We investigated the effects of a "
tall oil"-derived
phytosterol mixture (TODPM) on the formation of atherosclerotic lesions in
apoE-deficient mice. TODPM was added at 2% (wt/wt) to the chow of nine mice; the control group had six animals. The diet of all animals contained 9% (wt/wt) fat and 0.15% (wt/wt)
cholesterol. After 4 weeks, plasma total
cholesterol levels were significantly reduced in the TODPM-treated mice (26.6 versus 42.0 mmol/L, P < .0001). The mean
body weight of the TODPM-supplemented group was significantly higher at week 5 and throughout the study (29.4 versus 27.7 g, P < .05). The experiment was terminated at 18 weeks. Histological examination showed mature atherosclerotic lesions composed of foam cells underlying the endothelium, a mosaic of extracellular
glycosaminoglycans, numerous apparently proliferative smooth muscle cells, and foci of
cholesterol clefts in the control animals. By contrast, the TODPM-treated mice showed only early lesions containing mainly superficial foam cells. As assessed by morphometry, the lesion area in the aortic sinuses of TODPM-treated animals was less than half that of control animals (P < .0001). This reduced lesion area was accompanied by a substantial reduction in all lesional components, reflecting a delay in progression of atheromatous changes. A strong positive correlation (r = .69, P < .01) was found between plasma total
cholesterol levels and lesion area in the aortic sinuses. TODPM also prevented the occurrence of
xanthomatosis. We conclude that supplementation of a
cholesterol-enriched diet with TODPM significantly lowers plasma
cholesterol and retards development of
atherosclerosis in
apoE-deficient mice, suggesting a therapeutic potential for the mixture of
phytosterols studied.