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Effects of carnitine on the atherosclerosis and steatosis of hypercholesterolemic rabbits induced by a high-cholesterol diet (HCD) containing 0.5% cholesterol and 2.0% corn oil were investigated. Male New Zealand white rabbits with hypercholesterolemia (blood cholesterol 1,000-1,500 mg/dl) induced by 2-week feeding HCD, were fed HCD containing 0.008 or 0.075% L-carnitine for additional 8 weeks. Feeding HCD for 10 weeks lead to severe atheromatous change, covering 55.7% of the aortic walls, in addition to profound hepatic steatosis. However, carnitine supplementation recovered the increased low-density lipoproteins and triglycerides and decreased high-density lipoproteins levels following HCD feeding, although the increased cholesterol concentration was not potentially attenuated. Notably, carnitine markedly reduced the atheroma area and hepatic lipid accumulation as well as lipid peroxidation. The results indicate that carnitine exerts anti-atherosclerotic and fatty liver-preventing activities by blocking lipid peroxidation and regulating lipid metabolism.

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