Changes of Vitamin C Level , Lipid Peroxidation and Lipid Concentration in Plasma of Smokers and Non-smokers

흡연이 혈장의 비타민 C 함량과 지질과산화 및 지질의 농도 변화에 미치는 영향

  • 윤군애 (동의대학교 식품영양학과)
  • Published : 1997.12.01

Abstract

Cigarette smoking is a major risk factor of atherosclerosis and has been reported to contain an abundance of free radical species which could be expected to deplete antioxidants such as vitamin C . The present study was designed to investigate the relationship between smoking, plasma lipid and lipoprotein concentration, and plasma vitamin C level. Fifty-five healthy male smokers and 32 non-smokers were investigated in the study. Mean age, body weight , BMI and blood pressure made no differences in both smokers and non-smokers. Significantly, smokers has higher plasma total cholesterol and LDL-C , and lower HDL-C /LDL-C ratio compared with non-smokers. Plasma level of thiobartiturin acid reactive substances(TBARS), indicator of lipid peroxidation and increased susceptibility of LDL towards lipid perosidation, were elevated in smokers(p<0.001), while the plasma vitamin C level of smokers was significantly lower than that of non-smokers(p<0.05), indicating that elevated lipid peroxidation are associated with decreased plasma vitamin C content. In non-smokers a significantly positive correlation was observed between dietary vitamin C intake and plasma levels, but no such association observed in smokers. Lack of such a relationship and the decreased plasma vitamin C level in the smokers suggest that smoking may cause increased turnover of the plasma antioxidant. Consuquently, the sustained free radical load derived from smoking causes an imbalance in oxidant/antioxidant status and it could be expected that cigarette smoking renders plasma LDL more susceptible to oxidative modification . In the present study the possible explanations for that cigarette smokers have a higher risk of cardiovascular disease include the changes of blood lipid and lipoprotein concentration, and plasma vitamin C status which might have protective functions against free radicals -medaited lipid peroxidation.

Keywords

References

  1. Ann N Y Acad Sci v.686 Tobacco smoking and nutrition Diana,J.N.
  2. Am J Med v.93 no.SUP.1A Smoking and cardiovascular disease Lakier,J.B.
  3. Prev Med v.8 Potential mechanism for the augmentation of atherosclerosis and atherosclerotic disease by cigarette smoking Mcgill,H.C.Jr.
  4. Am Heart J v.115 Cigarette smoking and homeostatic function Fitzgerald,G.A.;Oates,J.A.;Nowak,J.
  5. Br Med J v.297 Vasoactive and atherogenic effects of cigarette smoking : A study of monozygotic twins discordant for smoking Lassila,R.;Seyberth,H.W.;Haapanen,A.;Schweer,H.;Koskenvuo,M.;Laustiola,K.E.
  6. Am Heart J v.115 Lipid effects of smoking Mjos,O.D.
  7. Am Heart J v.115 The cardiovascular pathology of smoking McGill,H.C.
  8. Am J Clin Nutr v.57 Increased risk of cardiovascular disease at suboptimal plasma concentration of essential antioxidants : An epidemiological update with special attention to carotene and vitamin C Gey,K.F.;Moser,U.K.;jordan,P.;Stahelin,H.B.;Eichholzer,M.;Ludin,E.
  9. Am J Clin Nutr v.62 no.SUP. Antioxidant vitamin-cardiovascular disease hypothesis is still pormising, but still unproven : The need for rando-mized trials Hennekens,C.H.;Gaziano,J.M.;Manson,J.E.;Buring,J.
  10. Br J Exp Pathol v.70 Free radicals, reactive oxygen species and human disease : A critical review Halliwell,B.
  11. N Engl J Med v.320 Beyond cholesterol : Modification of low-density lipoprotein that increase its atherogenicity Steinberg,D.;Parthasarathy,S.;Carew,T.;Khoo,J.;Witztum,J.
  12. Am J Clin v.60 Vitamin E supplementation supresses indexes of lipid peroxidation and platelet counts in blood of smokers and nonsmokers but plasma lipoprotein concentrations remain unchanged Brown,K.M.;Morrice,P.C.;Duthie,G.G.
  13. Nutr Res Rev v.2 Oxidants, antioxidants and cardiovascular disease Duthie,G.G.;Wahle,K.W.J.;James,W.P.T.
  14. Am J Clin Nutr v.53 Antioxidant nutrients and disease prevention : And overview Diplock,A.T.
  15. Biochem J v.277 Gas phase oxidants of cigarette smoke induce lipid peroxidation and changes iin lipoprotein properties in human blood plasma Frei,B.;Forte,T.;Ames,B.;Cross,C.
  16. Ann N Y Acad Sci v.435 Peroxidation of plasma and platelet lipids in chronic cigarette smokers and insulin-depentent diabetics Blackman,B.C.;White,P.;Tsou,W.;Finkel,D.
  17. J Appl Biochem v.3 Lesion of aortic intima caused by intravenous administration of linoleic acid hydroperoxide Yagi,k.;Ohakawa,H.;Onishi,N.;Yamashita,M.;Nakashima,T.
  18. Ann N Y Acad Sci v.686 Oxidants in cigarette smoke. Radicals, hydrogen peroxide, peroxynitrate, and peroxyni-trite Pryor,W.A.;Stone,K.
  19. Atherosclerosis v.79 Cigarette smoking renders LDL susceptible to peroxidative modification and enhanced meabolism by macrophages Harats,D.;Ben-Naim,M.;Dahach,Y.;Hollander,G.;Stein,O.;Stein,Y.
  20. Atherosclerosis v.82 Alteration of plasma low density lipoprotein from smokers Scheffler,E.;Huber,L.;Fruhbis,J.;Schulz,I.;Ziegler,R.;Dresel,H.A.
  21. Am J Clin Nutr v.45 Plasma levels of antioxidant vitamins in relation to ischemic heart disease and cancer Gey,K.F.;Brubacher,G.B.;Stahelin,H.B.
  22. Ann N Y Acad Sci v.570 Antioxidant status of smokers and nonsmokers : Effect of vitamin E supplementation Duthie,G.G.;Arthur,J.R.;James,W.P.T.;Vint,H.M.
  23. Ann N Y Acad Sci v.499 Serm levels of vitamin C in relation to dietary and supplemental intake of vitamin C in smokers and nonsmokers Smith,J.L.;Hodges,R.E.
  24. Int J Vit Nutr Res no.SUP.16 Vitamin C and tobacco Pelletier,O.
  25. Am J Clin Nutr v.34 On the requirements of ascorbic acid in man: Steady-sate turnover and body pool in smokers Kallner,A.B.;Hartmann,D.;Hornig,D.H.
  26. Int J Vit Nutr Res no.SUP.16 Plasma vitamin C levels in smokers Hoeffl,O.S.
  27. Am J Clin Nutr v.53 Inverse correlation between plasma vitamin E and mortality from ischemic heart disease in cross-cultural epidemiology Gey,K.F.;Puska,P.;Jordan,P.;Moser,U.K.
  28. J Nutr v.108 Vitamin E antioxidants and lipid peroixidation in experimental atherosclerosis of rabbits Wilson,R.B.;Middleton,C.C.;Sun,G.Y.
  29. Nutr Res v.7 Protection by vitamin E against endotherial cell injury by linoleic acid hydroperoxides Henning,B.;Enoch,C.;Chow,C.K.
  30. Clin Chem v.18 Estimation of concentration of low denisty lipoprotein cholesterol in plasma without use of the preparative ultracentrifuge Friedewald,W.T;Levy,R.I.;Fedreicson,D.S.
  31. Lipid peroxidation in biology and medicine v.223 Yagi,K.
  32. J Lab Clin Med v.72 Determination of vitamin C in serum, urine and other biological materials Pelletier,O.
  33. Br Med J v.298 Cigarette smoking and serum lipid and lipoprotein concentration : An analysis of published data Craig,W.Y.;Palomaki,G.E.;Haddow,J.E.
  34. Am J Cardiol v.52 Plasma lipid and lipoprotein profiles of cigarette smokers from randomly selected families: Enhancement of hyperlipidemia and depression of high-density lipoptotein Brischetto,C.S.;Conner,W.E.;Connor,S.L.;Matarazzo,J.D.
  35. Circulation v.28 The role of catecholamines in the free fatty acid response to cigarette smoking Kershbaum,A.;Khorsandian,R.;Caplan,R.F.;Bellet,S.;Feinberg,L.J.
  36. J Biol Chem v.246 The regulation of hepatic triglyceride metabolism by free fatty acids Kohout,M.;Kohoutova,B.;Heimberg,M.
  37. Biochem Biophys Res Commun v.55 Stimulation of hepatic cholesterol biosynthesis by oleic acid Goh,E.H.;Heimberg,M.
  38. Atherosclerosis v.81 Vitamin E content and low density lipoprotein oxidizability induced by free radicals Babiy,A.V.;Gebiki,J.M.;Sullivan,D.R.
  39. Arteriosclerosis v.6 Macrophage oxidation of low density lipoprotein generates a modified from recognized by the scavenger receptor Parthasarathy,S.;Prinz,D.J.;Boyd D Joy I;Steinberg,D.
  40. Proc Natl Acad Sci USA v.79 Specificity of receptor-mediated recognition of malondialdehyde-modified low density lipoprotein Haberland,M.E.;Fogleman,A.L.;Edwards,P.A.
  41. J Biol Chem v.262 Oxidation of human low density lipoprotein results in derivatization of lysine residues of apolipoprotein B by lipid peroxide decomposition products Steinbrecher,U.P.
  42. Proc Natl Acad Sci USA v.85 Cholesterylester accumulation in macrophages incubated with low density lipoprotein pretreated with cigarette smoke extract Yokode,M.;Kita,T.;Arai,H.;Kawai,C.;Narumiya,S.;Fujiwara,M.
  43. Am J Clin Nutr v.46 Biochemical indicies of human vitamin C status Jacob,R.A.;Skala,J.H.;Omaye,S.T.
  44. Am J Clin Nutr v.59 Effects of β-carotene supplementation on lipid peroxidation in humans Allard,J.P.;Rpyall,D.;Kurian,R.;Muggli,R.;Jeejeebhoy,K.N.
  45. Am J Clin Nutr v.59 Effect of smoking on serum nutrient concentration in African-American women Pamuk,E.R.;Byer,T.;Coates,R.J.;Vann,J.W.;Sowell,A.L.;Gunter,E.W.;Glass,D.
  46. J Nutr v.122 Dietary vitamin C intake and concentrations in the body fluids and cells of male smokers and nonsmokers Bui,M.H.;Sauty,A.;Collet,F.;Leuenberger,P.
  47. Atherosclerosis v.112 Vitamin E, C and lipid peroxidation in plasma and arterial tissue of smokers and non-smokers Mezzetti,A.;Lapenna,D.;Pierdomenico,S.D.;Calafiore,A.M.;Costantini,F.;Riario-Sforza,G.;Imbastaro,T.;Neri,M.;Cuccurullo,F.
  48. Br J Nutr v.73 Relationship between smoking and antioxidant nutrient status Faruque,O.;Khan,M.R.;Rahman,M.;Ahmed,F.
  49. J Clin Invest v.77 Deficiency of vitamin E in the alveolar macrophage cytotoxicity Pacht,E.R.;Kasek,H.;Mohamed,J.R.;Cromwell,D.G.;Davis,W.B
  50. FEBS Lett v.178 Activated polymorphonuclear leukocytes consume vitamin C Hemila,H.;Roberts,P.;Wikstrom,M.
  51. Am J Clin Nutr v.62 no.SUP. Interaction among vitamin C, vitamin E, and β-carotene Niki,E.;Noguchi,N.;Tsuchihashi,H.;Gotoh,N.
  52. Ann N Y Acad Sci v.686 Cigarette smoking, antioxidants, lipid peroxidation, and coronary heart disease Duthie,G.G.;Arthur,J.R.;Beattie,J.A.
  53. Am J Public Health v.79 The influence of smoking on vitamin C status in adults Schectmang, Byrd,J.C.;Gruchow,H.W.
  54. J Lab Clin Med v.104 Ascorbic acid content and accumulation by alveolar macrophages from cigarette smokers and nonsmokers McGowan,S.E.;Parenti,C.M.;Hoidal,J.R.;Niewoehner,D.E.
  55. Br J Nutr v.47 The distribution of ascorbic acid between various cellular components of blood in normal individuals, and its relation to the plasma concentration Evans,A.M.;Currie,L.;Campbell,A.