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1.
Acta sci., Health sci ; 44: e58558, Jan. 14, 2022.
Artigo em Inglês | LILACS | ID: biblio-1367771

RESUMO

Cardiovascular disease(CVD) remains the major cause of mortality in the world, typically claiming a third of all deaths. The primary cause of CVD is atherosclerosis. Therefore, timely prevention and therapy of atherosclerosis are able to reduce the risk of the development of its clinical manifestations. Anti-atherosclerotic activity of medicinal plants mainly appears in their multiple effects.This study was carried out to evaluate the hypolipidemic activity of virgin olive oil in experimentally induced hyperlipemic Wistar. A total of 24 rats were randomly allocated to 4 equal groups and treated as follows for 50 days: (1) Normal control (NC); that were fed with a standart diet; (2) High Cholesterol Diet Control (HCD); which received high cholesterol diet for 50 days; (3) Animals receiving high cholesterol diet for 50 days, after this period the animals are fed for eight days by the standard foodand receiving by gavage virgin olive oil (HCD+VOO) and(4) Animals fed for eight days with the standard food and receiving by gavage olive oil (VOO). High Cholesterol Diet containing yolk egg and coconut oil. Results showed that olive oil caused a significant (p < 0.01) reduction in serum levels of Total Cholesterol (TC), Triglycerides (TG), Low­Density Lipoprotein Cholesterol (LDL) and Atherogenic Index Serum (AIS). The results also demonstrated a significant (p < 0.01) increase in High­Density Lipoprotein Cholesterol (HDL). Moreover, virgin olive oil induced a significant reduction in liver lipid content. On the other hand, a High cholesterol diet induced oxidative stress was measured by estimating reduced glutathione level and amount of thiobarbituric acid reactive substances (TBARS) formed as an index of lipid peroxidation in a liver and a heart. Virgin olive oil supplementation attenuated all these variations. Our observations of the study indicate that the virgin olive oil has a significant antihyperlipidemic potential.


Assuntos
Animais , Ratos , Estresse Oxidativo/imunologia , Aterosclerose/dietoterapia , Dieta Hiperlipídica/métodos , Azeite de Oliva/farmacologia , Triglicerídeos/farmacologia , Peroxidação de Lipídeos/imunologia , Colesterol/farmacologia , Ratos Wistar/imunologia , Dieta Aterogênica/métodos , Glutationa/farmacologia , Hipercolesterolemia/imunologia , Lipoproteínas/imunologia
2.
Sci Rep ; 8(1): 16515, 2018 11 08.
Artigo em Inglês | MEDLINE | ID: mdl-30409998

RESUMO

Gut microbiota have been implicated in the development of atherosclerosis and cardiovascular disease. Since the prebiotic inulin is thought to beneficially affect gut microbiota, we aimed to determine the effect of inulin supplementation on atherosclerosis development in APOE*3-Leiden.CETP (E3L.CETP) mice. Female E3L.CETP mice were fed a western-type diet containing 0.1% or 0.5% cholesterol with or without 10% inulin. The effects of inulin were determined on: microbiota composition, cecal short-chain fatty acid (SCFA) levels, plasma lipid levels, atherosclerosis development, hepatic morphology and hepatic inflammation. Inulin with 0.5% dietary cholesterol increased specific bacterial genera and elevated levels of cecal SCFAs, but did not affect plasma cholesterol levels or atherosclerosis development. Surprisingly, inulin resulted in mild hepatic inflammation as shown by increased expression of inflammation markers. However, these effects were not accompanied by increased hepatic macrophage number. Analogously, inulin induced mild steatosis and increased hepatocyte size, but did not affect hepatic triglyceride content. Inulin with 0.1% dietary cholesterol did not affect hepatic morphology, nor hepatic expression of inflammation markers. Overall, inulin did not reduce hypercholesterolemia or atherosclerosis development in E3L.CETP mice despite showing clear prebiotic activity, but resulted in manifestations of hepatic inflammation when combined with a high percentage of dietary cholesterol.


Assuntos
Apolipoproteína E3/genética , Aterosclerose/imunologia , Bactérias/efeitos dos fármacos , Microbioma Gastrointestinal/efeitos dos fármacos , Hipercolesterolemia/imunologia , Inulina/administração & dosagem , Prebióticos/administração & dosagem , Animais , Apolipoproteína E3/metabolismo , Aterosclerose/genética , Aterosclerose/metabolismo , Bactérias/classificação , Bactérias/genética , Bactérias/isolamento & purificação , DNA Bacteriano/genética , DNA Ribossômico/genética , Dieta Ocidental/efeitos adversos , Modelos Animais de Doenças , Ácidos Graxos/química , Feminino , Hipercolesterolemia/induzido quimicamente , Hipercolesterolemia/genética , Hipercolesterolemia/metabolismo , Inulina/farmacologia , Lipídeos/sangue , Camundongos , Camundongos Transgênicos , Filogenia , RNA Ribossômico 16S/genética , Análise de Sequência de DNA
3.
Int J Mol Med ; 41(4): 1799-1808, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29393350

RESUMO

Hypercholesterolemia is one of primary risk factors of cardiovascular disease, together with metabolic syndrome, hypertension and diabetes. Although progress has been made, the search for novel methods of preventing and treating dyslipidemia is ongoing and current therapies for cardiovascular disease induce various side effects. ß­glucans are linear unbranched polysaccharides found in various natural sources, such as mushrooms. Due to their structure they are able to interact with innate immunity receptors, however they also act as dietary fibers in the digestive tract. As there are two forms of ß­glucans, insoluble and soluble forms, they are able to interact with lipids and biliary salts in the bowel and consequently reduce cholesterol levels. Therefore, they may be developed as a suitable therapeutic option to treat patients with dyslipidemia, as they are natural molecules that do not induce any significant side effects. The current review discusses the evidence supporting the effects of ß­glucans on cholesterol levels.


Assuntos
Anticolesterolemiantes/uso terapêutico , Colesterol/metabolismo , Fibras na Dieta/uso terapêutico , Hipercolesterolemia/metabolismo , Hipercolesterolemia/terapia , Fatores Imunológicos/uso terapêutico , beta-Glucanas/uso terapêutico , Animais , Anticolesterolemiantes/química , Colesterol/sangue , Colesterol/imunologia , Fibras na Dieta/análise , Humanos , Hipercolesterolemia/sangue , Hipercolesterolemia/imunologia , Fatores Imunológicos/química , beta-Glucanas/química
4.
J Nutr Biochem ; 47: 29-34, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28501703

RESUMO

Xanthohumol, a prominent prenyl flavonoid from the hop plant (Humulus lupulus L.), is suggested to be antiatherogenic since it reportedly increases high-density lipoprotein (HDL) cholesterol levels. It is not clear whether xanthohumol promotes reverse cholesterol transport (RCT), the most important antiatherogenic property of HDL; therefore, we investigated the effects of xanthohumol on macrophage-to-feces RCT using a hamster model as a CETP-expressing species. In vivo RCT experiments showed that xanthohumol significantly increased fecal appearance of the tracer derived from intraperitoneally injected [3H]-cholesterol-labeled macrophages. Ex vivo experiments were then employed to investigate the detailed mechanism by which xanthohumol enhanced RCT. Cholesterol efflux capacity from macrophages was 1.5-fold higher in xanthohumol-fed hamsters compared with the control group. In addition, protein expression and lecithin-cholesterol acyltransferase activity in the HDL fraction were significantly higher in xanthohumol-fed hamsters compared with the control, suggesting that xanthohumol promoted HDL maturation. Hepatic transcript analysis revealed that xanthohumol increased mRNA expression of abcg8 and cyp7a1. In addition, protein expressions of liver X receptor α and bile pump export protein were increased in the liver by xanthohumol administration when compared with the control, implying that it stimulated bile acid synthesis and cholesterol excretion to feces. In conclusion, our data demonstrate that xanthohumol improves RCT in vivo through cholesterol efflux from macrophages and excretion to feces, leading to antiatherosclerosis effects. It remains to be elucidated whether enhancement of RCT by xanthohumol could prove valuable in humans.


Assuntos
Anticolesterolemiantes/uso terapêutico , Colesterol/metabolismo , Suplementos Nutricionais , Flavonoides/uso terapêutico , Fármacos Gastrointestinais/uso terapêutico , Hipercolesterolemia/prevenção & controle , Macrófagos/metabolismo , Propiofenonas/uso terapêutico , Membro 8 da Subfamília G de Transportadores de Cassetes de Ligação de ATP/genética , Membro 8 da Subfamília G de Transportadores de Cassetes de Ligação de ATP/metabolismo , Animais , Aterosclerose/etiologia , Aterosclerose/prevenção & controle , Transporte Biológico , Colesterol/sangue , Colesterol 7-alfa-Hidroxilase/metabolismo , Proteínas de Transferência de Ésteres de Colesterol/metabolismo , Dieta Hiperlipídica/efeitos adversos , Fezes/química , Regulação da Expressão Gênica no Desenvolvimento , Hipercolesterolemia/imunologia , Hipercolesterolemia/metabolismo , Hipercolesterolemia/fisiopatologia , Eliminação Intestinal , Lipoproteínas HDL/sangue , Lipoproteínas HDL/metabolismo , Fígado/enzimologia , Fígado/imunologia , Fígado/metabolismo , Macrófagos/imunologia , Masculino , Mesocricetus , Fosfatidilcolina-Esterol O-Aciltransferase/sangue , Fosfatidilcolina-Esterol O-Aciltransferase/metabolismo
5.
J Med Food ; 20(5): 526-534, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-28294699

RESUMO

Chia oil has the highest recognized α-linolenic acid (ALA) content. ALA is associated with beneficial changes in plasma lipids and the prevention of cardiovascular diseases. Present article aims to analyze the effect of Chia oil-enriched restructured pork (RP) on aged rats in a nonalcoholic steatohepatitis (NASH) model. Groups of six male Wistar rats (1-year old) were fed the experimental diets: control RP diet (C) noncholesterol high saturated; cholesterol-enriched high-saturated fat/high-cholesterol control RP diet (HC) with added cholesterol and cholic acid; and Chia oil- or Hydroxytyrosol RP cholesterol-enriched high-saturated fat/high cholesterol (CHIA and HxT). Total cholesterol, hepatosomatic index, Nrf2, antioxidant, and inflammation markers were determined. CHIA reduced the hypercholesterolemic effect by lowering levels similar to C; also, ameliorated redox index. CHIA, despite high polyunsaturated fatty acids (PUFA) content, reduced thiobarbituric acid reactive substances (TBARS) and induced the lowest SOD protein synthesis but not a reduction on its activity. Chia oil activated the Nrf2 to arrest the pro-oxidative response to cholesterol and aging. Endothelial nitric oxide synthase (eNOS) system was lower in HxT than in CHIA, suggesting its antiatherogenic activity and related protective effect against high PUFA. Increase in tumor necrosis factor alpha (TNFα) was partially blocked by CHIA. Chia oil has the ability to prevent oxidative damage and modify the inflammatory response, suggesting adequate regulation of the antioxidant system. Results stress the importance of incorporating ALA into the diet.


Assuntos
Envelhecimento , Colesterol na Dieta , Hipercolesterolemia , Carne , Hepatopatia Gordurosa não Alcoólica , Óleos de Plantas , Salvia , Animais , Humanos , Masculino , Ratos , Envelhecimento/efeitos dos fármacos , Envelhecimento/imunologia , Envelhecimento/metabolismo , Colesterol na Dieta/efeitos adversos , Colesterol na Dieta/metabolismo , Dieta Hiperlipídica/efeitos adversos , Hipercolesterolemia/dietoterapia , Hipercolesterolemia/genética , Hipercolesterolemia/imunologia , Hipercolesterolemia/metabolismo , Carne/análise , Hepatopatia Gordurosa não Alcoólica/dietoterapia , Hepatopatia Gordurosa não Alcoólica/genética , Hepatopatia Gordurosa não Alcoólica/imunologia , Hepatopatia Gordurosa não Alcoólica/metabolismo , Estresse Oxidativo , Óleos de Plantas/química , Óleos de Plantas/metabolismo , Ratos Wistar , Salvia/química , Suínos , Fator de Necrose Tumoral alfa/genética , Fator de Necrose Tumoral alfa/imunologia
6.
Food Funct ; 6(3): 963-71, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25662939

RESUMO

Corinthian currants are a rich source of phenolic compounds, which are known to exert beneficial effects on cardiovascular disease. The hypothesis tested is whether dietary supplementation with currants attenuates atherosclerosis and affects plasma phenolics during prolonged hypercholesterolemia in rabbits. Thirty New Zealand White rabbits were fed one of four diets (normal and supplemented with 10% currants, with 0.5% cholesterol, and with 0.5% cholesterol plus 10% currants) for eight weeks. Plasma lipids, glucose and hepatic enzymes were determined. Individual phenolic compounds were identified and quantified in plasma during the dietary intervention. At the end of the study, histological examinations of aorta and liver were performed. The high-cholesterol diet resulted in hypercholesterolemia and oxidative stress, increased aspartate aminotransferase (AST) activity and induced aortic and hepatic lesion formation. Corinthian currant supplementation attenuated atherosclerotic lesions, maintained AST within the normal range and reduced oxidative stress without affecting glucose concentrations. The p-OH-benzoic and p-OH-phenylacetic acids predominated at high concentrations in plasma and remained almost constant during the study in the group that received the normal rabbit chow and the groups given food with added cholesterol either alone or supplemented with currants. Currant supplementation to the normal diet resulted in the reduced absorption of phenolic compounds, as revealed by the measurement of their plasma metabolites, suggesting a regulatory mechanism at the gut level under normal conditions.


Assuntos
Anti-Inflamatórios não Esteroides/uso terapêutico , Antioxidantes/uso terapêutico , Aterosclerose/prevenção & controle , Suplementos Nutricionais , Extrato de Sementes de Uva/uso terapêutico , Hipercolesterolemia/dietoterapia , Fenóis/sangue , Animais , Anti-Inflamatórios não Esteroides/efeitos adversos , Antioxidantes/efeitos adversos , Aorta/imunologia , Aorta/patologia , Aterosclerose/etiologia , Colesterol na Dieta/efeitos adversos , Suplementos Nutricionais/efeitos adversos , Endotélio Vascular/imunologia , Endotélio Vascular/patologia , Frutas/química , Frutas/crescimento & desenvolvimento , Alimento Funcional/análise , Fármacos Gastrointestinais/efeitos adversos , Fármacos Gastrointestinais/uso terapêutico , Extrato de Sementes de Uva/efeitos adversos , Grécia , Hipercolesterolemia/imunologia , Hipercolesterolemia/metabolismo , Hipercolesterolemia/fisiopatologia , Fígado/imunologia , Fígado/patologia , Masculino , Estresse Oxidativo , Fenóis/antagonistas & inibidores , Fenóis/metabolismo , Coelhos , Distribuição Aleatória , Vitis/química , Vitis/crescimento & desenvolvimento
7.
Pharm Biol ; 51(12): 1552-8, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24033089

RESUMO

CONTEXT: The anti-atherogenic effect of alkaloid fraction from Ruta graveolens Linn (Rutaceae) extract is suspected to be related to its activities of antioxidation and anti-inflammation. OBJECTIVE: This study investigated the efficacy of alkaloid fraction isolated from Ruta graveolens (AFR) in reducing oxidative damage and inflammation in hypercholesteremic rabbits. MATERIALS AND METHODS: The New Zealand white rabbits were randomly divided into three groups: Group I rabbits were fed with normal chow diet for 90 d. Group II rabbits were fed with 1% cholesterol-enriched diet. Group III rabbits were fed with 1% cholesterol-enriched diet together with AFR (10 mg/kg/daily for 90 d). RESULTS AND DISCUSSION: The results showed that on treatment with AFR significantly lowered the level of total cholesterol and LDL-C and showed an increment in the level of HDL-C. LD50 of the AFR in rats is greater than 525 mg/kg. Activities of antioxidant enzymes such as superoxide dismutase, catalase and glutathione peroxidase and GSH level were decreased in cholesterol-fed rabbit and supplementation of AFR significantly enhanced the activities of these antioxidant enzymes and GSH level. Increased activities of enzymes such as cyclooxygenase-2, 15-lipoxygenase and myeloperoxidase were significantly suppressed by AFR administration. The acute phase proteins, total WBC count and TBARS concentrations were significantly increased by hypercholesteromic diet, which were significantly decreased by AFR treatment. Histopathological studies of aorta in cholesterol-fed rabbit showed plaque formation and significant changes in aortic wall. Administration of AFR showed no changes in aortic wall. CONCLUSION: AFR reduces oxidative stress and inflammation and reduces the aortic pathology in hypercholesteromic rabbits.


Assuntos
Alcaloides/uso terapêutico , Anti-Inflamatórios não Esteroides/uso terapêutico , Antioxidantes/uso terapêutico , Hipercolesterolemia/tratamento farmacológico , Estresse Oxidativo/efeitos dos fármacos , Ruta/química , Proteínas de Fase Aguda/metabolismo , Administração Oral , Alcaloides/administração & dosagem , Alcaloides/isolamento & purificação , Animais , Anti-Inflamatórios não Esteroides/administração & dosagem , Anti-Inflamatórios não Esteroides/isolamento & purificação , Antioxidantes/administração & dosagem , Antioxidantes/isolamento & purificação , Aorta/efeitos dos fármacos , Aorta/patologia , Araquidonato 15-Lipoxigenase/metabolismo , Ciclo-Oxigenase 2/metabolismo , Modelos Animais de Doenças , Hipercolesterolemia/imunologia , Hipercolesterolemia/metabolismo , Hipercolesterolemia/patologia , Leucócitos Mononucleares/efeitos dos fármacos , Leucócitos Mononucleares/enzimologia , Coelhos
8.
J Nutr ; 142(12): 2182-7, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23096013

RESUMO

Linoleic acid (LA) and α-linolenic acid (ALA) are essential fatty acids that play an important role in modulation of T cell proliferation. The effects of consuming novel soybean oils varying in LA:ALA ratios on T cell proliferation and inflammatory responses were assessed in older adults. Eighteen participants (>50 y old) with elevated cholesterol concentrations (3.37-4.14 mmol/L LDL cholesterol) consumed 5 experimental diets in random order for periods of 35 d. Each diet contained 30% of energy as fat, two-thirds of which was high-oleic acid soybean oil (HiOleic-SO), soybean oil (SO), low-SFA soybean oil (LoSFA-SO), hydrogenated soybean oil (Hydrog-SO), or low-ALA soybean oil (LoALA-SO), resulting in LA:ALA ratios of 2.98, 8.70, 9.69, 15.2, and 18.3, respectively. Participants had higher proliferative responses to phytohemagglutinin (PHA) compared with baseline following consumption of SO (26%; P < 0.05), LoSFA-SO (22%; P < 0.05), or HiOleic-SO (24%; P < 0.05) diets. Proliferative response was similar to the baseline after participants consumed diets with an LA:ALA ratio >10 (Hydrog-SO and LoALA-SO). Post-diet intervention, LA:ALA ratios correlated with proliferative responses to PHA (r = -0.87; P = 0.05). An optimal proliferative response was observed at an LA:ALA ratio of 8.70, with an inverse correlation between proliferative response and LA:ALA ratios >8.70. These effects were independent of changes in the production of PGE(2), inflammatory cytokines, or cytokines involved in growth of lymphocytes. These data suggest that the LA:ALA ratio modulates the proliferative ability of T lymphocytes, which may be due to subtle changes in fatty acid composition of the phospholipids in immune cells.


Assuntos
Hipercolesterolemia/imunologia , Ácido Linoleico/administração & dosagem , Ativação Linfocitária , Óleo de Soja/administração & dosagem , Linfócitos T/imunologia , Ácido alfa-Linolênico/administração & dosagem , Proteína C-Reativa/análise , HDL-Colesterol/sangue , Citocinas/biossíntese , Dinoprostona/biossíntese , Método Duplo-Cego , Feminino , Humanos , Hipercolesterolemia/sangue , Ácido Linoleico/análise , Masculino , Pessoa de Meia-Idade , Fosfolipídeos/sangue , Óleo de Soja/análise , Ácido alfa-Linolênico/análise
9.
Appl Physiol Nutr Metab ; 37(5): 938-46, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22803783

RESUMO

The effect of feeding a mixture of high molecular weight alcohols derived from sugarcane (SCA), both alone and in combination with phytosterols (PS), on changes in plasma lipids, organ cholesterol accumulation, and antioxidant status of Wistar rats was undertaken. Three separate experiments were conducted and each experiment had 3 subsets. In experiment 1, rats were fed on an AIN-76, semi-synthetic diet supplemented with 0%, 0.5%, and 5% SCA w/w. The second experiment consisted of feeding rats an atherogenic diet (AIN-76+0.5% cholesterol) containing 0%, 0.5%, and 5% SCA w/w. The third experiment consisted of feeding rats an atherogenic diet that contained 2% PS in combination with 0%, 0.5%, and 5% SCA. Rats fed the atherogenic diet exhibited significant elevations in total and low-density lipoprotein cholesterol, and significant reductions in the high-density lipoprotein/total cholesterol ratio, regardless of the presence of 0.5% or 5% SCA mixture. Serum cholesterol increased 29% to 35% in these animals compared with animals fed the nonatherogenic diets. In contrast, animals fed atherogenic diets that contained 2% PS exhibited no difference in serum lipids compared with counterparts fed nonatherogenic diets. The combined presence of SCA with PS had no effect on further lowering plasma cholesterol. No changes in C-reactive protein were observed, but plasma oxygen radical scavenging capacity values significantly (p < 0.05) decreased when rats were fed the atherogenic diets that contained the combination of PS and SCA. This result corresponded to an apparent greater (p < 0.05) susceptibility of red blood cells to oxidative stress.


Assuntos
Suplementos Nutricionais , Álcoois Graxos/uso terapêutico , Sequestradores de Radicais Livres/sangue , Hipercolesterolemia/prevenção & controle , Lipídeos/sangue , Fitosteróis/uso terapêutico , Saccharum/química , Animais , Anticolesterolemiantes/análise , Anticolesterolemiantes/química , Anticolesterolemiantes/uso terapêutico , Proteína C-Reativa/análise , Dieta Aterogênica/efeitos adversos , Suplementos Nutricionais/análise , Eritrócitos/efeitos dos fármacos , Álcoois Graxos/química , Hipercolesterolemia/sangue , Hipercolesterolemia/imunologia , Masculino , Peso Molecular , Oxidantes/toxicidade , Estresse Oxidativo , Fitosteróis/análise , Caules de Planta/química , Ratos , Ratos Wistar , Ceras/química
10.
Ecol Food Nutr ; 50(6): 473-85, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22077928

RESUMO

This article examines the effect of soy isolate protein on the serum lipids and other potential cardiovascular risk markers in 90 moderately hypercholesterolemic Chinese adults (64 women and 26 men, aged 25 to 70 years). Fasting blood samples were taken before and after consuming 24 g of protein supplied by soy isolate protein supplement (including 18 g soy protein and 6 g milk protein) or milk protein supplement daily for 8 weeks. Dietary intake was assessed by a 3-day record collected at baseline, week 4, and week 8 of the study. The results indicate that the two kinds of protein can modestly improve serum lipids and markers associated with obesity and inflammation.


Assuntos
Doenças Cardiovasculares/prevenção & controle , Suplementos Nutricionais , Hipercolesterolemia/dietoterapia , Lipídeos/sangue , Proteínas de Soja/uso terapêutico , Adulto , Idoso , Anticolesterolemiantes/efeitos adversos , Anticolesterolemiantes/uso terapêutico , Biomarcadores/sangue , Doenças Cardiovasculares/epidemiologia , China/epidemiologia , Suplementos Nutricionais/efeitos adversos , Feminino , Humanos , Hipercolesterolemia/sangue , Hipercolesterolemia/complicações , Hipercolesterolemia/imunologia , Masculino , Pessoa de Meia-Idade , Proteínas do Leite/efeitos adversos , Proteínas do Leite/uso terapêutico , Sobrepeso/complicações , Pacientes Desistentes do Tratamento , Projetos Piloto , Fatores de Risco , Índice de Gravidade de Doença , Proteínas de Soja/efeitos adversos
11.
Ann Pharmacother ; 45(7-8): 841-9, 2011 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-21693699

RESUMO

BACKGROUND: Ezetimibe, a first-in-its-class inhibitor of cholesterol absorption, is an effective agent for combined use with statins to achieve low-density lipoprotein cholesterol (LDL-C) goals. Ezetimibe in combination with simvastatin as a single-tablet formulation has proven to be highly effective in reducing serum LDL-C through the dual inhibition of cholesterol absorption and biosynthesis. The effect of time of administration on efficacy of this combination therapy has not been evaluated. OBJECTIVE: To compare the effects of morning versus evening administration of ezetimibe/simvastatin on serum cholesterol levels of patients with primary hypercholesterolemia. METHODS: In this multicenter, open-label, randomized, 2-sequence, 2-period crossover study, patients with primary hypercholesterolemia randomly received ezetimibe/simvastatin 10 mg/20 mg once daily, either in the morning (within 1 hour of breakfast) or in the evening (within 1 hour of dinner) for 6 weeks. RESULTS: Data on 171 patients (87 in the morning administration group and 84 in the evening administration group) were analyzed. A significant reduction (p ≤ 0.001) in the total cholesterol, triglyceride, high-density lipoprotein cholesterol, LDL-C, apo-lipoprotein B, and high-sensitivity C-reactive protein (hs-CRP) from baseline was achieved after each treatment. Noninferiority of morning administration versus evening administration was shown in the percentage reduction of the LDL-C level from baseline (difference, -1.62%; 90% CI -4.94 to 1.70). No significant difference was found between groups with respect to the percentage of changes in other lipid parameters from baseline. Furthermore, there was no significant difference in the percentage of change in hs-CRP as an antiinflammatory marker between the morning and evening administration groups. The frequency of adverse events was similar between groups. CONCLUSIONS: Morning administration of ezetimibe/simvastatin 10 mg/20 mg is noninferior to evening administration with respect to LDL-C-lowering ability.


Assuntos
Anticolesterolemiantes/administração & dosagem , Azetidinas/administração & dosagem , LDL-Colesterol/sangue , Cronofarmacoterapia , Hidroximetilglutaril-CoA Redutases/administração & dosagem , Hipercolesterolemia/sangue , Hipercolesterolemia/tratamento farmacológico , Sinvastatina/administração & dosagem , Idoso , Anticolesterolemiantes/efeitos adversos , Anticolesterolemiantes/uso terapêutico , Azetidinas/efeitos adversos , Azetidinas/uso terapêutico , Proteína C-Reativa/análise , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/prevenção & controle , Estudos Cross-Over , Combinação de Medicamentos , Combinação Ezetimiba e Simvastatina , Feminino , Humanos , Hidroximetilglutaril-CoA Redutases/efeitos adversos , Hidroximetilglutaril-CoA Redutases/uso terapêutico , Hipercolesterolemia/imunologia , Análise de Intenção de Tratamento , Lipídeos/sangue , Masculino , Adesão à Medicação , Pessoa de Meia-Idade , Pacientes Desistentes do Tratamento , República da Coreia/epidemiologia , Fatores de Risco , Sinvastatina/efeitos adversos , Sinvastatina/uso terapêutico
12.
Br J Nutr ; 105(5): 694-702, 2011 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21324234

RESUMO

The goal of the present study was to investigate whether subchronic treatment with grape juice concentrate is able to protect liver and peripheral blood cells against cholesterol-induced injury in rats. The effects of the grape juice concentrate treatment on histopathological changes, immunohistochemistry for cyclo-oxygenase-2 (COX-2), and basal and oxidative DNA damage induced by H2O2 using a single-cell gel (comet) assay were evaluated. Male Wistar rats (n 18) were divided into three groups: group 1--negative control; group 2--cholesterol at 1 % (w/w) in their diet, treated for 5 weeks; group 3--cholesterol at 1 % in their chow, treated for 5 weeks, and grape juice concentrate at 222 mg/d in their drinking-water in the final week only. The results indicated that the treatment with grape juice concentrate did not show remarkable differences regarding liver tissue in group 3 compared with group 2. However, grape juice concentrate was able to decrease oxidative DNA damage induced by H2O2 in peripheral blood cells, as depicted by the tail moment results. COX-2 expression in the liver did not show statistically significant differences (P>0·05) between groups. Taken together, the present results suggest that the administration of subchronic grape juice concentrate prevents oxidative DNA damage in peripheral blood cells.


Assuntos
Antioxidantes/farmacologia , Células Sanguíneas/efeitos dos fármacos , Dano ao DNA , Hipercolesterolemia/tratamento farmacológico , Estresse Oxidativo/efeitos dos fármacos , Fitoterapia , Vitis , Animais , Antioxidantes/uso terapêutico , Colesterol na Dieta/efeitos adversos , Ensaio Cometa , Ciclo-Oxigenase 2/metabolismo , Dieta Aterogênica , Frutas , Peróxido de Hidrogênio , Hipercolesterolemia/imunologia , Hipercolesterolemia/patologia , Fígado/efeitos dos fármacos , Fígado/patologia , Masculino , Preparações de Plantas/farmacologia , Preparações de Plantas/uso terapêutico , Ratos , Ratos Wistar
13.
Int J Cardiol ; 136(3): 315-24, 2009 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-19178960

RESUMO

BACKGROUND: Accumulation of advanced glycation end products (AGEs) or advanced oxidation protein products (AOPPs) has been identified as a risk factor for accelerated atherosclerosis seen in diabetes and chronic kidney disease. However, little is known about the intervention for atherogenesis associated with these oxidized proteins. The rhizome of Picrorhiza scrophulariiflora (PS) has long been used to treat inflammatory diseases as a traditional medication. The study was performed to test the hypothesis that ethanol extraction of PS (EPS) may improve AGEs- or AOPPs-induced accelerated atherosclerosis in vivo. METHODS AND RESULTS: Hypercholesterolemic or normal rabbits were randomly assigned to 8 groups treated with intravenous injection of AGEs- or AOPPs-modified rabbit serum albumin (AGEs-RSA or AOPPs-RSA), unmodified RSA or vehicle in the presence or absence of EPS (10 mg/kg/2 days) gavage for 10 weeks. Compared with hypercholesterolemic rabbits without EPS treatment, EPS administration significantly decreased the aortic plaque volume and oxidized low density lipoprotein (Ox-LDL) deposition in hypercholesterolemic animals. This was accompanied by significant histological improvement including decrease of intimal and smooth muscle cell proliferation and macrophage influx in affected areas. EPS administration almost completely abolished the accelerated atherosclerosis induced by chronic treatment of AGEs- or AOPPs-RSA in both hypercholesterolemic and normal rabbits. EPS administration significantly restored the AGEs- or AOPPs-induced redox imbalance and inflammation, evidenced by decrease of plasma Ox-LDL, thiobarbituric acid reactive substances and TNF-alpha, and increase of glutathione peroxidase activity. CONCLUSION: These data suggested that EPS may improve atherosclerosis, particularly that induced by AGEs or AOPPs, through inhibition of redox-sensitive inflammation.


Assuntos
Aterosclerose/tratamento farmacológico , Aterosclerose/metabolismo , Medicamentos de Ervas Chinesas/farmacologia , Estresse Oxidativo/efeitos dos fármacos , Picrorhiza , Animais , Doenças da Aorta/tratamento farmacológico , Doenças da Aorta/imunologia , Doenças da Aorta/metabolismo , Aterosclerose/imunologia , Modelos Animais de Doenças , Feminino , Glutationa Peroxidase/metabolismo , Produtos Finais de Glicação Avançada/sangue , Hipercolesterolemia/imunologia , Hipercolesterolemia/metabolismo , Lipoproteínas LDL/sangue , Oxirredução , Coelhos , Substâncias Reativas com Ácido Tiobarbitúrico/metabolismo , Fator de Necrose Tumoral alfa/sangue
14.
J Nutr Biochem ; 20(4): 254-60, 2009 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18602812

RESUMO

This study investigated the effects of fish oil on adhesion molecule expression and tissue myeloperoxidase (MPO) activity in hypercholesterolemic mice with sepsis. There were one control and two experimental groups in this study. The control group (C) was fed a regular chow diet for 7 weeks, while hypercholesterolemia in the experimental group was induced by feeding a high-fat diet (20%, w/w) with cholesterol (2%, w/w) for 4 weeks. Then the experimental group was divided into two subgroups with identical nutrient distributions except that one subgroup was fed soybean oil (SO), while part of the soybean oil was replaced by fish oil (FO) in the other one for 3 weeks. After feeding the diets for 7 weeks, sepsis was induced in all three groups by cecal and ligation and puncture (CLP), and mice were sacrificed at 0, 6 or 24 h after CLP, respectively. The results showed that the FO group had a higher intracellular interferon-gamma/interleukin-4 ratio and lower tumor necrosis factor-alpha and monocyte chemoattractant protein-1 concentrations in peritoneal lavage fluid at 6 h after CLP than those in the C and SO groups. Lymphocyte CD11a/CD18 expressions were higher at 0 and 6 h and neutrophil CD11b/CD18 were higher at 6 h in the SO group than in the FO and C groups. The SO group had higher plasma intercellular adhesion molecule (ICAM)-1 levels than C group at 0 and 6 h, whereas no difference in ICAM-1 concentrations were observed between the C and FO groups at 0 h after CLP. Hypercholesterolemia resulted in higher tissue MPO activities. There were no differences in MPO activities in various organs between the two experimental groups. These results suggest that hypercholesterolemic mice fed FO did not exhibit immunosuppression when complicated with sepsis. FO administration reduced adhesion molecule expressions and inflammatory-related mediators at the site of injury at an early but not a late stage of sepsis. However, compared with the SO group, the influences of FO on MPO activities in various organs were not obvious in hypercholesterolemic mice with sepsis.


Assuntos
Moléculas de Adesão Celular/metabolismo , Óleos de Peixe/administração & dosagem , Hipercolesterolemia/imunologia , Peroxidase/metabolismo , Sepse/etiologia , Animais , Antígeno CD11b/metabolismo , Antígenos CD18/metabolismo , Quimiocina CCL2/metabolismo , Gorduras Insaturadas na Dieta/farmacologia , Suplementos Nutricionais , Óleos de Peixe/farmacologia , Hipercolesterolemia/complicações , Hipercolesterolemia/enzimologia , Interferon gama/metabolismo , Interleucina-4/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos ICR , Sepse/metabolismo , Fator de Necrose Tumoral alfa/metabolismo
15.
Biotechnol Lett ; 29(12): 1817-24, 2007 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-17704895

RESUMO

Acupuncture or electroacupuncture (EA) is effective in treating various metabolism disorders. Previously we found that EA at the acupoint, Fenglong (ST40), had the cholesterol-lowering effect and regulated genes expression in liver of hypercholesterolemia mice (M Li and YZ Zhang, Int J Mol Med 2007, 19: 617-629). To explain gene expression associated with EA, suppression subtractive hybridization (SSH), combined with targeted display (TD), was used and 26 up-regulated and 24 down-regulated genes with known functions were identified in hypercholesterolemia mice liver, some of which are involved in key reactions of lipid metabolism and immune reaction. Promoting lipid metabolism and suppressing inflammation via modulating mRNA expression may be the mechanism of EA inducing modulation of cholesterol concentrations.


Assuntos
Eletroacupuntura/métodos , Regulação da Expressão Gênica , Hipercolesterolemia/genética , Hipercolesterolemia/imunologia , Metabolismo dos Lipídeos/genética , Fígado/imunologia , Fígado/metabolismo , Animais , Regulação para Baixo , Eletroforese em Gel de Ágar , Perfilação da Expressão Gênica , Camundongos , Hibridização de Ácido Nucleico , Receptores de Adiponectina/genética , Transcrição Gênica , Regulação para Cima
16.
Lupus ; 14(9): 760-4, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-16218483

RESUMO

Low-grade inflammation, enhanced oxidant stress and lipid peroxidation have been shown in association with increased cardiovascular risk associated with cardiovascular events. It has been hypothesized that the low-grade inflammatory state characterizing metabolic disorders such as obesity, hypercholesterolemia, type 2 diabetes mellitus and homozygous homocystinuria may be the primary trigger of thromboxane-dependent platelet activation mediated, at least in part, through enhanced lipid peroxidation. Interestingly, as the clinical course of systemic lupus erythematosus (SLE), in particular in the presence of antiphospholipid antibodies, may be complicated by vascular disease, several mechanisms contributing to vascular complications have been documented also in this setting, including enhanced lipid peroxidation and thromboxane biosynthesis. Although epidemiological studies show an inverse relationship between antioxidant vitamin intake and cardiovascular disease, several clinical trials have obtained conflicting results on the effects of vitamin E on the risk of cardiovascular events. The availability of analytical tools for measuring F2-isoprostane biosynthesis in man has improved our understanding of the interplay between lipid peroxidation and low-grade inflammation. The use of F2-isoprostane as a biochemical end-point for dose-finding studies may allow reassessing the adequacy of vitamin supplementation in different clinical settings.


Assuntos
Aterosclerose , Inflamação/metabolismo , Oxidantes/metabolismo , Estresse Oxidativo , Animais , Aterosclerose/imunologia , Aterosclerose/metabolismo , Diabetes Mellitus/imunologia , Diabetes Mellitus/metabolismo , Humanos , Hipercolesterolemia/imunologia , Hipercolesterolemia/metabolismo , Hiper-Homocisteinemia/imunologia , Hiper-Homocisteinemia/metabolismo , Peroxidação de Lipídeos , Lúpus Eritematoso Sistêmico/imunologia , Lúpus Eritematoso Sistêmico/metabolismo , Obesidade/imunologia , Obesidade/metabolismo , Fatores de Risco
17.
Clin Exp Immunol ; 127(3): 463-9, 2002 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11966762

RESUMO

The purpose of this study was to analyse effects of chromium and/or copper supplementation on immune function in hypercholesterolaemic postmenopausal women. A 2 x 2 factorial research design was used and 40 subjects were supplemented with 0.394 g lactose, 200 microg Cr, 3.0 mg Cu, or 200 microg Cr and 3.0 mg Cu/d for 12 weeks. A significant interactive effect of Cr and Cu supplementation on lymphocyte proliferation was observed with ConA 50 microg/ml stimulation. After 12 weeks of supplementation, ConA-stimulated (50 microg/ml) lymphocyte proliferation was significantly lower when Cu was added to the Cr supplementation group. Moreover, ConA-stimulated (100 microg/ml) lymphocyte proliferation was significantly lower in the Cu supplementation group compared to the Cr supplementation group after 12 weeks of supplementation. These results suggest that Cu blocks enhancement of lymphocyte proliferation by Cr supplementation and that Cu supplementation has potential suppressive effects on the immune function in these subjects.


Assuntos
Cromo/farmacologia , Cobre/farmacologia , Hipercolesterolemia/imunologia , Ativação Linfocitária/efeitos dos fármacos , Linfócitos T/efeitos dos fármacos , Adulto , Idoso , Basófilos/efeitos dos fármacos , Células Cultivadas , Cromo/administração & dosagem , Cobre/administração & dosagem , Suplementos Nutricionais , Método Duplo-Cego , Feminino , Humanos , Hipercolesterolemia/diagnóstico , Pessoa de Meia-Idade , Mitógenos/farmacologia , Pós-Menopausa , Linfócitos T/imunologia
18.
Free Radic Biol Med ; 31(6): 778-89, 2001 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-11557316

RESUMO

We considered the hypothesis that antioxidant supplementation that increases aortic antioxidant concentrations would reduce autoantibody titer to MDA-LDL, a measure that may indicate in vivo oxidation. We assessed autoantibody titer to MDA-LDL in rabbits before and after 5 months of treatment with a nutritionally adequate hypercholesterolemic diet alone (control) or supplemented with synthetic alpha-tocopherol or probucol. Aortic cholesterol and antioxidants were assessed at the end of treatment. alpha-Tocopherol supplementation increased the ratio of aortic alpha-tocopherol to cholesterol by 20-30-fold, while probucol supplementation increased the ratio of aortic probucol to cholesterol to 4-13 micromol/mol. Before treatment, MDA-LDL autoantibody titer averaged 5.09 +/- 0.24 with no difference among groups (p =.53 by ANOVA). However, after treatment, autoantibody titers differed among groups (p <.03 by ANOVA). Autoantibody titers were similar in rabbits supplemented with alpha-tocopherol and probucol (3.69 +/- 0.21 and 3.73 +/- 0.48, respectively, p = 0.81), and 26% (p <.009) lower in antioxidant supplemented rabbits than unsupplemented hypercholesterolemic rabbits (5.03 +/- 0.47). There was an inverse J relationship between autoantibody titer after treatment and aortic alpha-tocopherol/cholesterol and probucol/cholesterol, with minimum values for autoantibody titers above 8-10 micromol antioxidant/mmol cholesterol. The results of this study are consistent with inhibition of in vivo intra-aortic oxidation when aortic alpha-tocopherol or probucol exceed 8-10 micro;mol/mmol cholesterol.


Assuntos
Autoanticorpos/sangue , Hipercolesterolemia/imunologia , Lipoproteínas LDL/imunologia , Malondialdeído/farmacologia , Probucol/farmacologia , alfa-Tocoferol/farmacologia , Animais , Anticolesterolemiantes/farmacologia , Antioxidantes/análise , Antioxidantes/farmacologia , Aorta/química , Arteriosclerose/imunologia , Colesterol/análise , Colesterol/sangue , Colesterol na Dieta/administração & dosagem , Feminino , Lipoproteínas LDL/química , Coelhos
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