 weeks old 1.7% (wt/wt) of LC-BS (0.13% SM; 0.18% Cer) or 0.5% (wt/wt) Cer-fraction (0.34% Cer) or 0.5% (wt/wt) SM-fraction (0.25% SM) for 4 weeks LC-BS: ↓ plasma TC and LDL cholesterol and liver TG levels
Cer-fraction: ↓ liver TC and TG levels
↓ Stearoyl-CoA desaturase-1
SM-fraction: –plasma and liver lipids
(136)
Diabetes S1P HIT-T 15 cells
pancreatic islets from ICR mouse at 8 weeks old
10 μmol/L S1P ↑ Insulin secretion from isolated mouse islets
↓ Intracellular cyclic AMP levels in a dose dependent manner
(139)
S1P INS-1 cells
pancreatic islets from SD rats
100–400 nmol/L S1P or dihydro-S1P for 4.5–5 h ↓ TUNEL analysis and caspase-3 activity
↑ PKC activity
↓ Cytochrome c release
↓ Nitric oxide synthase
(140)
Milk SM Obese/diabetic KK-Ay mice at 4 weeks old 1% (wt/wt) milk SM for 4 weeks ↓ Serum TC, non-HDL cholesterol, PLs and LDL-cholesterol levels; liver TG, TC, neutral and total lipids levels
– Serum neutral lipids and cholesterol levels
↑ Fecal lipids (total lipids, TC, total bile acid and PLs)
↑ SREBP-2, HMG-CoA, and Cyp7a1 mRNA expression
↓ Scd1, Elovl2, Elovl5, Fads2 mRNA expression
(29)
Sea cucumber Cer and GlcCer SD rat fed with high-fructose-diet 0.16 g/kg Cer and 0.21 g/kg GlcCer of diet for 6 weeks ↓ Serum glucose levels and glycosylated hemoglobin
↓ Hypertension
Cer ↑ glycogen levels, glycogen synthesis and insulin signal transduction in skeletal muscle
GlcCer ↑ hepatic glycogen levels, glycogen synthesis and insulin signal transduction
attenuated inflammation in adipose tissue
(141)
CVDs Egg yolk SM C57BL/6 mice fed with HFD at 4 weeks old 0.3, 0.6, or 1.2% (wt/wt) egg yolk SM for 4 weeks ↓ Serum TMAO level
– Serum choline and betaine levels
(30)
apoE–/– mice fed with HFD at 5 weeks old 1.2% (wt/wt) egg yolk SM for 16 weeks ↑ Body weight
– Aortic lesions
– Serum lipid levels (TC, TG, non-esterified fatty acid and SM)
apoE–/– mice at 5 weeks old 1.2% (wt/wt) egg yolk SM for 19 weeks ↓ Aortic lesion area in the aortic arch
↓ Lesion composition
– Serum lipid, TMAO, choline and betaine levels
Egg yolk SM apoE–/– mice fed with HFD at 6 weeks old 0.1% (wt/wt) egg yolk SM for 8 weeks ↓ Epididymal fat mass, alanine aminotransferase (ALT) activity
↓ Aortic root lipid accumulation
↑ Spleen weights
– Serum TG, TC, HDL cholesterol, non-HDL cholesterol and non-esterified fatty acid levels
(128)
Milk PLs LDLr–/– mice fed with AMF-rich diet at 6 weeks old 0.2%, 0.4% (wt/wt) milk SM for 14 weeks ↓ Serum TG, TC, HDL cholesterol, non-HDL cholesterol and non-esterified fatty acid levels
– Serum HDL-C, TG, liver enzymes, insulin, glucose, TNF-α, IL-1β, adiponectin, and resistin
↓ Inflammatory markers in the serum, liver, adipose and aorta
↓ Atherosclerosis development in both the thoracic aorta and the aortic root
↑ Relative abundance of Bacteroidetes, Actinobacteria, and Bifidobacterium, and ↓ Firmicutes in cecal feces
(31)
Milk PLs Fifty-eight overweight postmenopausal women (ages 56–62) Multi-center double-blind randomized trial with 4–6 weeks washout period
0, 3, or 5 g of milk PLs for 4 weeks
↓ Blood lipids and associated cardiometabolic risk markers (TC/HDL cholesterol, apoB/apoA1)
↑ Fecal loss of coprostanol
– Major bacterial populations and fecal short-chain fatty acids
↓ Cholesterol absorption but ↑ cholesterol-ileal efflux
(32)
Milk PLs Fifty-eight overweight postmenopausal women (ages 56–62) Multi-center double-blind randomized trial with 4–6 weeks washout period
0, 3, or 5 g of milk PLs for 4 weeks
↓ Serum TC, LDL cholesterol and apoB levels
↓ Serum atherogenic C24:1 Cer, C16:1 SM, and C18:1 SM species
↓ Chylomicron content in total SM and C24:1 Cer, but ↑ total Cer in feces
(148)

aSphingolipids contained 68.2% ceramide-monosaccharide, 27.8% sphingomyelin, 2.9% cholesterol. bSphingolipids contained 64.8 % cerebroside and cerebroside sulfate, 29.0% sphingomyelin and 5.4% cholesterol and free fatty acids. c↓ refers the significantly decreasing index, ↑ refers the significantly increasing index, and – refers no significant changes. SM, sphingomyelin; SLs, sphingolipids; ExHC, exogenous hypercholesterolemic; TG, triglyceride; CE, cholesterol esters; TC, total cholesterol; SD rat, Sprague-Dawley rat; So, sphingosine; NPC1L1, Niemann-Pick-Like Protein 1; SREBP-1/2, sterol regulatory element-binding transcription factor 1/2; HFD, high-fat diet; Adipor2, adiponectin receptor 2; PPARγ, peroxisome proliferator activated receptor alpha; Pdk4, pyruvate dehydrogenase kinase 4; Scd1, stearoyl CoA desaturase; LPS, lipopolysaccharide; MPL, milk polar lipids; LC-BS, lipid-concentrated butter serum; S1P, sphingosine-1-phosphate; PLs, phospholipids; SREBP-2, sterol regulatory element-binding protein-2; HMG-CoA, 3-hydroxy-3-methylglutaryl coenzyme A reductase; Cyp7a1, cholesterol 7α-hydroxylase; Elovl2, elongases of very long chain fatty acids 2; Fads2, fatty acyl desaturase 2; Cer, ceramide; GlcCer, glucosylceramide; TMAO, trimethylamine N-oxide; ALT, alanine aminotransferase; LDLr, LDL receptor; AMF, anhydrous milk fat.