heart-health
Recent Research Papers on
heart-health
Author: Sudathip Sae-tan and Kimberly A. Grove and Joshua D. Lambert
Green tea (Camellia sinensis, Theaceace) is the second most popular beverage in the world and has been extensively studied for its putative disease preventive effects. Green tea is characterized by the presence of a high concentrations of polyphenolic compounds known as catechins, with (−)-epigallocatechin-3-gallate (EGCG) being the most abundant and most well-studied. Metabolic syndrome (MetS) is a complex condition that is defined by the presence of elevated waist circumference, dysglycemia, elevated blood pressure, decrease serum high-density lipoprotein-associated cholesterol, and increased serum triglycerides. Studies in both in vitro and laboratory animal models have examined the preventive effects of green tea and EGCG against the symptoms of MetS. Overall, the results of these studies have been promising and demonstrate that green tea and EGCG have preventive effects in both genetic and dietary models of obesity, insulin resistance, hypertension, and hypercholesterolemia. Various mechanisms have been proposed based on these studies and include: modulation of dietary fat absorption and metabolism, increased glucose utilization, decreased de novo lipogenesis, enhanced vascular responsiveness, and antioxidative effects. In the present review, we discuss the current state of the science with regard to laboratory studies on green tea and MetS. We attempt to critically evaluate the available data and point out areas for future research. Although there is a considerable amount of data available, questions remain in terms of the primary mechanism(s) of action, the dose–response relationships involved, and the best way to translate the results to human intervention studies.
Author: A.V.S. Perumalla and Navam. S. Hettiarachchy
Using “natural green” plant extracts or their derived products in various food and beverage applications is an increasing trend in the food industry. Selection of these plant extracts and their application depends on their functional properties, availability, cost effectiveness, consumer awareness and their effect on the sensory attributes of the final product. Green tea extract (GTE) and grape seed extract (GSE) are two popular plant extracts that have been widely used in various food and beverage applications. Green tea is a widely consumed beverage that has attracted more attention in the recent years due to its health benefits like antioxidant, antimicrobial, anticarcinogenic and anti-inflammatory properties. Grape seed extract is derived from the grape seeds that is extracted, dried and purified to produce polyphenolic compounds-rich extract that also has well documented antioxidant, antimicrobial and anti-inflammatory properties. These two plant extracts (polyphenolic and proanthocyanidin rich compounds) have potential antioxidant properties by inhibiting the lipid oxidation and warmed over flavors and antimicrobial activities against major food borne pathogens like Listeria monocytogenes, Salmonella Typhimurium, Escherichia coli O157:H7, and Campylobacter jejuni in preventing pathogen contamination. Furthermore, they have demonstrated synergism in antimicrobial activity when used in combination with organic acids (malic, tartaric acid, benzoic acids etc.), bacteriocins like nisin or chelating agents like EDTA in various model systems including fresh produce (fruits and vegetables), raw and ready-to-eat meat and poultry products. Apart from beneficial effects of grape seed extract in food safety and quality, concerns regarding the side effects of GSE are also addressed. Nevertheless, persistent recalls of the food products involving foodborne pathogens despite various control measures calls for efficient bacteriostatic and bactericidal agents and technologies to deliver the active components for an effective inhibition of pathogens. Therefore, further research involving electrostatic spray and nanoscale delivery of the active components present in these natural, green, plant extracts and using them as a component in multiple hurdle approach would enhance the food safety and quality in addition to providing alternative “green” solutions to the food processors.
Author: Joanna Bajerska and Małgorzata Wozniewicz and Jan Jeszka and Slawomira Drzymala-Czyz and Jaroslaw Walkowiak
Green tea is associated with beneficial health effects mainly because of its body fat–reducing and hypocholesterolemic activities, but an effective dose without pronounced influence on protein availability is unknown. The objective of this study was to examine the hypothesis that green tea aqueous extract (GTAE) depending on dose improves cardiovascular risk indicators such as body weight, visceral fat content, and atherogenic index of plasma and does not have unfavorable effect on protein availability in rats fed with a high-fat diet. The rats fed with a high-fat diet enriched with 1.1 and 2.0% GTAE for 8 weeks had significantly (P < .05) lower atherogenic index (in both groups, about 14.3%). Only administration of 2.0% GTAE significantly (P < .05) decreased body weight gain (5.6%) and prevented visceral fat accumulation (17.8%) in rats. However, considerably (P < .05), reduction in the digestion of protein (but not fat) was observed in both GTAE groups (1.1% GTAE: 82.6% ± 1.8%; 2.0% GTAE: 84.3% ± 0.8%) when compared to the control (93.3% ± 1.5%). It was concluded that GTAE may have preventive effects on the accumulation of visceral fat but only in higher doses. Although both doses improved cardiovascular risk indicators, they, in addition, significantly inhibited protein digestion.
Author: D.W. Jun and E.K. Kim and H.S. Choi and Y.I. Kown and W. Sohn and O.W. Kwon and K.N. Lee and H.L. Lee and O.Y. Lee and B.C. Yoon and T.Y. Kim and J.H. Sohn
Background: There are several epidemiologic studies that coffee and tea consumption could lower serum liver enzyme activity, and inhibit the progression of liver disease in high-risk subjects. However, many conflicting results have been also reported according to type of coffee and whether the use of filters. Most studies were base on specific cohort group and there are few general population base studies. This study examined on population based study whether coffee has a protective effect when consumed in moderate quantities in metabolic syndrome and liver inflammation. Methods: We used cross-sectional data on coffee, tea consumption frequency, and metabolic parameters of 5,283 adults, aged 20 years and older, who participated in the third Korea National Health and Nutrition Examination Survey (KNHANES). We examined the relationship between coffee, tea, and caffeine intake and metabolic parameters using linear regression. Additionally, we examined the relationship with liver enzyme activity using logistic regression. Intake was assessed by a food frequency questionnaire. Result: In our study, more than 90% subjects intake instant coffee mix (mix with confectioners’ sugar, powdered creamer, and soluble coffee). Total calorie intake and body mass index were higher in individuals with coffee intake >2 cups daily compared with those with no coffee use (p < 0.001 vs. p = 0.021, respectively). However, a gradual increase in the frequency of coffee consumption was associated with stepwise decrease in prevalence of hypertension, dyslipidemia, and abnormal fating glucose, which was independent of total calorie, and BMI. The prevalence of metabolic syndrome was strikingly decreased from 48.8%, 46.5%, to 40.9% according to the quartile of coffee consumption (p = 0.01, p for trend <0.001). After adjusting for other covariates, the differences remained significant. But frequency of coffee consumption did not affect the liver enzyme activity on general population and high risk group. In cases of normal BMI subjects (23–25 kg/m2), coffee intake had a tendency to increased liver enzyme activity. Frequency of green tea intake did not showed protective effects on liver and metabolic aspects. Conclusion: In this large, national, population-based study, consumption of coffee was associated with lower the risk of metabolic syndrome.
Author: A.V. Kristen and S. Lehrke and D. Mereles and P.A. Schnabel and C. Röcken and P. Ehlermann and T.J. Dengler and K. Altland and H.A. Katus
Purpose: Cardiac involvement is common in both forms of transthyretin (TTR) amyloidosis, variant and non-variant (senile) form. As no medical treatment is available yet liver transplantation is the only accepted treatment for patients with variant TTR amyloidosis and mild cardiac invovlement, but not for patients with senile amyloidosis. In patient with advanced cardiac amyloidosis heart transplantation is the only available treatment option. In 2007, a patient having ALA amyloidosis described a decrease of his LV wall after daily consumption of 2 1 of green tea (Hunstein, Blood 2007 110:2216). This prospective, open-label, single center interventional trial was performed to confirm the observation in patients with amyloid TTR cardiomyopathy. Methods and Materials: 19 patients with cardiac TTR amyloidosis were evaluated by standard blood tests, echocardiography, and cardiac MRI (n=9) while consuming green tea and/or green tea extract for 12 months. 5 patients were not followed-up for reasons of death (n=2), poor health (n=2), and heart transplantation (n=1). Results: After consumption of green tea and/or green tea extract for 12 months a significant average decline of LV myocardial mass was observed by echo (-15%) and MRI (-10%) accompanied by an increase of mitral annular systolic velocity (9%). In 11 of 14 (79%) patients we observed a reduction of cardiac mass by acho and by MRI in 9/9 (100%) suggesting a loss of cardiac amyloid. In all 14 patients total cholesterol (191.9 ± 8.9 mg/dL vs. 172.7 ± 9.4 mg/dL; p<0.01) and LDL cholesterol (105.8 ± 7.6 mg/dL vs 89.5 ± 8.0 mg/dL; p<0.01) decreased significantly during the observational period. NT-proBNP plasma levels remained unchanged. No serious adverse side-effects were reported by any of the participants. Conclusions: Consumption of green tea and green tea extracts appear to represent a promising therapeutic tool to halt the progression of the amyloid apposition and even decreases the cardiac amyloid load in patients with TTR amyloidosis. Thus, it is a promising treatment approach that might prevent heart transplantation.
Author: Amie Kim and Andrew Chiu and Meredith K. Barone and Diane Avino and Fei Wang and Craig I. Coleman and Olivia J. Phung
Green tea catechins (GTCs) have been studied in randomized control trials for their lipid-lowering effects. Studies, however, have been small and demonstrated conflicting results. The objective of this study was to perform a systematic review and meta-analysis of randomized controlled trials evaluating the relationship between GTCs and serum lipid levels, including total, low-density lipoprotein (LDL), high-density lipoprotein (HDL) cholesterol, and triglycerides. A systematic literature search of MEDLINE, EMBASE, Cochrane CENTRAL, and the Natural Medicines Comprehensive Database was conducted through March 2010. Randomized controlled trials evaluating GTCs vs control in human beings and reporting efficacy data on at least one of the aforementioned serum lipid endpoints were included. Weighted mean differences for changes from baseline (with 95% confidence intervals [CIs]) for lipid endpoints were calculated using random-effects models. Twenty trials (N=1,415) met all inclusion criteria. Upon meta-analysis, GTCs at doses ranging from 145 to 3,000 mg/day taken for 3 to 24 weeks reduced total (−5.46 mg/dL [−0.14 mmol/L]; 95% CI −9.59 to −1.32) and LDL cholesterol (−5.30 mg/dL [−0.14 mmol/L]; 95% CI −9.99 to −0.62) compared to control. GTCs did not significantly alter HDL cholesterol (−0.27 mg/dL [−0.007 mmol/L]; 95% CI −1.62 to 1.09) or triglyceride (3.00 mg/dL [−0.034 mmol/L]; 95% CI −2.73 to 8.73) levels. The consumption of GTCs is associated with a statistically significant reduction in total and LDL cholesterol levels; however, there was no significant effect on HDL cholesterol or triglyceride levels.
Author: Xiaoqiang Chen and Yuefei Wang and Yalin Wu and Baoyu Han and Yuejin Zhu and Xiaolin Tang and Qinglei Sun
Hot-water extracts of low-grade green tea were precipitated with ethanol, deproteinized with trichloroacetic acid, neutralized with NaOH and fractionated by DEAE-cellulose DE-52 column chromatography to yield three (3) of unexplored polysaccharide-conjugate fractions termed gTPC1, gTPC2 and gTPC3. Monosaccharide and amino acid composition, contents of total neutral sugars, proteins and moistures, HPGPC distribution and Zeta potentials of gTPC1–3 were investigated. Exposure of human umbilical vein endothelial (HUVE) cells to high glucose (33 mM) for 12 h significantly decreased cell viability relative to normal glucose control (p < 0.001). As compared with cell injury group, gTPC1–3 at all of three dose levels (50, 150 and 300 μg/mL) were found to possess remarkably protective effects on HUVE cells against impairments induced by high glucose in a dose-dependent manner (p < 0.05, p < 0.001). To contribute toward our understanding of the cell-based protection mechanism of gTPC1–3, the latter were subjected to self-oxidation of 1,2,3-phentriol assay, and their scavenging effects were observed as 55.1%, 47.6% and 47.9% at the concentration of 300 μg/mL, respectively. On the basis of the fact that high glucose-induced endothelial dysfunction involves in the overproduction of reactive oxygen species (ROS) and contributes to the vascular complications in patients with diabetes, inhibitory effects of gTPC1–3 on high glucose-mediated HUVE cell loss are, at least in part, correlated with their potential scavenging potency of ROS. Taken together, gTPC1–3 could be developed as non-cytotoxic candidates of therapeutic agent for diabetic vascular complications.
Author: Thomas C. Chen and Weijun Wang and Encouse B. Golden and Simmy Thomas and Walavan Sivakumar and Florence M. Hofman and Stan G. Louie and Axel H. Schönthal
The alkylating agent temozolomide, in combination with surgery and radiation, is the current standard of care for patients with glioblastoma. However, despite this extensive therapeutic effort, the inclusion of temozolomide extends survival only by a few short months. Among the factors contributing to chemoresistance is elevated expression of the endoplasmic reticulum (ER) chaperone GRP78 (glucose-regulated protein 78; BiP), a key pro-survival component of the ER stress response system. Because the green tea component EGCG (epigallocatechin 3-gallate) had been shown to inhibit GRP78 function, we investigated whether this polyphenolic agent would be able to increase the therapeutic efficacy of temozolomide in preclinical models of glioblastoma. Mice with intracranially implanted human U87 (p53 wild type) or U251 (p53 mutant) glioblastoma cells were treated with temozolomide and EGCG, alone and in combination. We found that EGCG alone did not provide survival benefit, but significantly improved the existing therapeutic effect of temozolomide, i.e., life extension was substantially greater under combination therapy as compared to temozolomide therapy alone. Immunohistochemical analysis of tumor tissue revealed increased expression levels of GRP78 in temozolomide-treated animals, which was diminished when temozolomide was combined with EGCG. Parallel in vitro experiments with siRNA targeting GRP78 or its major pro-apoptotic antagonist CHOP (CCAAT/enhancer binding protein homologous protein/GADD153) further established a critical role of the ER stress response system, where si-GRP78 sensitized cells to treatment with temozolomide, and si-CHOP provided protection from drug-induced toxicity. Thus, ER stress-regulatory components affect the chemotherapeutic response of glioblastoma cells to treatment with temozolomide, and inclusion of EGCG is able to increase the therapeutic efficacy of this DNA-damaging agent.
Author: Jang-Eun Lee and Bum-Jin Lee and Jin-Oh Chung and Hyun-Jung Shin and Sang-Jun Lee and Cherl-Ho Lee and Young-Shick Hong
The metabolic behavior of green tea (Camellia sinensis) during tea fermentation was characterized by 1H NMR spectroscopy coupled with multivariate statistical analysis to provide comprehensive information on changes in metabolites induced by tea fermentation. Fourteen tea metabolites of epicatechin (EC), epigallocatechin (EGC), epicatechin-3-gallate (ECG), epigallocatechin-3-gallate (EGCG), theanine, alanine, acetate, quinate, glutamate, caffeine, sucrose, glucose, and gallate, as identified by 1H NMR spectroscopy, were responsible for metabolic differentiation between green tea and fermented tea by principal component analysis. During tea fermentation, levels of EC, EGC, ECG, EGCG, quinate, caffeine, and sucrose were decreased, whereas gallate and glucose levels were increased. In particular, unique changes in caffeine and gallate levels were observed during tea fermentation, which caffeine and gallate levels have been shown to vary after tea fermentation among many reports to date. This study highlights that metabolomics with global profiling and a highly reliable and reproducible 1H NMR spectroscopic data set can provide a better understanding of unique changes in tea metabolites during tea fermentation.
Author: S. Ellinger and N. Müller and P. Stehle and G. Ulrich-Merzenich
Purpose Epidemiological data suggest that green tea (GT) consumption may protect against cardiovascular diseases (CVDs) and different types of cancer. This effect is attributed primarily to the antioxidant properties of flavanols from GT. This review provides an overview of controlled intervention studies investigating the effect of GT consumption on antioxidant effects ex vivo and in vivo. Methods The Medline and Cochrane databases were searched independently by two investigators for controlled intervention studies (English) on GT consumption and antioxidant effects published up to June 2010. Thirty-one studies investigating antioxidant effects ex vivo [plasma antioxidant capacity (AC), DNA's resistance against oxidative induced damage) or in vivo (lipid and protein oxidation, DNA damage] met the criteria. Results were compared by considering the participants, the dose of GT, the amount of ingested flavanols, the duration of supplementation and the investigated biomarkers. Results The comparison between the studies was difficult as relevant data, e.g., on flavanol concentration in plasma (10 of 31 studies) or on major antioxidants contributing to AC, were often missing. Lipid peroxidation and DNA damage were commonly investigated. Data on protein oxidation are scarce. An antioxidant effect of at least one parameter (increase in AC or reduction of oxidative stress marker) was observed in 15 out of 22 studies by daily consumption of GT, primarily in participants exposed to oxidative stress (smokers or mixed collectives of smokers and non-smokers and physical activity) and in 6 out of 9 studies investigating the bolus consumption of GT. Conclusion There is limited evidence that regular consumption of GT in amounts of at least 0.6–1.5 l/day may increase AC and reduce lipid peroxidation (especially oxidation of LDL). This may contribute to the protection against CVDs and different types of cancer. Beneficial effects seem to be more likely in participants exposed to oxidative challenge.