The involvement of
choline and its metabolite
trimethylamine-N-oxide (
TMAO) in endothelial dysfunction and
atherosclerosis has been repeatedly confirmed.
Phloretin, a
dihydrochalcone flavonoid usually present in apples, possesses a variety of biological activities including vascular nutrition. This study was designed to investigate whether
phloretin could alleviate or prevent high
choline-induced vascular endothelial dysfunction and liver injury in mice. Mice were provided with 3% high
choline water and given
phloretin orally daily for 10 weeks. The high
choline-treated mice showed the significant
dyslipidemia and
hyperglycemia with the impaired liver and vascular endothelium (p < 0.01). Administration of
phloretin at 200 and 400 mg/kg bw significantly reduced the
choline-induced elevation of serum TC, TG,
LDL-C, AST, ALT, ET-1 and TXA2 (p < 0.01), and markedly antagonized the
choline-induced decrease of serum PGI2, HDL-C and NO levels. Furthermore,
phloretin elevated hepatic SOD and GSH-Px activities and decreased hepatic MDA levels of the mice exposed to high
choline water. Moreover, histopathological test with the H&E and
Oil Red O staining of liver sections confirmed the high
choline diet-caused
liver steatosis and the hepatoprotective effect of
phloretin. These findings suggest that high
choline causes oxidative damage, and
phloretin alleviate vascular endothelial dysfunction and liver injury.