Department of Food Science and Nutrition, Zhejiang University, Hangzhou, China.
Institute of Lipids Medicines, Wenzhou Medical University, Wenzhou, China.
Mol Nutr Food Res. 2021 Jun;65(12):e2001025. doi: 10.1002/mnfr.202001025. Epub 2021 May 10.
The role of palmitoleic acid (POA) in hypertension or blood pressure remains uncertain. This study aims to investigate the epidemiological association between circulating POA and primary hypertension in humans, and subsequently evaluate the effects of exogenous POA on blood pressure and aortic remodeling in spontaneously hypertensive rats (SHRs).
A case-control study of 349 hypertensive and 1396 normotensive children and adolescents is conducted, and found hypertensive cases show significant lower erythrocyte phospholipid POA than normotensive controls (p < 0.001). In conditional logistic regression model, participants in the top quartile of POA have a lower prevalence of primary hypertension than those in the bottom (multivariate-adjusted OR: 0.47, 95% CI: 0.25-0.89). In animal study, 24 SHRs are randomly assigned to n-3 PUFAs (500 mg kg ), POA (500 mg kg ), or vehicle (olive oil) for 8 weeks. At the end of intervention, as compared to SHRs treated with vehicle, SHRs treated with POA shows significantly decreased systolic blood pressure (SBP), improved aortic remodeling, and also decreased aortic expressions of NF-κB and its downstream proinflammatory cytokines.
Circulating POA is inversely associated with risk of primary hypertension, and exogenous POA supplementation can decrease SBP and improve aortic remodeling by inhibiting NF-κB-mediated inflammation.
棕榈油酸(POA)在高血压或血压中的作用尚不确定。本研究旨在探讨循环 POA 与人类原发性高血压之间的流行病学关联,并随后评估外源性 POA 对自发性高血压大鼠(SHR)血压和主动脉重塑的影响。
对 349 例高血压和 1396 例血压正常的儿童和青少年进行病例对照研究,发现高血压病例的红细胞磷脂 POA 明显低于血压正常对照者(p<0.001)。在条件逻辑回归模型中,POA 最高四分位数的参与者原发性高血压的患病率低于最低四分位数(多变量调整后的 OR:0.47,95%CI:0.25-0.89)。在动物研究中,将 24 只 SHR 随机分配到 n-3PUFAs(500mg/kg)、POA(500mg/kg)或载体(橄榄油)中,干预 8 周。干预结束时,与用载体治疗的 SHR 相比,用 POA 治疗的 SHR 的收缩压(SBP)明显降低,主动脉重塑得到改善,主动脉核因子-κB 及其下游促炎细胞因子的表达也降低。
循环 POA 与原发性高血压的风险呈负相关,外源性 POA 补充可通过抑制 NF-κB 介导的炎症来降低 SBP 和改善主动脉重塑。