Effects of coenzyme Q10 supplementation (300 mg/day) on antioxidation and anti-inflammation in coronary artery disease patients during statins therapy: a randomized, placebo-controlled trial.

Effects of coenzyme Q10 supplementation (300 mg/day) on antioxidation and anti-inflammation in coronary artery disease patients during statins therapy: a randomized, placebo-controlled trial.
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DOI:
10.1186/1475-2891-12-142
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发表时间:
2013-11-06
期刊:
影响因子:
5.4
通讯作者:
Lin PT
Lin PT
中科院分区:
医学2区
文献类型:
--
作者:
Lee BJ;Tseng YF;Yen CH;Lin PT

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高氧化应激和慢性炎症可能导致冠状动脉疾病(CAD)的发病机制。辅酶Q10是一种内源性脂溶性抗氧化剂。他汀类药物治疗可减少辅酶Q10的生物合成。本研究的目的是调查辅酶 Q10 补充剂(300 毫克/天;150 毫克/两次)对他汀类药物治疗期间患有 CAD 的患者的抗氧化和抗炎作用。经心导管检查确定一根主要冠状动脉至少有 50% 狭窄且接受他汀类药物治疗至少 1 个月的患者纳入本研究。受试者(n = 51)被随机分配到安慰剂组(n = 24)和辅酶Q10组(Q10-300组,n = 27)。干预持续了 12 周。测量了 42 名受试者(安慰剂,n = 19;安慰剂,n = 19; Q10-300,n = 23) 完成了研究。补充辅酶Q10后,血浆辅酶Q10水平(P<0.001)和抗氧化酶活性(P<0.05)显着升高。补充辅酶Q10后炎症标志物水平(TNF-α,P = 0.039)显着降低。第12周时,Q10-300组受试者的维生素E(P = 0.043)和抗氧化酶活性(P < 0.05)显着高于安慰剂组。血浆辅酶Q10水平与维生素E(P = 0.008)和抗氧化酶活性(P < 0.05)呈显着正相关,且负相关 补充辅酶 Q10 后的 TNF-α (P = 0.034) 和 IL-6 (P = 0.027)。在他汀类药物治疗期间患有 CAD 的患者中,每日补充 300 毫克辅酶 Q10 可显着增强抗氧化酶活性并降低炎症。 Clinical Trials.gov 标识符:NCT01424761。
High oxidative stress and chronic inflammation can contribute to the pathogenesis of coronary artery disease (CAD). Coenzyme Q10 is an endogenous lipid-soluble antioxidant. Statins therapy can reduce the biosynthesis of coenzyme Q10. The purpose of this study was to investigate the effects of a coenzyme Q10 supplement (300 mg/d; 150 mg/b.i.d) on antioxidation and anti-inflammation in patients who have CAD during statins therapy. Patients who were identified by cardiac catheterization as having at least 50% stenosis of one major coronary artery and who were treated with statins for at least one month were enrolled in this study. The subjects (n = 51) were randomly assigned to the placebo (n = 24) and coenzyme Q10 groups (Q10-300 group, n = 27). The intervention was administered for 12 weeks. The concentrations of coenzyme Q10, vitamin E, antioxidant enzymes activities (superoxide dismutase, catalase, and glutathione peroxidase), and inflammatory markers [C-reactive protein (CRP), tumor necrosis factor-α (TNF-α), and interleukin-6 (IL-6)] were measured in the 42 subjects (placebo, n = 19; Q10-300, n = 23) who completed the study. The levels of the plasma coenzyme Q10 (P < 0.001) and antioxidant enzymes activities (P < 0.05) were significantly higher after coenzyme Q10 supplementation. The levels of inflammatory markers (TNF-α, P = 0.039) were significantly lower after coenzyme Q10 supplementation. The subjects in the Q10-300 group had significantly higher vitamin E (P = 0.043) and the antioxidant enzymes activities (P < 0.05) than the placebo group at week 12. The level of plasma coenzyme Q10 was significantly positively correlated with vitamin E (P = 0.008) and antioxidant enzymes activities (P < 0.05) and was negatively correlated with TNF-α (P = 0.034) and IL-6 (P = 0.027) after coenzyme Q10 supplementation. Coenzyme Q10 supplementation at 300 mg/d significantly enhances antioxidant enzymes activities and lowers inflammation in patients who have CAD during statins therapy. Clinical Trials.gov Identifier: NCT01424761.
DOI: 10.1100/2012/792756
发表时间: 2012
影响因子: --
作者:
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期刊: NUTRITION
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