weight & body fat
nutrition
LPL

The Connection Between Fat Metabolism, Weight, and Genetics (LPL)

Written by Jasmine Foster, BSc, BEd on July 13th, 2020
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Lipase breaks dietary fats into smaller molecules so they can be absorbed into the bloodstream. Can genetic variation in this crucial digestive enzyme affect weight?

What is Lipase?

Lipase is an enzyme that breaks down dietary fats and oils so that they can be absorbed from the intestine into the bloodstream [R].

Pancreatic lipase is the most important type of lipase and the main form of lipase in the gut, produced and released by the pancreas, the same gland that makes insulin. After a meal, your pancreas releases lipase into your digestive tract, where it breaks down fatty triglycerides into smaller molecules that are easier to absorb (monoglycerides and fatty acids) [R].

In addition to the pancreas, lipases are also produced in the liver (hepatic lipase), blood vessel lining (endothelial lipase), and other tissues such as the muscles, heart, brain, and even fat tissues themselves (lipoprotein lipase) [R, R, R].

How Does Lipase Affect Weight?

As we’ve already mentioned, lipase breaks down fats to make them easier to absorb from the intestine into the bloodstream [R].

Researchers have found that blocking the pancreatic lipase aids in weight loss by preventing the absorption of fats [R].

People with lower lipase activity may be able to eat more dietary fats without gaining as much weight; by the same token, those with higher lipase activity may be more susceptible to weight gain from relatively less dietary fat [R].

Indeed, there are a few weight loss drugs that block pancreatic lipase and have been found to cause weight loss – orlistat (Xenical, Alli) and cetilistat (in clinical trials). Orlistat reduces fat absorption by about 30% [R, R, R].

Lipase is a digestive enzyme that breaks dietary fats into smaller molecules so that they can be absorbed into the bloodstream. Excess lipase activity has been linked to weight gain and obesity.

Lipase Variants & Measurements of Weight Gain

A number of LPL variants have been associated with obesity and measures of weight gain. One of these, rs250, is an insertion mutation; people with this variant have a slightly longer LPL gene than those who don’t. The insertion mutation may increase the expression of lipase, thereby increasing fat absorption and likelihood of obesity. Unfortunately, though its link to obesity is significant, this variant is not reported on any major commercial DNA chip [R].

Five more variants of LPL have been associated with weight and metabolic health outcomes. Generally speaking, variants that increase lipase allow for increased fat absorption, which potentially increases blood fats and fat tissue [R, R].

One interesting study found that the ‘TT’ genotype of rs320 was associated with reduced BMI and waist circumference in women who ate a lot of polyunsaturated fatty acids (PUFAs). The ‘G’ allele at this SNP is presumed to cause increased lipase activity and increased potential weight gain [R].

The ‘G’ allele of rs1800590 has been associated with increased BMI and more abdominal fat. Meanwhile, the ‘A’ allele of rs264 has been associated with increased weight regain after a weight loss program [R, R].

Finally, two SNPs have been associated with increased blood fats and metabolic syndrome, though they have not been studied in the context of weight gain specifically. At rs7841189, the uncommon ‘T’ allele appears to be linked to reduced lipase activity (possibly protective against metabolic syndrome); at rs2083637, the uncommon ‘G’ allele may increase lipase activity and promote fat absorption [R, R].

Genetic variants that increase lipase expression have been associated with weight gain and metabolic dysfunction.

Your LPL Results for Weight Gain

SNP Table

 

SNP Summary and Table

LPL rs320

  • ‘T’ = Associated with lower BMI in women who consume more polyunsaturated fats
  • ‘G’ = Associated with higher BMI in women who consume more polyunsaturated fats
  • About 55% of all people worldwide have the ‘TT’ genotype.

LPL rs1800590

  • ‘T’ = Not associated with BMI or abdominal fat
  • ‘G’ = Associated with increased BMI and abdominal fat
  • Only about 22% of all people worldwide have at least one copy of the ‘G’ allele.
  • The ‘G’ allele is much more common in people of African descent (70%) and almost nonexistent in people of East Asian descent (0.2%).

LPL rs264

  • ‘G’ = Not associated with weight regain
  • ‘A’ = Associated with more weight regained after a weight loss program
  • About 29% of all people worldwide have at least one copy of the ‘A’ allele.

LPL rs7841189

  • ‘C’ = Not associated with metabolic syndrome
  • ‘T’ = Possibly protective against metabolic syndrome
  • About 73% of all people worldwide have the ‘CC’ genotype.
  • The ‘CC’ genotype is less common in people of African descent (60%) and somewhat more common in people of South Asian and American descent (each 82%).

LPL rs2083637

  • ‘A’ = Not associated with metabolic syndrome
  • ‘G’ = Associated with metabolic syndrome & increased blood fats
  • About 42% of all people worldwide have at least one copy of the ‘G’ allele.

 

Recommendations

Lifestyle

Hydration

Dehydration can stress the pancreas and cause it to produce more lipase. There are many good reasons to drink plenty of water during the day, and this is one of them; staying hydrated can help keep lipase production within a normal range. This is recommended regardless of your genotype, but especially important if you have a tendency to produce excess lipase [R, R].

Researchers have estimated that drinking 500 ml (17 oz) of water per day can boost metabolism by 24-30% over a period of 1-1.5 hours, while 2 liters (68 oz) of water can make you burn an additional 96 calories [R].

Molecular hydrogen water is often claimed to be better for weight loss. In the only study carried out so far (in mice) it induced FGF21, which resulted in the burning of brown fat. Whether hydrogen water has the same effects in humans remains unknown [R].

Proper hydration supports pancreatic health and prevents the overproduction of lipase.

Diet

Green Tea

Green tea and its extracts have been found to block the action of lipase in animals and humans [R, R, R].

EGCG, the major active compound in green tea, caused between 0.2 and 3.5 kg of weight loss in limited human studies. Green tea, meanwhile, is hypothesized to make us burn more calories, even at rest. In most studies, this amounts to a modest 3-4% increase in energy, though some studies have shown an increase as high as 8%. For a 2,000 calorie diet, 3-4% amounts to an additional 60-80 calories per day [R, R, R, R, R, R].

In one study of 60 obese individuals, the group taking green tea extract lost 7.3lbs and burned 183 more calories per day (on average) after 3 months [R, R].

According to a review of 11 studies, green tea extract or EGCG can slightly improve weight loss and maintenance. However, a Cochrane database review of 14 studies regarded the change in weight as nonsignificant in most studies, so the evidence is inconclusive [R, R].

The majority of weight loss trials used special extracts with higher concentrations of active ingredients (catechins and caffeine), compared with regular tea. Hence, it may be necessary to take an EGCG-rich green tea extract for beneficial effects [R].

Green tea contains active compounds that block lipase and have been used successfully as tools for weight loss.

Apples

Researchers are looking for naturally-occurring compounds that block pancreatic lipase and potentially reduce fat absorption. One food that is surprisingly rich in such compounds is the apple; apple polyphenols called procyanidins have been found to effectively block the action of lipase and reduce the absorption of triglyceride fats in mice and humans [R, R].

Polyphenols from various fruits (including blueberries and apples) led to lower weight in animal studies [R, R].

Foods Containing Phytic Acid

Phytic acid is a compound found in whole grains, legumes, potatoes, nuts, and seeds. It has a bad reputation as an “anti-nutrient” among the followers of popular diets like the paleo diet. This is because phytic acid tends to bind to nutrients like zinc and iron and make them less available for absorption [R, R].

Phytic acid also happens to block the action of lipase, potentially reducing absorption of fats [R].

For reasons presumed to be unrelated to phytic acid, a diet rich in grains, legumes, nuts, and seeds is often recommended as part of a weight loss program. People who eat this kind of diet are less likely to develop heart disease and diabetes, for example: two conditions which are often comorbid with obesity [R, R].

Cooking Spices

One study found that a blend of common cooking spices, when added to a fatty meal, blocked lipase and reduced fat absorption. The spices in this blend were black pepper, cinnamon, cloves, garlic, ginger, oregano, paprika, rosemary, and turmeric [R].

The authors of this study suggested that cooking with these spices in large amounts (14.5g in a meal) could be a helpful tool to manage the health of overweight and obese patients [R].

Cooking spices contain many active compounds that have been studied for their potential to promote weight loss. It is possible that consuming many of these compounds in combination could improve their effectiveness [R].

Many compounds found in edible plants (from apples to whole grains to cooking spices) block the action of lipase and may reduce the absorption of dietary fats.

Supplements

Ginseng

Korean red ginseng contains active compounds that can block lipase activity in animals and humans [R, R].

Ginseng has also been studied as a potential weight loss tool in animals and humans. In a study of obese middle-aged Korean women, those who took a ginseng supplement alongside other weight loss strategies experienced slightly more weight loss and a slight beneficial modification of their gut flora [R, R].

Curcumin

Turmeric, the significant active compound of which is curcumin, is one of a blend of spices that blocked lipase in one study of 20 overweight adults [R].

A meta-analysis of 21 studies found that curcumin supplementation was associated with significant improvements to weight loss outcomes in patients with metabolic syndrome and similar disorders. In these studies, curcumin decreased BMI, weight, waist circumference, and leptin (suggesting a possible improvement to leptin sensitivity) [R].

Ginseng and curcumin have each been found to block lipase and possibly help with weight loss outcomes.

Author photo
Jasmine Foster
BSc, BEd

Jasmine received her BS from McGill University and her BEd from Vancouver Island University.

Jasmine loves helping people understand their brains and bodies, a passion that grew out of her dual background in biology and education. From the chem lab to the classroom, everyone has the right to learn and make informed decisions about their health.

Disclaimer

The information on this website has not been evaluated by the Food & Drug Administration or any other official medical body. This information is presented for educational purposes only, and may not be used to diagnose or treat any illness or disease.

Also keep in mind that the “Risk Score” presented in this post is based only on a select number of SNPs, and therefore only represents a small portion of your total risk as an individual. Furthermore, these analyses are based primarily on associational studies, which do not necessarily imply causation. Finally, many other (non-genetic) factors can also play a significant role in the development of a disease or health condition — therefore, carrying any of the risk-associated genotypes discussed in this post does not necessarily mean you are at increased risk of developing a major health condition.

Always consult your doctor before acting on any information or recommendations discussed in this post — especially if you are pregnant, nursing, taking medication, or have been officially diagnosed with a medical condition.

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