Dose-dependent Modulation of Lipid Parameters, Cytokines and RNA by -tocotrienol in Hypercholesterolemic Subjects Restricted to AHA Step-1 Diet

Journal Title: Journal of Advances in Medicine and Medical Research - Year 2015, Vol 6, Issue 4

Abstract

Aims: Evaluate the consumption of -tocotrienol (free from tocopherols) on serum lipid parameters, and several cytokines (TNF-, IL-4, IL-6, IL-8, IL-10), including gene expression and circulating microRNAs (miRNAs) in hypercholesterolemic subjects. Study Design: The present preliminary dose-response study consisted of six phases. All hypercholesterolemic subjects took increasing doses of -tocotrienol (125, 250, 500,750 mg/d) plus AHA Step-1 diet for 4 weeks during the 30 weeks study period. Methodology: Hypercholesterolemic (n = 31; serum cholesterol > 5.2 mmol/L) subjects (males-26/females 5; age range 50-71 years) were enrolled in the study from Wah Cantonment, Pakistan. Serum lipid parameters were measured by auto analyzers. Various plasma cytokines, cDNA, and miRNAs were estimated by Signosis kits. Results: All participants (n = 31) completed all phases of study. The -tocotrienol plus AHA Step-1 diet caused reductions in lipid parameters in a dose-dependent manner with maximum effects on serum total cholesterol (15%), LDL-cholesterol (18%), triglycerides (14%) with 250 mg/d dose (P< 0.001). Doses above 500 mg/d resulted ininduction in levels of all lipid parameters, except HDL-cholesterol. The cytokines associated with cardiovascular disease (plasma TNF-, IL-2, IL-4, IL-6, IL-8, IL-10) were all down-regulated 39%-64% by -tocotrienol treatment (P< 0.01). Similar results were obtained with gene expression of these cytokines using whole blood messenger-RNA. In contrast, circulating miRNA-7a, miRNA-15a, miRNA-20a (anti-angiogenic), miRNA-21, miRNA-29a, miRNA-92a, miRNA-200, miRNA-206 (skeletal muscle regeneration) down-regulated in hypercholesterolemic subjects, were up-regulated by -tocotrienol treatment as compared to baseline (P< 0.01). Conclusion: The present results confirm that consumption of -tocotrienol plus AHA Step-1 diet causes significant reduction in serum lipid parameters and several cytokines (TNF-, IL-2, IL-4, IL-6, IL-8, IL-10) at a low optimal dose (250 mg/d). The capacity of -tocotrienol to modulate inflammation is partly attributable to dose-dependent properties of inhibition/activation, which may play a major role in future treatment of cardiovascular diseases.

Authors and Affiliations

Asaf A. Qureshi, Dilshad A. Khan, Wajiha Mahjabeen, Nilofer Qureshi

Keywords

Related Articles

A Different from of Sternal Reconstruction: A Case Study

Currently, almost all sternum defects, with or without tissue loss, can be repaired through various kinds of surgical procedures and grafts. A patient diagnosed with multiple myeloma one and a half years earlier experien...

Safety of Minimally Invasive Oesophagectomy without Pyloroplasty

Open oesophagectomy may be associated with significant morbidity and mortality. With the increa-sing experiences in laparoscopic and thoracoscopic techniques, minimal invasive approaches to oesophagectomy are being explo...

The Role of Family Health Workers in Providing Family Health Services in Sri Lanka

Aims: The maternal mortality rate and Infant mortality rate are relatively low compared to neighbor countries. Child birth in hospitals, skilled care during pregnancy delivery and postpartum period, absolutely free healt...

Poor Cardiovascular Risk Profile Following a Vegan Diet: A Case Report

Introduction: Vegetarianism and veganism are becoming increasingly popular in North America due to reasons ranging from environmental motives to animal rights. While the vegetarian lifestyle allows some egg and dairy ite...

Association of Blood Group O with Gastrointestinal Bleeding in Continuous-Flow LVAD Patients

Background: Increasing use of mechanical circulatory devices for advanced heart failure therapy has led to challenges in managing complications that arise from device implantation for long term support either as a bridge...

Download PDF file
  • EP ID EP347049
  • DOI 10.9734/BJMMR/2015/13820
  • Views 35
  • Downloads 0

How To Cite

Asaf A. Qureshi, Dilshad A. Khan, Wajiha Mahjabeen, Nilofer Qureshi (2015). Dose-dependent Modulation of Lipid Parameters, Cytokines and RNA by -tocotrienol in Hypercholesterolemic Subjects Restricted to AHA Step-1 Diet. Journal of Advances in Medicine and Medical Research, 6(4), 351-366. https://europub.co.uk/articles/-A-347049