Lycopene-rich diets modulate HDL functionality and associated inflammatory markers without affecting lipoprotein size and distribution in moderately overweight, disease-free, middle-aged adults: a randomized controlled trial

Frank Thies* (Corresponding Author), Jane McEneny, Sarah-Louise Henry, Jayne V. Woodside, Susan Moir, Amelia Elizabeth Rudd, Nicholas Vaughan

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)
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Abstract

Background:
The consumption of lycopene-rich foods may lower CVD risk. Lycopene circulates in the blood bound to lipoproteins, including high density lipoproteins (HDL). Preliminary data from our group showed that increased consumption of tomato-based food or lycopene supplement in middle-aged subjects led to functional changes to HDL’s subfractions, HDL2 and HDL3. These changes were also associated with a decrease in serum amyloid A (SAA), potentially enhancing their antiatherogenic properties.

Objective:
We carried out a comprehensive randomized controlled intervention trial with healthy middle-aged volunteers to assess whether the consumption of tomato-based foods or lycopene supplement affects HDL functionality and associated inflammatory markers, as well as lipoprotein subfractions size and distribution.
Design:
Volunteers (225, aged 40–65 years) were randomly assigned into one of three dietary intervention groups and asked to consume a control diet (low in tomato-based foods, <10 mg lycopene/week), a lycopene-rich diet (224–350 mg lycopene/week) or the control diet with a lycopene supplement (70 mg lycopene/week). HDL2 and HDL3 were isolated by ultracentrifugation. Compliance was monitored by assessing lycopene concentration in serum. Systemic and HDL-associated inflammation was assessed by measuring SAA concentrations. HDL functionality was determined by monitoring paraoxonase-1 (PON-1), cholesteryl ester transfer protein (CETP) and lecithin cholesterol acyltransferase (LCAT) activities. Lipoprotein subfractions profile was assessed by nuclear magnetic resonance (NMR).

Results:
Lycopene in serum and HDL significantly increased following consumption of both the high tomato diet and lycopene supplement (p≤0.001 for both). Lycopene, either as a tomato-rich or a supplement, enhanced both serum- and HDL3-PON-1 activity (p≤0.001 and p=0.036, respectively), while significantly reducing HDL3-SAA-related inflammation (p=0.001). Lycopene supplement also significantly increased HDL3-LCAT activity (p=0.05), and reduced the activity of both HDL2- and HDL3-CETP activities (p=0.005 and p=0.002, respectively). These changes were not associated with changes in the subclasses distribution for all lipoprotein fractions or the size of lipoprotein subclasses.

Conclusion:
Our results showed that dietary lycopene can significantly enhance HDL functionality, without associated changes in particle size and distribution, by modulating the activity of HDL-associated enzymes. Concomitantly, dietary lycopene significantly decreased serum- and HDL3-associated SAA, confirming that SAA may represent a sensitive inflammatory biomarker to dietary change.
Original languageEnglish
Article number95459
Number of pages11
JournalFrontiers in Nutrition
Volume9
Early online date1 Aug 2022
DOIs
Publication statusPublished - 1 Aug 2022

Bibliographical note

Funding
This research was commissioned by the Food Standards Agency (grant number No. 2038) and funded by the Policy Research Programme in the Department of Health and the Food Standards Agency. FT received funding from the Scottish
Government (RESAS).
Acknowledgments
We gratefully acknowledge all volunteers who participated in the study.

Keywords

  • LYCOPENE
  • high density lipoprotein
  • functionality
  • serum amyloid A
  • dietary intervention
  • tomato-rich diet

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