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Vascular Effects of Triglyceride-rich Lipoproteins

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赞助商
King's College London
合作者
Royal Veterinary College

关键词

抽象

Many types of cardiovascular disease begin when the layer of cells lining blood vessels (endothelial cells) start to function abnormally. This causes white blood cells (monocytes) to enter the blood vessel wall and eventually form lesions. Fats from foods we consume are carried in the blood for 3-8 hours after a fatty meal in small particles known as chylomicrons (CM) and chylomicron remnants (CMR). The overall aim of this project is to investigate the idea that n-3 polyunsaturated fatty acids (PUFA) protect against heart disease by modifying the effect of CMR on endothelial cells and monocytes. We hypothesize that n3-PUFA carried in CMR reduce detrimental events which promote blood vessel damage and activate protective mechanisms to improve the function of arteries.

日期

最后验证: 08/31/2019
首次提交: 06/07/2012
提交的预估入学人数: 06/10/2012
首次发布: 06/12/2012
上次提交的更新: 09/11/2019
最近更新发布: 09/15/2019
实际学习开始日期: 05/31/2012
预计主要完成日期: 09/30/2012
预计完成日期: 09/30/2012

状况或疾病

Postprandial Period
Lipemia
Vasodilation
Vascular Resistance
Nitric Oxide

干预/治疗

Dietary Supplement: High-fat meals varying in their fatty acid composition

-

手臂组

干预/治疗
Active Comparator: Oleic acid
75 g high oleic acid sunflower oil.
Active Comparator: Linoleic acid
75 g high linoleic acid sunflower oil.
Experimental: Eicosapentaenoic acid and docosahexaenoic acid
5 g EPA and DHA derived from fish oil, made up to a total of 75 g with high oleic sunflower oil.
Experimental: Docosahexaenoic acid
5 g DHA derived from algal oil, made up to a total of 75 g with high oleic sunflower oil.

资格标准

有资格学习的年龄 35 Years 至 35 Years
有资格学习的性别Male
接受健康志愿者
标准

Inclusion Criteria:

- Healthy males

- Non-smokers

- Aged 35-70 years

- Fasting TAG concentrations ≥1.2 mmol/L.

Exclusion Criteria:

- Reported history of CVD (myocardial infarction, angina, venous thrombosis, stroke), impaired fasting glucose/uncontrolled type 2 diabetes (or fasting glucose ≥ 6.1 mmol/L), cancer, kidney, liver or bowel disease.

- Presence of gastrointestinal disorder or use of drug, which is likely to alter gastrointestinal motility or nutrient absorption.

- History of substance abuse or alcoholism (previous weekly alcohol intake >60 units/men)

- Current self-reported weekly alcohol intake exceeding 28 units

- Allergy or intolerance to any component of test meals

- Unwilling to restrict consumption of any source of fish oil for the length of the study

- Weight change of >3kg in preceding 2 months

- Body Mass Index <20 and >35 kg/m2

- Fasting blood cholesterol > 7.8 mmol/L

- Current cigarette smoker.

- Current use of lipid lowering medication

结果

主要结果指标

1. Activation of inflammatory/oxidative stress pathways within cultured endothelial cells following treatment with 6 h postprandial chylomicron remnant-rich lipoprotein fraction [6 h post-meal]

The primary outcome of the study is activation of inflammatory/oxidative stress pathways within cultured endothelial cells following incubation with pooled postprandial lipoprotein fractions rich in chylomicron remnants. Due to the nature of this type of research this necessitates more than one primary outcome measure: the primary measures are NF-kappa-beta activation, cytokine production (e.g. interleukin-6) and reactive oxygen species generation in the cultured human endothelial cells.

次要成果指标

1. Incremental area under the plasma concentration versus time curve (iAUC) of triacylglycerol [0, 1, 2, 3, 4, 5 and 6 h post-meal]

2. Incremental area under the plasma concentration versus time curve (iAUC) of glucose [0, 1, 2, 3, 4, 5 and 6 h post-meal]

3. Incremental area under the plasma concentration versus time curve (iAUC) for non-esterified fatty acids [0, 1, 2, 3, 4, 5 and 6 h post-meal]

4. Incremental area under the plasma concentration versus time curve (iAUC) for plasma fatty acid composition (%) [0, 1, 2, 3, 4, 5 and 6 h post-meal]

5. Incremental area under the plasma concentration versus time curve (iAUC) for cholesterol [0, 1, 2, 3, 4, 5 and 6 h post-meal]

6. Incremental area under the unit measure versus time curve for brachial augmentation index [0, 30, 60, 90, 120, 150, 180, 210, 240, 270, 300, 330 and 360 min post-meal]

7. Incremental area under the unit measure versus time curve for systolic blood pressure [0, 30, 60, 90, 120, 150, 180, 210, 240, 270, 300, 330 and 360 min post-meal]

8. Incremental area under the unit measure versus time curve for diastolic blood pressure [0, 30, 60, 90, 120, 150, 180, 210, 240, 270, 300, 330 and 360 min post-meal]

9. Change in digital volume pulse stiffness index [0, 2, 4 and 6 h post-meal]

10. Change in digital volume pulse reflection index [0, 2, 4 and 6 h post-meal]

11. Change in plasma nitrite/nitrate concentrations [0, 2, 4 and 6 h]

12. Change in plasma 8-isoprostane F2alpha concentrations [0, 2, 4 and 6 h post-meal]

13. Activation of inflammatory/oxidative stress pathways within cultured endothelial cells following treatment with 4 h postprandial chylomicron remnant-rich lipoprotein fraction [4 h post-meal]

14. Activation of inflammatory/oxidative stress pathways within cultured endothelial cells following treatment with 5 h postprandial chylomicron remnant-rich lipoprotein fraction [5 h post-meal]

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