Journal of Applied Physiology AJP: Renal Physiology
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J Appl Physiol (August 10, 2006). doi:10.1152/japplphysiol.00345.2006
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Submitted on March 22, 2006
Accepted on July 31, 2006

Effect of a Diet and Exercise Intervention on Inflammatory/Anti-inflammatory Properties of HDL in Men with Cardiovascular Risk Factors

Christian K. Roberts1*, Carey Ng2, Susan Hama2, Anna Jane Eliseo1, and R. James Barnard1

1 Physiological Science, UCLA, Los Angeles, California, United States
2 Atherosclerosis Research Unit, UCLA, Los Angeles, California, United States

* To whom correspondence should be addressed. E-mail: croberts{at}ucla.edu.

There is significant debate regarding high-density lipoprotein-cholesterol (HDL) and high-fiber, low-fat diets. The present study was designed to examine the effects of lifestyle modification on the inflammatory/anti-inflammatory properties of HDL in obese men (N=22) with metabolic syndrome factors. Subjects were placed on a high-fiber, low-fat diet in a 3-week residential program where food was provided ad libitum and daily aerobic exercise was performed. Fasting blood was drawn pre- and post-intervention for serum lipids, lipid hydroperoxides, and the ability of subject HDL to alter LDL-induced monocyte chemotactic activity (MCA) in a human artery wall coculture. Induction of MCA by control LDL in the absence of HDL was normalized to 1.0. Values >1.0 after HDL addition indicated pro-inflammatory HDL; values <1.0 indicated anti-inflammatory HDL. In addition, proteins involved in regulating HDL function, apolipoprotein A-I (apoA-I), paraoxonase 1 and 3, and platelet-activating factor acetylhydrolase were measured. After 3 weeks, decreases in total-cholesterol, LDL, HDL, TG, total-C:HDL-C ratio and lipid hydroperoxides (all p<0.05) were noted. The HDL inflammatory index decreased (p<0.05) from pro- (1.14±0.11) to anti-inflammatory (0.94±0.09). ApoA-I level and paraoxonase activity did not change, however, platelet-activating factor acetylhydrolase activity increased (p<0.05). Despite a quantitative reduction in HDL, it converted from pro- to anti-inflammatory. These data indicate that intensive lifestyle modification improves the function of HDL even in the face of reduced levels, suggesting increased turnover of pro-inflammatory HDL.




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