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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">abc</journal-id>
      <journal-title-group>
        <journal-title>Arquivos Brasileiros de Cardiologia</journal-title>
        <abbrev-journal-title abbrev-type="publisher">Arq. Bras. Cardiol.</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="ppub">0066-782X</issn>
      <issn pub-type="epub">1678-4170</issn>
      <publisher>
        <publisher-name>Sociedade Brasileira de Cardiologia - SBC</publisher-name>
        <publisher-loc>S&#227;o Paulo, SP, Brazil</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id" specific-use="scielo-v3">mgbmsWGryBhY7bFDDD7h8hg</article-id>
      <article-id pub-id-type="publisher-id" specific-use="scielo-v2">S0066-782X2012001100009</article-id>
      <article-id pub-id-type="publisher-id" specific-use="scielo-v1">S0066-782X(12)09900209</article-id>
      <article-id pub-id-type="doi">10.1590/S0066-782X2012005000068</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Artigos Originais</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Efeito dos res&#237;duos de caf&#233; seco e fermentado por Monascus ruber no metabolismo de camundongos Apo E</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Brito</surname>
            <given-names>Larissa Froede</given-names>
          </name>
          <xref ref-type="aff" rid="aff01"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Queir&#243;s</surname>
            <given-names>L&#237;via Dias de</given-names>
          </name>
          <xref ref-type="aff" rid="aff01"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Peluzio</surname>
            <given-names>Maria do Carmo Gouveia</given-names>
          </name>
          <xref ref-type="aff" rid="aff01"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Ribeiro</surname>
            <given-names>S&#244;nia Machado Rocha</given-names>
          </name>
          <xref ref-type="aff" rid="aff01"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Matta</surname>
            <given-names>S&#233;rgio Luis Pinto da</given-names>
          </name>
          <xref ref-type="aff" rid="aff01"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Queiroz</surname>
            <given-names>Jos&#233; Humberto de</given-names>
          </name>
          <xref ref-type="aff" rid="aff01"/>
        </contrib>
      </contrib-group>
      <aff id="aff01">
        <addr-line>
          <named-content content-type="city">Vi&#231;osa</named-content>
          <named-content content-type="state">Minas Gerais</named-content>
        </addr-line>
        <institution content-type="orgname">Universidade Federal de Vi&#231;osa</institution>
        <country country="BR">Brazil</country>
      </aff>
      <pub-date date-type="collection" publication-format="electronic">
        <month>08</month>
        <year>2012</year>
      </pub-date>
      <volume>99</volume>
      <issue>2</issue>
      <fpage>747</fpage>
      <lpage>754</lpage>
      <history>
        <date date-type="received">
          <day>24</day>
          <month>01</month>
          <year>2012</year>
        </date>
        <date date-type="accepted">
          <day>23</day>
          <month>03</month>
          <year>2012</year>
        </date>
        <date date-type="rev-recd">
          <day>31</day>
          <month>01</month>
          <year>2012</year>
        </date>
      </history>
      <permissions>
        <license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/" xml:lang="en">
          <license-p>This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.</license-p>
        </license>
      </permissions>
      <abstract>
        <p>FUNDAMENTO: A aterosclerose &#233; uma doen&#231;a inflamat&#243;ria cr&#244;nica de origem multifatorial que ocorre em resposta &#224; agress&#227;o endotelial. O fungo Monascus ruber apresenta atividade hipocolesterol&#234;mica e polifen&#243;is presentes no res&#237;duo de caf&#233; apresentam atividade antioxidante, podendo auxiliar na preven&#231;&#227;o de doen&#231;as cardiovasculares. O res&#237;duo de caf&#233; possui quantidade significativa de a&#231;&#250;cares fermentesc&#237;veis, constituindo-se em substrato apropriado para o cultivo de fungos. OBJETIVO: O objetivo deste estudo foi avaliar o efeito dos res&#237;duos de caf&#233; seco e fermentado por Monascus ruber no metabolismo lip&#237;dico de camundongos knockout Apo E. M&#201;TODOS: O ensaio biol&#243;gico foi realizado com 30 camundongos knockout para o gene Apo E, divididos em cinco grupos e submetidos a diferentes tratamentos. Foi realizada a prospec&#231;&#227;o fitoqu&#237;mica e quantifica&#231;&#227;o de compostos fen&#243;licos dos res&#237;duos fermentado e sem fermentar. O soro dos animais foi analisado utilizando kits enzim&#225;ticos e o tecido a&#243;rtico incluso em parafina e corado com H/E para realiza&#231;&#227;o da an&#225;lise histopatol&#243;gica. RESULTADOS: O res&#237;duo de caf&#233; sem fermentar 2%, em rela&#231;&#227;o ao grupo controle, diminuiu em 42% o n&#237;vel s&#233;rico de triacilglicer&#243;is e em aproximadamente 41% a fra&#231;&#227;o VLDL-c. Os grupos dos animais alimentados com 10% de res&#237;duo n&#227;o fermentado e 2% de res&#237;duo fermentado diminu&#237;ram a &#225;rea de les&#227;o 10,5% e 15,4%, respectivamente, quando comparados ao controle. O res&#237;duo fermentado apresentou um teor de compostos fen&#243;licos superior ao res&#237;duo n&#227;o fermentado. CONCLUS&#195;O: O presente estudo mostra que a fermenta&#231;&#227;o do res&#237;duo de caf&#233; apresenta potencial efeito ben&#233;fico sobre as doen&#231;as cardiovasculares, especialmente a aterosclerose.</p>
      </abstract>
      <kwd-group xml:lang="pt" kwd-group-type="author-generated">
        <kwd>Aterosclerose</kwd>
        <kwd>caf&#233;</kwd>
        <kwd>monascus</kwd>
        <kwd>camundongos knockout</kwd>
      </kwd-group>
      <pub-date publication-format="electronic" date-type="pub">
        <day>13</day>
        <month>07</month>
        <year>2012</year>
      </pub-date>
    </article-meta>
  </front>
  <body>
    <p>
      <bold>Efeito dos res&#237;duos de caf&#233; seco e fermentado por <italic>Monascus ruber</italic> no metabolismo de camundongos Apo E</bold>
    </p>
    <p>
      <bold>Larissa Froede Brito; L&#237;via Dias de Queir&#243;s; Maria do Carmo Gouveia Peluzio; S&#244;nia Machado Rocha Ribeiro; S&#233;rgio Luis Pinto da Matta; Jos&#233; Humberto de Queiroz</bold>
    </p>
    <p>Universidade Federal de Vi&#231;osa, Vi&#231;osa, MG - Brasil</p>
    <p>
      <xref ref-type="corresp" rid="back">Correspond&#234;ncia</xref>
    </p>
    <p>
      <bold>RESUMO</bold>
    </p>
    <p><bold>FUNDAMENTO: </bold> A aterosclerose &#233; uma doen&#231;a inflamat&#243;ria cr&#244;nica de origem multifatorial que ocorre em resposta &#224; agress&#227;o endotelial. O fungo <italic>Monascus ruber</italic> apresenta atividade hipocolesterol&#234;mica e polifen&#243;is presentes no res&#237;duo de caf&#233; apresentam atividade antioxidante, podendo auxiliar na preven&#231;&#227;o de doen&#231;as cardiovasculares. O res&#237;duo de caf&#233; possui quantidade significativa de a&#231;&#250;cares fermentesc&#237;veis, constituindo-se em substrato apropriado para o cultivo de fungos. </p>
    <p><bold>OBJETIVO: </bold> O objetivo deste estudo foi avaliar o efeito dos res&#237;duos de caf&#233; seco e fermentado por <italic>Monascus ruber</italic> no metabolismo lip&#237;dico de camundongos <italic>knockout</italic> Apo E. </p>
    <p><bold>M&#201;TODOS: </bold> O ensaio biol&#243;gico foi realizado com 30 camundongos <italic>knockout</italic> para o gene Apo E, divididos em cinco grupos e submetidos a diferentes tratamentos. Foi realizada a prospec&#231;&#227;o fitoqu&#237;mica e quantifica&#231;&#227;o de compostos fen&#243;licos dos res&#237;duos fermentado e sem fermentar. O soro dos animais foi analisado utilizando <italic>kits</italic> enzim&#225;ticos e o tecido a&#243;rtico incluso em parafina e corado com H/E para realiza&#231;&#227;o da an&#225;lise histopatol&#243;gica. </p>
    <p><bold>RESULTADOS: </bold> O res&#237;duo de caf&#233; sem fermentar 2%, em rela&#231;&#227;o ao grupo controle, diminuiu em 42% o n&#237;vel s&#233;rico de triacilglicer&#243;is e em aproximadamente 41% a fra&#231;&#227;o VLDL-c. Os grupos dos animais alimentados com 10% de res&#237;duo n&#227;o fermentado e 2% de res&#237;duo fermentado diminu&#237;ram a &#225;rea de les&#227;o 10,5% e 15,4%, respectivamente, quando comparados ao controle. O res&#237;duo fermentado apresentou um teor de compostos fen&#243;licos superior ao res&#237;duo n&#227;o fermentado. </p>
    <p><bold>CONCLUS&#195;O: </bold> O presente estudo mostra que a fermenta&#231;&#227;o do res&#237;duo de caf&#233; apresenta potencial efeito ben&#233;fico sobre as doen&#231;as cardiovasculares, especialmente a aterosclerose.</p>
    <p><bold>Palavras-chave: </bold> Aterosclerose; caf&#233;; <italic>monascus</italic>; camundongos <italic>knockout</italic>.</p>
    <p>
      <bold>Introdu&#231;&#227;o</bold>
    </p>
    <p>O Brasil consolida a posi&#231;&#227;o de maior produtor e exportador mundial de caf&#233; em gr&#227;os, sendo respons&#225;vel por 30% do mercado mundial<sup>1</sup>. No entanto, os subprodutos dessa atividade agr&#237;cola, que em muitos casos n&#227;o s&#227;o devidamente tratados, gerando despesas e preocupa&#231;&#227;o ambiental, s&#227;o tamb&#233;m uma fonte de compostos com propriedades funcionais<sup>2</sup>.</p>
    <p>A casca e a polpa de caf&#233;, res&#237;duos do despolpamento, possuem uma quantidade significativa de a&#231;&#250;cares fermentesc&#237;veis, consistindo substrato apropriado para o cultivo de fungos e leveduras<sup>3</sup>.</p>
    <p>O <italic>Monascus ruber</italic>, um ascomiceto, &#233; usado h&#225; muito tempo na culin&#225;ria oriental para a produ&#231;&#227;o de pigmentos, comidas fermentadas e bebidas<sup>4</sup>. Esse fungo despertou o interesse de pesquisadores do mundo todo em raz&#227;o da atividade hipocolesterol&#234;mica de um dos seus metab&#243;litos, a monacolina K, que possui atividade inibit&#243;ria sobre a Hidroximetilglutaril-Coenzima A redutase (HMG-CoA redutase), enzima-chave na bioss&#237;ntese do colesterol<sup>5</sup>.</p>
    <p>A aterosclerose &#233; uma doen&#231;a complexa e multifatorial, sendo afetada por m&#250;ltiplos fatores gen&#233;ticos e ambientais. V&#225;rios trabalhos mostram que a alta ingest&#227;o cal&#243;rica e consumo de dietas ricas em &#225;cidos graxos saturados acelera a sua aterog&#234;nese; no entanto, os efeitos dos componentes individuais dos alimentos ainda s&#227;o pouco compreendidos<sup>6</sup>.</p>
    <p>Dentre as diversas classes de subst&#226;ncias antioxidantes de ocorr&#234;ncia natural, os compostos fen&#243;licos t&#234;m recebido muita aten&#231;&#227;o nos &#250;ltimos anos, por inibirem a peroxida&#231;&#227;o lip&#237;dica, a lipo-oxigenase e, sobretudo, por atuarem como antioxidantes ou pr&#243;-oxidantes em doen&#231;as associadas ao metabolismo lip&#237;dico, especialmente a aterosclerose<sup>7,8</sup>.</p>
    <p>Nesse contexto, o prop&#243;sito geral deste trabalho &#233; o aproveitamento do res&#237;duo do caf&#233;, utilizando-o como meio de cultura para o crescimento do fungo <italic>Monascus ruber</italic> e avaliar os efeitos do produto fermentado em camundongos Apo E hiperlipid&#234;micos, visando o controle e preven&#231;&#227;o das doen&#231;as cardiovasculares, especialmente a aterosclerose.</p>
    <p>
      <bold>M&#233;todos</bold>
    </p>
    <p>
      <bold>Coleta e preparo da amostra do res&#237;duo</bold>
    </p>
    <p>Caf&#233; da variedade Catua&#237; (<italic>Coffea arabica L</italic>) foi colhido na Zona da Mata Mineira no per&#237;odo de maio a agosto, quando 90% dos frutos encontravam-se no est&#225;gio cereja. O res&#237;duo da despolpa, contendo casca, polpa e mucilagem aderidas &#224; casca, foi recolhido ap&#243;s o processamento por via &#250;mida e seco em estufa (Nova T&#233;cnica, modelo NT-514) &#224; temperatura m&#233;dia de 55 &#186;C at&#233; atingir teor de umidade inferior a 10%.</p>
    <p>
      <bold>Micro-organismo e fermenta&#231;&#227;o do res&#237;duo</bold>
    </p>
    <p>O fungo <italic>Monascus ruber</italic> CCT 1236 foi utilizado neste estudo. Essa cepa foi adquirida da Funda&#231;&#227;o Tropical de Pesquisas e Tecnologia Andr&#233; Tosello (Campinas, S&#227;o Paulo, Brasil). O micro-organismo foi conservado em meio PDA ("Potato Dextrose Agar") sob refrigera&#231;&#227;o.</p>
    <p>Noventa e cinco mililitros de solu&#231;&#227;o contendo sulfato de magn&#233;sio 0,1%, fosfato de pot&#225;ssio diidrogenado 0,1% e cloreto de am&#244;nio 1% foram adicionados a 50 g de res&#237;duo de caf&#233; para enriquecimento do meio e eleva&#231;&#227;o do teor de umidade. O res&#237;duo foi inoculado com suspens&#227;o de esporos do fungo cultivado em meio PDA a 28 &#186;C durante 13 dias. Em seguida, o res&#237;duo fermentado foi seco e triturado para ser utilizado nas dietas experimentais.</p>
    <p>
      <bold>Prospec&#231;&#227;o fitoqu&#237;mica e quantifica&#231;&#227;o de compostos fen&#243;licos</bold>
    </p>
    <p>A identifica&#231;&#227;o dos metab&#243;litos secund&#225;rios presentes no res&#237;duo de caf&#233; seco e fermentado foi realizada por cromatografia de camada delgada<sup>9</sup>. O teor de fen&#243;is totais dos res&#237;duos fermentado e n&#227;o fermentado foi estimado utilizando-se o reagente de Folin-Ciocalteu<sup>10</sup>. Foi utilizada a solu&#231;&#227;o de &#225;gua/etanol (6:4) como solvente, por apresentar maior efici&#234;ncia na extra&#231;&#227;o de fen&#243;is totais dos res&#237;duos<sup>11</sup>. Os resultados foram expressos em Equivalentes de &#193;cido G&#225;lico (GAE).</p>
    <p>
      <bold>Ensaio biol&#243;gico e an&#225;lises bioqu&#237;micas</bold>
    </p>
    <p>O ensaio biol&#243;gico foi realizado com 30 camundongos <italic>knockout</italic> para o gene Apo E (<italic>knockout</italic> Apo E), de ambos os sexos, pesando em m&#233;dia 22 g. Os animais receberam ra&#231;&#227;o comercial Purina&#174; e &#225;gua "<italic>ad libitum</italic>" durante um per&#237;odo de adapta&#231;&#227;o de 15 dias. Durante 10 semanas, os animais foram submetidos &#224;s dietas experimentais e &#225;gua "<italic>ad libitum</italic>" e mantidos em gaiolas coletivas de polietileno, com ventila&#231;&#227;o natural e ciclos de luminosidade de 12 horas e temperatura m&#233;dia de 22 &#186;C. O planejamento experimental foi aprovado pelo Comit&#234; de &#201;tica do Departamento de Medicina Veterin&#225;ria da Universidade Federal de Vi&#231;osa, segundo Processo n&#186; 11/2008. Os camundongos foram divididos em cinco grupos contendo seis animais cada. A dieta dos grupos experimentais foi elaborada segundo recomenda&#231;&#227;o da Association of Official Analytical Chemistry<sup>12</sup>. As dietas dos grupos 2 e 3 continham 2% e 10% de res&#237;duo n&#227;o fermentado, respectivamente. O res&#237;duo fermentado foi adicionado nas mesmas concentra&#231;&#245;es aos grupos 4 e 5 (<xref ref-type="table" rid="aop_port06412t01">Tabela 1</xref>).</p>
    <p content-type="asset">
      <table-wrap id="aop_port06412t01">
        <graphic xlink:href="1678-4170-abc-99-02-0747-00068-gt01.jpg"/></table-wrap>
    </p>
    <p>Ao final do experimento os animais foram pesados, ap&#243;s jejum de 12 horas, anestesiados, eutanasiados e coletado amostras de sangue para dosagem de triacilglicer&#243;is, colesterol total e suas fra&#231;&#245;es. O sangue foi retirado por exsanguina&#231;&#227;o por sec&#231;&#227;o da aorta abdominal. O soro foi obtido por centrifuga&#231;&#227;o a 5.000 rpm por 15 minutos em centr&#237;fuga de mesa (Marconi, modelo M.A. 860).</p>
    <p>As dosagens sorol&#243;gicas foram efetuadas no equipamento de dosagens multiparam&#233;trico de Bioqu&#237;mica (Aliz&#233;&#174;), utilizando-se <italic>kits</italic> enzim&#225;ticos da marca BioM&#233;rieux&#174;.</p>
    <p>
      <bold>Histopatologia</bold>
    </p>
    <p>A regi&#227;o inicial da aorta foi removida e perfundida em tamp&#227;o salino fosfato (PBS), transferida para uma solu&#231;&#227;o de etanol 70% e conservada at&#233; a realiza&#231;&#227;o da an&#225;lise histopatol&#243;gica. Fragmentos a&#243;rticos foram processados em micr&#243;tomo rotativo manual (marca American Optical&#174;) conforme rotina para inclus&#227;o em parafina, de forma orientada, obtendo-se cortes histol&#243;gicos consecutivos, com 5 &#181;m de espessura, a partir da superf&#237;cie de inclus&#227;o. Foram preparadas duas l&#226;minas contendo em m&#233;dia 10 cortes por animal. As prepara&#231;&#245;es foram coradas com hematoxilina e eosina (H/E), codificadas e submetidas &#224; an&#225;lise microsc&#243;pica.</p>
    <p>A regi&#227;o inicial da aorta foi utilizada para as an&#225;lises histol&#243;gicas dos constituintes arteriais. Todos os cortes histol&#243;gicos obtidos foram examinados com o objetivo de localizar as estruturas anat&#244;micas referenciais da v&#225;lvula a&#243;rtica e da raiz da aorta. De acordo com a presen&#231;a dessas estruturas referenciais, o corte histol&#243;gico no n&#237;vel anat&#244;mico da v&#225;lvula a&#243;rtica foi selecionado para as medidas. Os cortes foram obtidos em intervalos de 5 &#181;m, sendo a extens&#227;o m&#233;dia explorada de 20-30 &#181;m. Para an&#225;lise morfom&#233;trica foram capturadas imagens dos cortes histol&#243;gicos dos cinco grupos, e para padroniza&#231;&#227;o do n&#250;mero amostral dos grupos foram sorteadas, aleatoriamente, oito imagens para realiza&#231;&#227;o das medidas.</p>
    <p>As imagens foram obtidas em microsc&#243;pio Olympus&#174; Bx50 acoplado a uma c&#226;mera digital Q-Color 3 Olympus&#174;, sendo as imagens capturadas utilizando o programa Q-Capture Pr&#243;, vers&#227;o 6.0.0.412. As &#225;reas das les&#245;es foram dimensionadas utilizando o programa Image Pr&#243; Plus vers&#227;o 4.5.0.29.</p>
    <p>
      <bold>An&#225;lises dos dados</bold>
    </p>
    <p>O software SigmaStat (vers&#227;o 2.03) foi utilizado para an&#225;lise descritiva dos resultados e testes de compara&#231;&#227;o das m&#233;dias dos grupos independentes. A avalia&#231;&#227;o da distribui&#231;&#227;o das vari&#225;veis foi realizada pelo teste de Kolmogorov-Sminorv. Considerando o n&#250;mero amostral por grupo de animais e que algumas vari&#225;veis n&#227;o apresentaram distribui&#231;&#227;o normal, testes n&#227;o param&#233;tricos foram realizados para a compara&#231;&#227;o de cada dois grupos independentes, utilizando o teste de Mann Whitney. As vari&#225;veis com distribui&#231;&#227;o normal foram submetidas &#224; an&#225;lise param&#233;trica, seguida do teste t. As m&#233;dias foram significativas a <italic>p</italic> &lt; 0,05.</p>
    <p>
      <bold>Resultados</bold>
    </p>
    <p>
      <bold>Prospec&#231;&#227;o fitoqu&#237;mica e quantifica&#231;&#227;o de compostos fen&#243;licos</bold>
    </p>
    <p>Os principais grupos de metab&#243;litos secund&#225;rios identificados nos res&#237;duos de caf&#233; fermentado e n&#227;o fermentado por <italic>Monascus ruber</italic> est&#227;o apresentados na <xref ref-type="table" rid="t2">Tabela 2</xref>.</p>
    <table-wrap id="t2">
      <graphic xlink:href="1678-4170-abc-99-02-0747-00068-gt02.jpg"/></table-wrap>
    <p>Os resultados para detec&#231;&#227;o de saponinas, triterpenos/esteroides, cumarinas, taninos, flavonoides e alcaloides foram positivos para ambos res&#237;duos. No entanto, houve diferen&#231;a entre os perfis cromatogr&#225;ficos dos extratos quanto aos grupos metab&#243;litos secund&#225;rios (<xref ref-type="table" rid="t3">Tabela 3</xref>).</p>
    <table-wrap id="t3">
      <graphic xlink:href="1678-4170-abc-99-02-0747-00068-gt03.jpg"/></table-wrap>
    <p>Os resultados mostram que o res&#237;duo fermentado apresentou um teor de fen&#243;is totais estatisticamente superiores ao res&#237;duo n&#227;o fermentado.</p>
    <p>
      <bold>Efeito da ingest&#227;o do res&#237;duo de caf&#233; no perfil de lip&#237;dios s&#233;ricos de camundongos knockout Apo E</bold>
    </p>
    <p>A <xref ref-type="table" rid="aop_port06412t04">Tabela 4</xref> mostra os valores m&#233;dios de triacilglicer&#243;is, colesterol total e fra&#231;&#245;es, nos diferentes grupos de tratamento.</p>
    <p content-type="asset">
      <table-wrap id="aop_port06412t04">
        <graphic xlink:href="1678-4170-abc-99-02-0747-00068-gt04.jpg"/></table-wrap>
    </p>
    <p>Os resultados mostram que houve uma diminui&#231;&#227;o significativa nos n&#237;veis s&#233;ricos de triacilglicer&#243;is e da fra&#231;&#227;o VLDL-c.</p>
    <p>
      <bold>Histopatologia a&#243;rtica de camundongos knockout Apo E</bold>
    </p>
    <p>A <xref ref-type="table" rid="aop_port06412t05">Tabela 5</xref> mostra o percentual m&#233;dio (mm<sup>2</sup>) da &#225;rea da les&#227;o a&#243;rtica em camundongos submetidos a diferentes tratamentos com res&#237;duo de caf&#233; fermentado e n&#227;o fermentado.</p>
    <p content-type="asset">
      <table-wrap id="aop_port06412t05">
        <graphic xlink:href="1678-4170-abc-99-02-0747-00068-gt05.jpg"/></table-wrap>
    </p>
    <p>Os resultados mostram que houve diferen&#231;as estatisticamente significativas entre os grupos de tratamento (Grupos 2, 3 e 4) e o grupo controle (Grupo 1).</p>
    <p>A <xref ref-type="fig" rid="aop_port06412f01">Figura 1</xref> ilustra as les&#245;es na aorta dos camundongos submetidos a diferentes tratamentos com res&#237;duo de caf&#233; fermentado e n&#227;o fermentado.</p>
    <p content-type="asset">
      <fig id="aop_port06412f01">
        <graphic xlink:href="1678-4170-abc-99-02-0747-00068-gf01.jpg"/></fig>
    </p>
    <p>As les&#245;es a&#243;rticas s&#227;o classificadas como um xantoma em est&#225;gio progressivo e ainda n&#227;o s&#227;o encontrados deposi&#231;&#227;o evidente de cristais de colesterol, de acordo com a classifica&#231;&#227;o de Virmani e cols.<sup>13</sup>.</p>
    <p>A <xref ref-type="fig" rid="aop_port06412f02">Figura 2</xref> mostra a avalia&#231;&#227;o morfom&#233;trica das les&#245;es a&#243;rticas dos camundongos alimentados com as diferentes dietas.</p>
    <p content-type="asset">
      <fig id="aop_port06412f02">
        <graphic xlink:href="1678-4170-abc-99-02-0747-00068-gf02.jpg"/></fig>
    </p>
    <p>Os resultados encontrados sugerem que o efeito do res&#237;duo fermentado est&#225; inversamente relacionado com sua concentra&#231;&#227;o na dieta. O grupo que recebeu 2% de res&#237;duo fermentado apresentou uma diminui&#231;&#227;o de 15% na &#225;rea da les&#227;o.</p>
    <p>
      <bold>Discuss&#227;o</bold>
    </p>
    <p>O presente estudo avalia, pela primeira vez, o efeito do res&#237;duo de caf&#233; n&#227;o fermentado e fermentado pelo fungo <italic>Monascus ruber</italic> no metabolismo lip&#237;dico de animais.</p>
    <p>Produtos fermentados por fungos do g&#234;nero <italic>Monascus</italic> t&#234;m sido utilizados no tratamento e preven&#231;&#227;o de doen&#231;as cardiovasculares, especialmente aterosclerose<sup>14</sup>. O res&#237;duo do caf&#233; &#233; rico em polifen&#243;is e compostos bioativos com a&#231;&#227;o antioxidante, os quais tamb&#233;m apresentam a&#231;&#227;o protetora do sistema cardiovascular<sup>15-17</sup>.</p>
    <p>O processo de fermenta&#231;&#227;o pode sintetizar ou degradar compostos que apresentam atividade biol&#243;gica. Neste trabalho foi verificada a presen&#231;a das mesmas classes de compostos bioativos nos res&#237;duos de caf&#233; fermentado e n&#227;o fermentado. No entanto, mediante distintos fatores de reten&#231;&#227;o, foi poss&#237;vel observar diferentes compostos fitoqu&#237;micos nas mesmas classes de metab&#243;litos secund&#225;rios entre o res&#237;duo fermentado e n&#227;o fermentado. Essa diferen&#231;a de compostos pode estar relacionada com o teor superior de polifen&#243;is no res&#237;duo que foi submetido &#224; fermenta&#231;&#227;o.</p>
    <p>Os resultados encontrados mostraram que houve diferen&#231;a no perfil lip&#237;dico dos camundongos que receberam res&#237;duo sem fermentar quando comparados com o grupo que ingeriu apenas dieta aterog&#234;nica (Grupo 1). O res&#237;duo de caf&#233; sem fermentar 2% (Grupo 2) diminuiu em 42% o n&#237;vel s&#233;rico de triacilglicer&#243;is ao mesmo tempo em que reduziu a fra&#231;&#227;o VLDL-c em aproximadamente 41% em rela&#231;&#227;o ao grupo controle (Grupo 1), sendo as diferen&#231;as estatisticamente significativas.</p>
    <p>A aorta dos animais do grupo que recebeu a dieta aterog&#234;nica suplementada com res&#237;duo de caf&#233; sem fermentar a 2% (Grupo 2) apresentou maior &#225;rea de les&#227;o quando comparado ao grupo controle (Grupo 1), ao contr&#225;rio de esperado, uma vez que esse grupo apresentou n&#237;veis de triacilglicer&#243;is e VLDL-c inferior ao grupo controle. Os grupos dos animais que foram alimentados com 10% de res&#237;duo n&#227;o fermentado (Grupo 3) e 2% de res&#237;duo fermentado (Grupo 4) diminu&#237;ram a &#225;rea de les&#227;o 10,5% e 15,4% respectivamente, quando comparado ao grupo controle, sendo esta diminui&#231;&#227;o estatisticamente significativa.</p>
    <p>Comparando os grupos alimentados com os diferentes res&#237;duos na mesma concentra&#231;&#227;o, Grupo 2 e Grupo 4, observa-se que os animais que consumiram 2% do res&#237;duo fermentado apresentaram diminui&#231;&#227;o de 26,4% na &#225;rea de les&#227;o quando comparado ao Grupo 2, mostrando que a fermenta&#231;&#227;o teve efeito ben&#233;fico, reduzindo a forma&#231;&#227;o da placa de ateroma. Na concentra&#231;&#227;o de 10%, somente o res&#237;duo que n&#227;o foi submetido &#224; fermenta&#231;&#227;o mostrou efeito ben&#233;fico, reduzindo a les&#227;o em 14,1% quando comparado ao grupo de animais alimentados com 10% do res&#237;duo fermentado (Grupo 5).</p>
    <p>Quando comparados os res&#237;duos iguais, por&#233;m em diferentes concentra&#231;&#245;es, verificou-se que as concentra&#231;&#245;es influenciam na forma&#231;&#227;o das les&#245;es ateroscler&#243;ticas, mostrando que a maior concentra&#231;&#227;o de res&#237;duo n&#227;o fermentado (Grupo 3) foi eficaz na redu&#231;&#227;o da les&#227;o. Em contrapartida, a menor concentra&#231;&#227;o do res&#237;duo fermentado (Grupo 4) apresentou melhor efeito protetor.</p>
    <p>A rela&#231;&#227;o entre o consumo da bebida caf&#233; e o desenvolvimento de doen&#231;as cardiovasculares tem sido demonstrada na literatura, principalmente envolvendo humanos. Se, por um lado, diversos estudos demonstram o efeito mal&#233;fico do caf&#233; sobre as doen&#231;as<sup>18,19</sup>, por outro, existem evid&#234;ncias de efeitos ben&#233;ficos dele<sup>20,21</sup>. Contudo, n&#227;o foram encontrados relatos na literatura abordando o efeito dos produtos fermentados por fungos do g&#234;nero <italic>Monascus</italic> e/ou o res&#237;duo de caf&#233; sobre o metabolismo animal e humano. O presente trabalho mostrou que o res&#237;duo do caf&#233; &#233; um meio para o crescimento do fungo <italic>Monascus ruber</italic>, podendo atuar como um aliado para preven&#231;&#227;o da aterosclerose.</p>
    <p>O efeito antioxidante &#233; obtido quando os compostos bioativos s&#227;o utilizados em baixas concentra&#231;&#245;es, funcionando como mediadores de sinaliza&#231;&#227;o em mecanismos de ajuste, prolifera&#231;&#227;o, defesa e morte celular. O aumento na concentra&#231;&#227;o desses compostos pode causar inj&#250;rias celulares relacionadas ao surgimento de condi&#231;&#245;es patol&#243;gicas no organismo<sup>22-24</sup>. Uma poss&#237;vel explica&#231;&#227;o para os resultados observados &#233; que a fermenta&#231;&#227;o leva &#224; forma&#231;&#227;o de compostos bioativos espec&#237;ficos que em altas concentra&#231;&#245;es (10%) tornam-se mal&#233;ficos e que a 2% essa concentra&#231;&#227;o foi adequada para diminuir essas les&#245;es a&#243;rticas. J&#225; no res&#237;duo sem fermentar &#233; poss&#237;vel que a concentra&#231;&#227;o de fen&#243;is no res&#237;duo a 2% seja insuficiente para apresentar efeito protetor no organismo, e que na suplementa&#231;&#227;o de 10% essa concentra&#231;&#227;o seja adequada para tais efeitos.</p>
    <p>O estudo apresenta limita&#231;&#245;es que devem ser mencionadas. O pouco volume sangu&#237;neo obtidos nesse tipo de modelo animal dificulta a realiza&#231;&#227;o de diferentes an&#225;lises.</p>
    <p>
      <bold>Conclus&#245;es</bold>
    </p>
    <p>Os resultados encontrados no presente estudo mostraram que o res&#237;duo de caf&#233; reduz os n&#237;veis s&#233;ricos de triacilglicer&#243;is e VLDLc.</p>
    <p>A fermenta&#231;&#227;o elevou o teor de fen&#243;is totais.</p>
    <p>Os animais que receberam o res&#237;duo fermentado a 2% apresentaram o melhor efeito na diminui&#231;&#227;o da &#225;rea da les&#227;o a&#243;rtica. J&#225; os animais que consumiram o res&#237;duo fermentado a 10% n&#227;o apresentou efeito sob as les&#245;es, evidenciando um efeito dose dependente.</p>
    <p>
      <bold>Potencial conflito de interesses</bold>
    </p>
    <p>Declaro n&#227;o haver conflito de interesses pertinentes.</p>
    <p>
      <bold>Fontes de financiamento</bold>
    </p>
    <p>O presente estudo teve o apoio t&#233;cnico e financeiro da Fapemig e do CNPq.</p>
    <p>
      <bold>Vincula&#231;&#227;o acad&#234;mica</bold>
    </p>
    <p>Este artigo &#233; parte de disserta&#231;&#227;o de Larissa Froede Brito pela Universidade Federal de Vi&#231;osa (UFV), MG.</p>
    <p>
      <fn id="back" fn-type="corresp">
        <label>
          <bold> Correspond&#234;ncia:</bold>
        </label>
        <p>Larissa Froede Brito </p>
        <p> Marly de Azevedo, 40/402 </p>
        <p> Centro. CEP 36570-000, Vi&#231;osa, MG - Brasil </p>
        <p> E-mail: </p>
        <p>
          <email xlink:href="larissafroede@yahoo.com.br">larissafroede@yahoo.com.br</email>
        </p>
      </fn>
    </p>
    <p>Artigo recebido em 24/01/12 </p>
    <p> Revisado em 31/01/12 </p>
    <p> Aceito em 23/03/12</p>
  </body>
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  <sub-article article-type="translation" id="TRen" xml:lang="en">
    <front-stub>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Original Articles</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title xml:lang="en">Effect of dry coffee residues fermented with Monascus ruber on the metabolism of Apo E mice</article-title>
      </title-group>
      <abstract xml:lang="en">
        <p>BACKGROUND: Atherosclerosis is a chronic inflammatory disease of multifactorial origin, which occurs in response to endothelial injury. The fungus Monascus ruber has hypocholesterolemic activity, and the polyphenols present in coffee residue have an antioxidant activity and can help prevent cardiovascular diseases. Coffee residue has a significant amount of fermentable sugars, being an adequate substrate for growing fungi. OBJECTIVE: The objective of this study was to assess the effect of dry coffee residue fermented with Monascus ruber on the lipid metabolism of ApoE knockout mice. METHODS: The biological assay was performed with 30 ApoE knockout mice, divided into five groups and undergoing different treatments. The phytochemical prospection and quantification of phenolic compounds of the fermented and non-fermented coffee residues were performed. The sera of the animals were analyzed by using enzyme kits, and the aortic tissue was embedded in paraffin and stained with hematoxylin and eosin to undergo histopathological analysis. RESULTS: Comparing with the control group, the group receiving 2% non-fermented coffee residue showed a reduction of 42% in the serum levels of triacylglycerols and of approximately 41% in VLDL-c. The groups receiving 10% non-fermented coffee residue and 2% fermented coffee residue showed reductions in the lesion areas of 10.5% and 15.4%, respectively, as compared with the control group. The fermented coffee residue showed a higher content of phenolic compounds as compared with the non-fermented coffee residue. CONCLUSION: The present study showed that coffee residue fermentation has a potentially beneficial effect on cardiovascular diseases, especially atherosclerosis.</p>
      </abstract>
      <kwd-group xml:lang="en">
        <kwd>Atherosclerosis</kwd>
        <kwd>coffee</kwd>
        <kwd>monascus</kwd>
        <kwd>mice</kwd>
        <kwd>knockout</kwd>
      </kwd-group>
    </front-stub>
    <body>
      <p>
        <fn id="top-body2">
          <label>
            <bold>Effect of dry coffee residues fermented with <italic>Monascus ruber</italic> on the metabolism of Apo E mice</bold>
          </label>
          <p>
            <bold>Larissa Froede Brito; L&#237;via Dias de Queir&#243;s; Maria do Carmo Gouveia Peluzio; S&#244;nia Machado Rocha Ribeiro; S&#233;rgio Luis Pinto da Matta; Jos&#233; Humberto de Queiroz</bold>
          </p>
        </fn>
      </p>
      <p>Universidade Federal de Vi&#231;osa, Vi&#231;osa, MG - Brazil</p>
      <p>Mailing Address</p>
      <p>
        <bold>ABSTRACT</bold>
      </p>
      <p><bold>BACKGROUND: </bold> Atherosclerosis is a chronic inflammatory disease of multifactorial origin, which occurs in response to endothelial injury. The fungus <italic>Monascus ruber</italic> has hypocholesterolemic activity, and the polyphenols present in coffee residue have an antioxidant activity and can help prevent cardiovascular diseases. Coffee residue has a significant amount of fermentable sugars, being an adequate substrate for growing fungi.</p>
      <p><bold>OBJECTIVE: </bold> The objective of this study was to assess the effect of dry coffee residue fermented with <italic>Monascus ruber</italic> on the lipid metabolism of Apo E knockout mice.</p>
      <p><bold>METHODS: </bold> The biological assay was performed with 30 Apo E knockout mice, divided into five groups and undergoing different treatments. The phytochemical prospection and quantification of phenolic compounds of the fermented and non-fermented coffee residues were performed. The sera of the animals were analyzed by using enzyme kits, and the aortic tissue was embedded in paraffin and stained with hematoxylin and eosin to undergo histopathological analysis.</p>
      <p><bold>RESULTS: </bold> Comparing with the control group, the group receiving 2% non-fermented coffee residue showed a reduction of 42% in the serum levels of triacylglycerols and of approximately 41% in VLDL-c. The groups receiving 10% non-fermented coffee residue and 2% fermented coffee residue showed reductions in the lesion areas of 10.5% and 15.4%, respectively, as compared with the control group. The fermented coffee residue showed a higher content of phenolic compounds as compared with the non-fermented coffee residue.</p>
      <p><bold>CONCLUSION: </bold> The present study showed that coffee residue fermentation has a potentially beneficial effect on cardiovascular diseases, especially atherosclerosis.</p>
      <p><bold>Keywords:</bold> Atherosclerosis; coffee; <italic>monascus</italic>; mice knockout.</p>
      <p>
        <bold>Introduction</bold>
      </p>
      <p>Brazil has consolidated its position as the world's greatest producer and exporter of coffee beans, accounting for 30% of the world market<sup>1</sup>. However, the by-products of that agricultural activity, which are often not properly treated, generate costs and environmental concern, are also a source of compounds with functional properties<sup>2</sup>.</p>
      <p>Coffee hull and pulp, residues of de-pulping, have a significant amount of fermentable sugars, being a proper substrate for fungal and yeast growth<sup>3</sup>.</p>
      <p><italic>Monascus ruber</italic>, an <italic>Ascomycetes</italic> fungus, has long been used in the oriental culinary for the production of pigments, and fermented foods and beverages<sup>4</sup>. That fungus called the attention of researchers worldwide due to the hypocholesterolemic activity of one of its metabolites, monacolin K, which inhibits hydroxymethylglutaryl-coenzyme A reductase (HMG-CoA reductase), a key-enzyme in the biosynthesis of cholesterol<sup>5</sup>.</p>
      <p>Atherosclerosis is a complex and multifactorial disease, affected by multiple genetic and environmental factors. Several studies have shown that a high-calorie ingestion and consumption of diets rich in saturated fatty acids accelerate atherogenesis; however, the effects of the dietary individual components are still little understood<sup>6</sup>.</p>
      <p>Of the several classes of antioxidant substances of natural occurrence, phenolic compounds have received a lot of attention in past years, because they inhibit lipid peroxidation and lipoxygenase, acting mainly as antioxidants or pro-oxidants in diseases associated with the lipid metabolism, specially atherosclerosis<sup>7,8</sup>.</p>
      <p>In that setting, the general purpose of this study was to assess the use of coffee residues as a culture medium for growing <italic>Monascus ruber,</italic> and the effects of a fermented by-product on hyperlipidemic Apo E mice, aiming at controlling and preventing cardiovascular diseases, especially atherosclerosis.</p>
      <p>
        <bold>Methods</bold>
      </p>
      <p>
        <bold>Collection and preparation of the coffee residue sample</bold>
      </p>
      <p>Catuai coffee variety (<italic>Coffea arabica L</italic>) was collected in the Zona da Mata Mineira from May to August, when 90% of the coffee fruits were in the cherry stage. The residue of pulp extraction, containing the hull, pulp and mucilage adhered to the hull, was collected after wet processing, and was machine dried (Nova T&#233;cnica, NT-514 model) at a mean temperature of 55 &#186;C until humidity below 10% was achieved.</p>
      <p>
        <bold>Microorganism and coffee residue fermentation</bold>
      </p>
      <p><italic>Monascus ruber</italic> CCT 1236 was used in this study. This strain was acquired from the Funda&#231;&#227;o Tropical de Pesquisas e Tecnologia Andr&#233; Tosello (Campinas, S&#227;o Paulo, Brazil). The microorganism was stored in potato dextrose agar (PDA) medium under refrigeration.</p>
      <p>Ninety-five milliliters of a solution containing 0.1% magnesium sulfate, 0.1% potassium dihydrogen phosphate, and 1% ammonium chloride were added to 50g of the coffee residue to enrich the medium and increase humidity. The residue was then inoculated with a suspension of spores of the fungus cultivated in the PDA medium at 28 &#186;C for 13 days. Then, the fermented coffee residue was dried and ground to be used in experimental diets.</p>
      <p>
        <bold>Phytochemical prospection and quantification of phenolic compounds</bold>
      </p>
      <p>The secondary metabolites present in the dried and fermented coffee residue were identified by use of thin-layer chromatography<sup>9</sup>. The total phenol content of the fermented and non-fermented coffee residues was estimated by using the Folin-Ciocalteu reagent<sup>10</sup>. The water/ethanol solution (6:4) was used as a solvent, because it showed greater efficiency in extracting total phenols from residues<sup>11</sup>. The results were expressed as gallic acid equivalents (GAE).</p>
      <p>
        <bold>Biological assay and biochemical analyses</bold>
      </p>
      <p>The biological assay was performed with 30 Apo E knockout mice of both sexes (mean weight of 22 g). The animals received a Purina&#174; standard food preparation and water "<italic>ad libitum</italic>" for an adaptation period of 15 days. For ten weeks, the animals received the experimental diets and water "<italic>ad libitum</italic>", and were maintained in collective polyethylene cages, with natural ventilation, 12-hour light cycles and mean temperature of 22 &#186;C. The experimental planning was approved by the Ethics Committee of the Veterinary Medicine Department of the Universidade Federal de Vi&#231;osa (process 11/2008). The mice were divided into five groups containing six animals each as follows: Group 1 (control); Group 2; Group 3; Group 4; and Group 5. The diets of the experimental groups were elaborated according to the Association of Official Analytical Chemistry recommendation<sup>12</sup>. The diets of the Groups 2 and 3 contained 2% and 10% of non-fermented coffee residues, respectively, while the diets of the Groups 4 and 5 contained 2% and 10% of fermented coffee residues, respectively (<xref ref-type="table" rid="aop_ing06412t01-body2">Table 1</xref>).</p>
      <p content-type="asset">
        <table-wrap id="aop_ing06412t01-body2">
          <graphic xlink:href="1678-4170-abc-99-02-0747-00068-gt01-en.jpg"/></table-wrap>
      </p>
      <p>At the end of the experiment, the animals were weighed, after a 12-hour fasting, anesthetized, and euthanized, blood samples being collected for measuring triacylglycerols, total cholesterol and fractions. Blood was withdrawn by use of exsanguination via abdominal aorta section. Serum was obtained through centrifugation at 5,000 rpm for 15 minutes in a table centrifuge (Marconi, M.A. 860 model).</p>
      <p>Serum measurements were performed in the multiparametric measuring apparatus (Bioqu&#237;mica, Aliz&#233;&#174;), using BioM&#233;rieux&#174; enzyme kits.</p>
      <p>
        <bold>Histopathology</bold>
      </p>
      <p>The initial region of the aorta was removed and perfused in phosphate buffered saline (PBS), transferred to a 70% ethanol solution and conserved until histopathological analysis. Aortic fragments were processed in a manual rotary microtome (American Optical&#174;) after routine paraffin inclusion, and 5-&#181;m thick consecutive histological sections were obtained. Two histological slides containing, on average, ten sections per animal were obtained. The slides were stained with hematoxylin and eosin (H/E), encoded and submitted to microscopy.</p>
      <p>The initial region of the aorta was used for histological analyses of the arterial constituents. All histological sections obtained were examined aiming at locating the referential anatomical structures of the aortic valve and root. According to the presence of those referential structures, the histological section at the aortic valve anatomic level was selected for the measurements. The sections were obtained at 5-&#181;m intervals, the mean explored extension being 20-30 &#181;m. For morphometric analysis, images of the histologic sections of the five groups were captured, and, for standardizing the group samplings, eight images were randomly selected for measurement.</p>
      <p>Images were obtained with the Olympus&#174; Bx50 microscope coupled with a Q-Color 3 Olympus&#174; digital camera, the images being captured by using the Q-Capture Pro software, version 6.0.0.412. The aortic lesion areas were measured by using the Image Pro Plus software, version 4.5.0.29.</p>
      <p>
        <bold>Data analyses</bold>
      </p>
      <p>The SigmaStat software (version 2.03) was used for the descriptive analysis of the results and the comparison tests of the means of the independent groups. The Kolmogorov-Sminorv test was used to assess the distribution of the variables. Considering the sampling per group of animals and that some variables do not have a normal distribution, non-parametric tests were performed for comparing each two independent groups, using the Mann-Whitney test. Variables with normal distribution underwent parametric analysis, followed by the <italic>t</italic> test. The means were significant for <italic>p</italic> &lt; 0.05.</p>
      <p>
        <bold>Results</bold>
      </p>
      <p>
        <bold>Phytochemical prospection and quantification of phenolic compounds</bold>
      </p>
      <p>The major groups of secondary metabolites identified in the non-fermented coffee residues and in the coffee residues fermented by <italic>Monascus ruber</italic> are shown in <xref ref-type="table" rid="t2-body2">Table 2</xref>.</p>
      <table-wrap id="t2-body2">
        <graphic xlink:href="1678-4170-abc-99-02-0747-00068-gt02-en.jpg"/></table-wrap>
      <p>Saponins, triterpenes/steroids, coumarins, tannins, flavonoids and alkaloids were detected in both coffee residues. However, there was a difference between the chromatographic profiles of the extracts regarding the secondary metabolite groups.</p>
      <p>The fermented coffee residue showed a statistically higher content of total phenols than the non-fermented coffee residue.</p>
      <p>
        <bold>Effect of the ingestion of coffee residues on the serum lipid profile of knockout Apo E mice</bold>
      </p>
      <p><xref ref-type="table" rid="aop_ing06412t04-body2">Table 4</xref> shows the mean levels of triacylglycerols, and total cholesterol and fractions in the different groups of the experiment (<xref ref-type="table" rid="aop_ing06412t04-body2">Table 4</xref>).</p>
      <p content-type="asset">
        <table-wrap id="aop_ing06412t04-body2">
          <graphic xlink:href="1678-4170-abc-99-02-0747-00068-gt03-en.jpg"/></table-wrap>
      </p>
      <p>The results show a significant reduction in the serum levels of triacylglycerols and VLDL-c.</p>
      <p>
        <bold>Aortic histopathology of Apo E knockout mice</bold>
      </p>
      <p><xref ref-type="table" rid="aop_ing06412t05-body2">Table 5</xref> shows the mean percentage of the aortic lesion area (mm<sup>2</sup>) in mice undergoing different treatments with fermented and non-fermented coffee residues.</p>
      <p content-type="asset">
        <table-wrap id="aop_ing06412t05-body2">
          <graphic xlink:href="1678-4170-abc-99-02-0747-00068-gt04-en.jpg"/></table-wrap>
      </p>
      <p>The results show statistically significant differences between the treatment groups (Groups 2, 3 and 4) and the control group (Group 1).</p>
      <p><xref ref-type="fig" rid="aop_ing06412f01-body2">Figure 1</xref> illustrates the aortic lesions of mice undergoing different treatments with fermented and non-fermented coffee residues.</p>
      <p content-type="asset">
        <fig id="aop_ing06412f01-body2">
          <graphic xlink:href="1678-4170-abc-99-02-0747-00068-gf01-en.jpg"/></fig>
      </p>
      <p>The aortic lesion was identified as a xanthoma in a progressive stage with no evident deposition of cholesterol crystals, according to the classification by Virmani et al.<sup>13</sup>.</p>
      <p><xref ref-type="fig" rid="aop_ing06412f02-body2">Figure 2</xref> shows the morphometric assessment of aortic lesions of mice fed different diets.</p>
      <p content-type="asset">
        <fig id="aop_ing06412f02-body2">
          <graphic xlink:href="1678-4170-abc-99-02-0747-00068-gf02-en.jpg"/></fig>
      </p>
      <p>The results suggest that the effect of the fermented coffee residue is inversely related to its dietary concentration. The group receiving 2% of fermented residue showed a 15% reduction in the lesion area.</p>
      <p>
        <bold>Discussion</bold>
      </p>
      <p>The present study assesses, for the first time, the effect of coffee residues fermented and non-fermented with <italic>Monascus ruber</italic> on the lipid metabolism of animals.</p>
      <p>Products fermented with fungi of the <italic>Monascus</italic> genus have been used in the treatment and prevention of cardiovascular diseases, especially atherosclerosis<sup>14</sup>. The coffee residue is rich in polyphenols and bioactive compounds with antioxidant action, which also have a protective action on the cardiovascular system<sup>15-17</sup>.</p>
      <p>
        <graphic xlink:href="1678-4170-abc-99-02-0747-00068-e01-en.jpg"/></p>
      <p>The fermentation process can synthetize or break down compounds that have biological activity. This study evidenced the presence of the same classes of bioactive compounds in fermented and non-fermented coffee residues. However, by use of distinct retention factors, the fermented and non-fermented coffee residues showed different phytochemical compounds in the same classes of secondary metabolites. That difference in compounds might relate to the higher content of polyphenols in the fermented coffee residue.</p>
      <p>A difference was observed in the lipid profile of mice receiving non-fermented coffee residue as compared with that of mice receiving only an atherogenic diet (Group 1). Group 2 had a 42% reduction in the serum level of triacylglycerols simultaneously with an approximately 41% reduction in VLDL-c as compared with Group 1, and the differences were statistically significant.</p>
      <p>The aorta of the Group 2 animals showed the greatest lesion area as compared with that of Group 1, contrary to that which was expected, because Group 2 had lower levels of triacylglycerols and VLDL-c than those of the control group. Group 3 and Group 4 decreased their lesion areas by 10.5% and 15.4%, respectively, as compared with the control group, and the reductions were statistically significant.</p>
      <p>Comparing the groups fed the different residues at the same concentration (Groups 2 and 4), that receiving 2% fermented coffee residue (Group 4) showed a 26.4% decrease in the lesion area as compared with Group 2, showing that fermentation had a beneficial effect, reducing the formation of the atheroma plaque. At the 10% concentration, only the non-fermented residue showed a beneficial effect, reducing the lesion by 14.1% as compared with animals fed a 10% fermented coffee residue (Group 5).</p>
      <p>When comparing equal residues, but at different concentrations, the concentrations influenced the formation of atherosclerotic lesions, evidencing that the higher concentration of the non-fermented residue (Group 3) was efficient in reducing the lesion. On the other hand, the lower concentration of the fermented residue (Group 4) had a better protective effect.</p>
      <p>The relationship between the consumption of coffee beverages and the development of cardiovascular diseases has been reported in the literature, mainly involving human beings. If, on the one hand, several studies have shown the noxious effect of coffee on diseases<sup>18,19</sup>, on the other, there is evidence of its beneficial effects<sup>20,21</sup>. However, no reports have been found about the effect of products fermented with fungi of the <italic>Monascus</italic> genus and/or coffee residue on animal and human metabolism. The present study showed that the coffee residue is a growth medium for the fungus <italic>Monascus ruber</italic> and can help prevent atherosclerosis.</p>
      <p>The antioxidant effect is obtained when the bioactive compounds are used at low concentrations, acting as signaling mediators in mechanisms of cell adjustment, proliferation, defense and death. The concentration increase of those compounds can cause cell injuries related to pathological conditions<sup>22-24</sup>. One possible explanation for our results is that fermentation leads to the formation of specific bioactive compounds, which, at high concentrations (10%), become noxious, but at a 2% concentration decrease those aortic lesions. Regarding the non-fermented residue, the concentration of phenols in the 2% coffee residue might be insufficient to provide a protective effect, but, at the 10% supplementation, the protective effect might be achieved.</p>
      <p>The study had limitations, one of them was the small blood volume obtained in this type of animal model, hindering the performance of different analyses.</p>
      <p>
        <bold>Conclusions</bold>
      </p>
      <p>The results of this study showed that coffee residues reduce the serum levels of triacylglycerols and VLDLc.</p>
      <p>Fermentation increased the content of total phenols.</p>
      <p>The animals receiving the 2% fermented coffee residue showed the greatest reduction in the aortic lesion area. Those receiving the 10% fermented residue showed no effect on the lesions, evidencing a dose-dependent effect.</p>
      <p>
        <bold>Potential conflict of interest</bold>
      </p>
      <p>No potential conflict of interest relevant to this article was reported.</p>
      <p>
        <bold>Sources of Funding</bold>
      </p>
      <p>This study had the technical and financial support of Fapemig and CNPq.</p>
      <p>
        <bold>Study Association</bold>
      </p>
      <p>This article is part of the master's thesis of Larissa Froede Brito at the Universidade Federal de Vi&#231;osa (UFV), MG.</p>
      <p>
        <bold>References</bold>
      </p>
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  </sub-article>
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