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Published on: April 3, 2017
Polyphenols can Potentially Prevent Atherosclerosis and Cardiovascular Disease by Modulating Macrophage Cholesterol
1The Institute of Prophylactic Pharmacology, Shinagawa, Tokyo140-0001, Japan.
Insights
Polyphenols from rich foods combat atherosclerosis by preventing cholesterol buildup in macrophages. These compounds regulate cholesterol uptake and efflux, protecting against cardiovascular diseases.
Area of Science:
- Biochemistry
- Cardiovascular Science
- Cell Biology
Background:
- Atherosclerosis, a primary cause of cardiovascular disease, involves cholesterol-laden macrophages in arterial walls.
- Macrophage cholesterol accumulation stems from oxidized low-density lipoprotein (LDL) uptake and impaired cholesterol efflux to high-density lipoprotein (HDL).
- HDL's composition, oxidative state, and size influence its capacity for cholesterol efflux from macrophages.
Purpose of the Study:
- To investigate the anti-atherosclerotic effects of polyphenols found in polyphenol-rich foods.
- To elucidate the mechanisms by which polyphenols prevent cholesterol accumulation in macrophages.
- To assess the impact of polyphenols on lipoprotein oxidation and cholesterol homeostasis in macrophages.
Main Methods:
- Review of epidemiological studies on polyphenol-rich foods and cardiovascular events.
- Analysis of research on polyphenol mechanisms in macrophage cholesterol metabolism.
- Examination of studies on LDL and HDL oxidation and their role in atherosclerosis.
Main Results:
- Polyphenols demonstrate anti-atherosclerotic properties by inhibiting cholesterol accumulation in macrophages.
- Polyphenols suppress the oxidation of lipoproteins (LDL and HDL), a key factor in atherosclerosis.
- Polyphenols modulate cholesterol uptake via scavenger receptors and enhance cholesterol efflux pathways.
Conclusions:
- Polyphenol-rich foods offer protective effects against atherosclerosis.
- Polyphenols play a crucial role in maintaining cholesterol homeostasis within macrophages.
- Targeting polyphenol intake may be a viable strategy for cardiovascular disease prevention.
Abstract:
Arterial atherosclerosis is the main pathological cause of coronary artery disease and peripheral arterial disease. Atherosclerosis is a chronic condition characterized by the presence of cholesterol-rich macrophages in the arterial intima. Accumulation of cholesterol in these macrophages is due to increased oxidation of low-density lipoprotein (LDL) and its uptake via scavenger receptors on the macrophages. Cholesterol efflux from the cholesterol-laden macrophages into high-density lipoprotein (HDL) is also a key process in maintaining cholesterol homeostasis and preventing cholesterol accumulation. Four pathways for the efflux of cholesterol to HDL exist in macrophages, including passive and active pathways. Several HDL characteristics determine cholesterol efflux capacity, namely composition, oxidative status, and HDL size. Oxidation of LDL and HDL, as well as an imbalance in cholesterol uptake and efflux, could lead to the accumulation of cholesterol in macrophages and initiation of atherosclerogenesis. Epidemiological studies have demonstrated that polyphenol-rich foods reduce cardiovascular events in the general population and in patients at risk of cardiovascular diseases. Many studies have reported that polyphenols in polyphenol-rich foods have anti-atherosclerotic properties by preventing cholesterol accumulation in macrophages through the suppression of lipoproteins oxidation and regulation of cholesterol uptake and efflux.
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