Enhancement of a modified Mediterranean-style, low glycemic load diet with specific phytochemicals improves cardiometabolic risk factors in subjects with metabolic syndrome and hypercholesterolemia in a randomized trial

<p>Abstract</p> <p>Background</p> <p>As the worldwide dietary pattern becomes more westernized, the metabolic syndrome is reaching epidemic proportions. Lifestyle modifications including diet and exercise are recommended as first-line intervention for treating metabolic syndrome. Previously, we reported that a modified Mediterranean-style, low glycemic load diet with soy protein and phytosterols had a more favorable impact than the American Heart Association Step 1 diet on cardiovascular disease (CVD) risk factors. Subsequently, we screened for phytochemicals with a history of safe use that were capable of increasing insulin sensitivity through modulation of protein kinases, and identified hops <it>rho </it>iso-alpha acid and acacia proanthocyanidins. The objective of this study was to investigate whether enhancement of a modified Mediterranean-style, low glycemic load diet (MED) with specific phytochemicals (soy protein, phytosterols, <it>rho </it>iso-alpha acids and proanthocyanidins; PED) could improve cardiometabolic risk factors in subjects with metabolic syndrome and hypercholesterolemia.</p> <p>Methods</p> <p>Forty-nine subjects with metabolic syndrome and hypercholesterolemia, aged 25–80, entered a randomized, 2-arm, 12-week intervention trial; 23 randomized to the MED arm; 26 to the PED arm. Forty-four subjects completed at least 8 weeks [MED (<it>n </it>= 19); PED (<it>n </it>= 25)]. All subjects were instructed to follow the same aerobic exercise program. Three-day diet diaries and 7-day exercise diaries were assessed at each visit. Fasting blood samples were collected at baseline, 8 and 12 weeks for analysis.</p> <p>Results</p> <p>Both arms experienced equal weight loss (MED: -5.7 kg; PED: -5.9 kg). However, at 12 weeks, the PED arm experienced greater reductions (<it>P </it>< 0.05) in cholesterol, non-HDL cholesterol, triglycerides (TG), cholesterol/HDL and TG/HDL compared with the MED arm. Only the PED arm experienced increased HDL (<it>P </it>< 0.05) and decreased TG/HDL (<it>P </it>< 0.01), and continued reduction in apo B/apo A-I from 8 to 12 weeks. Furthermore, 43% of PED subjects vs. only 22% of MED subjects had net resolution of metabolic syndrome. The Framingham 10-year CVD risk score decreased by 5.6% in the PED arm (<it>P </it>< 0.01) and 2.9% in the MED arm (<it>P </it>< 0.05).</p> <p>Conclusion</p> <p>These results demonstrate that specific phytochemical supplementation increased the effectiveness of the modified Mediterranean-style low glycemic load dietary program on variables associated with metabolic syndrome and CVD.</p

A transgenic mouse model reproduces human hereditary systemic amyloidosis

International audienceAmyloidoses are rare life-threatening diseases caused by protein misfolding of normally soluble proteins. The fatal outcome is predominantly due to renal failure and/or cardiac dysfunction. Because amyloid fibrils formed by all amyloidogenic proteins share structural similarity, amyloidoses may be studied in transgenic models expressing any amyloidogenic protein. Here we generated transgenic mice expressing an amyloidogenic variant of human apolipoprotein AII, a major protein of high density lipoprotein. According to amyloid nomenclature this variant was termed STOP78SERApoAII. STOP78SER-APOA2 expression at the physiological level spontaneously induced systemic amyloidosis in all mice with full-length mature STOP78SERApoAII identified as the amyloidogenic protein. Amyloid deposits stained with Congo red, were extracellular, and consisted of fibrils of approximately 10 nm diameter. Renal glomerular amyloidosis was a major feature with onset of renal insufficiency occurring in mice older than six months of age. The liver, heart and spleen were also greatly affected. Expression of STOP78SERAPOA2 in liver and intestine in mice of the K line but not in other amyloid-laden organs showed they present systemic amyloidosis. The amyloid burden was a function of STOP78SER-APOA2expression and age of the mice with amyloid deposition starting in two-month old highexpressing mice that died from six months onwards. Because STOP78SER-ApoAII conserved adequate lipid binding capacity as shown by high STOP78SER-ApoAII amounts in high density lipoprotein of young mice, its decrease in circulation with age suggests preferential deposition into preformed fibrils. Thus, our mouse model faithfully reproduces early-onset hereditary systemic amyloidosis and is ideally suited to devise and test novel therapi

Promoter-Dependent Translation Controlled by p54nrb and hnRNPM during Myoblast Differentiation.

Fibroblast growth factor 1 (FGF1) is induced during myoblast differentiation at both transcriptional and translational levels. Here, we identify hnRNPM and p54nrb/NONO present in protein complexes bound to the FGF1 promoter and to the mRNA internal ribosome entry site (IRES). Knockdown or overexpression of these proteins indicate that they cooperate in activating IRES-dependent translation during myoblast differentiation, in a promoter-dependent manner. Importantly, mRNA transfection and promoter deletion experiments clearly demonstrate the impact of the FGF1 promoter on the activation of IRES-dependent translation via p54nrb and hnRNPM. Accordingly, knockdown of either p54 or hnRNPM also blocks endogenous FGF1 induction and myotube formation, demonstrating the physiological relevance of this mechanism and the role of these two proteins in myogenesis. Our study demonstrates the cooperative function of hnRNPM and p54nrb as regulators of IRES-dependent translation and indicates the involvement of a promoter-dependent mechanism

Influence of transcription level on the activity of the FGF1 IRES A.

<p>C2C12 cells were transfected with bicistronic plasmids containing either the complete promoter 1A or a deleted promoter lacking nucleotides 1 to 391. Transfected cells were treated 24h later with siRNA siM, sip54 or sic, and luciferase activities were measured as in <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0136466#pone.0136466.g006" target="_blank">Fig 6</a>. (A) mRNA expression in the presence of promoter 1A and 1AΔ1–391 reflected by the LucR activities. (B) Activity of FGF1 IRES A in the presence of promoter 1A and 1AΔ1–391, reflected by the Luc F/ LucR ratio as above. Experiments were performed in biological triplicates and repeated three times. The statistical test used is the Student test. (mean +- standard deviation, *p<0.05, **p<0.01, ***<0.001).</p

Cooperative effect of p54^nrb and hnRNPM on FGF1 IRES activation.

<p>(A) Schema of the constructs used for C2C12 cell co-transfection. The target plasmid is the bicistronic dual luciferase vector with the FGF1 promoter and IRES. The effector plasmids express p54^nrb (p54) or hnRNPM (HM), or co-express p54^nrb and hnRNPM. The latter plasmid is a bicistronic contruct containing the FGF1 IRES. (B) Western blots of transfected proliferating C2C12 cell extracts using antibodies against p54(αHM), hnRNPM (αHM) of GAPDH as a control (αGAPDH). (C-E) Luciferase activities measurement of co-transfected proliferating or differentiating C2C12 cell extracts. LucR activity reflects the FGF1 mRNA promoter activity (as cap-dependent translation does not significantly vary, as shown by RNA transfection, see Table B in <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0136466#pone.0136466.s004" target="_blank">S4 File</a>) (C). LucF reflects IRES-dependent translation but is also dependent on mRNA amount (D). LucF/LucR ratio reflects the IRES activity normalized to mRNA amount, expressed relatively to the control (co-transfection with empty vector) (E). Experiments were performed in biological triplicates and repeated three times. The statistical test used is the Student test. (mean +- standard deviation, *p<0.05, **p<0.01, ***<0.001).</p