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Effects of vitamin E on the toxicity of oxidized LDL on endothelial cells in vitro in smokers vs nonsmokers on diets rich in fish

Abstract

Objective:

To clarify whether supplementation of vitamin E can alter the low density lipoprotein (LDL) oxidation properties and thereby affect endothelial cell function and prostacyclin production in smokers compared to nonsmokers on diets rich in fish in a pilot study.

Design:

The LDL of six smokers and six nonsmokers on habitual high fish diet was isolated before and after an 8-week supplementation of vitamin E (800 IU/day). LDL was oxidized by incubation with CuSO4. Cytotoxicity of LDL oxidized to different degrees on endothelial cells was investigated in vitro in these two groups.

Setting:

Helsinki University Central Hospital; Institute of Biomedicine, Pharmacology, University of Helsinki.

Results:

At baseline, the rate of oxidation was higher in nonsmokers than in smokers. The lag phase increased significantly after the supplementation of vitamin E both in smokers and nonsmokers. Native LDL dose dependently tended to reduce the viability of endothelial cells in vitro more markedly when isolated from smokers than from nonsmokers. Vitamin E supplementation had no beneficial effect on the cytotoxicity of oxidized LDLs in endothelial cell culture. On the other hand, simultaneous administration of Trolox®, the water-soluble analogue of vitamin E, attenuated the LDL cytotoxicity on endothelial cells. The vitamin E supplementation to LDL donors attenuated the increase in prostacyclin production both in smokers and nonsmokers.

Conclusion:

Supplementation of LDL donors (healthy male volunteers on habitual fish diet) with vitamin E increased the lag phase of LDL oxidation, but, on the other hand, did not influence in vitro cytotoxicity of LDL, or prostacyclin production.

Sponsorship:

Helsinki University Central Hospital and Biomed 2.

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References

  • Azzi A (2004): The role of α-tocopherol in preventing disease. Eur. J. Nutr. 1 (Suppl. 1), I/18–I/25.

    Google Scholar 

  • Barua RS, Ambrose JA, Srivastava S, DeVoe MC & Eales-Reynolds L (2003): Reactive oxygen species are involved in smoking-induced dysfunction of nitric oxide biosynthesis and upregulation of endothelial nitric oxide synthase: an in vitro demonstration in human coronary artery endothelial cells. Circulation 107, 2342–2347.

    Article  CAS  Google Scholar 

  • Belcher JD, Balla J, Balla G, Jacobs Jr DR, Gross M, Jacob HS & Vercellotti GM (1993): Vitamin E, LDL, and endothelium: brief oral vitamin supplementation prevents oxidized LDL-mediated vascular injury in vitro. Arterioscler. Thromb. 13, 1779–1789.

    Article  CAS  Google Scholar 

  • Boscoboinik D, Szewczyk A, Hensey C & Azzi A (1991): Inhibition of cell proliferation by alpha-tocopherol: role of protein kinase C. J. Biol. Chem. 266, 6188–6194.

    CAS  PubMed  Google Scholar 

  • Chisolm III GM, Hazen SL, Fox PL & Catheart MK (1999): The oxidation of lipoproteins by monocytes-macrophages. Biochemical and biological mechanisms. J. Biol. Chem. 274, 25959–25962.

    Article  CAS  Google Scholar 

  • Dietrich M, Block G, Norkus EP, Hudes M, Traber MG, Cross CE & Packer L (2003): Smoking and exposure to environmental tobacco smoke decrease some plasma antioxidants and increase alpha-tocopherol in vivo after adjustment for dietary antioxidant intakes. Am. J. Clin. Nutr. 77, 160–166.

    Article  CAS  Google Scholar 

  • Esterbauer J, Bebicki J, Puhl H & Jürgens G (1992): The role of lipid peroxidation and antioxidants in oxidative modification of LDL. Free Radic. Biol. Med. 13, 341–390.

    Article  CAS  Google Scholar 

  • Estrada-García L, Carrera-Rotllan J & Puig-Parellada P (2002): Effects of oxidative stress and antioxidant treatments on eicosanoid synthesis and lipid peroxidation in long term human umbilical vein endothelial cells culture. Prostaglandins Other Lipid Mediat. 67, 13–25.

    Article  Google Scholar 

  • Fennessy FM, Moneley DS, Wang JH, Kelly CJ & Bouchier-Hayes DJ (2003): Taurine and vitamin C modify monocyte and endothelial dysfunction in young smokers. Circulation 107, 410–415.

    Article  CAS  Google Scholar 

  • Frei B, Forte TM, Ames BN & Cross EC (1991): Gas phase oxidants of cigarette smoke induce lipid peroxidation and changes in lipoprotein properties in human blood plasma: protective effects of ascorbic acid. Biochem. J. 27, 133–138.

    Article  Google Scholar 

  • Fuller CJ, May MA & Martin KJ (2000): The effect of vitamin E and vitamin C supplementation on LDL oxidizability and neutrophil respiratory burst in young smokers. J. Am. Coll. Nutr. 19, 361–369.

    Article  CAS  Google Scholar 

  • Futrakul N, Tosukhowong P, Valyapongpichit Y, Tipprukmas N, Futrakul P & Patumraj S (2002): Oxidative stress and hemodynamic maladjustment in chronic renal disease: a therapeutic implication. Ren. Fail. 24, 433–445.

    Article  CAS  Google Scholar 

  • GISSI-Prevenzione Investigators (1999): Dietary supplementation with n-3 polyunsaturated fatty acids and vitamin E after myocardial infarction: results of the GISSI-Prevenzione trial. Lancet 354, 447–455.

  • Gouazé V, Dousset N, Dousset J-C & Valdiguié P (1998): Effect of nicotine and cotinine on the susceptibility to in vitro oxidation of LDL in healthy non smokers and smokers. Clin. Chim. Acta 277, 25–37.

    Article  Google Scholar 

  • Graig WY, Palomäki GE & Haddow JE (1989): Cigarette smoking and serum lipid and lipoprotein concentration: an analysis of published data. Br. Med. J. 298, 784–788.

    Article  Google Scholar 

  • Gross SS & Levi R (1992): Tetrahydrobiopterin synthesis: an absolute requirement for cytokine-induced nitric oxide generation by vascular smooth muscle. J. Biol. Chem. 267, 25722–25729.

    CAS  PubMed  Google Scholar 

  • Harats D, Ben-Naim M, Dabach Y, Hollander G, Stein O & Stein Y (1989): Cigarette smoking renders LDL susceptible to peroxidative modification and enhanced metabolism by macrophages. Atherosclerosis 79, 245–252.

    Article  CAS  Google Scholar 

  • Heitzer T, Ylä-Herttuala S, Luoma J, Kurz S, Munzel S, Just H, Olschewski M & Drexler H (1996): Cigarette smoking potentiates endothelial dysfunction of forearm resistance vessels in patients with hypercholesterolemia. Role of oxidized LDL. Circulation 93, 1346–1353.

    Article  CAS  Google Scholar 

  • Hodis HN, Mack WJ, LaBree L, Mahrer PR, Sevanian A, Liu C, Liu C, Hwang J, Selzer RH & Azen SP (2002): Alpha-tocopherol supplementation in healthy individuals reduced low-density lipoprotein oxidation but not atherosclerosis: the Vitamin E Atherosclerosis Prevention Study (VEAPS). Circulation 106, 1453–1459.

    Article  CAS  Google Scholar 

  • Korpela R, Seppo L, Laakso J, Lilja J, Karjala K, Lähteenmäki T, Solatunturi E, Vapaatalo H & Tikkanen MJ (1999): Dietary habits affect the susceptibility of low-density lipoprotein to oxidation. Eur. J. Clin. Nutr. 53, 802–806.

    Article  CAS  Google Scholar 

  • Kris-Etherton PM, Taylor DS, Yu-Poth S, Huth P, Mopriarty K, Fishell V, Hargrove RL, Zhao G & Etherton TD (2000): Polyunsaturated fatty acids in the food chain in the United States. Am. J. Clin. Nutr. 71 (Suppl 1), S179–S188.

    Article  Google Scholar 

  • Lähteenmäki T, Seppo L, Laakso J, Korpela R, Vanhanen H, Tikkanen MJ & Vapaatalo H (2000): Oxidized LDL from subjects with different dietary habits modifies atherogenic processes in endothelial and smooth muscle cells. Life Sci. 66, 455–465.

    Article  Google Scholar 

  • Lähteenmäki TA, Korpela R, Tikkanen MJ, Karjala K, Laakso J, Solatunturi E & Vapaatalo H (1998): Proliferative effects of oxidized low-density lipoprotein on vascular smooth muscle cells. Life Sci. 63, 995–1003.

    Article  Google Scholar 

  • Liao JK, Shin WS, Lee WY & Clark SL (1995): Oxidized low-density lipoprotein decreases the expression of endothelial nitric oxide synthase. J. Biol. Chem. 270, 319–324.

    Article  CAS  Google Scholar 

  • Lowry OH, Rosenbrough NJ, Farr AL & Randall RJ (1951): Protein measurement with the Folin phenol reagent. J. Biol. Chem. 193, 265–275.

    CAS  Google Scholar 

  • Mabile L, Fitoussi G, Periquet B, Schmitt A, Salvayre R & Négre-Salvayre A (1995): Alpha-tocopherol (TBARS and calcium rises) elicited by oxidized low density lipoproteins in cultured endothelial cells. Free Radic. Biol. Med. 19, 177–187.

    Article  CAS  Google Scholar 

  • Männistö S, Ovaskainen M-L & Valsta L (2003): The national FINDIET 2002 Study. Helsinki, Finland:National Public Health Institute, B3.

    Google Scholar 

  • Marangon K, Herbeth B, Artur Y, Esterbauer H & Siest G (1997): Low and very low density lipoprotein composition and resistance to copper-induced oxidation are not notably modified in smokers. Clin. Chim. Acta 265, 1–12.

    Article  CAS  Google Scholar 

  • Maskarinec G, Chan CL, Meng L, Franke AA & Cooney RV (1999): Exploring the feasibility and effects of a high-fruit and—vegetable diet in healthy women. Cancer Epidemiol. Biomarkers Prev. 8, 919–924.

    CAS  PubMed  Google Scholar 

  • Meydani M (1995): Vitamin E. Lancet 345, 170–175.

    Article  CAS  Google Scholar 

  • Murohara T, Ikeda H, Katoh A, Takajo Y, Otsuka Y, Haramaki N & Imaizumi T (2002): Vitamin E lysophosphatidylcholine-induced endothelial dysfunction and platelet activation. Antioxid. Redox Signal. 4, 791–798.

    Article  CAS  Google Scholar 

  • Neuzil J, Weber C & Kontush A (2001): The role of vitamin E in atherogenesis: linking the chemical, biological and clinical aspects of the disease. Atherosclerosis 157, 257–283.

    Article  CAS  Google Scholar 

  • Nevala R, Seppo L, Tikkanen MJ, Laakso J, Vanhanen H, Vapaatalo H & Korpela R (2000): Dietary fatty acid composition influences the degree of human LDL oxidation, but has only minor effects on vascular tone in a bioassay system. Nutr. Metab. Cardiovasc. Dis. 10, 126–136.

    CAS  PubMed  Google Scholar 

  • Pedersen H, Petersen M, Major-Pedersen A, Jensen T, Nielsen NS, Lauridsen ST & Marckman P (2003): Influence of fish oil supplementation on in vivo and in vitro oxidation resistance of low-density lipoprotein in type 2 diabetes. Eur. J. Clin. Nutr. 57, 713–720.

    Article  CAS  Google Scholar 

  • Pietinen P, Hartman AM, Haapa E, Räsänen L, Haapakoski J & Palmgren J (1988): Reproducibility and validity of dietary assessment instruments. I. Self-admistered food use questionnaire with a portion size picture booklet. Am. J. Epidemiol. 128, 655–666.

    Article  CAS  Google Scholar 

  • Piolot A, Blache D, Boulet L, Fortin LJ, Dubreuil D, Marcoux C, Davignon J & Lussier-Cacan S (2003): Effect of fish oil on LDL oxidation and plasma homocysteine concentrations in health. J. Lab. Clin. Med. 141, 41–49.

    Article  CAS  Google Scholar 

  • Princen HM, van Duyvenvoorde W, Buytenhek R, van der Laarse A, Poppel G, Gevers Leuven JA & van Hinsbergh VW (1995): Supplementation with low doses of vitamin E protects LDL from lipid peroxidation in men and women. Arterioscler. Thromb. Vasc. Biol. 15, 325–333.

    Article  CAS  Google Scholar 

  • Princen HMG, van Poppel G, Vogelezang C, Buytenhek R & Kok FJ (1992): Supplementation of vitamin E but not beta-carotene in vivo protects low density lipoproteins from lipid peroxidation in vitro. Arterioscler. Thromb. 12, 554–562.

    Article  CAS  Google Scholar 

  • Rapola JM, Virtamo J, Haukka JK, Heinonen OP, Albanes D, Taylor PR & Huttunen JK (1996): Effect of vitamin E and beta carotene on the incidence of angina pectoris. JAMA 275, 693–698.

    Article  CAS  Google Scholar 

  • Rastas M, Seppänen R, Kuts L-R & Karvetti R-L (1993): Nutrient Composition of Foods Varo P ed. Helsinki, Finland: Publications of the Social Insurance Institution.

    Google Scholar 

  • Reaven PD & Witztum JL (1996): Oxidized low density lipoproteins in atherogenesis: role of dietary modification. Annu. Rev. Nutr. 16, 51–71.

    Article  CAS  Google Scholar 

  • Reilly M, Delanty N, Lawson JA & Fizgerald GA (1996): Modulation of oxidant stress in vivo in chronic cigarette smokers. Circulation 94, 19–25.

    Article  CAS  Google Scholar 

  • Roberts WG, Gordon MH & Walker AF (2003): Effects of enhanced consumption of fruit and vegetables on plasma antioxidant status and oxidative resistance of LDL in smokers supplemented with fish oil. Eur. J. Clin. Nutr. 57, 1303–1310.

    Article  CAS  Google Scholar 

  • Salonen RM, Nyyssönen K, Kaikkonen J, Porkkala-Sarataho E, Voutilainen S, Rissanen TH, Tuomainen T-P, Valkonen V-P, Ristonmaa U, Lakka H-M, Vanharanta M, Salonen JT & Poulsen HE (2003): Six-year effect of combined vitamin C and E supplementation on atherosclerotic progression. The antioxidant supplementation in atherosclerosis prevention (ASAP) study. Circulation 107, 947–953.

    Article  CAS  Google Scholar 

  • Seppo L, Karjala K, Nevala R, Korpela R, Lähteenmäki T, Solatunturi E, Tikkanen MJ & Vapaatalo H (2000): A long-term fish diet modifies the toxic properties of human partially oxidized LDL on vascular preparations in vitro. J. Physiol. Pharmacol. 51, 251–265.

    CAS  PubMed  Google Scholar 

  • Sievi E, Lähteenmäki TA, Alanko J, Vuorinen P & Vapaatalo H (1997): Nitric oxide as a regulator of prostacyclin synthesis in cultured rat heart endothelial cells. Arzneimittel-Forschung 47, 1093–1098.

    CAS  PubMed  Google Scholar 

  • Stephens NG, Parsons A, Schofield PM, Kelly F, Cheeseman K & Mitchinson MJ (1996): Randomised controlled trial of vitamin E in patiens with coronary disease Cambridge Heart Antioxidant Study (CHAOS). Lancet 347, 781–786.

    Article  CAS  Google Scholar 

  • Thorin E, Hamilton CA, Dominiczak MH & Reid JL (1994): Chronic exposure of cultured bovine endothelial cells to oxidized LDL abolished prostacyclin release. Arterioscler. Thromb. 14, 453–459.

    Article  CAS  Google Scholar 

  • Tran K & Chan AC (1990): R, R, R-alpha-tocopherol potentiates prostacyclin release in human endothelial cells. Evidence for structural specificity of the tocopherol molecule. Biocim. Biophys. Acta 1043, 189–197.

    Article  CAS  Google Scholar 

  • Upritchard JE, Schuurman CRWC, Wiersma A, Tijburg LBM, Coolen SAJ, Rijken PJ & Wiseman SA (2003): Spread supplemented with moderate doses of vitamin E and carotenoids reduces lipid peroxidation in healthy, nonsmoking adult. Am. J. Clin. Nutr. 78, 985–992.

    Article  CAS  Google Scholar 

  • van Dam B, van Hinsbergh VW, Stehouwer CD, Versteiler A, Dekker H, Buytenhek R, Princen HM & Schalkwijk CG (2003): Vitamin E inhibits peroxidation-induced adhesion molecule expression in endothelial cells and decreases soluble cell adhesion molecules in healthy subjects. Cardiovasc. Res. 57, 563–571.

    Article  CAS  Google Scholar 

  • Vane JR & Botting RM (1995): Pharmacodynamic profile of prostacyclin. Am. J. Cardiol. 75, 3A–10A.

    Article  CAS  Google Scholar 

  • Vinals M, Martinez-Gonzalez J, Badimon JJ & Badimon L (1997): HDL-induced prostacyclin release in smooth muscle cells is dependent on cyclooxygenase (Cox-2). Arterioscler. Thromb. Vasc. Biol. 17, 3481–3488.

    Article  CAS  Google Scholar 

  • Weinberg RB, van der Werker BS, Anderson RA, Stegner JE & Thomas MJ (2001): Pro-oxidant effect of vitamin E in cigarette smokers consuming a high polyunsaturated fat diet. Arterioscler. Thromb. Vasc. Biol. 21, 1029–1033.

    Article  CAS  Google Scholar 

  • Yusuf S, Dagenais G, Pogue J, Bosch J & Sleight P (2000): Vitamin E supplementation and cardiovascular events in high-risk patiens. The Heart Outcomes Prevention Evaluation Study Investigators. N. Engl. J. Med. 342, 154–160.

    Article  CAS  Google Scholar 

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Acknowledgements

We express our thanks to Tuija Poussa, MSc, for her assistance with the statistics. We thank Ms Terhi Hakala, Ms Päivi Ruha, Ms Kirsti Räsänen and Ms Lahja Eurajoki for providing excellent technical assistance. This work was supported by grants from Helsinki University Central Hospital, (EVO, TYH 0125 and TYH 8123) and Biomed 2 (BMH4-CT96-0979).

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Correspondence to H Vapaatalo.

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Guarantor: H Vapaatalo.

Contributors: LS was responsible for the manuscript, subjects recruiting, and calculations for living habits and nutrient intake. TL was responsible for the cell cultures. HV, MJT, HV, and RK were responsible for the study plan. All the authors contributed to the preparation of the manuscript.

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Seppo, L., Lähteenmäki, T., Tikkanen, M. et al. Effects of vitamin E on the toxicity of oxidized LDL on endothelial cells in vitro in smokers vs nonsmokers on diets rich in fish. Eur J Clin Nutr 59, 1282–1290 (2005). https://doi.org/10.1038/sj.ejcn.1602241

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