Nutrition Research, Vol. 20, No. 2, pp. 273-280.2000 Cotwinht 0 2000 Elsevier Science Inc. Prktedin the USA. All tights reserved 027 l-5317/00/$-see front matter ELSEVIER PII: SO271-5317(99)00159-l EFFECT OF FRESH GARLIC (ALLIUM SATIVUM) ON LIPID METABOLISM IN MALE RATS R. Aouadi ‘MS, A. Aouidet’ PhD, A. Elkadhi * DTH, Med. C. Ben Rayana 2 DTH, H. Jaafoura’ MD, B. Tritar 3 PhD & K. Nagati ‘MD. ‘Ecole Superieure des Sciences et Technique de la Sante de Tunis; * Institut National de Nutrition et de Technologie Alimentaire ; 3Faculte des Sciences de Tunis. ABSTRACT The hypocholesterolemic effect of dietary garlic was studied. 4 experimental groups were established. The control group (group-C) received a standard diet ; the second group (group-G) received a supplement with 10% fresh garlic, the third group (group-Ch) received 2% cholesterol and the forth group (group-ChG) received 2% cholesterol and 10% fi-esh garlic. The serum cholesterol level was significantly lower in group-G (63.21 f 7.24) than in group-C (72.00 + 8.32) (p < 0.05). On the other hand, hypercholesterolemia induced by cholesterol feeding (group-Ch: 94.33 f 24.50) was significantly reduced by garlic (group-ChG: 65.03 + 10.57) (p < 0.005). Garlic supplementation increased high density lipoprotein and decrease low density lipoprotein in normal, and hypercholesterolemic rats. The reduction in the plasma cholesterol by feeding garlic was in low density lipoprotein and very low density lipoprotein cholesterol fractions. However, the liver weight was influenced by supplementation of garlic. Feeding the garlic diet decreased liver weight in group-G (3.00 +_0.13) compared with group-C (3.33 + 0.26) (p < 0.005) and in group-ChG (3.66 f 0.24) compared with group-Ch (3.35 f 0.15) (p < 0.05). The plasma glucose in rats fed the cholesterol diet supplemented with garlic was reduced, but not significantly, compared with those fed the cholesterol diet without garlic. The results demonstrate that garlic exerts hypocholesterolemic effects in normal or cholesterol-fed rats and reduces the liver weight. 0 ?0011 Elsellrr b~,rn‘Inc. X Key Word : Garlic, Rats, Liver, Cholesterol, Lipoprotein, Glucose. INTRODUCTION Hyperlipidemia or the increased serum cholesterol level is a high risk factor contributing to the development of coronary heart disease (CHD) (1). Epidemiological studies have shown that there is a positive correlation between the incidence of CHD and the blood cholesterol level. Garlic has been known to have medicinal properties in oriental countries ; it has been used as a popular remedy for various physiological disorders such as hemorrhoids, coughs abdominal pain, loss of appetite, pneumonia. Among these, particular attention has been focused on the Address: Pr. AOUIDET Abdallah, Ecole superieure des Sciences et Technique de la Sante de Tunis - B.P. No176 - Bab Souika; 1006 - Tunis -Tel: 216.1.562.455 - Fax: 216.1.570.062. 273 274 R. AOUADI et al. cholesterol-lowering activity of garlic in recent years. There is a widespread search for a drug, which may control both hypercholesterolemia and hypertriglyceridemic. Many works (2, 3) have confirmed the effect of garlic. Recent study have shown that fresh garlic is an hypotensive agent for a short term (4). Several studies (5, 6) have also shown that garlic contain active hypocholesterolemic and hypoglycemic components, known as diallyl disultide and dipropyl disultide (7, 8). Garlic can be processed into different products and used. Our primary objective in the study was to know if the garlic, prepaed in the oven during 45 minutes for 100°C is able to maintain his hypocholesterolemic effect. We will to determine the effects of fresh garlic on lipid metabolism in normal rats and rats rendered hypercholesterolemic including the determination of each lipoprotein cholesterol fraction and the plasma glucose. METHODS AND MATERIALS Reuartition of the grouns One month-old young male rats of the Wistar strain in the weight range 70-80 g were used as experimental animals. The animals were divided into four different groups of 10 animals each. 1) A group of control rats (Group-C) ; 2) group-G received 10% garlic 3) group-Ch received 2% cholesterol and 4) group-ChG received 10% garlic + 2% cholesterol. After a short adjustment period (2 weeks), the rats were kept in stainless-steel cages in a room maintained at 20-22’C with a 12-hour/dark cycle and about 50% relative humidity. Cholesterol and the contents of garlic pearls were supplemented in the required proportion to the control. Exnerimental Design Our study was carried to examine the effect of garlic given for a relatively long period of time (12 weeks) on cholesterol, HDL-Cholesterol, LDL-Cholesterol, triglycerides and glucose concentrations in the total blood. The infbtence of garlic on body weight gain, food intake was also evaluated (the body weight and food consumption were determined weekly). TABLE 1: The comnosition Ingredients Corn starch Casein Soya oil Linoleic acid L-Methionine + L-Cysteine Choline Vitamin mixtures Mineral mixture of control diet Amounts, g/IOOg diet 52.1 35.8 5.7 1.5 0.6 0.2 1.7 1 Vitamin mixture, ner 100 g drv weight diet : vitamin A palmitate : 1,442 IU ; cholecalciferol : 2,000 IU ; a-tocopherol acetate : 4.1 mg ; vitamin K3 : 0.1 mg ; thiamin : 1.2 mg ; riboflavin 0.4 mg ; niacin : 7.7 mg ; vitamin B3 : 0.9 mg ; vitamin B 12 : 1.O mg ; pyridoxine : 1.9 mg ; folacin : 5.4 mg. 2 Trace elements. ner g or m&n drv weight diet : calcium : 7.8 g ; phosphorus : 7.6 g ; sodium : 1.5 g ; choline : 0.35 g ; potassium : 6.9 g ; sulfur : 1.8 g ; magnesium : 1.5 g ; iron : 190 mg ; copper : 7 mg ; zinc : 54 mg ; manganese : 90 mg ; cobalt : 4 mg ; selenium : 4 mg ; iodine : 1 mg. HYPOLIPIDEMIC 275 EFFECT OF GARLIC Prenaration of garlic and diets : Garlic bulbs were obtained from a commercial source, peeled off, washed and ground by a blender for 10 minutes. The contents of garlic or cholesterol or garlic plus cholesterol were supplemented in the required proportion to the control diet (given from PROVITAL -Z.I. 8030 GROMBALIA) which was ground in mill for grains. Diets were prepared by mechanically mixing the ingredients. An addition of the distilled water (100 ml per 100 g of diet) was made to form a bread dough. ARerwards, we put the diets in the oven (REGQLATO ELBA type PRB 5540E SER. NR. 9719 ; CAT. II 2H3+ CQn = Kw ; 78&/h - made in Italy) during 45 minutes for 100°C to make as flat as pancake. The diets were stored at a constant temperature of 4°C and were weighted and changed daily. The diet of control group (group-C) was prepared similarly to the other diets, but without supplement of cholesterol or garlic. Samnle collection On the 12th week, rats were killed by decapitation at 9:00 after 15 hr fasting and blood was collected. Liver, aorta, kidney and stomach were removed from each animal washed in saline solution, weighed and kept in formaldehyde solution. Plasma analvsis : Total plasma cholesterol levels (BIOMERIEUX/France) (9). Serum triglycerides were determined by the enzymatic were determined by enzymatic calorimetric CHOD-PAP method method (10) The lipoprotein (measured by the Enzymatic Calorimetric Method) VLDL and LDL are precipitated by addition of phosphotungstic acid and magnesium chloride After centrifugation the clear supematant contains the HDL (High density lipoproteins) - fraction, which is assayed for cholesterol with the CHRONOLAB/Suitzerland test kit (11). Plasma glucose levels were determined by the enzymatic calorimetric method (GOD-PAP ; CHRONOLAB / Suitzerland ; cat n”lOl-0083). The glucose is determined after enzymatic oxidation in the presence of glucose oxidase (GOD). The formed Hz02 reacts under catalysis of peroxidase (POD) with phenol and 4-amino-antipyrine to form quinoneimine. The intensity of the color is proportional to the glucose concentration in the sample. Statistical analysis : Results have been expressed as the mean f SD. Statistical analysis was performed using a two-tailed Student’s t-test. The difference was considered significant at p < 0.05. RESULTS Feeding the cholesterol the rats of group-Ch, when compared to group-C, increased significantly their levels plasma cholesterol (p < 0.005) and plasma triglycerides (p < 0.05). The plasma cholesterol level in the group-C was significantly reduced (p < 0.05) by feeding garlic (group-G). Whereas hypercholesterolemia induced in group-Ch was significantly reduced (p < 0.005) by feeding garlic (group-ChG). However, Hypertriglyceridemia was not changed neither in group-G nor in group ChG, compared with the group-C and the group-Ch respectively. Rats fed the diet supplemented with garlic (group-G and group-ChG), compared with group-C and Ch respectively, increased significantly (p < 0.05) high density lipoprotein (HDL) R. AOUAPI et al. 276 cholesterol and decreased (but not significantly) low density lipoprotein (LDL) (figurel). The plasma cholesterol was divided into each lipoprotein cholesterol and the percentage of each lipoprotein cholesterol to the plasma total is given in figurel. The proportion of low density lipoprotein (LDL) cholesterol was lower in rats fed the garlic than in animals fed the control diet, Just opposite results were obtained in the proportion of high-density lipoprotein .(HDL) cholesterol to the plasma total cholesterol, Rats fed the cholesterol diet showed an increase in the LDL-cholesterol level but the supplementation of garlic to the cholesterol diet reduced that. T G = 5 35 = 5 30 2 .f 25 z h 20 .g 15 5 s 10 T 5 0 LDL HDL VLDL Figure 1 : Effects of garlic on the percentage of each plasma lipoprotein cholesterolfraction to the total cholesterol in male rats. C : control ; G: control + 10% fresh garlic ; Ch: control + 2% cholesterol ; ChG: control + 10% fresh garlic + 2% cholesterol. * : p < 0.05 Each bar representsthe mean f standarddeviation.(SD)Compamisonswere made between C, G or ch and chG. Body weight gain was not significantly different between all the groups. Feeding the garlic diet decreased liver weight. Rats fed the cholesterol diet showed greater liver weight than control rats. The supplementation of garlic to the cholesterol diet decreased this parameter (table 2). The plasma glucose concentration was reduced in rats fed garlic (group-G) by 6.7%, but this was not significant.The concentration of plasma glucose in rats fed the cholesterol diet supplemented with garlic was decreased significantly (p < 0.05) compared with controls but not when compared with those fed the cholesterol diet without garlic. On the other hand, the same parameter was decreased in rats fed the cholesterol compared with controls. DISCUSSION The decrease of plasma cholesterol level in garlic fed animals indicated that the excretion of cholesterol and cholesterol metabolites can be changed by garlic feeding. The other possible mechanism of garlic action may be direct or indirect inhibition of endogenous cholesterol synthesis as suggested in previous reports (12, 13). The importance of plasma levels of cholesterol and lipoprotein in the pathogenesis of atherosclerosis has been noted by a number of studies. Increased levels of total plasma cholesterol and LDL or VLDL associated with increased risks of developing high concentration coronary diseases (12, 14). ! . . .. 2% cholesterol 2% cholesterol + 10% garlic Ch : Cholesterol ChG : Cholesterol + garlic . . 20.80 + 1.47 (9) 21.48 f 1.66 (8) 19.80 k 1.52 (9) 20.01 f 1.79 (8) (g/day) Food Consumption 21.21 f4.5 (9) 22.48 k 5.6 (8) 20.8 + 6.5 (9) 22.01 f 5.79 (8) Weight Gain (g/week) 3.35” + 0.15*(9) 3.66 f 0.24b (8) 3.00 + 0.13’ (9) 3.33 f 0.26’(8) (8) 70.65 f 10.43b 50.25 k 4.40” (8) 59.89 k6.55’ (8) 65.03 k10.574b (7) 72.97 Z!I11.02b L 94.33 f 24.50’ (8) 63.21 + 7.24b (8) 72.00 zk8.32’ (8) 116.38 f 11.8b (7) ‘Means + SD * : Liver weight in g/l 00 g body weight < 0.05). made between groups-G and C ; Ch and C and ChG and Ch. nbcMeans in the same row with different superscripts differ significantly (p 114.58 f 8.5b (8) 121.6 f 10.7’ (8) 130.37 It 13.9’ (8) Liver Weight Plasma Glucose Plasma Triglycerides mg/dl Cholesterol (g/lOOg) mg/dl ......... ............. .................... ................ ...... ........ ....... ......... ....... ............ ............... .................................. ................ ... (mk!!!!!) in male normal rats and rats fed cholesterol ’ * : The composition of the control diet is given in materials and methods ; number of rats is given in parentheses, Comparisons were 10% garlic Supplement to Control Diet * (“~) . . G : Garlic C : Control Group Effect of garlic on weight gain and plasma components TABLE 2 R. AOUADI et al. 278 In our experiment, rats fed cholesterol diets (group-Ch) increased significantly their serum triglycerides. The increase in circulatory cholesterol and triglycerides levels observed in our results may be due to endogenous synthesis (15). A supplementation of 10% of fresh garlic in the diet caused a marked reduction in the serum cholesterol levels (12.2%). About the absence of an hypotriglyceridemic effect of the garlic, we think that requires a longer period.Thus 10% fresh garlic in the equivalent to 2 - 3% powder garlic was sufficient to have an hypocholesterolemic effect. Garlic fed rats (group-ChG) showed an increase in HDL cholesterol compared with those fed the cholesterol diet (group-Ch) when expressed as a percentage to total plasma cholesterol. The increase of plasma cholesterol in animals fed the cholesterol diet was in mostly LDL fraction ; garlic feeding (group-ChG) reduced the increased LDL cholesterol fraction. The results suggest that one reason of preventive effect of garlic against the atherosclerotic process may be the changes in the portions of lipoprotein cholesterol fractions. But, The groups-G and ChG can have their lipid metabolism altered by the restriction of nutrient/energy since these groups consumed less protein, vitamin, minerals etc. when compared with groups-C or group-Ch. This is why in our mtur experiments, we have interest to verify this hypothesis in rats which should receive the same ratios nutrient. Previous studies have shown that ingestion of garlic appear to inhibit hepatic fatty acid synthesis (12) by lowering key enzymes activities in supplying substrates and consequently reduced the lipid accumulation in the liver and the triglycerides level in the plasma. However, this dose of 1. lg - 1.3g body weight is comparable to the dosage of 1.2 - 1.6g body weight found to be effective in rats (16). The results of the present study, however, clearly confirm the previous clinical studies about the hypocholesterolemic effect of garlic (5). Unlike the previous reports (17, 18) there was no influence of garlic on the plasma glucose concentration in the present study. The hypoglycemic effect of garlic was suggested by increasing the plasma insulin level (14,18). Unfortunately the plasma concentration of insulin was not determined in this study and the discrepancy between our results and others on the hypoglycemic effect of garlic is not known. For the reduction of plasma glucose in group-Ch and group-ChG, we think that there is a cholesterol effect on plasma glucose, or an overall effects, but the mechanism is unknown. The same results were obseved with Myung S and ~011.(19) ACKNOWLEDGEMENTS The authors thank HAOUARI M., SFAXI A. (Ecole Superieure des Sciences et Techniques de la Sante de Tunis) And ALGUEMI C (Institut National de Nutrition) and MAALOUL A. (Institut de Sante et de Securite au Travail) for their excellent technical assistance and supports during the course of this study. REFERENCES 1. Turner P R, Revil J, Laville A. Metabolic normal men. Lancet; 1984 sept 22 : 663-S. 2. Jain RC. Lancet atherosclerosis. 3. Kritchevsky 3 19-23 study of variation 1975; May 3 1 ; 1 : 1240 Letter: D. Effect of garlic oil on experimental in plasma cholesterol Onion atherosclerosis and garlic level in in experimental in rabbits. Artery 1975 ; 1: HYPOLIPIDEMIC 279 EFFECT OF GARLIC 4. Aouadi R, Haouari M, Ben Rayana MC, Bouabid W, Tritar B, Aouidet A. Note sur l’effet de la consommation de l’ail frais (Allium Sativum) sur la tension arterielle chez l’homme. Med Nutr 1998 ; juil. 3 : 109-14. 5. Bordia A, et al. Effect of the essentiel oils of garlic and onion on alimentary Atherosclerosis 1975 ; 21 : 15-9. 6. Jain RC. Effect of garlic on serum lipids, coagulability Clin Nutr 1977 ; 30 : 1380-l. and fibrinolytic 7. Bordia A & Bansal HC. Essentiel oil of garlic in prevention 1491-2. 8. Jain, RC & Vyas CR. Garlic and alloxan-induced 684-S. hyperlipemia. activity of blood. Am J of atherosclerosis. Lancet 1973 ; 2: diabetic rabbits. Am J Clin Nutr 1975 ; 28: 9. Fossati P. Serum triglycerides determined calorimetrically hydrogen peroxide. Clin Chem 1982 Ott ; 28 (10) : 2077-80. with an enzyme that produces 10. Richmond W. Preparation and properties of a cholesterol oxidase from Nocardia sp. and its application to the enzymatic assay of total cholesterol in serum. Clin Chem 1973 Dee; 19 (12) :1350-6 11. Gordon T; Castelli WP; Hjortland MC; Kannel WB; Dawber TR. High density lipoprotein as a protective factor against coronary heart disease. The Framingham 62 (5):707-14 12. Study. Am J Med 1977 May Gofman JW, Young W & Tandy R. Ischemic heart disease, atherosclerosis Circulation 1966 ; 34 : 679-85. and longevity. 13. Kritchevsky D, Tepper SA et al. Influence of garlic oil on cholesterol metabolism Rep Int 1980 ; 22 : 641-5. in rats. Nutr 14. Freedrickson integrated approach to DS, Levy RI & Lees R S. Fat transport and lipoproteins-an mechanism and disorders. N Engl J Med 1967 ; 276 : 32-5. 15. Kamanna VS and Chandraseklara N. Effect of garlic (Allium Sativum) on serum lipoproteins and lipoprotein cholesterol. lipids 1982 ; 17 : 483-8. 16. Chang MW, & Johnson M. Effect of garlic on carbohydrate metabolism and lipid synthesis in rats. J Nutr 1980 ; 110: 931-6 17. Jain RC, & Vyas CR: Garlic and alloxan-induced diabetic rabbits. Am J Clin Nutr 1975 ; 28 : 684-5. 18. Sodimu 0, Joseph PK and Augusti KT. Certain biochemical effects of garlic oil on rats maintained on high fat-high cholesterol diet. Experientia 1984 ; 78-80. R. AOUADI et al. 280 19. Myung S, CHI*, Eunsodk T, Koh and Troy J. Effects of garlic on lipid metabolism cholesterol or lard. J Nutr 1982 ; 112: 241-8. Accepted for publication June 30, 1999. in rats fed