Yonsei University Research Institute of Science for Aging, Yonsei University, Seoul, South Korea.
Metabolism. 2011 Apr;60(4):537-43. doi: 10.1016/j.metabol.2010.05.003. Epub 2010 Jun 26.
Metabolic syndrome (MetS) is known to inversely correlate with antioxidant status. Recently, it has been reported that MetS is associated with arterial stiffness, a composite risk factor for early atherosclerosis. In addition, our recent study for healthy women showed an inverse relationship between arterial stiffness and circulating lycopene. Therefore, this study aimed to investigate the interrelationship between arterial stiffness, antioxidant status, and the risk of MetS. Korean men (N = 299) were subgrouped according to the number of MetS risk factors (RF 0, RF 1-2, RF ≥ 3). Anthropometric parameters, brachial-ankle pulse wave velocity (baPWV; a marker of arterial stiffness), antioxidants (lycopene, β-carotene, α-tocopherol), lipid profiles, glucose, insulin, and oxidative stress (low-density lipoprotein [LDL] particle size, oxidized LDL) were measured. Corresponding to the number of MetS RF, baPWV (1306 ± 17, 1364 ± 16, and 1420 ± 33 cm/s; P < .001) and insulin resistance (1.5 ± 0.1, 1.9 ± 0.1, and 2.7 ± 0.2; P < .001) gradually increased after adjustment for age, body mass index, smoking, and drinking, whereas serum lycopene among antioxidants and LDL particle size gradually decreased (0.036 ± 0.001, 0.031 ± 0.001, and 0.028 ± 0.001 mmol/L; P = .004 and 23.9 ± 0.1, 23.7 ± 0.1, and 23.3 ± 0.1 nm; P < .001, respectively). Brachial-ankle pulse wave velocity inversely correlated with serum lycopene after adjustment for the above confounders, blood pressure, insulin resistance, and oxidative stress (r = -0.136, P < .05). Oxidative stress markers also significantly correlated with baPWV as well as serum lycopene. Study subjects were divided into 2 groups by the median level of serum lycopene. When serum lycopene was lower than median level (≤ 0.0294 mmol/L), baPWV was significantly higher in MetS subjects than non-MetS subjects (1436 ± 41 vs 1367 ± 23 cm/s) after adjustment for age, body mass index, smoking, drinking, and oxidative stress (P = .041). However, when serum lycopene levels were high, no statistically significant difference was observed between the 2 subject groups (1386 ± 36 vs 1326 ± 13 cm/s). In conclusion, our result shows the interrelationship between circulating lycopene, baPWV, and MetS. In addition, much enhanced baPWV in MetS may be associated with lower lycopene concentration.
代谢综合征(MetS)与抗氧化状态呈负相关。最近有报道称,MetS 与动脉僵硬有关,而动脉僵硬是动脉粥样硬化早期的综合危险因素。此外,我们最近对健康女性的研究表明,动脉僵硬与循环中的番茄红素呈负相关。因此,本研究旨在探讨动脉僵硬、抗氧化状态和 MetS 风险之间的相互关系。韩国男性(N=299)根据 MetS 风险因素的数量(RF0、RF1-2、RF≥3)进行分组。测量了人体测量参数、肱踝脉搏波速度(baPWV;动脉僵硬的标志物)、抗氧化剂(番茄红素、β-胡萝卜素、α-生育酚)、血脂谱、血糖、胰岛素和氧化应激(低密度脂蛋白[LDL]颗粒大小、氧化 LDL)。与 MetS RF 的数量相对应,baPWV(1306±17、1364±16 和 1420±33cm/s;P<.001)和胰岛素抵抗(1.5±0.1、1.9±0.1 和 2.7±0.2;P<.001)在调整年龄、体重指数、吸烟和饮酒后逐渐增加,而血清番茄红素和 LDL 颗粒大小逐渐降低(0.036±0.001、0.031±0.001 和 0.028±0.001mmol/L;P=.004 和 23.9±0.1、23.7±0.1 和 23.3±0.1nm;P<.001,分别)。baPWV 与血清番茄红素呈负相关,调整上述混杂因素、血压、胰岛素抵抗和氧化应激后(r=-0.136,P<.05)。氧化应激标志物也与 baPWV 和血清番茄红素显著相关。研究对象根据血清番茄红素的中位数水平分为两组。当血清番茄红素低于中位数(≤0.0294mmol/L)时,调整年龄、体重指数、吸烟、饮酒和氧化应激后,MetS 受试者的 baPWV 明显高于非 MetS 受试者(1436±41 vs 1367±23cm/s)(P=.041)。然而,当血清番茄红素水平较高时,两组受试者之间没有统计学差异(1386±36 vs 1326±13cm/s)。总之,我们的结果表明了循环番茄红素、baPWV 和 MetS 之间的相互关系。此外,MetS 中增强的 baPWV 可能与较低的番茄红素浓度有关。