Phytosterins and cardiovascular diseases


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Abstract

It has been proved that the consumption of phytosterins in doses of 1.5-3.0 g daily in the "functional" foods leads to a decrease of plasma total cholesterol and low density lipoprotein by 10-15%. These data determine the interest of researchers to the role of phytosterins in the prevention of cardiovascular disease (CVD) and their acute complications. In this regard, there are some conflicting data obtained in studies on animal and human associated with dose-related effects of phytosterins and various accuracy and selectivity measurement techniques. In LASA (2008) epidemiological study, included random sample of 1,242 people older than 65 year in the Netherlands showed that moderate increase of plasma phytosterol levels was associated with reduction of risk for cardiovascular disease. Prospective randomized placebo-controlled clinical studies with fixed endpoints are required to confirm the effectiveness of phytosterol in the "functional" foods for the prevention of CVD and their acute complications at the level of evidence-based medicine.

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N V Perova

N V Perova

References

  1. Moghadasian MH, McManus BM, Pritchard PH, et al. Tall oil-derived phytosterols reduce atherosclerosis in ApoE-deficient mice. Arterioscler Thromb Vasc Biol 1997;17:119-26.
  2. Ntanios FY, van de Kooij AJ, de Deckere EA, et al. Effects of various amounts of dietary plant sterol esters on plasma and hepatic sterol concentration and aortic foam cell formation of cholesterol-fed hamsters. Atherosclerosis 2003;169:41-50.
  3. Berge KE, Tian H, Graf GA, et al. Accumulation of dietary cholesterol in sitosterolemia caused by mutations in adjacent ABC transporters.Science 2000;290:1771-75.
  4. Glueck CJ, Speirs J, Tracy T, et al. Relationships of serum plant sterols (phytosterols) and cholesterol in 595 hypercholesterolemic subjects, and familial aggregation of phytosterols, cholesterol, and premature coronary heart disease in hyperphytosterolemic probands and their first-degree relatives. Metabolism 1991;40:842-48.
  5. Glueck CJ, Streicher P, Illig E. Serum and dietary phitosterols, cholesterol, and coronary heart disease in hyperphytosterolemic probands. Clin Biochem 1992;25;331-34.
  6. Miettinen TA, Railo M, Lepantalo M, et al. Plant sterols in serum and in atherosclerotic plaques of patients undergoing carotid endarterectomy. J Am Coll Cardiol 2005;45:1794-801.
  7. Muldoon ME, Manuck SB, Mendelsohn AB, et al. Cholesterol reduction and non-illness mortality: meta-analysis of randomized clinical trials. MBJ 2001;322:11-15.
  8. FDA talk paper. FDA authorizes new coronary heart disease health claim for plant sterol and plant stanol esters. http://www.cfscan.fda.gov/lrd/tpsterol.html (15 December 2008).
  9. Executive Summary of the Thirde Report of The National Cholesterol Education Program (NCEP). Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) . JAMA 2001;285:2486-97.
  10. Lichtenstein AH, Appel LJ, Brands M, et al. Summary of American Heart Assocdiation Diet and Lifestyl Recommendations revision . Arterioscler Thromb Vasc Biol 2006;26:2186-91.
  11. Dietary Recommendations. Celia Villalobos, Spain; Spanish Cardiology Society/Spanish Healthn Minister; 2001.
  12. Cholesterol lowering diet. Diet in promotion of heart health. Assotiation of Clinical and Public Health Nutritionists in Finland 2002; Report №2.
  13. Plant sterols and stanols. A position statement from the Heart Foundations of Australia; 1999.
  14. Hendriks HF, Weststrate JA, van Viliet T, et al. Spreds enriched with three different levels of vedetable oil sterols and the degree of cholesterol lowering in normocholesterolaemic and mildly hypercholecterolemic subjects. Eur J Clin Nutr 1999;53:319-27.
  15. Katan MB, Grundysm, Jones P, et al. Efficasy and safety of plant stanols and sterols in the management of blood cholesterol levels. Mayo Clin Proc 2003;78:965-78.
  16. Weingartner O, Lutjohann D, Ji S, et al. Vascular Effects of Diet Supplmentation with Plant Sterols. J Am Coll Cardiol 2008;51:1553-61.
  17. Miettinen Т, Gylling H. Vascular Effects of Diets, Especially Plant Sterol Ester Consumption. J Am Coll Cardiol 2008;51:1562-63.
  18. de Jong A, Plat J, Hoeks AP, Mensink RP. Effects of long-term plant sterol or stanol ester consumption on endothelial function and arterial stiffness in patients on statin treatment (abstr). Atherosclerosis 2007;8:1.
  19. Low M. Plant sterol and stanol margarines and health. BMJ 200;360:7-22.
  20. Weingartner O, Bohm M, Laufts U. Controversal role of plant sterol esters in the management of hypercholesterolaemia. EHJ 2009;30:404-09.
  21. Sutherland WHF, Williams MJA, Hye ER, et al. Association of plasma noncholesterol sterol levels with severity of coronary artery disease. Nutr Metab Cardiovasc Dis 1998;8:386-91.
  22. Rajaratnam RA, Gylling H, Miettinen TA. Independent association of serum squalene and noncholesterol sterols with coronary artery disease in postmenopausal women. J Am Coll Cardiol 2000;35:1185-91.
  23. Assmann G, Gullen P, et al. Elevation in plasma sitocterol concentration is associated with increased risk for coronary events in the PROCAM study. Circulation 2003;108(Suppl.):3300.
  24. Wilund KR, Yu L, Xu F, et al. No association between plasma levels of plant sterols and atherosclerosis in mice and men. Arterioscler Thromb Vasc Biol 2004;24:2326-32.
  25. Fassbender K, Lutjohann D, Miranda G, et al. Moderately elevated plant sterol levels are associated with reduced cardiovascular risk - The LASA study. Atherosclerosis 2008;196:283-88.

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