R&D Center, Calpis Co. Ltd., Kanagawa, Tokyo, Japan.
J Med Food. 2009 Dec;12(6):1221-6. doi: 10.1089/jmf.2009.0159.
Pharmaceutical angiotensin-converting enzyme (ACE) inhibitors have been shown to reduce arterial stiffness; the possible effect of food-derived putative ACE inhibitory peptides on this degenerative process, however, has not been reported. In the present study, casein hydrolysate containing the lactotripeptides, Val-Pro-Pro (VPP) and Ile-Pro-Pro (IPP), which has been found to have an antihypertensive effect in a number of clinical studies, was investigated for its ability to improve hemodynamic parameters, including central systolic blood pressure (cSBP), in hypertensive subjects. Twelve hypertensive subjects who were not on prescribed medication were monitored for various hemodynamic parameters, including brachial blood pressure (peripheral blood pressure), cSBP, and augmentation index (AI), at the start and then after 3, 6, and 9 weeks of a daily treatment comprising four tablets containing VPP and IPP. Compared with basal levels, treatment with casein hydrolysate for 6 and/or 9 weeks showed a significant reduction in peripheral systolic and diastolic blood pressure, AI, and cSBP, but not in heart rate or pulse pressure. cSBP showed a reduction sooner and greater (-21.8 mm Hg) than did brachial systolic blood pressure (-16.4 mm Hg) during the 9-week treatment. Although small and not placebo-controlled, this study suggests that continuous intake of VPP and IPP might have the potential to improve arterial stiffness as well as cSBP and peripheral brachial blood pressure.
药物血管紧张素转换酶(ACE)抑制剂已被证明可降低动脉僵硬度;然而,尚未报道食物来源的假定 ACE 抑制肽对这个退行性过程的可能影响。在本研究中,研究了含有乳三肽 Val-Pro-Pro(VPP)和 Ile-Pro-Pro(IPP)的酪蛋白水解物,该水解物已在多项临床研究中发现具有降压作用,以研究其改善血流动力学参数的能力,包括中心收缩压(cSBP),在高血压患者中。12 名未服用规定药物的高血压患者在开始时以及在 3、6 和 9 周的每天治疗后监测了各种血流动力学参数,包括肱动脉血压(外周血压)、cSBP 和增强指数(AI),每日治疗包括四片含有 VPP 和 IPP。与基础水平相比,酪蛋白水解物治疗 6 和/或 9 周后,外周收缩压和舒张压、AI 和 cSBP 显著降低,但心率或脉压没有降低。在 9 周的治疗过程中,cSBP 的下降速度比肱动脉收缩压(-16.4mmHg)更快且幅度更大(-21.8mmHg)。尽管规模较小且未设安慰剂对照,但本研究表明,连续摄入 VPP 和 IPP 可能具有改善动脉僵硬以及 cSBP 和外周肱动脉血压的潜力。