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Anti-inflammatory effect of purified dietary anthocyanin in adults with hypercholesterolemia: a randomized controlled
1Guangdong Provincial Key Laboratory of Food, Nutrition, and Health, Department of Nutrition, School of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, PR China; Department of Maternal and Child Health, School of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, PR China.
Insights
Anthocyanins significantly reduced inflammatory markers like hsCRP and sVCAM-1 in adults with hypercholesterolemia. In vitro studies confirmed anthocyanins
Area of Science:
- Cardiovascular Science
- Nutritional Science
- Immunology
Background:
- Atherosclerosis is a chronic inflammatory condition.
- Anthocyanins, found in berries and dark fruits, have demonstrated anti-atherosclerotic properties.
- Inflammatory cytokines play a crucial role in the pathogenesis of atherosclerosis.
Purpose of the Study:
- To investigate the effects of a purified anthocyanin mixture on inflammatory cytokines in hypercholesterolemic adults.
- To evaluate the impact of anthocyanins on lipid profiles in hypercholesterolemic individuals.
- To examine the in vitro anti-inflammatory effects of anthocyanins and their specific compounds on relevant cell lines.
Main Methods:
- A randomized, double-blind trial involving 150 hypercholesterolemic subjects consuming 320 mg/d of anthocyanin mixture or placebo for 24 weeks.
- Measurement of serum high sensitivity C-reactive protein (hsCRP), soluble vascular cell adhesion molecule-1 (sVCAM-1), IL-1β, LDL-cholesterol, and HDL-cholesterol.
- In vitro assays using HepG2 and porcine iliac artery endothelial cells to assess the effects of anthocyanin mixture, delphinidin-3-Ο-β-glucoside (Dp-3g), and cyanidin-3-Ο-β-glucoside (Cy-3g) on cytokine production.
Main Results:
- Anthocyanin consumption significantly reduced serum hsCRP, sVCAM-1, and plasma IL-1β levels compared to placebo.
- Significant improvements were observed in LDL-cholesterol and HDL-cholesterol levels in the anthocyanin group.
- In vitro, anthocyanin mixture, Dp-3g, and Cy-3g dose-dependently inhibited IL-6 and IL-1β-induced CRP production and LPS-induced VCAM-1 secretion.
- The anthocyanin mixture demonstrated stronger anti-inflammatory effects than individual compounds in vitro.
Conclusions:
- Anthocyanin mixture effectively reduced the inflammatory response in hypercholesterolemic subjects.
- Anthocyanin compounds exhibited additive or synergistic effects in mediating anti-inflammatory responses in vitro.
- These findings support the potential of anthocyanins as a dietary intervention for managing atherosclerosis-related inflammation.
Background And Aim:
Atherosclerosis is a chronic inflammatory disease and previous studies have demonstrated that anthocyanin inhibits atherosclerosis. In the present study, we explored the effects of anthocyanins on inflammatory cytokines in hypercholesterolemic adults and cell lines.
Methods And Results:
A total of 150 subjects with hypercholesterolemia consumed a purified anthocyanin mixture (320 mg/d) or a placebo twice a day for 24 weeks in a randomized, double-blind trial. Anthocyanin consumption significantly decreased the levels of serum high sensitivity C-reactive protein (hsCRP) (-21.6% vs. -2.5%, P = 0.001), soluble vascular cell adhesion molecule-1 (sVCAM-1) (-12.3% vs. 0.4%, P = 0.005) and plasma IL-1β (-12.8% vs. -1.3%, P = 0.019) compared to the placebo. We also found a significant difference in the LDL-cholesterol (-10.4% vs. 0.3%, P = 0.030) and HDL-cholesterol level changes (14.0% vs. -0.9%, P = 0.036) between the two groups. In cell culture assays in vitro, purified anthocyanin mixture, delphinidin-3-Ο-β-glucoside (Dp-3g) and cyanidin-3-Ο-β-glucoside (Cy-3g) inhibited IL-6 and IL-1β-induced CRP production (P < 0.05) in HepG2 cell line and LPS-induced VCAM-1 secretion (P < 0.05) in porcine iliac artery endothelial cell line respectively in a dose-dependent manner. In addition, the reduction of inflammatory cytokines associated with anthocyanin mixture was stronger when compared with the effects of Dp-3g and Cy-3g separately (P < 0.05).
Conclusions:
Anthocyanin mixture reduced the inflammatory response in hypercholesterolemic subjects. In addition, different anthocyanin compounds were found to have additive or synergistic effects in mediating anti-inflammatory responses in vitro cell culture assays.
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