Influence of Various Sugars, Chromium and Other Trace Metals on Serum Cholesterol and Glucose of Rats ' HENRY A. SCHROEDER,2 Department Hampshire of Physiology, and Brattleboro MARIAN Dartmouth Memorial MITCHENER Medical Hospital, AND ALEXIS P. NASON School, Hanover, New Brattleboro, Vermont The cholesterol-lowering effect of chro mium and of brown sugar fed to rats on a torula yeast—sucrose—larddiet has been reported (1). Rats given refined white sugar had higher serum levels of choles terol than did those given added chromium (III) by 11 months of age, and higher levels than rats fed dark brown sugar by 5 and 11 months of age. Others fed raw sugar up to 4 months of age had somewhat depressed serum cholesterol levels. The observations on this effect of chromium have been confirmed in hypercholesteremic rats of another strain fed cholesterol (2); chromium suppressed elevated serum lev els significantly. Fasting serum glucose was also depressed by brown sugar (1). We have extended these observations to 22 to 23 months of age, have examined the J. NUTRITION, 101: 247-258. effects of chromium, nickel, molybdenum and cadmium on fasting serum cholesterol levels of rats on a starch diet, and investi gated glycolytic effects of these trace ele ments. Although a part of the data in this study has been reported (1), they are in cluded for purposes of ascertaining changes with age. METHODS Two diets were used in this study. A diet of 30% torula yeast,3 50% sugar, 15% Received for publication May 22, 1970. 1 Supported by Public Health Service Research Grant no. HE 05076 from the National Heart Institute; CIBA Pharmaceutical Products Inc.; Cooper Laboratories, Inc.; and General Foods Corporation. 2 Present address: 9 Belmont Avenue, Brattleboro, Vermont 05301. 3 General Biochemicals, Inc., Chagrin Falls, Ohio. 247 Downloaded from jn.nutrition.org by on November 25, 2008 ABSTRACT Because the feeding of brown sugar or chromium(III) to rats had been found to produce lowered serum cholesterol levels for 11 months, studies were continued to 23 months of age to ascertain long-term effects. In addition an attempt was made to discover other trace factors influencing choles terol and glucose metabolism. Groups of rats were fed a torula yeast, sucrose and lard diet, with refined white sugar, dark brown sugar or raw sugar. The diet con tained 0.08, 0.16 and 0.14 Mg/g chromium, respectively, dry weight. One group fed white sugar was given 5 ppm chromium in drinking water, and all were given the other essential trace metals. A standard diet of rye, milk and corn oil was fed to other groups of rats, with or without chromium in water, and with cadmium, nickel and molybdenum. The feeding of white sugar plus chromium, brown sugar or raw sugar retarded the rise of serum cholesterol with age characteristic of chromium deficiency. The feeding of brown sugar lowered fasting serum glucose levels up to 11 months of age but not thereafter in females; in males the level rose after 11 months but did not rise to the levels of the white sugar group. Chro mium was hyperglycémiewith age, whereas the feeding of brown sugar to male rats was accompanied by lesser elevations at older ages, and raw sugar had mini mal effects in both sexes. In rats fed the starch diet, the addition of 5 ppm chro mium usually resulted in depression of serum cholesterol and glucose levels, the addition of 50 ppm cadmium had no consistent effects, and the feeding of 50 ppm molybdenum alone without other trace elements resulted in effects on cholesterol similar to those of chromium. The torula yeast diet contained little vitamin E, and neurological symptoms of vitamin E deficiency occurred in all animals fed this diet for 18 to 24 months. J. Nutr. 101: 247-258, 1971. 248 H. A. SCHROEDER, M. MITCHENER AND A. P. NASON and the diet with brown sugar. These three groups comprised series A. A second series of rats, series B, was born April 4, 1968. One group of 40, equally divided as to sex, was given the torula diet with white sugar and the basal water in order to repeat the observations on series A. A second group of 37 was given the torula diet with raw sugar and the basal water. Rats were weighed at 2-week intervals until 3 months old and monthly thereafter. After fasting 18 hours, serum cholesterol was measured by the method of Huang et al. (6) and serum glucose by that of Washko and Rice ( 7 ), using premixed reaagents.10 The diets were analyzed for essen tial trace metals by atomic absorption spectrophotometry." The results are shown in table 1. The second type of diet was our regular starch diet of 60% whole untreated Balbo rye flour, 30% dried skimmed milk, 9% * Pure lard shortening, Tobin Packing Co., Albany, N Y s The salt mixture contained: (%) CaCO:i 48, MgCOa 25 MgS04 8H,O 1.6, NaCl 6.9, KC1 11, KH2PO4 21, FeSO4-7H2O 3, KI 0.008, Na2SeO4 O.OÇ1, cystine 6. The vitamin mix provided: (mg/100 g diet) choline chlo ride 100, niacin 10, vitamin Bi2 (0.1% in mannitol) 0.1, d-Ca pantothenate 2, thiamin-HCl 0.4, riboflavin 0 25 pyridoxine 0.2, menadione 0.1, biotin 0.05, folie acid 0.2, crystalline retinyl acetate 1.4 (4000 IU), crys talline vitamin D»0.01 (400 IU). 6 Domino brand, American Sugar Co., New York. 7 See footnote 6. 8 Supplied by John L. Hickson, Ph.D., Sugar Re search Foundation, New York, from a shipment of Philippine sugar to American Sugar Co., Brooklyn, N. Y. It contained 97.88% sucrose, 0.73% invert sugar, and 0.7% undefined material. 9 Random bred pregnant females were obtained from Blue Spruce Farms Inc., Altamont, N. Y. ">Berkeley Medical Instruments, N.E. X-Ray and Electronics, 157 Sutherland Road, Brookline, Mass, i' Model 303, Perkin-Elmer Corp., Norwalk, Conn. TABLE 1 Essential trace metals in torula diets containing Downloaded from jn.nutrition.org by on November 25, 2008 commerial lard," 4% sait mixture (pro viding 0.24% cystine) and 1% vitamin mixture 5 modified from that of Schwarz and Mertz (3) was prepared. Sodium sele nite was added to the salt mixture in an amount to provide an additional 0.2 ppm selenium in the diet. The vitamin E con tent was not measured; commercial lard is said to contain 2.0 mg/100 g (4). It is estimated that the diet contained 3 ppm vitamin E. No antioxidants were added, except selenite, nor did the lard contain any according to the label. Compared to the diet of Schwarz and Mertz (3), our diet differed in having: less sucrose (50% vs. 59%), more fat (15% vs. 5%), the use of commercial lard instead of vitamin E-free lard, and added cystine. There were minor differences in the salt and vitamin mixes. The diet was mixed twice weekly. Three types of cane sugars were given ( 1) : re fined white sugar,6 dark brown sugar 7 and raw sugar." The basal drinking water con tained (ppm): zinc 50, manganese 10, copper 5, cobalt 1, molybdenum 1 as sol uble salts (5) given to all animals. To one group of rats, 5 ppm chromium as the acetate was added to the water. Long-Evans rats of the BLU: (LE) strain were obtained as random bred pregnant females.9 Litter mates born August 20, 1967 were divided into three groups of 20 of each sex, four to a cage. When weaned, they were given the basal water and the torula diet with white sugar, the basal water with 5 ppm chromium added and the diet with white sugar, or the basal water various sugars, and standard diet ' sugar sugar sugar MetalCrMnCoCuZnMoNi*Sr*White dietß9/90.083.050.081.9528.60.090.085.43Brown dietna/g0.141.55< dietß9/90.1412.70.35-0.461.3622.30.250.2-0.75.23 starch dietIÕ9/90.164.350.234.5827.70.040.3014.45Raw 0.031.1817.10.040.137.15Regular 1 Torula diet of 30% yeast, 50% sugar, 15% lard and 5% salt mixture. Regular diet of 30% skimmed milk, 60% whole rye flour, 9% corn oil and 1% sodium chloride, with iron added. All values on dry weight basis. * Possibly essential. CHOLESTEROL AND GLUCOSE OF RATS with two groups fed the torula yeast diet (series B). This group received 5 ppm chromium in drinking water. More than half were living in August, 1970. RESULTS Body weights. The weights of rats up to 12 months of age given the torula yeast diet and various sugars have been reported (1). The growth rates of rats fed the reg ular diet were similar to those of series B fed the yeast diet up to 1 year of age. In general, the torula diets were adequate for growth up to a year of age, but weight was lost at 18 and 24 months in all groups but those fed the regular diet (P < 0.01 or 0.001). Losses in males were 25 to 44% and in females, 11 to 28% . Unlike the case of rats fed the regular diet (10, 11), chro mium had no significant effect on growth of rats fed the yeast diet. Survival. Rats given the torula diet sur vived poorly as compared with those given the regular diet. At 18 months of age, over all mortality of 103 rats of both sexes fed the regular diet was 5.9% and at 24 months, it was 21.4%. Of 198 rats fed the torula yeast diet, mortalities at these ages were 24.2% and 60.1% respectively. Dif ferences by chi-square analysis were sig nificant at both ages (P < 0.0005). This diet was therefore adequate for growth but not for survival. Survival of the various groups is shown in table 2. Median life spans of rats fed brown sugar were greater than those of the other groups, but less than a comparable series given the regular diet. Mortalities at 24 months of age were : white sugar A 58% , white sugar plus chro mium 75% , brown sugar 40% , raw sugar 59% , white sugar B, 72% . All but five rats in series A (95.9% ) were dead by 30 months of age, whereas about 50% of rats fed the regular starch diet have regularly survived to 30 months of age (P < 0.0001 ). Longevities, or mean ages of the last five survivors, were greater in the brown-sugar groups than in the white-sugar groups and the male white-sugar-plus-chromium group; they were also greater in the raw-sugar groups than in the comparable white-sugar groups of series B. Serum cholesterol, torula yeast diet. Fasting serum cholesterol levels of rats given the torula yeast diet at 2 or 3 ages Downloaded from jn.nutrition.org by on November 25, 2008 corn oil and 1% iodized sodium chloride, with iron and vitamins added (5). Con centrations of essential trace elements are given in table 1. Groups of 50 or more rats of each sex were fed this diet, differing only in the drinking water supplied. For pilot studies, smaller numbers were used. There were five series. Series 1 control animals were given the basal water with no chromium. Other groups were given the basal water with 5 ppm chromium and the basal water with 5 ppm cadmium. In this series, serum cholesterol levels were mea sured by the method of Abel et al. (8); the data have been reported (9) and are in cluded here for completeness. Series 2 control animals were given the basal water with 1 ppm chromium added. A group of females of the same age was fed the basal water with 5 ppm chromium added. Series 3, 4, and 5 control animals were fed the basal water plus 5 ppm chromium. In series 3 was a full group given 5 ppm nickel, a full group given 50 ppm cadmium, and a pilot group of 24 rats given 10 ppm molybdenum, in addition to the basal water plus 5 ppm chromium. One group was given 12 ppm chromium. Because molybdenum is in the same periodic subgroup as chromium, and there fore might exert similar or opposite actions biologically, a full complement of rats were fed 50 ppm molybdenum as molybdate in doubly deionized water without any other elements but those in the diet, and com pared to their litter mate controls in series 4. Another 20 rats of each sex were given the basal water plus 50 ppm cadmium and 5 ppm chromium. The control rats were given basal water plus 5 ppm chromium. Series 5 consisted of a control group of young rats given 5 ppm chromium and a full complement of animals fed the basal water without chromium. They were not concurrent with each other. Serum of each of 12 rats from each group was analyzed for cholesterol and glucose, usually at yearly intervals. All rats were born and housed in a laboratory espe cially constructed to avoid environmental metallic contamination (7). In order to compare growth rates, one group of 103 rats given the regular starch diet (series 4) was weaned simultaneously 249 250 H. A. SCHROEDER, M. MITCHENER AND A. P. NASON TABLE 2 Survival of rats fed the torula yeast diet and various sugars DietBrown AWhite sugar AWhitesugar AWhitesugar + Cr BRaw sugar BStarch sugar «Brown diet, series 3 ±22.8864 ±9.5»732 >•«801 ±12.5 ±8.3849 ±13.6«11 ±27.8921 60 2592680872782667636 ±14.2823 ±11.2»917±31.75759 *63069891275% 4870±21. ±27.4«1304 ±36.0 1Mean ±SEMof last five surviving rats. 2Differs from brown sugar group by Student's t, P < 0.005, or by chi-square P < 0.005. » P < 0.001. « Differs from white sugar group, P < 0.005, of respective series. *P < 0.025. 8Series 3 rats were started July, 1966 and were not concurrent with series A, started August, 1967 or series B, started April, 1968. Series 4 rats were littermates of series B, but more than half were alive in August, 1970: thus, series is incomplete. Series 3 is shown for comparison. TABLE 3 Fasting serum cholesterol levels ' in rats fed various sugars and a torula yeast-lard-sugar SugarWhite AWhite rats1212121212412121212121212MalesCholesterol levelmg/100 ml74 ±2.7104 ±6.8»109±4.168 diet rats—129—11612121212121212FemalesCholesterol levelmg/100 ml—110±11.4123 ———< ±14.3—59 CrABrown + ±3.157 ±3.5«85 0.001< ±5.5»62 0.001< AWhite 755±4. 0.025< ±3.383 0.001< ±3.4»60 0.001——<0.05< BRawB«Agedays150324680151322715157318709128486128486No. ±3.287±3.1»53 ±1.762 ±3.5«P2NS< 0.001No. ±4.481 0.001< ±8.3»69 0.025—< ±3.177 =93±2.2 0.001< ±2.9»60 0.025—< ±1.596±2.3344 ±1.776 ±2.3»pz. 0.001< 0.001 1Mean ±SEM. 2 Significance of difference from white A or white B by Student's t at comparable age. 3Value differs from that of proceeding age, P < 0.001. « P < 0.025. » P < 0.005. 6The data up to 324 days of age for series A and at 128 days of age for series B have been reported (1), and are included here for comparison. are shown in table 3. In series A, the levels of male rats fed white sugar rose from 5 to 11 months of age, and remained rela tively unchanged in both sexes from 11 to 23 months of age. When chromium was given, levels were significantly lower at both older ages. Cholesterol levels of rats fed brown sugar were significantly lower at all ages than were those of the whitesugar groups, and differed little from those fed white sugar plus chromium. In series B, cholesterol levels of rats fed raw sugar were significantly lower at 4 and 16 months than were those of rats fed white sugar. Downloaded from jn.nutrition.org by on November 25, 2008 AWhite sugar AWhitesugar AWhitesugar + Cr BRaw sugar BStarch sugar diet, series 3 eNo. i924 rats202019191752212021212052Median age800740601 dead8878206867667949748417147397087721050daysMales9038607428108481057Females9318 dead 90% survivor101089075683188812329608609378479251347Longe CHOLESTEROL AND GLUCOSE OF RATS mium, levels were depressed at 16 but not at 30 months of age. In series 4, 50 ppm cadmium did not result in significant differences from con trol cholesterol levels of older rats. These results are in conflict with those in series 3. The feeding of 50 ppm molybdenum alone was associated with lower levels of serum cholesterol in older male rats than in their control counterparts at two ages, and lower levels in females at one age. The two groups of series 5 were of dif ferent ages, the group without chromium being 19 months older than that fed 5 ppm chromium. Comparison at the youngest ages showed lower cholesterol levels in the latter than in the former. Although not strictly comparable, as the groups were not concurrent, table 4 indi cates that when 5 ppm chromium was fed to rats, fasting serum cholesterol levels were usually lower (in five of six pairs of analyses in males comparable as to age and in four of seven pairs in females) than when chromium was not given. The effect of cadmium in the various series was inconsistent. The feeding of molyb denum at 10 ppm plus chromium at 5 ppm was associated with higher cholesterol levels in young rats than were 50 ppm molybdenum alone; levels in older rats were similar. Age-linked changes in serum cholesterol levels occurred in the various series but were not consistent. In males fed 5 ppm chromium, levels were lower in older than in younger rats at one or two intervals in series 3, and were higher in series 4. In females, they were lower in no series, and higher in series 4. Lower values at older ages also occurred in males fed nickel and in the series 5 no-chromium groups. Higher values at older than at younger ages were found in series 1 and 3 cadmium-fed ani mals, in females fed 12 ppm chromium, and in series 4 animals fed 50 ppm molyb denum. They were also higher in series 2 controls fed 1 ppm chromium at one inter val. It is noteworthy, however, that fasting serum cholesterol values greater than 100 mg'lOO ml occurred largely in rats fed 0 to 1 ppm chromium (11 of 19 analyses) or cadmium (3 of 13 analyses), and were unusual in rats fed 5 ppm chromium (2 Downloaded from jn.nutrition.org by on November 25, 2008 Age-linked changes were evident in four of the five dietary groups. In rats of series A, cholesterol levels rose significantly from 11 to 23 months of age, in males and fe males fed white sugar plus chromium, by 28 and 22 mg/100 ml, respectively, and in those fed brown sugar by 28 and 16 mg/100 ml, respectively, but not in those fed white sugar only. In series B, from 4 to 16 months of age, levels rose in males and females fed white sugar by 27 and 36 mg/100 ml, respectively, and in those fed raw sugar by 9 and 32 mg/100 ml, respec tively. From 5 to 11 months of age, de clines in cholesterol levels occurred in males fed white sugar plus chromium and brown sugar, but not in those fed white sugar only. A progressive rise in serum cholesterol with age was found in females fed brown sugar. Thus, chromium and brown sugar did not inhibit the rise with age in older male rats, as they had in younger ones. Serum cholesterol, starch diet. Fasting serum cholesterol levels of rats given the regular starch diet without chromium, with three levels of chromium, and with nickel, molybdenum, or cadmium are shown in table 4. For comparison and completeness, the first series, which has been reported (9), is included. In series 1, both chromium and cadmium were cholesterolytic in older males but not in females. Cadmium-fed chromium-deficient rats had increased cho lesterol levels at the oldest age. In series 2 males fed 1 ppm chromium appeared partly to modify age-related changes in serum cholesterol levels as shown in control males of series 1. There was little effect in females. When a group of females was given 5 ppm chromium, levels were lower than those of rats fed 1 ppm. Series 3 rats fed 5 ppm chromium showed good control of cholesterol levels. The addition of nickel at 5 ppm was ac companied by lower levels than the con trols in males but not in females. The ad dition of 50 ppm cadmium resulted in significant elevations of cholesterol levels in males as compared to the controls, with one value higher in females. The addition of 10 ppm molybdenum appeared to have no effect on cholesterol levels in either sex. When female rats were given 12 ppm chro 251 252 H. A. SCHROEDER, M. MITCHENER AND A. P. NASON TABLE 4 Fasting serum cholesterol levels ' in rats fed chromium, nickel, molybdenum and cadmium, according to age; starch diet waterControl Metal in basal Males Females levelmg/100 levelmg/100 ml102 ±4.5108 ±4.4123 ±8.291 ±4.877 ±6.693 ±7.676 ±4.768 2.889 ± ±8.7'111±8.776 CrChromium 1, 0 ppmCadmium5 ppmControl 5 ppmControl 1 ±7.395±11.2—101 0.001< ±8.2114 0.05NS_NSNS————< 0.01< ±9.5—87±9.8113±9.0«72 0.001< 0.001<0.01—————————<0.01< ±5.3120 5116±6.1109 ±9.3 ±2.9'78 ±2.192 ±5.3»—86 ±4.063±4.172 0.001_—_< 5 3Chromium ppmChromium ppmNickel ±3.267±5.1»——75 5 ±5.277 ±5.262 ±2.786 ±3.4»75 12 +chromium 5 ppm ppmMolybdenum5 ±2.649±4.8579 0.05NSNSNS—NSNS< ±3.880±4.777 0.01—NS—< ppm+ 10 chromiumCadmium 5 ppm ±2.483 ±5.464 ±4.276 ±5.874 ppm4- 50 chromiumControl 5 ppm Downloaded from jn.nutrition.org by on November 25, 2008 2Chromium ppmChromium ml—80 ±4.2107 ±2.488 5111±6.1 ±2.8*84 0.005< 0.05———— 0.001———Agedays—510761—510761—51076040565769871870940572648091234266315 ±5.960 ±12.446±1.788±2.45100 4Chromium ±3.494±3.7585 5 ppmAgedays360510761360510761360510760405657668718—402718——342663151315231576917129476810Cholesterol ±7.3Pi———NS< Molybdenum 50 ppm (in doubly deionized water) 135 477 813 Cadmium 50 ppm + 5 ppm chromium 719 Control 5, 5 ppm chromiumNo chromium '9011522857184 NS ±5.8PZ_—__—< 51 ±2.2 76±4.65 76 ±3.5 < 0.025 < 0.005 135 477 813 57±1.5 74 ±5.4 ' 97 ±4.2 5 99 ±5.2 NS 719 97 ±4.3 ±1.9114 ±5.0123 ±10.178 ±4.8*< NS < 0.005 ^0.05 NS 0.005< ±4.0110±2.791 0.001< 0.005—~~9012722857174 0.001—— ±6.186 ±6.0< 1 Mean ±SEM. 2 P is significance of difference of value from that of control group of comparable or nearest age by Student's t. NS: Not significant. 3 Value differs from that of preceding age, P < 0.025. < P < 0.05. 5 P < 0.001. «P < 0.005. 7 Analyses were made on 12 rats in each group. Series 1 has been reported (9). All rats were given basal water except group fed molybdenum 50 ppm. Basal water contained 50 ppm zinc, 10 ppm manganese, 5 ppm cop per, 1 ppm cobalt, 1 ppm molybdenum. Series 1 was started Feb. 1961; series 2, Sept. 1963; series 3, July 1965; and series 4, April, 1968; therefore each metal-fed group in each series was run concurrently. The series 5, 5 ppm chromium group was begun May 1970, and the 0 ppm chromium group was started January 1969; therefore these two treatments were not concurrent. 253 CHOLESTEROL AND GLUCOSE OF RATS and 102 ±4.5. Likewise, males fed 5 ppm chromium had fasting glucose levels at 14 and 24 months of age of (mg/100 ml) 101 ±5.5 and 83 ±2.9; when fed 1 ppm chromium they had 117 ±2.2 and 107 ±3.5, and when given no chromium they had 112 ±3.7 and 134 ±5.1, respectively. Nickel was present in sizable amounts in brown sugar (table 1). Therefore, pos sible glycolytic effects of nickel in rats fed the starch diet were evaluated in series 3 animals. No depression of fasting serum glucose occurred in males at two intervals, nor in older females, but at 12 and 13 months of age, levels were lower ( 78 ±4.2 mg/100 ml) in the nickel-fed females than in the controls (90 ±4.9 mg/100 ml, P < 0.05). In series 3 rats given 10 ppm molyb denum plus 5 ppm chromium, there ap peared to be a synergistic action of the two trace elements on fasting glucose levels. At the one comparable interval, males and females had serum glucose levels of 78 ±5.1 and 63 ±1.7 mg/100 ml, differing significantly from their con trols of 101 ±5.5 and 90 ±2.1 mg/100 ml, respectively (P < 0.005 and P < 0.001). This phenomenon did not appear in rats fed 50 ppm molybdenum without chro mium. In fact, male levels did not differ TABLE 5 Fasting serum glucose levels ' in rats fed various sugars SugarWhite levelmg/100 ml107±4.5104±4.0109 levelmg/100 ml—118±3.4107 AWhitesugar +CrBrown sugar ±3.197 ±2.9109 3141±3.7 «86±1.786 ±5.6 ±7.6—83 0.05NS< ±4.6134 0.001< 498±4.6 0.005—NSNS——< 0.001< ±3.085±4.13126 0.001< sugarWhite ±3.8105 0.001< 7.5«122 :± O.O01——< 4132it3. 7 ±3.888±8.14119±5.194 ±3.8105 BRaw sugar ±5.5«110±4.9105 sugar 5Agedays150324680151322679157318686128457128456MalesGlucose 0.025NS 0.05NSGlucose ±3.3«P2————< ±5.5FemalesP2———< 1Mean ±SEM. 2 Significance of difference between value shown and that of preceding group of comparable age, by Student's t. NS: Not significant. 3Value differs from that of preceding age in same group, P < 0.01. 4 Value differs from that of preceding age in same group, P < 0.001. oThe data up to 324 days of age for series 1 and at 128 days of age for series 2 have been reported (1) and are included here for comparison. There were 12 rats in each group, except as shown in table 3. Downloaded from jn.nutrition.org by on November 25, 2008 of 36 analyses). This distribution is sig nificant by chi-square analysis (P < 0.001). Fasting serum glucose, torula yeast diet. Rats of series A fed white sugar plus chro mium or brown sugar exhibited signifi cantly elevated fasting serum glucose levels at about 23 months of age compared to those at 11 months of age (table 5), al though levels of males fed brown sugar were lower at all ages than those given chromium. They were little changed in the group given white sugar alone. In series B, there were age-linked declines in fasting glucose levels of rats of both sexes fed white sugar and in females fed raw sugar. Fasting serum glucose, starch diet. Fasting serum glucose levels were obtained in 68 groups of rats fed the starch diet at the times cholesterol levels were as certained. The hypoglycémie effect of chromium has been reported (11) and sub sequent studies have confirmed this phe nomenon. For example, female rats fed 12 ppm chromium in water for 16 months had glucose levels (mg/100 ml) of 75.3, com pared to 104 ±4.9 in rats given 5 ppm chromium, 114 ±5.4 in rats given 1 ppm chromium and 138 ±4.8 in rats given no chromium at comparable ages. At 24 to 30 months of age, values were (mg/100 ml), respectively: 87 ±3.8, 85 ±4.6, 114 ±5.8 254 H. A. SCHROEDER, M. MITCHENER AND A. P. NASON tively, smaller by 27.6% and 19.4% than those of rats fed the starch diets (12). There were no consistent differences among the 10 groups in the ratio of heart size to body weight at death. There were also no obvious differences between the groups in time of onset of the paralysis, in tumors, or in blanching of the incisor teeth. Weight loss at death compared to weight at 18 months of age was less in females fed brown sugar (23.5% ) and both sexes fed raw sugar (males 28.2%, females 23.2% ) than in the groups given white sugar with or without chromium (males 35.8 to 39.2%, females 33.2 to 41.4% ). DISCUSSION A factor responsible for a low or normal serum cholesterol in rats is chromium (III). Therefore, one sign of chromium deficiency is a relatively elevated serum cholesterol level. This essential trace metal was active in rats fed both our regular starch diet and the torula yeast diet, and in hypercholesteremic rats fed cholesterol (2). Compared to chromium-deficient male rats given the regular starch diet (0.14 /«g/gchromium), the addition of 1 ppm chromium in drink ing water was associated with significantly lower serum cholesterol levels and the ad dition of 5 ppm resulted in further lower ing. In females 5 ppm were necessary to produce relatively low levels and 12 ppm were more effective at 16 months of age and equally effective at 30 months of age. None of 12 other elements showed this type of action (13), although elements of the first and second transitional groups fed to rats tended to be associated with lower cholesterol values than the heavier metals and the nonmetals. When serum cholesterol levels of older rats fed 14 trace elements were evaluated according to the positions of the elements in the periodic table, interesting trends ap peared (13). Elements of periods 4 and 5 were assigned arbitrary numbers from 2 to 27 according to relative locations in the two periods and arranged in the order: zirconium, vanadium, niobium, chromium, molybdenum, nickel, cadmium, germani um, tin, lead, arsenic, antimony, selenium, tellurium. Cholesterol levels of rats fed each of these elements showed positive Downloaded from jn.nutrition.org by on November 25, 2008 from their controls at 4 months of age, were significantly higher than their con trols at 16 months of age and were lower at 27 months of age, whereas female levels were significantly lower than their controls at 4 months of age, were high at 16 months of age and did not differ at 27 months of age. Thus, the effects were in consistent. A comparison of serum glucose levels of rats of both sexes fed 5 ppm chro mium and 10 ppm molybdenum with levels of rats fed 50 ppm molybdenum without chromium showed significant differences (P < 0.001) at 4 to 5 months and 11 to 16 months of age, respective ranges being 63 ±1.7 to 78 ±5.1 and 90 ±2.3 to 128 ±4.0 mg/100 ml. Fasting glucose levels of rats fed 5 ppm chromium, compared to those fed 50 ppm cadmium in addition to 5 ppm chromium, did not differ from their controls at two intervals and were higher than their con trols at the oldest interval. Effect of torula diet in older rats. Rats fed the torula yeast diet for 18 months began to exhibit nervous irritability and hyperactivity of the lower extremities with twitching and spasms. Paralysis of the hind quarters slowly developed during the fol lowing 3 months, until it became total. Weight loss was evident at 2 years of age, which progressed to the point that at death, males had lost 37.5% of their weight at 18 months of age and females had lost 30.1 % . Scabby skin lesions were frequently found, but loss of hair occurred in only 5% of the animals. Cannibalism was found in 21.2%, and in several instances ani mals had eaten their own tails, suggesting that the paralysis was sensory as well as motor. Permanent lateral or dorsal spinal curvatures were common, and dental caries were often seen. There was a remarkable loss of subcutaneous and abdominal fat; it could not be found in 67.2% of cases. Of all rats autopsied, paralysis occurred in 90.4% of series A and 84.6% of series B. The loss of weight was somewhat as sociated with reduction in the size of the heart relative to that of the body. Ratios of heart weight to body weight X 1000 varied from 3.79 to 5.92 in males and 4.10 to 5.55 in females, the mean heart sizes being 1084 mg and 765 mg, respec CHOLESTEROL AND GLUCOSE OF RATS 255 Downloaded from jn.nutrition.org by on November 25, 2008 correlations (r) with relative position in nal considering the rise in older animals, males of 0.53 (P < 0.025) and in females whereas male rats fed the starch diet re of 0.66 (P < 0.01). Thus, the first six ele quire at least 1.0 ^g and females require ments were more likely to be associated 1.5 fig/100 g body weight/day. According with lower cholesterol levels than the last to these calculations, commercial diets six, males showing mean values of 83 ±3.2 which have 1 to 1.2 Mg/g chromium (16) and 97 ±4.8 mg/100 ml (P < 0.025), and would supply 6 to 7.2 fig/100 g per day, a females 78 ±4.8 and 101 ±3.3 mg/100 luxus amount. It is possible that the ml (P < 0.001), respectively. amount of chromium actually absorbed According to these data, molybdate in from the starch diet is less than that from large amounts (50 ppm) can exhibit a the torula diet, and that optimal amounts chromium-like action on serum cholesterol for rats are 2 to 3 /¿g/100g per day. of rats, but not on fasting serum glucose If the requirement of chromium for cho levels. Glycolytic effects occurred only lesterol homeostasis in the rat can be when chromium was fed in addition. Such applied to man, a 70-kg man would need actions of molybdenum probably depend at least 10 fig/kg body weight per day, or upon the similarity of its atomic structure 700 ftg/day. Analysis of hospital diets has to that of chromium. shown 102 ^g/day (16), and others have Chromium (III) salts are poorly absorbed from the gastrointestinal tract, 0.1 to 1.2% found 52 to 115 /ig/day in this country (mean 0.5 ±0.3% ) appearing in the urine and 120 to 172 /ig/day in foreign coun tries, by atomic absorption spectrophotomof patients (14). In rats, 2 to 3% is ab etry (15). Tipton et al. (17, 18) using sorbed, but according to Mertz (15), nat urally occurring complexes are easily ab emission spectrography, recorded average chromium contents of long-term diets of sorbed. It is probable that the chromium in sugar is in a readily absorbable form. five persons at 200 to 400 ^g/day. If chro If this is so, and all of the chromium in mium is concerned with cholesterol homeo the torula diets were absorbed, at a daily stasis in man, it is clear that many Amer ican diets are inadequate in chromium and ingestion of 6 g food/100 g body weight, rats would take into their bodies 0.96 /ig a rise in serum cholesterol with age could from the brown sugar diet, 0.84 /ig from be expected. The apparent hyperglycémie effect of the raw sugar diet and 0.48 ¡igfrom the white sugar diet per 100 g weight of added chromium or brown sugar with age rat/day. Rats on the regular starch diet was surprising. In young rats, however, drink about 7 ml water/100 g body weight we were unable to demonstrate a hypo per day, or 7 and 35 /tg chromium added glycémieeffect of chromium when the at 1 or 5 ppm. At an absorptive rate of torula yeast diet was used (11), although 2 to 3%, they would take in 0.14 to 0.21 it occurred regularly in rats given the rye— ^.g when given 1 ppm chromium in water milk-corn oil diet (11, 19). This difference and 0.70 to 1.05 /¿gwhen given 5 ppm, in the action of chromium in sucrose and starch diets deserves examination. in addition to the amount in the diet. The torula yeast diet was adequate for On these bases and assumptions, the eventual growth compared to our starch following are the approximate calculated amounts of chromium absorbed by rats in (rye) diet, although rats grew slowly for the various groups: (¿ig/100g body weight 2 months, a characteristic of chromium per day) white sugar 0.5; brown sugar 1.0; deficiency (10, 11). It was inadequate for maintenance of body weight after 1 year raw sugar 0.8; white sugar plus chromium of age and was inadequate for long sur 1.2 to 1.5, starch diet with 1 ppm chro vival. The diet was deficient in tocopherol, mium 1.1, starch diet with 5 ppm chro mium 1.5 to 1.9, starch diet with 12 ppm in spite of the addition of selenium, which chromium 2.5 to 3.5. Therefore, in terms can lessen requirements for vitamin E. of cholesterol homeostasis, rats given the Pentschew and Schwarz (20) have de torula diet require at least 0.8 to 1.0 ¿ig scribed symptoms similar to those exhibited absorbable chromium/100 g body weight by our rats, when a torula yeast diet de ficient in vitamin E but supplemented with per day, an amount which may be margi 256 H. A. SCHROEDER, M. MITCHENER AND A. P. NASON have reflected the soils on which the sugar cane was grown. These experiments in rats point to an intimate relationship of chromium and cho lesterol metabolism. Therefore they sug gest that human cholesterol levels may be elevated partly as a result of excess con sumption of refined white sugar, which in turn is responsible for the chromium de ficiency found in tissues of United States subjects but not in those from foreign countries (16, 23). ACKNOWLEDGMENTS We are indebted to Miss Lois A. Bradstreet and Steven Skibniowsky for the analyses of serum and to Dwight Bell for assistance in caring for the animals. LITERATURE CITED 1. Schroeder, H. A. 1969 Serum cholesterol and glucose levels in rats fed refined and less refined sugars and chromium. J. Nutr. 97: 237. 2. Staub, H. W., G. Reussner and R. Thiessen, Jr. 1969 Serum cholesterol reduction by chromium in hypercholesteremic rats. Science 166: 746. 3. Schwarz, K., and W. Mertz 1959 Terminal phase of dietary liver necrosis in the rat (hepatic hypoglycemia). Metabolism 8: 79. 4. Diem, K. (ed.) 1962 Scientific Tables, ed. 6. Geigy Pharmaceuticals, Ardsley, N. Y. 5. Schroeder, H. A., W. H. Vinton, Jr. and J. J. Balassa 1963 Effect of chromium, cadmi um and other trace metals on the growth and survival of mice. J. Nutr. 80: 39. 6. Huang, R. C., C. P. Chen, V. Wefler and A. Raferty 1961 A stable reagent for the Liebermann-Burchard reaction. Clin. Chem. 7- 542 7. Washko, M. E., and E. W. Rice 1961 De termination of glucose by an improved enzy matic procedure. Clin. Chem. 7: 542. 8. Abell, L. L., B. B. Levy, B. B. Brodie and F. E. Kendall 1952 A simplified method for the estimation of total cholesterol in serum and demonstration of its specificity. J. Biol. Chem. 195: 357. 9. Schroeder, H. A., and J. J. Balassa 1965 Influence of chromium, cadmium and lead on rat aortic lipids and circulating choles terol. Amer. J. Physiol. 209: 433. 10. Schroeder, H. A., W. H. Vinton, Jr. and J. J. Balassa 1963 Effect of chromium, cadmi um and lead on the growth and survival of rats. J. Nutr. 80: 48. 12Our diet differed from that used by Pentschew and Schwarz (20) in having less sugar (50 vs. 59% ) and more lard (15 vs. 5% ). The salt mixtures were simi lar, except that ours contained no fluoride, aluminum, manganese or copper, the last two being supplied in water. Vitamin mixtures were identical, except that we added vitamin B,2. Downloaded from jn.nutrition.org by on November 25, 2008 selenium was fed.12 If the commercial lard contained 20 mg/kg vitamin E (4), adult rats would have ingested in the diet 0.06 mg/day, an amount too small to prevent deficiency at older ages but apparently enough for growth. Mertz and Roginski (21) have shown that chromium-deficient rats severely de ficient in vitamin E to the point that growth was retarded and early deaths occurred, failed to respond to chromium supplemen tation, whereas rats given vitamin E re sponded to chromium by increased growth. In this laboratory, young rats severely de ficient in both vitamin E and chromium had lower fasting serum glucose levels than did rats given chromium; this difference also was found between chromium-supple mented and chromium-deficient rats given vitamin E (11). Mertz' rats, however, were fed soy protein and given vanadium and molybdenum in water, whereas our rats were fed the torula yeast diet and given no added vanadium. In spite of these dif ferences, it is possible that vitamin E is required for chromium to act on growth, but not on serum glucose levels. We have been unable to demonstrate hypoglycémie activity of vanadium, zirconium, niobium, antimony (12), germanium, tin (22), cadmium, selenium or tellurium in rats fed the starch diet, although males fed lead (12) or arsenic (22) had low fasting glucose levels. Dark brown sugar as used in these ex periments is a semirefined sugar to which molasses has been added. Molasses con tains most of the trace and bulk elements which were present in the juice of the cane. The "raw" sugar used was a light tan color, crystalline, freely flowing and had ob viously been partly refined; it was purer than the dark brown sugar. From table 1 it is clear that the raw sugar was somewhat refined in respect to the essential trace elements manganese, cobalt, copper and zinc. Analyses of the three sugars for zinc, for example, showed (¿ug/gdry weight) : white, 0.54; raw, 0.78; brown 1.62. Ash weights were: white 0.16%, raw 1.28%, brown 2.24%. Chro mium concentrations were (/ig/g dry weight) : white, 0.02-0.03; raw 0.06, brown 0.12-0.24. The small concentrations of manganese, cobalt and copper found may CHOLESTEROL AND GLUCOSE OF RATS 18. Tipton, I. H., P. L. Stewart and P. G. Martin 1966 Trace elements in diets and excreta. Health Phys. 32: 1683. 19. Mertz, W., E. E. Roginski and H. A. Schroeder 1965 Some aspects of glucose metabolism of chromium-deficient rats raised in a strictly controlled environment. J. Nutr. 86: 107. 20. Pentschew A., and K. Schwarz 1962 Sys temic axional dystrophy in vitamin E defi ciency in adult rats with implications in human neuropathology. Acta Neuropathol. 1: 313. 21. Mertz, W., and E. E. Roginski 1969 Effects of chromium (III) supplementation on growth and survival under stress in rats fed low protein diets. J. Nutr. 97: 531. 22. Schroeder, H. A., M. Kanisawa, D. V. Frost and M. Mitchener 1968 Germanium, tin and arsenic in rats: effects on growth, sur vival, pathological lesions and life span. J. Nutr. 96: 37. 23. Schroeder, H. A. 1968 The role of chro mium in mammalian nutrition. Amer. J. Clin. Nutr. 21: 230. Downloaded from jn.nutrition.org by on November 25, 2008 11. Schroeder, H. A. 1966 Chromium deficiency in rats: A syndrome simulating diabetes mellitus with retarded growth. J. Nutr. 88. 439. 12. Schroeder, H. A., M. Mitchener and A. P. Nason 1970 Zirconium, niobium, antimo ny, vanadium and lead in rats: Life term studies. J. Nutr. JOO: 59. 13. Schroeder, H. A. 1968 Serum cholesterol levels in rats fed thirteen trace elements. J. Nutr. 94: 475. 14. Donaldson, R. M., Jr. and R. F. Berreras 1966 Intestinal absorption of trace quanti ties of chromium. J. Lab. Clin. Med. 68; 484. 15. Mertz, W. 1969 Chromium occurrence and function in biological systems. Physiol. Rev. 49: 163. 16. Schroeder, H. A., A. P. Nason and I. H. Tipton 1970 Chromium deficiency as a factor In atherosclerosis. J. Chronic Dis. 23: 123. 17. Tipton, I. H., P. L. Stewart and J. Dickson 1969 Patterns of elemental excretion in long-term balance studies. Health Phys. 16: 455. 257
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