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      Atheroprotective Effect of Oleoylethanolamide (OEA) Targeting Oxidized LDL

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          Abstract

          Dietary fat-derived lipid oleoylethanolamide (OEA) has shown to modulate lipid metabolism through a peroxisome proliferator-activated receptor-alpha (PPAR-α)-mediated mechanism. In our study, we further demonstrated that OEA, as an atheroprotective agent, modulated the atherosclerotic plaques development. In vitro studies showed that OEA antagonized oxidized LDL (ox-LDL)-induced vascular endothelial cell proliferation and vascular smooth muscle cell migration, and suppressed lipopolysaccharide (LPS)-induced LDL modification and inflammation. In vivo studies, atherosclerosis animals were established using balloon-aortic denudation (BAD) rats and ApoE -/- mice fed with high-caloric diet (HCD) for 17 or 14 weeks respectively, and atherosclerotic plaques were evaluated by oil red staining. The administration of OEA (5 mg/kg/day, intraperitoneal injection, i.p.) prevented or attenuated the formation of atherosclerotic plaques in HCD-BAD rats or HCD-ApoE −/− mice. Gene expression analysis of vessel tissues from these animals showed that OEA induced the mRNA expressions of PPAR-α and downregulated the expression of M-CFS, an atherosclerotic marker, and genes involved in oxidation and inflammation, including iNOS, COX-2, TNF-α and IL-6. Collectively, our results suggested that OEA exerted a pharmacological effect on modulating atherosclerotic plaque formation through the inhibition of LDL modification in vascular system and therefore be a potential candidate for anti-atherosclerosis drug.

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          Lipid alterations and decline in the incidence of coronary heart disease in the Helsinki Heart Study.

          In the Helsinki Heart Study, a randomized five-year, double-blind trial, a 34% reduction in the incidence of coronary heart disease (CHD) was observed in dyslipidemic men treated with gemfibrozil. Averaged over the five years of the trial, gemfibrozil therapy produced, compared with placebo, mean decreases of 10% in serum total cholesterol level, 14% in non-high-density lipoprotein (HDL) cholesterol level, 11% in low-density lipoprotein (LDL) cholesterol level, 35% in triglyceride level, and a mean increase of 11% in HDL cholesterol level from baseline levels measured prior to treatment. While changes in HDL cholesterol level were similar in all Fredrickson types, the effect on concentrations of total cholesterol and LDL cholesterol was largest in type IIA and on LDL minimal in type IV. The reduction of CHD incidence over placebo was largest in type IIB and smallest in type IIA. The lipid changes were dependent on lipid levels prior to treatment and on compliance with the medication regimen. When risk factors for CHD, including age, blood pressure, smoking and drinking habits, baseline lipid levels, and exercise and relative weight, were controlled by applying the Cox proportional hazards model, the changes in serum HDL and LDL cholesterol levels were both statistically significantly associated with the decline in CHD incidence within the gemfibrozil-treated group. The large decrease in serum triglyceride levels had relatively small effect on CHD incidence. Thus, the results of this study, together with earlier observations, suggest that both elevating HDL and lowering LDL cholesterol levels are effective in the primary prevention of CHD.
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            A selective peroxisome proliferator-activated receptor alpha agonist, CP-900691, improves plasma lipids, lipoproteins, and glycemic control in diabetic monkeys.

            Peroxisome proliferator-activated receptors (PPARs) are involved in the regulation of lipid and glucose metabolism. PPARgamma agonists improve insulin sensitivity and hyperglycemia and are effective in treating type 2 diabetes mellitus (T2DM), whereas PPARalpha agonists are used to treat dyslipidemia and atherosclerosis. The goal here was to examine the efficacy of a selective PPARalpha agonist {(S)-3-[3-(1-carboxy-1-methyl-ethoxy)-phenyl]-piperidine-1-carboxylic acid 4-trifluoromethyl-benzyl ester; CP-900691} on lipid, glycemic, and inflammation indices in 14 cynomolgus monkeys with spontaneous T2DM maintained on daily insulin therapy. Monkeys were dosed orally with either vehicle (n = 7) or CP-900691 (3 mg/kg, n = 7) daily for 6 weeks. CP-900691 treatment increased plasma high-density lipoprotein cholesterol (HDLC) (33 +/- 3 to 60 +/- 4 mg/dL, p < 0.001) and apolipoprotein A1 (96 +/- 5 to 157 +/- 5 mg/dL, p < 0.001), reduced plasma triglycerides (547 +/- 102 to 356 +/- 90 mg/dL, p < 0.01), and apolipoprotein B (62 +/- 3 to 45 +/- 3 mg/dL, p < 0.01), improved the lipoprotein index (HDL to non-HDLC ratio; 0.28 +/- 0.06 to 0.79 +/- 0.16, p < 0.001), decreased body weight (p < 0.01) and C-reactive protein (CRP) (1700 +/- 382 to 304 +/- 102 ng/ml, p < 0.01), and increased adiponectin (1697 +/- 542 to 4242 +/- 1070 ng/ml, p < 0.001) compared with baseline. CP-900691 treatment reduced exogenous insulin requirements by approximately 25% (p < 0.04) while lowering plasma fructosamine from 2.87 +/- 0.09 to 2.22 +/- 0.17 mM (p < 0.05), indicative of improved glycemic control. There were no changes in any of the aforementioned parameters in the vehicle group. Because low HDLC and high triglycerides are well established risk factors for cardiovascular disease, the marked improvements in these parameters, and in glycemic control, body weight, and CRP, suggest that CP-900691 may be of benefit in diabetic and obese or hyperlipidemic populations.
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              Author and article information

              Contributors
              Role: Editor
              Journal
              PLoS One
              PLoS ONE
              plos
              plosone
              PLoS ONE
              Public Library of Science (San Francisco, USA )
              1932-6203
              2014
              20 January 2014
              : 9
              : 1
              : e85337
              Affiliations
              [1 ]Department of Medical Science, Medical College, Xiamen University, Xiamen, Fujian, China
              [2 ]Division of Liver Disease, the First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian, China
              [3 ]School of Life Sciences, Fudan University, Shanghai, China
              Sapienza University of Rome, Italy
              Author notes

              Competing Interests: The authors have read the journal's policy and have the following conflicts: A patent application on the subject matter of this article has been filed on behalf of the Xiamen University, Xiamen, China. (Patent name: “New applications of oleoylethanolamide and its derivatives”; China patent application No.:201110007539.6.) Herein, the authors confirm that this does not alter their adherence to all the PLOS ONE policies on sharing data and materials.

              Conceived and designed the experiments: JR YQ. Performed the experiments: AF XW HW. Analyzed the data: LL. Contributed reagents/materials/analysis tools: RH YZ. Wrote the paper: JF CZ.

              Article
              PONE-D-13-22274
              10.1371/journal.pone.0085337
              3896367
              24465540
              de3e6232-5b64-485b-aed5-9429059036d2
              Copyright @ 2014

              This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

              History
              : 30 May 2013
              : 4 December 2013
              Page count
              Pages: 10
              Funding
              This work was supported by the Fundamental Research Fund for China Universities (To JF, No.2011121059); National Natural Science Foundation of China (To JF, 91129722) and Xiamen Science and Technology Program (To QY, 3502Z20113010), China. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
              Categories
              Research Article
              Biology
              Biochemistry
              Lipids
              Lipid Metabolism
              Neutral Lipids
              Metabolism
              Lipid Metabolism
              Proteins
              Lipoproteins
              Lipoprotein Metabolism
              Model Organisms
              Animal Models
              Mouse
              Medicine
              Cardiovascular
              Atherosclerosis

              Uncategorized
              Uncategorized

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