Corrocher R, Pagnan A, Ambrosio G B, Ferrari S, Olivieri O, Guarini P, Bassi A, Piccolo D, Gandini A, Girelli D
Istituto di Patologia Medica, Università di Verona, Italy.
J Endocrinol Invest. 1992 May;15(5):369-76. doi: 10.1007/BF03348756.
Since we have observed that monounsaturated fatty acids (MUFA) enriched diet modifies red cell membrane lipids and cation transport systems in normotensive subjects, we similarly evaluated a group of hypertensive patients undergoing an analogous dietary modification. In a group of 18 moderately hypertensive women, the diet was supplemented for two months with olive oil (about 45 g/day), which replaced an equal amount of seasoning fats. Before and after this period, red cell fatty acid composition was evaluated by gas-chromatography in order to verify diet compliance: a significant increase in oleic acid was observed, while the content of saturated and polyunsaturated fatty acids remained unchanged. After olive oil, maximal rates of Na-K pump (5580 +/- 329 vs 6995 +/- 390, p less than 0.001) and Na-K cotransport (Na-COT 544 +/- 52 vs 877 +/- 46, p less than 0.001: K-COT 790 +/- 76 vs 1176 +/- 66, p less than 0.001), cell Na content (9.58 +/- 0.4 vs 10.61 +/- 0.6, p less than 0.03) and passive permeability for Na (936 +/- 74 vs 1836 +/- 102, p less than 0.001) rose significantly. Although the reduction in maximal rate of the Li-Na CT after olive oil was not significant, it was the only cation transport parameter being correlated with the variations of membrane lipids, namely negatively with UFA (r = -0.528, p less than 0.05) and positively with SFA (r = 0.482, p less than 0.005). The change in maximal rate of Li-Na CT was also correlated with the variation of systolic and diastolic BP (r = 0.50, p less than 0.03).(ABSTRACT TRUNCATED AT 250 WORDS)
由于我们已经观察到富含单不饱和脂肪酸(MUFA)的饮食会改变血压正常受试者的红细胞膜脂质和阳离子转运系统,因此我们同样评估了一组接受类似饮食调整的高血压患者。在一组18名中度高血压女性中,饮食中补充橄榄油(约45克/天)两个月,橄榄油替代了等量的调味脂肪。在此期间前后,通过气相色谱法评估红细胞脂肪酸组成以验证饮食依从性:观察到油酸显著增加,而饱和脂肪酸和多不饱和脂肪酸的含量保持不变。食用橄榄油后,钠钾泵的最大速率(5580±329对6995±390,p<0.001)、钠钾协同转运(钠协同转运544±52对877±46,p<0.001;钾协同转运790±76对1176±66,p<0.001)、细胞钠含量(9.58±0.4对10.61±0.6,p<0.03)和钠的被动通透性(936±74对1836±102,p<0.001)显著升高。虽然食用橄榄油后锂钠共转运的最大速率降低不显著,但它是唯一与膜脂质变化相关的阳离子转运参数,即与不饱和脂肪酸呈负相关(r = -0.528,p<0.05),与饱和脂肪酸呈正相关(r = 0.482,p<0.005)。锂钠共转运最大速率的变化也与收缩压和舒张压的变化相关(r = 0.50,p<0.03)。(摘要截断于250字)