Barón Luz, Romero-Vecchione Eduardo, López Flor, Apitz Rafael
Escuela de Medicina JMVargas, Cátedra de Bioquimica, Laboratorio de Lipoproteinas, Universidad Central de Venezuela (UCV), Caracas, Venezuela.
Acta Cient Venez. 2004;55(1):62-73.
LDL-lipids peroxidation is an important step in LDL atherogenicity. Tobacco smoke, promotes oxidative stress and reduces LDL-alfa tocoferol content and plasmatic vitamin C concentration. The objective of this double-blind randomized study was to assess the effect of vitamins E and C combined administration, on oxidative susceptibility of LDL isolated from 20 smokers and 10 non-smokers healthy volunteers who received placebo for 15 days and then concomitantly received 400 mg/d vitamin E and 1000 mg/d vitamin C for 30 days. At the end of placebo administration of and vitamins E and C combination; plasma total cholesterol, LDL-C and HDL-C values did not change significantly (p>0.05), plasma triglycerides increased significantly within a normal accepted range (p<0.05) and LDL oxidation susceptibility in smokers decreased by 41,3% and in non-smokers by 54,4% (p<0.05 vs placebo). In conclusion, simultaneous administration of vitamins E and C exerts an important antioxidant effect on LDL-lipids peroxidation. This effect could operate as an attenuating factor of the increased atherogenesis commonly observed in smoker subjects.
低密度脂蛋白脂质过氧化是低密度脂蛋白致动脉粥样硬化的重要步骤。烟草烟雾会促进氧化应激,降低低密度脂蛋白α-生育酚含量和血浆维生素C浓度。这项双盲随机研究的目的是评估维生素E和C联合给药对从20名吸烟者和10名非吸烟健康志愿者中分离出的低密度脂蛋白氧化敏感性的影响,这些志愿者先接受15天的安慰剂治疗,然后同时接受400毫克/天的维生素E和1000毫克/天的维生素C治疗30天。在安慰剂给药结束时以及维生素E和C联合给药结束时;血浆总胆固醇、低密度脂蛋白胆固醇和高密度脂蛋白胆固醇值没有显著变化(p>0.05),血浆甘油三酯在正常可接受范围内显著增加(p<0.05),吸烟者的低密度脂蛋白氧化敏感性降低了41.3%,非吸烟者降低了54.4%(与安慰剂相比,p<0.05)。总之,维生素E和C同时给药对低密度脂蛋白脂质过氧化具有重要的抗氧化作用。这种作用可能是吸烟者中常见的动脉粥样硬化增加的一个衰减因素。