Carotenoids cardiovascular disease

Functional benefits of carotenoids vision, cancer and cardiovascular disease... 

In animals, the major function of carotenoids is as a precursor to the formation of vitamin A. Carotenoids with provitamin A activity are essential components of the human diet, and there is considerable evidence that they are absorbed through the diet and often metabohzed into other compounds. Beyond their important role as a source of vitamin A for humans, dietary carotenoids, including those that are not provitamin A carotenoids, have been implicated as protecting against certain forms of cancer and cardiovascular disease. ... 

Many epidemiological studies have analyzed the correlations between different carotenoids and the various forms of cancer and a lot of conclusions converge toward protective effects of carotenoids. Many studies were carried out with (i-carotene. The SUVIMAX study, a primary intervention trial of the health effects of antioxidant vitamins and minerals, revealed that a supplementation of p-carotene (6 mg/day) was inversely correlated with total cancer risk. Intervention studies investigating the association between carotenoids and different types of cancers and cardiovascular diseases are reported in Table 3.1.2 and Table 3.1.3. 

Intervention Studies Relating Carotenoids and Cardiovascular Diseases... 

Carotenoids and cardiovascular diseases — Numerous epidemiological studies aimed to study the relationship of carotenoids and cardiovascular diseases (CVDs) including coronary accident risk and stroke. It appeared then that observational studies, namely prospective and case-control studies, pointed to a protective effect of carotenoids on myocardial infarct and stroke, but also on some atherosclerosis markers such as intima media thickness (IMT) of the common carotid artery (CCA) and atheromatous plaque formation. 

The protective effects of carotenoids against chronic diseases appear to be correlated to their antioxidant capacities. Indeed, oxidative stress and reactive oxygen species (ROS) formation are at the basis of oxidative processes occurring in cardiovascular incidents, cancers, and ocular diseases. Carotenoids are then able to scavenge free radicals such as singlet molecular oxygen ( O2) and peroxyl radicals particularly, and protect cellular systems from oxidation. 

In the Unites States, the daily intake of 3-carotene is around 2 mg/day Several epidemiological studies have reported that consumption of carotenoid-rich foods is associated with reduced risks of certain chronic diseases such as cancers, cardiovascular disease, and age-related macular degeneration. These preventive effects of carotenoids may be related to their major function as vitamin A precursors and/or their actions as antioxidants, modulators of the immune response, and inducers of gap-junction communications. Not all carotenoids exert similar protective effects against specific diseases. By reason of the potential use of carotenoids as natural food colorants and/or for their health-promoting effects, research has focused on better understanding how they are absorbed by and metabolized in the human body. 

Existing data regarding the prevention of cardiovascular diseases and consumption of carotenoids, especially (3-carotene, are not clear. Even though (3-carotene is able to reduce lipid peroxidation in the LDL, a process probably involved in the pathogenesis... 

Carotenoids are of physiological interest because some of them are precursors of vitamin A. They have been in the news recently because many exhibit radical or single oxygen trapping ability and as such have potential antioxidant activity in vivo. They may reduce the risk of cardiovascular disease, lung cancer, cervical... 

Carotenoids are isoprenoid compounds that are biosynthesized only by plants and microorganisms. Some carotenoids (a- and p-carotene, p-cryptoxanthine) can be cleaved into vitamin A (retinol) by an enzyme in the small intestine. Carotenoids have been reported to present some effects in the prevention of cardiovascular diseases [410] and in the prevention of some kind of cancers [411]. Furthermore, antioxidant activity has been widely reported [411-414] but a switch to pro-oxidant activity can occur as a function of oxygen concentration [415,416]. 

Research on carotenoids and cardiovascular disease (CVD) stems from the discovery that the etiology of this disease involves oxidative processes that may be slowed by exogenous antioxidants. One of the best understood processes contributing to development of CVD is the oxidation of low-density lipoprotein (LDL). When LDL becomes oxidized, it is readily taken up by foam cells in the vascular endothelium where it contributes to the development of atherosclerotic lesion. Enhancement of the oxidative stability of LDL may also prevent other oxidative steps involved in clinical expression of coronary disease (e.g., myocardial infarction) and possibly steps not related to LDL oxidation. There is optimism about the potential role of P-carotene in prevention of CVD... 

Oxidative stress is now recognized as an important etiological factor in the causation of several chronic diseases including cancer, cardiovascular diseases, osteoporosis, and diabetes. Antioxidants play an important role in mitigating the damaging effects of oxidative stress on cells. Lycopene, a carotenoid antioxidant, has received considerable scientific interest in recent years. Epidemiological, tissue culture, and animal studies provide... 

Kohlmeier, L. and Hastings, S.B. 1995. Epidemiologic evidence of a role of carotenoids in cardiovascular disease prevention. Am. J. Clin. Nutr. 62(Suppl. 6), S1370-S1376. 

Among carotenoids, lycopene was analyzed for the risk of cardiovascular disease in women in a nested case-control group deriving from the Women s Health Study, Higher... 

Sesso H, BuringJE, Norkus EB GazianoJM, Plasma lycopene, other carotenoids, and retinol and the risk of cardiovascular disease in women, AmJ Clin Nutr 2004 79 47-53,... 

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