In mammals milk is the principal nutrient for neonates at birth. The basic milk composition is similar between different mammals, but the content of individual constituents such as lipids may differ significantly from one species to another. The milk fat fraction is mainly composed of triglycerides which account for more than 95% of the lipids found in human and bovine milk. Though sterols and in particular cholesterol, the predominant milk sterol, represent less than 0.5% of the total milk lipid fraction, they are of ultimate importance for biological processes such as the formation of biological membranes or as precursors for steroid hormone synthesis. Cholesterol found in milk originates either from blood uptake or from local synthesis. This chapter provides an overview of cholesterol exchanges between the blood, the mammary tissue and the milk. The current knowledge on the expression, localization and function of candidate cholesterol transporters in mammary tissues of human, murine and bovine origin is summarized. Different mechanisms of how cholesterol can be transferred via the mammary tissue into milk, and which active cholesterol transporters are likely to play a role in this process will be discussed.Keywords: cholesterol transport, milk composition, ABC transporter, mammary gland
148Handbook of dietary and nutritional aspects of human breast milk C. Albrecht, X. Huang and E.C. Ontsouka
Key facts• Cholesterol is a crucial molecule which, as a cell membrane constituent, is essential for cell growth and renewal as well as for the synthesis of specific hormones.• Milk and its derived products are one of the most important sources of cholesterol in the human diet (both adults and infants). Regarding its role as a nutrient found in milk considerable and often controversial effects of cholesterol on human health are discussed. In this context it seems important to distinguish cholesterol effects in babies/infants as opposed to adults.• Babies consume very high amounts of cholesterol per kg of body weight compared to adults without showing detrimental effects attributed to high cholesterol intake. Interestingly, the increase of serum cholesterol levels in breastfed babies is more pronounced as compared to milk formula fed babies.• The identification of active cholesterol transporters in other peripheral tissues have revolutionized the current thinking of how cholesterol is transported or exported from epithelial cells. Therefore, the current concept of cholesterol trafficking in the mammary gland needs re-thinking and the role of active cholesterol transporters in this process has to be elucidated.
Summary points• Cholesterol is the predominant sterol found in milk. It enters the latter from the blood where it circulates bound to various carrier proteins such as very low density lipoprotein, low density lipoprotein, and high density lipoprotein.• The transcellular transport of cholesterol in the mammary gland implies an uptake from the blood circulation, redistribution in cytosolic compartments and re...