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Research Article| Volume 23, ISSUE 9, P843-849, September 2013

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Anti-inflammatory effect of purified dietary anthocyanin in adults with hypercholesterolemia: A randomized controlled trial

  • Y. Zhu
    Affiliations
    Guangdong Provincial Key Laboratory of Food, Nutrition, and Health, Department of Nutrition, School of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, PR China

    Department of Maternal and Child Health, School of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, PR China
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  • W. Ling
    Affiliations
    Guangdong Provincial Key Laboratory of Food, Nutrition, and Health, Department of Nutrition, School of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, PR China
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  • H. Guo
    Affiliations
    Department of Food Science, Yingdong College of Bioengineering, Shaoguan University, Shaoguan, Guangdong Province, PR China
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  • F. Song
    Affiliations
    Guangdong Provincial Key Laboratory of Food, Nutrition, and Health, Department of Nutrition, School of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, PR China
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  • Q. Ye
    Affiliations
    Guangdong Provincial Key Laboratory of Food, Nutrition, and Health, Department of Nutrition, School of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, PR China
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  • T. Zou
    Affiliations
    School of Public Health, Guangdong Medical College, Dongguan 523808, PR China
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  • D. Li
    Affiliations
    Guangdong Provincial Key Laboratory of Food, Nutrition, and Health, Department of Nutrition, School of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, PR China
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  • Y. Zhang
    Affiliations
    Guangdong Provincial Key Laboratory of Food, Nutrition, and Health, Department of Nutrition, School of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, PR China

    Department of Cardiovascular Disease, Guangzhou General Hospital, Guangzhou Military Region, Guangzhou, Guangdong Province, PR China
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  • G. Li
    Affiliations
    Guangdong Provincial Key Laboratory of Food, Nutrition, and Health, Department of Nutrition, School of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, PR China
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  • Y. Xiao
    Affiliations
    Guangdong Provincial Key Laboratory of Food, Nutrition, and Health, Department of Nutrition, School of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, PR China
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  • F. Liu
    Affiliations
    Guangdong Provincial Key Laboratory of Food, Nutrition, and Health, Department of Nutrition, School of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, PR China
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  • Z. Li
    Affiliations
    Guangdong Provincial Key Laboratory of Food, Nutrition, and Health, Department of Nutrition, School of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, PR China
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  • Z. Shi
    Affiliations
    Guangdong Provincial Key Laboratory of Food, Nutrition, and Health, Department of Nutrition, School of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, PR China
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  • Y. Yang
    Correspondence
    Corresponding author. Department of Nutrition, School of Public Health, Sun Yat-Sen University (Northern Campus), #74 Zhongshan Road 2, Guangzhou 510080, PR China. Tel.: +86 20 87330687; fax: +86 20 87330446.
    Affiliations
    Guangdong Provincial Key Laboratory of Food, Nutrition, and Health, Department of Nutrition, School of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, PR China
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      Abstract

      Background and aim

      Atherosclerosis is a chronic inflammatory disease and previous studies have demonstrated that anthocyanin inhibits atherosclerosis. In the present study, we explored the effects of anthocyanins on inflammatory cytokines in hypercholesterolemic adults and cell lines.

      Methods and results

      A total of 150 subjects with hypercholesterolemia consumed a purified anthocyanin mixture (320 mg/d) or a placebo twice a day for 24 weeks in a randomized, double-blind trial. Anthocyanin consumption significantly decreased the levels of serum high sensitivity C-reactive protein (hsCRP) (−21.6% vs. −2.5%, P = 0.001), soluble vascular cell adhesion molecule-1 (sVCAM-1) (−12.3% vs. 0.4%, P = 0.005) and plasma IL-1β (−12.8% vs. −1.3%, P = 0.019) compared to the placebo. We also found a significant difference in the LDL-cholesterol (−10.4% vs. 0.3%, P = 0.030) and HDL-cholesterol level changes (14.0% vs. −0.9%, P = 0.036) between the two groups. In cell culture assays in vitro, purified anthocyanin mixture, delphinidin-3-Ο-β-glucoside (Dp-3g) and cyanidin-3-Ο-β-glucoside (Cy-3g) inhibited IL-6 and IL-1β-induced CRP production (P < 0.05) in HepG2 cell line and LPS-induced VCAM-1 secretion (P < 0.05) in porcine iliac artery endothelial cell line respectively in a dose-dependent manner. In addition, the reduction of inflammatory cytokines associated with anthocyanin mixture was stronger when compared with the effects of Dp-3g and Cy-3g separately (P < 0.05).

      Conclusions

      Anthocyanin mixture reduced the inflammatory response in hypercholesterolemic subjects. In addition, different anthocyanin compounds were found to have additive or synergistic effects in mediating anti-inflammatory responses in vitro cell culture assays.

      Keywords

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