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      Impact of Dietary Restriction Regimens on Mitochondria, Heart, and Endothelial Function: A Brief Overview

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          Abstract

          Caloric restriction (CR) and intermittent fasting (IF) are strategies aimed to promote health beneficial effects by interfering with several mechanisms responsible for cardiovascular diseases. Both dietary approaches decrease body weight, insulin resistance, blood pressure, lipids, and inflammatory status. All these favorable effects are the result of several metabolic adjustments, which have been addressed in this review, i.e., the improvement of mitochondrial biogenesis, the reduction of reactive oxygen species (ROS) production, and the improvement of cardiac and vascular function. CR and IF are able to modulate mitochondrial function via interference with dynamics (i.e., fusion and fission), respiration, and related oxidative stress. In the cardiovascular system, both dietary interventions are able to improve endothelium-dependent relaxation, reduce cardiac hypertrophy, and activate antiapoptotic signaling cascades. Further clinical studies are required to assess the long-term safety in the clinical setting.

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          Most cited references68

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          Calorie restriction reduces oxidative stress by SIRT3-mediated SOD2 activation.

          A major cause of aging and numerous diseases is thought to be cumulative oxidative stress, resulting from the production of reactive oxygen species (ROS) during respiration. Calorie restriction (CR), the most robust intervention to extend life span and ameliorate various diseases in mammals, reduces oxidative stress and damage. However, the underlying mechanism is unknown. Here, we show that the protective effects of CR on oxidative stress and damage are diminished in mice lacking SIRT3, a mitochondrial deacetylase. SIRT3 reduces cellular ROS levels dependent on superoxide dismutase 2 (SOD2), a major mitochondrial antioxidant enzyme. SIRT3 deacetylates two critical lysine residues on SOD2 and promotes its antioxidative activity. Importantly, the ability of SOD2 to reduce cellular ROS and promote oxidative stress resistance is greatly enhanced by SIRT3. Our studies identify a defense program that CR provokes to reduce oxidative stress and suggest approaches to combat aging and oxidative stress-related diseases. Copyright © 2010 Elsevier Inc. All rights reserved.
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            Short-term modified alternate-day fasting: a novel dietary strategy for weight loss and cardioprotection in obese adults.

            The ability of modified alternate-day fasting (ADF; ie, consuming 25% of energy needs on the fast day and ad libitum food intake on the following day) to facilitate weight loss and lower vascular disease risk in obese individuals remains unknown. This study examined the effects of ADF that is administered under controlled compared with self-implemented conditions on body weight and coronary artery disease (CAD) risk indicators in obese adults. Sixteen obese subjects (12 women, 4 men) completed a 10-wk trial, which consisted of 3 phases: 1) a 2-wk control phase, 2) a 4-wk weight loss/ADF controlled food intake phase, and 3) a 4-wk weight loss/ADF self-selected food intake phase. Dietary adherence remained high throughout the controlled food intake phase (days adherent: 86%) and the self-selected food intake phase (days adherent: 89%). The rate of weight loss remained constant during controlled food intake (0.67 +/- 0.1 kg/wk) and self-selected food intake phases (0.68 +/- 0.1 kg/wk). Body weight decreased (P < 0.001) by 5.6 +/- 1.0 kg (5.8 +/- 1.1%) after 8 wk of diet. Percentage body fat decreased (P < 0.01) from 45 +/- 2% to 42 +/- 2%. Total cholesterol, LDL cholesterol, and triacylglycerol concentrations decreased (P < 0.01) by 21 +/- 4%, 25 +/- 10%, and 32 +/- 6%, respectively, after 8 wk of ADF, whereas HDL cholesterol remained unchanged. Systolic blood pressure decreased (P < 0.05) from 124 +/- 5 to 116 +/- 3 mm Hg. These findings suggest that ADF is a viable diet option to help obese individuals lose weight and decrease CAD risk. This trial was registered at clinicaltrials.gov as UIC-004-2009.
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              Oxidative damage, mitochondrial oxidant generation and antioxidant defenses during aging and in response to food restriction in the mouse.

              This study was conducted in order to test the concept that oxidative damage is associated with aging and may be a factor in the modulation of life span in response to variations in caloric intake. Mice fed a diet that was 40% lower in calories (DR) than the ad libitum fed (AL) animals exhibited a 43% extension in average life span and a 61% prolongation in mortality rate doubling time. A comparison of AL and DR mice at 9, 17 and 23 months of age indicated that the protein carbonyl content in the brain, heart and kidney increased with age and was significantly greater in the AL than DR group in each organ at each of the three ages. Mitochondrial state 4 or resting respiratory rate increased with age in the AL, but not the DR group, and was also relatively higher in the former. The rates of mitochondrial superoxide and hydrogen peroxide generation increased with age and were higher in the AL than DR mice in all the three organs at each age. In contrast, there was no clear-cut overall pattern of age-related or dietary-related changes in antioxidant defenses provided by superoxide dismutase, catalase and glutathione peroxidase. Results suggest that mechanisms of aging and life span shortening by enhanced caloric intake are associated with oxidative damage arising from corresponding changes in mitochondrial oxidant production. Protein carbonyl content, and mitochondrial O2.- and H2O2 generation may act as indices of aging.
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                Author and article information

                Contributors
                Journal
                Front Physiol
                Front Physiol
                Front. Physiol.
                Frontiers in Physiology
                Frontiers Media S.A.
                1664-042X
                16 December 2021
                2021
                : 12
                : 768383
                Affiliations
                [1] 1Faculty of Dentistry, Department of Dental Prostheses Technology, Victor Babeş University of Medicine and Pharmacy , Timişoara, Romania
                [2] 2Faculty of Medicine, Department of Functional Sciences - Pathophysiology, Victor Babeş University of Medicine and Pharmacy , Timişoara, Romania
                [3] 3Faculty of Medicine, Centre for Translational Research and Systems Medicine, Victor Babeş University of Medicine and Pharmacy , Timişoara, Romania
                [4] 4Faculty of Medicine, Department of Surgery - Surgical Semiotics I, Victor Babeş University of Medicine and Pharmacy , Timişoara, Romania
                [5] 5Faculty of Medicine, Centre for Hepato-Biliary and Pancreatic Surgery, Victor Babeş University of Medicine and Pharmacy , Timişoara, Romania
                [6] 6Faculty of Medicine, Department of Radiology and Medical Imagistics, Victor Babeş University of Medicine and Pharmacy , Timişoara, Romania
                Author notes

                Edited by: Vladimir Lj Jakovljevic, University of Kragujevac, Serbia

                Reviewed by: Christopher R. Martens, University of Delaware, United States; Antigone Lazou, Aristotle University of Thessaloniki, Greece; Manuela Ciocoiu, Grigore T. Popa University of Medicine and Pharmacy, Romania

                *Correspondence: Daniel Claudiu Maliţa dmalita@ 123456gmail.com
                Danina Mirela Muntean daninamuntean@ 123456umft.ro

                This article was submitted to Vascular Physiology, a section of the journal Frontiers in Physiology

                †These authors have contributed equally to this work

                Article
                10.3389/fphys.2021.768383
                8716834
                f4515913-f3d4-446d-87d3-8b99632f952b
                Copyright © 2021 Savencu, Linţa, Farcaş, Bînă, Creţu, Maliţa, Muntean and Sturza.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 31 August 2021
                : 17 November 2021
                Page count
                Figures: 1, Tables: 2, Equations: 0, References: 68, Pages: 10, Words: 8479
                Categories
                Physiology
                Review

                Anatomy & Physiology
                intermittent fasting,caloric restriction,cardiovascular disease,mitochondrial function,endothelial dysfunction

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