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Published on: April 28, 2016
Hypotensive peptides from milk proteins
Richard J FitzGerald1, Brian A Murray, Daniel J Walsh
1Department of Life Sciences, University of Limerick, Limerick, Ireland. dick.fitzgerald@ul.ie
Insights
Milk proteins contain peptides that inhibit the renin-angiotensin-aldosterone system, offering a natural approach to lower blood pressure and reduce cardiovascular disease risk. This may significantly decrease global healthcare costs associated with hypertension management.
Area of Science:
- Cardiovascular Science
- Nutritional Biochemistry
- Pharmacology
Background:
- Hypertension is a primary modifiable risk factor for cardiovascular disease (CVD), contributing to conditions like myocardial infarction and stroke.
- Antihypertensive medications, targeting the renin-angiotensin-aldosterone system, incur significant healthcare costs and are associated with various side effects.
- Milk proteins, including caseins and whey, are recognized sources of bioactive peptides with potential therapeutic properties.
Purpose of the Study:
- To explore the potential of milk protein-derived peptides as a natural antihypertensive agent.
- To investigate the role of these peptides in modulating the renin-angiotensin-aldosterone system.
- To assess the implications for reducing cardiovascular disease burden and healthcare expenditure.
Main Methods:
- Review of existing studies on milk protein peptides (casokinins, lactokinins) and their effects on blood pressure.
- Analysis of the mechanism involving inhibition of angiotensin-I-converting enzyme (ACE).
- Examination of evidence from animal models (spontaneously hypertensive rats) and limited human trials.
Main Results:
- Milk protein-derived peptides, specifically casokinins and lactokinins, demonstrate ACE inhibitory activity.
- Studies in hypertensive rats show significant reductions in blood pressure.
- Preliminary human studies indicate statistically significant hypotensive effects, lowering both systolic and diastolic pressures.
Conclusions:
- Milk protein-derived peptides represent a promising functional food ingredient or nutraceutical for blood pressure management.
- This natural approach has the potential to mitigate the risks and costs associated with hypertension and cardiovascular disease.
- Further research and development could lead to significant global healthcare cost savings.
Abstract:
Hypertension is the major controllable risk factor associated with cardiovascular disease (CVD) events such as myocardial infarction, stroke, heart failure, and end-stage diabetes. A 5 mm Hg decrease in blood pressure has been equated with approximately 16% decrease in CVD. In the U.S. alone current annual antihypertensive drug costs are approximately dollars 15 billion. The renin-angiotensin-aldosterone system is a target for blood pressure control. Cleavage of angiotensinogen by renin produces angiotensin I which is subsequently hydrolyzed by angiotensin-I-converting enzyme (ACE) to angiotensin II (a potent vasoconstrictor). Various side effects are associated with the use of ACE inhibitory drugs in the control of blood pressure including hypotension, increased potassium levels, reduced renal function, cough, angioedema, skin rashes, and fetal abnormalities. Milk proteins, both caseins and whey proteins, are a rich source of ACE inhibitory peptides. Several studies in spontaneously hypertensive rats show that these casokinins and lactokinins can significantly reduce blood pressure. Furthermore, a limited number of human studies have associated milk protein-derived peptides with statistically significant hypotensive effects (i.e., lower systolic and diastolic pressures). The advent of effective milk protein based functional food ingredients/nutraceuticals for the prevention/control of blood pressure therefore has the potential to significantly reduce global healthcare cost.
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