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绿茶对肥胖个体中miR-133a、miR-155及炎症生物标志物的影响。

Effect of green coffee on miR-133a, miR-155 and inflammatory biomarkers in obese individuals.

作者信息

Khedr Naglaa F, Zahran Enas S, Ebeid Abla M, Melek Samuel T, Werida Rehab H

机构信息

Biochemistry Department, Faculty of Pharmacy, Medical Complex, Tanta University, Al-Baher St, Tanta, 31527, Egypt.

Internal Medicine Department, Faculty of Medicine, Menoufia University, Shebeen Elkom, Egypt.

出版信息

Diabetol Metab Syndr. 2024 Oct 28;16(1):256. doi: 10.1186/s13098-024-01478-7.

Abstract

OBJECTIVES

Metabolic syndrome is a cluster of conditions that increases the risk of atherosclerotic cardiovascular diseases. The current study was a randomized, double blind, placebo-controlled study that aimed to determine the impact of green coffee (GC) in obese patients with metabolic syndrome through analysis of miRNA-155, miRNA-133a and the inflammatory biomarkers such as resistin, TNF-α, total sialic acid, homocysteine, high sensitivity C-reactive protein (hs-CRP), and the anti-inflammatory cytokine, adiponectin.

METHODS

One hundred-sixty obese patients were randomly supplemented either with GC capsules (800 mg) or placebo daily for six months. Both groups were advised to take a balanced diet. Blood samples were collected at baseline and after six months of supplementation.

RESULTS

GC supplementation for 6 months reduced BMI (p = 0.002), waist circumference (p = 0.038), blood glucose (p = 0.002), HbA1c% (p = 0.000), Insulin (p = 0.000), systolic blood pressure (p = 0.005), diastolic BP (p = 0.001) compared with placebo. GC significantly decreased total cholesterol (TC, p = 0.000), LDL-C (p = 0.001), triglycerides (TG, p = 0.002) and increased HDL-C (p = 0.008) compared with placebo group. In addition, GC significantly (p ≤ 0.005) reduced total sialic acid, homocysteine, resistin, TNF-α, hs-CRP and the oxidative stress marker malondialdehyde (MDA), but increased serum adiponectin (p = 0.000) compared to placebo group. There was a significant reduction in the gene expression of miR-133a (p = 0.000) in GC group as compared with baseline levels and with the control placebo group (p = 0.001) after 6 months.

CONCLUSION

GC administration modulated metabolic syndrome by decreasing BMI, high BP, blood glucose, dyslipidemia, miRNA-133a and inflammatory biomarkers that constitute risk factors for cardiovascular diseases.

CLINICALTRIALS

gov registration No. is NCT05688917.

摘要

目的

代谢综合征是一组会增加动脉粥样硬化性心血管疾病风险的病症。本研究是一项随机、双盲、安慰剂对照研究,旨在通过分析miRNA-155、miRNA-133a以及抵抗素、肿瘤坏死因子-α、总唾液酸、同型半胱氨酸、高敏C反应蛋白(hs-CRP)等炎症生物标志物和抗炎细胞因子脂联素,来确定绿茶(GC)对肥胖代谢综合征患者的影响。

方法

160名肥胖患者被随机分配,每天分别服用GC胶囊(800毫克)或安慰剂,为期6个月。两组均被建议保持均衡饮食。在基线期和补充6个月后采集血样。

结果

与安慰剂组相比,补充GC 6个月可降低体重指数(p = 0.002)、腰围(p = 0.038)、血糖(p = 0.002)、糖化血红蛋白百分比(p = 0.000)、胰岛素(p = 0.000)、收缩压(p = 0.005)、舒张压(p = 0.001)。与安慰剂组相比,GC可显著降低总胆固醇(TC,p = 0.000)、低密度脂蛋白胆固醇(LDL-C,p = 0.001)、甘油三酯(TG,p = 0.002),并提高高密度脂蛋白胆固醇(HDL-C,p = 0.008)。此外,与安慰剂组相比,GC可显著(p≤0.005)降低总唾液酸、同型半胱氨酸、抵抗素、肿瘤坏死因子-α、hs-CRP和氧化应激标志物丙二醛(MDA),但可提高血清脂联素水平(p = 0.000)。6个月后,与基线水平及安慰剂对照组相比,GC组miR-133a的基因表达显著降低(p = 0.000)(p = 0.001)。

结论

服用GC可通过降低体重指数、高血压、血糖、血脂异常、miRNA-133a和构成心血管疾病危险因素的炎症生物标志物来调节代谢综合征。

临床试验

美国国立医学图书馆临床试验注册编号为NCT05688917。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/823f/11520395/0940cabc6c12/13098_2024_1478_Fig1_HTML.jpg

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