Harris Alon, Siesky Brent, Huang Amelia, Do Thai, Mathew Sunu, Frantz Rachel, Gross Josh, Januleviciene Ingrida, Verticchio Vercellin Alice C
1Glick Eye Institute, Department of Ophthalmology, Indiana University School of Medicine, Indianapolis, IN, USA.
2Eye Clinic of Medical Academy of Lithuanian University of Health Sciences, Kaunas, Lithuania.
Int J Vitam Nutr Res. 2019 Jul;89(1-2):5-12. doi: 10.1024/0300-9831/a000576. Epub 2019 Apr 1.
To investigate the effects of a lutein complex supplementation on ocular blood flow in healthy subjects. Sixteen healthy female patients (mean age 36.8 ± 12.1 years) were enrolled in this randomized, placebo-controlled, double-blinded, two-period crossover study. Subjects received daily an oral dose of the lutein with synergistic phytochemicals complex (lutein (10 mg), ascorbic acid (500 mg), tocopherols (364 mg), carnosic acid (2.5 mg), zeaxanthin (2 mg), copper (2 mg), with synergistic effects in reducing pro-inflammatory mediators and cytokines when administered together in combination) and placebo during administration periods. Measurements were taken before and after three-week supplementation periods, with crossover visits separated by a three-week washout period. Data analysis included blood pressure, heart rate, intraocular pressure, visual acuity, contrast sensitivity detection, ocular perfusion pressure, confocal scanning laser Doppler imaging of retinal capillary blood flow, and Doppler imaging of the retrobulbar blood vessels. Lutein complex supplementation produced a statistically significant increase in mean superior retinal capillary blood flow, measured in arbitrary units (60, p = 0.0466) and a decrease in the percentage of avascular area in the superior (-0.029, p = 0.0491) and inferior (-0.023, p = 0.0477) retina, as well as reduced systolic (-4.06, p = 0.0295) and diastolic (-3.69, p = 0.0441) blood pressure measured in mmHg from baseline. Data comparison between the two supplement groups revealed a significant decrease in systemic diastolic blood pressure (change from pre- to post-treatment with lutein supplement (mean (SE)): -3.69 (1.68); change from pre- to post-treatment with placebo: 0.31 (2.57); p = 0.0357) and a significant increase in the peak systolic velocity (measured in cm/sec) in the central retinal artery (change from pre- to post-treatment with lutein supplement: 0.36 (0.19); change from pre- to post-treatment with placebo: -0.33 (0.21); p = 0.0384) with lutein complex supplement; data analyses from the placebo group were all non-significant. In healthy participants, oral administration of a lutein phytochemicals complex for three weeks produced increased ocular blood flow biomarkers within retinal vascular beds and reduced diastolic blood pressure compared to placebo.
为研究补充叶黄素复合物对健康受试者眼部血流的影响。16名健康女性患者(平均年龄36.8±12.1岁)参与了这项随机、安慰剂对照、双盲、两阶段交叉研究。在给药期间,受试者每天口服一剂含有协同植物化学物质的叶黄素复合物(叶黄素(10毫克)、抗坏血酸(500毫克)、生育酚(364毫克)、肌醇六磷酸(2.5毫克)、玉米黄质(2毫克)、铜(2毫克),联合使用时在减少促炎介质和细胞因子方面具有协同作用)和安慰剂。在为期三周的补充期前后进行测量,交叉访视间隔三周洗脱期。数据分析包括血压、心率、眼压、视力、对比敏感度检测、眼灌注压、视网膜毛细血管血流的共焦扫描激光多普勒成像以及球后血管的多普勒成像。补充叶黄素复合物使以任意单位测量的平均视网膜上毛细血管血流有统计学意义的增加(60,p = 0.0466),并使视网膜上(-0.029,p = 0.0491)和下(-0.023,p = 0.0477)无血管区域的百分比降低,同时使以毫米汞柱为单位测量的收缩压(-4.06,p = 0.0295)和舒张压(-3.69,p = 0.0441)较基线降低。两个补充组之间的数据比较显示,叶黄素补充剂治疗前后全身舒张压有显著降低(变化(平均值(标准误)):-3.69(1.68);安慰剂治疗前后变化:0.31(2.57);p = 0.0357),叶黄素复合物补充剂使视网膜中央动脉的收缩期峰值速度(以厘米/秒为单位测量)有显著增加(叶黄素补充剂治疗前后变化:0.36(0.19);安慰剂治疗前后变化:-0.33(0.21);p = 0.0384);安慰剂组的数据分析均无统计学意义。在健康参与者中,与安慰剂相比,口服叶黄素植物化学物质复合物三周可使视网膜血管床内的眼部血流生物标志物增加,并降低舒张压。