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Updated: Feb 10, 2026

High-throughput Nitrobenzoxadiazole-labeled Cholesterol Efflux Assay
Published on: January 7, 2019
Theobromine Does Not Affect Fasting and Postprandial HDL Cholesterol Efflux Capacity, While It Decreases Fasting
Charlotte P J Talbot1, Ronald P Mensink1, Lotte Smolders1
1Department of Nutrition and Movement Sciences, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Universiteitssingel 50, 6229 ER, Maastricht, The Netherlands.
Insights
Theobromine, found in chocolate, did not improve cholesterol efflux but lowered fasting miR-92a levels. A high-fat meal boosted cholesterol efflux and miRNA levels, suggesting dietary impacts on cardiovascular health markers.
Area of Science:
- Nutritional Biochemistry
- Cardiovascular Science
- Molecular Biology
Background:
- Chocolate consumption is linked to reduced cardiovascular disease risk, potentially due to theobromine.
- Theobromine's effects on cardiovascular health may involve high-density lipoprotein (HDL)-mediated cholesterol efflux.
- MicroRNAs (miRNAs) within HDL particles might play a role in mediating these effects.
Purpose of the Study:
- To investigate the impact of theobromine consumption on fasting and postprandial cholesterol efflux.
- To examine theobromine's effect on specific miRNA levels (miR-92a, miR-223, miR-135a*) in serum.
- To understand the relationship between dietary intake, cholesterol metabolism, and miRNA expression.
Main Methods:
- A randomized, double-blind, crossover study involving 44 overweight and obese participants.
- Participants consumed 500 mg/day of theobromine or a placebo for 4 weeks.
- Cholesterol efflux was measured using J774 macrophages, and miRNA levels were quantified in serum.
Main Results:
- Theobromine supplementation did not significantly alter fasting or postprandial cholesterol efflux capacity.
- Fasting serum levels of miR-92a were decreased with theobromine intake (p < 0.05).
- A high-fat meal significantly increased postprandial cholesterol efflux, miR-92a, and miR-223 levels.
Conclusions:
- Theobromine consumption did not enhance ABCA1-mediated cholesterol efflux but did reduce fasting miR-92a levels.
- Dietary intake, specifically a high-fat meal, significantly impacts postprandial cholesterol efflux and associated miRNA levels.
- These findings suggest a complex interplay between dietary components, cholesterol transport, and miRNA regulation in cardiovascular health.
Scope:
Chocolate consumption lowers cardiovascular disease risk, which might be attributed to the methylxanthine theobromine. These effects may be mediated through effects on HDL-mediated cholesterol efflux, which may be affected by microRNA (miRNA) levels in the HDL particles. Therefore, the aim of this study is to investigate effects of theobromine consumption on fasting and postprandial cholesterol efflux and miRNAs levels.
Methods And Results:
Thirty overweight and 14 obese healthy men and women participated in this randomized, double-blind crossover study. Participants consumed 500 mg d-1 of theobromine or placebo for 4 weeks. ABCA1-mediated cholesterol efflux was measured using J774 macrophages. MiRNAs levels (miR-92a, miR-223, miR-135a*) were quantified in apolipoprotein B-depleted serum. Theobromine consumption did not affect fasting and postprandial cholesterol efflux. Fasting miR-223 and miR-135a levels were unchanged, while miR-92a levels were decreased (-0.21; p < 0.05). The high-fat meal increased postprandial cholesterol efflux capacity (+4.3 percentage points; p ≤ 0.001), miR-92a (+1.21; p < 0.001), and miR-223 (+1.79; p < 0.001) levels, while a trend was found for miR-135a (+1.08; p = 0.06).
Conclusion:
Theobromine did not improve fasting and postprandial ABCA1-mediated cholesterol efflux capacity, but decreased fasting miR-92a levels. High-fat meal intake increased postprandial cholesterol efflux and the three selected miRNAs levels.
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