Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Effect of ingesting sour milk fermented using Lactobacillus helveticus bacteria producing tripeptides on blood pressure in subjects with mild hypertension

Abstract

Angiotensin-converting enzyme (ACE) is important in the regulation of blood pressure (BP). Two tripeptides that inhibit ACE, isoleucyl–prolyl–proline (Ile-Pro-Pro) and valyl–prolyl–proline (Val-Pro-Pro), have been isolated from certain sour milks. The aim of the study reported was to evaluate the effect on BP in subjects with mild hypertension of a new sour milk containing tripeptides. The initial number of subjects was 60 (36 men, 24 women). Among the criteria for inclusion in the study were systolic BP (SBP) between 140 and 180 mmHg and/or diastolic BP (DPB) between 90 and 110 mmHg, without antihypertensive drug therapy. There were two study periods with a washout period between. All subjects were given 1.5 dl per day of a placebo (regular sour milk) or of the active product, a milk that had been fermented with Lactobacillus helveticus bacteria and contained 2.4–2.7 mg of Ile-Pro-Pro and 2.4–2.7 mg of Val-Pro-Pro per 1.5 dl. In the first phase, SBP fell 16 mmHg from baseline in the active group, 2 mmHg more than in the placebo group (P=0.0668) and no difference in DBP (P=0.92). There was a statistically significant downward trend both in SBP and DBP (P=0.0001). During the second phase, SBP fell 11 mmHg in the active group (P=0.008). The reduction in SBP was significantly larger in active than placebo group (P=0.012). In the crossover analysis combining both phases, SBP fell on average 2.6±15.9 mmHg more on the active product compared with the placebo product, but this difference was not statistically significant (P=0.3111). The difference in DBP, 1.0±8.3 mmHg between the two test products was not significant either (P=0.4431). In conclusion, the ingestion of sour milk fermented by L. helveticus bacteria and that containing ACE inhibitory tripeptides seems to lower BP modestly.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2

Similar content being viewed by others

References

  1. Skeggs L, Kahn J, Shumway N . The preparation and function of the angiotensin-converting enzyme. J Exp Med 1956; 103: 295–299.

    Article  CAS  Google Scholar 

  2. Maruyama S, Nakagomi K, Tomizuka N, Suzuki H . Angiotensin-converting enzyme inhibitor derived from an enzymatic hydrolysate of casein. II isolation and bradykinin-potentiating activity on the uterus and the ileum of rats. Agric Biol Chem 1985; 49: 1405.

    CAS  Google Scholar 

  3. Ariyoshi Y . Angiotensin I-converting enzyme inhibitors derived from food proteins. Trends Food Sci Technol 1993; 4: 139.

    Article  CAS  Google Scholar 

  4. Ukeda H . Peptides from peptic hydrolyzate of heated sardine meat that inhibit angiotensin I-converting enzyme. Nippon Nogeikagaku Kaishi 1992; 66: 25.

    Article  CAS  Google Scholar 

  5. Yokokawa K, Chibi H, Yoshikawa M . Peptide inhibitors for angiotensin I-converting enzyme from thermolysin digest of dried bonito. Biosci Biotechnol Biochem 1992; 56: 1541.

    Article  Google Scholar 

  6. Nakamura Y et al. Purification and characterization of angiotensin I-converting enzyme inhibitors from sour milk. J Dairy Sci 1995; 78: 777–783.

    Article  CAS  Google Scholar 

  7. Sipola M et al. Effect of long-term intake of milk products on blood pressure in hypertensive rats. J Dairy Res 2002; 69: 103–111.

    Article  CAS  Google Scholar 

  8. Sipola M et al. Long-term intake of milk peptides attenuates development of hypertension in spontaneously hypertensive rats. J Physiol Pharmacol 2001; 52: 745–754.

    CAS  PubMed  Google Scholar 

  9. Nakamura Y, Masuda O, Takano T . Decrease of tissue angiotensin I-converting enzyme activity upon feeding sour milk in spontaneously hypertensive rats. Biosci Biotechnol Biochem 1996; 60: 488–489.

    Article  CAS  Google Scholar 

  10. Hata Y et al. A placebo-controlled study of the effect of sour milk on blood pressure in hypertensive subjects. Am J Clin Nutr 1996; 64: 767–771.

    Article  CAS  Google Scholar 

  11. Seppo L, Jauhiainen T, Poussa T, Korpela R . A fermented milk high in bioactive peptides has a blood pressure lowering effect in hypertensive subjects. Am J Clin Nutr 2003; 77: 326–330.

    Article  CAS  Google Scholar 

  12. Seppo L, Kerojoki O, Suomalainen T, Korpela R . The effect of a Lactobacillus helveticus LBK-16H fermented milk on hypertension—a pilot study on humans. Milchwissenschaft 2002; 57: 124–127.

    CAS  Google Scholar 

  13. Thijs L . Age-related hypotensive effect of placebo and active treatment in patients older than 60 years. European Working Party on High Blood Pressure in the Elderly. Am J Med 1991; 90: 24S–26S.

    CAS  PubMed  Google Scholar 

  14. Rose G . Seasonal variation in blood pressure in man. Nature 1961; 189: 235.

    Article  CAS  Google Scholar 

  15. Giaconi S et al. Long-term reproducibility and evaluation of seasonal influences on blood pressure monitoring. J Hypertens Suppl 1988; 6: S64–S66.

    Article  CAS  Google Scholar 

  16. Masuda O, Nakamura Y, Takano T . Antihypertensive peptides are present in aorta after oral administration of sour milk containing these peptides to spontaneously hypertensive rats. J Nutr 1996; 126: 3063–3068.

    Article  CAS  Google Scholar 

  17. Satake M et al. Transepithelial transport of the bioactive tripeptide, Val-Pro-Pro, in human intestinal Caco-2 cell monolayers. Biosci Biotechnol Biochem 2002; 66: 378–384.

    Article  CAS  Google Scholar 

  18. Pietinen P, Aro A . The role of nutrition in the prevention and treatment of hypertension. Adv Nutr Res 1990; 8: 35–78.

    Article  CAS  Google Scholar 

  19. MacMahon S, Rodgers A, Neal B, Chalmers J . Blood pressure lowering for the secondary prevention of myocardial infarction and stroke. Hypertension 1997; 29: 537–538.

    Article  CAS  Google Scholar 

  20. The Heart Outcomes Prevention Evaluation Study Investigators. Effects of an angiotensin-converting-enzyme inhibitor, Ramipril, on cardiovascular events in high-risk patients. N Engl J Med 2000; 342: 145–153.

  21. Lonn EM et al. Emerging role of angiotensin-converting enzyme inhibitors in cardiac and vascular protection. Circulation 1994; 90: 2056–2069.

    Article  CAS  Google Scholar 

  22. MacGregor GA . Nutrition and blood pressure. Nutr Metab Cardiovasc Dis 1999; 9: 6–15.

    CAS  PubMed  Google Scholar 

  23. Law M, Frost C, Wald N . Analysis of data from trials of salt reduction. BMJ 1991; 302: 819–824.

    Article  CAS  Google Scholar 

  24. Kastarinen MJ et al. Non-pharmacological treatment of hypertension in primary health care: a 2-year open randomized controlled trial of lifestyle intervention against hypertension in eastern Finland. J Hypertens 2002; 20: 2505–2512.

    Article  CAS  Google Scholar 

  25. Collins R et al. Blood pressure, stroke, and coronary heart disease. Part 2, Short-term reductions in blood pressure: overview of randomised drug trials in their epidemiological context. Lancet 1990; 335: 827–838.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This study was carried out with the help of a grant from Valio Ltd. The active product tested was provided by Valio Ltd. We thank Elina Lausvaara for preparing and delivering the study products, Veli Koistinen for data management, and Tuija Poussa for statistical analysis.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J Tuomilehto.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tuomilehto, J., Lindström, J., Hyyrynen, J. et al. Effect of ingesting sour milk fermented using Lactobacillus helveticus bacteria producing tripeptides on blood pressure in subjects with mild hypertension. J Hum Hypertens 18, 795–802 (2004). https://doi.org/10.1038/sj.jhh.1001745

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.jhh.1001745

Keywords

This article is cited by

Search

Quick links