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Gene Influence in the Effectiveness of Plant Sterols Treatment in Children: Pilot Interventional Study
Ismael San Mauro Martín1, Elena Garicano Vilar2, Sara Sanz Rojo3
1Research Centers in Nutrition and Health, 28036 Madrid, Spain. info@grupocinusa.es.
Insights
Plant sterol (PS) supplements significantly reduced LDL-cholesterol in children with specific gene variants (LIPC C-514T and PPAR-α L162V). This suggests a personalized approach to managing cholesterol levels through diet and genetics.
Area of Science:
- Nutrition Science
- Genetics
- Cardiovascular Health
Background:
- High serum low-density lipoprotein (LDL)-cholesterol is a risk factor for cardiovascular disease.
- Genetic factors can influence cardiovascular risk.
- Plant sterols (PS) are known to reduce LDL-cholesterol levels.
Purpose of the Study:
- To investigate the effect of plant sterol (PS) supplementation on cholesterol levels in children.
- To determine if genetic polymorphisms influence the response to PS treatment.
- To identify specific genetic variants that may benefit from PS intervention.
Main Methods:
- A pilot interventional trial involving 26 children (16 girls, 10 boys).
- Participants consumed 700 mL/day of skimmed milk with 2.2 g of plant sterols for three weeks.
- Blood samples were collected at baseline and study end to measure lipid profiles and analyze genetic polymorphisms.
Main Results:
- Significant reductions in non-high-density lipoprotein (HDL)-cholesterol and LDL-cholesterol were observed in carriers of the LIPC C-514T gene variant.
- Significant reductions in non-HDL-cholesterol and LDL-cholesterol were also noted in carriers of the PPAR-α L162V gene variant.
- No statistically significant changes in cholesterol levels were observed for other tested genes.
Conclusions:
- Children carrying the LIPC C-514T or PPAR-α L162V gene variants may benefit from plant sterol (PS) supplementation.
- PS intervention can help ameliorate hypercholesterolemia in genetically predisposed children.
- This study highlights a potential personalized nutrition strategy for cardiovascular risk management.
Abstract:
Cardiovascular disease is linked to high serum low density lipoprotein (LDL)-cholesterol levels. Cardiovascular risk may be indirectly influenced by genetic load. Serum LDL-cholesterol levels may be reduced by the consumption of food enriched with plant sterols (PS). The aim was to test a plant sterol treatment on cholesterol levels according to different genetic polymorphisms. A pilot interventional trial was performed in 26 children (n = 16 girls, n = 10 boys). Seven hundred milliliters/day of commercial skimmed milk with added plant sterols delivering 2.2 g plant sterols were ingested for three weeks. Blood draws were performed at the baseline and end of the study. Significant modifications of non-high density lipoprotein (HDL)-cholesterol (p = 0.010; p = 0.013) and LDL-cholesterol (p = 0.004; p = 0.013) levels appeared in the genes LIPC C-514T and PPAR-α L162V carriers. No statistically significant differences were observed for other genes. LIPC C-514T and PPAR-alpha L162V carriers could benefit from a plant sterol supplement to ameliorate hypercholesterolemia.
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