Abstract

Atherosclerosis (AS) is recognized as the original cause of most cardiovascular and cerebrovascular diseases. The dual-protein (DP) nutrition that consists of soy protein and whey protein is reported to be associated with a reduction in AS; however, the relationship between DP and AS remains ambiguous. Therefore, this study aimed to verify the effect of DP on AS and explore the optimal DP intake to improve AS. ApoE−/− mice were administrated with low- (LDP), middle- (MDP), and high-dose (HDP) DP. The MDP group exhibited significant improvements in AS. In terms of lipid metabolism, the levels of plasma total triglyceride and LDL-C and the mRNA expression levels of Cyp7a1 and PCSK9 were markedly tuned in the MDP group. In addition, the MDP treatment group had a substantially lower inflammatory response and better intestinal barrier function than LDP and HDP groups. The species richness demonstrated by the Chao1 index was distinctly increased in the MDP group, and the relative abundance of intestinal-permeability-protective microbes Blautia and Akkermansia was significantly elevated. In summary, an adequate intake of DP was able to counteract atherosclerosis development in ApoE−/− mice, and this study provides a scientific theoretical basis for the application of DP in the food and pharmaceutical fields.

Highlights

  • Atherosclerosis (AS) is a common cardiovascular disease (CVD) that involves the arterial wall and is characterized by the progressive accumulation of lipids and inflammatory cells in the intima of large arteries, which is still a major reason for mortality all over the world [1]

  • Previous studies have reported that inflammatory response and the disorder of lipid metabolism are closely related to atherosclerosis [3], while poor dietary choices such as Western diet can contribute to an increased risk of CVD, AS [4]

  • Previous studies have proven that soy protein isolate and whey protein can reduce the risk factors of AS, including lipid metabolism and inflammation, and DP consisting of soy protein isolate and whey protein had a better effect than single components [10,32,33,34]

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Summary

Introduction

Atherosclerosis (AS) is a common cardiovascular disease (CVD) that involves the arterial wall and is characterized by the progressive accumulation of lipids and inflammatory cells in the intima of large arteries, which is still a major reason for mortality all over the world [1]. Previous studies have reported that inflammatory response and the disorder of lipid metabolism are closely related to atherosclerosis [3], while poor dietary choices such as Western diet can contribute to an increased risk of CVD, AS [4]. In the last few decades, epidemiological, clinical, and experimental studies have demonstrated that dietary intervention as a noninterventional therapy plays a central role in the prevention of AS [6]. It is critical to identify the impact of dietary interventions on atherosclerosis

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