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Dive into the effectiveness of functional foods vs. nutraceuticals in atherosclerosis management. Explore the impact of various oils and supplements on lipids, platelets, blood pressure, and obesity. Discover potential benefits and limitations.
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Lecture 5c 4 Feb 2013 Atherosclerosis - Functional Foods and Nutraceuticals
Functional foods are only marginally capable of modifying the factors involved in atherosclerosis relative to nutraceuticals -Are functional foods of any value regarding prevention or improvement of the atherosclerotic process?
Class activity - Factors that limit use of nutraceuticals
Nutraceuticals Note: none= no studies found in humans Lipids -fish oils -lowers triglycerides-mechanism is controversial -modest decrease or no impact on cholesterol and LDLc -may slightly increase or decrease or have no impact on HDLc what does that perhaps say about the mechanism of triglyceride lowering?
Lipids -evening primrose oil- -most effective at lowering cholesterol in hypercholesterolemic persons -rise in HDLc only in hypertriglyceridemics -inverse relationship in response between triglycerides and HDLc
Lipids -borage oil -no impact of up to 1.3 g GLA /day -5.24 g GLA/day no impact
Lipids -blackcurrant oil- -drops triglycerides, LDLc and total cholesterol and raises HDLc especially in hyperlipidemics -normolipidemics there is no effect to date
Lipids -fungal oil -very successful at lowering cholesterol and LDLc in animals -only human trial mixed in algal oil- problem with this? -rich in b-carotene- antioxidant potential
Lipids -garlic capsules -LDLc and cholesterol is lowered modestly 10–15 % -allicin fingered though mechanism is not clear -atheroma regression -reduction of oxidation of lipids -may play a role in reduced platelet activity since oxidized LDL has been suggested to more aggressively increase platelet reactivity- Jialal at UC-Davis disputes this
Lipids Beta-carotene, vitamin E, and vitamin C -antioxidant principles some have suggested an atheroma lessening though this is controversial
Platelets -fish oils platelet phospholipid -reduction of arachidonic acid -increased EPA-poor cyclooxygenase substrate -generates thromboxane A3 weakly pro-aggregatory -PGI3 –very antiaggregatory
Platelets -evening primrose oil -DGLA-generates PGI1 -PGI1-antiaggregatory evening primrose oil-some show an increase in aggregation at higher GLA doses (300 mg/day) -at lower doses (<300 mg GLA/day)- decreased aggregation
Platelets -borage oil- no impact of up to 1.3 g GLA /day -5.24 g GLA/day increased aggregation -higher doses-hyper-reactivity – possibly due to formation of a hydroxy DGLA -blackcurrant oil-mix of omega 3 and 6 -none
Platelets -fungal oil-mix of omega 3 and 6 (some species omega 6 only) -lowers platelet aggregation in animals -garlic capsules -lower aggregation in vitro problem with in vitro -usually washed or platelet-rich plasma -bleeding times are better- Ivy bleeding time
Blood pressure - more elaboration when we get to hypertension Changes occurs in both systolic and diastolic where changes indicated -fish oils-modest blood pressure lowering – in part eicosanoid PGI3 (possibly -no PGI3 human studies found) related -also drops in AA- related eicosanoids
BLOOD PRESSURE -evening primrose oil -modest drops (possibly PGI1- no human PGI1 studies found) -PGE1 related -borage oil-more pronounced drops than evening primrose oil observed -blackcurrant oil- most pronounced drops of the studies done
Blood pressure -fungal oil -none- lowered in SHR rats -garlic capsules -lower blood pressure- see nitric oxide-allicin fingered
Obesity -olive oil -may result in weight loss -mechanism obscure -fish oils -none -evening primrose oil -one study-no effect
Obesity -borage oil -none -blackcurrant oil -none -fungal oil -decreased body fat content in animals- high oleic content in fungal oil -garlic capsules -none
Renal Disease Blood pressure lowering-more when we get to renal Various Pathogens -no nutraceuticals yet studied that specifically alleviate the problems of infection that are hypothetically linked to atherosclerosis Nitric oxide -garlic capsules- increase in nitric oxide production