Atherosclerosis 208 (2010) 581–586
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Atherosclerosis
journal homepage: www.elsevier.com/locate/atherosclerosis
Independent inverse relationship between serum lycopene
concentration and arterial stiffness
Oh Yoen Kim
a,b,c,1
, Hyun Yang Yoe
a,b,c,1
, Hyae Jin Kim
a
, Ju Yeon Park
a,d
, Ji Young Kim
a,c
,
Sang-Hak Lee
c,e
, Jin Hee Lee
f
, Kang Pyo Lee
f
, Yangsoo Jang
b,c,e,g
, Jong Ho Lee
a,b,c,d,∗
a
National Research Laboratory for Clinical Nutrigenetics/Nutrigenomics, Department of Food and Nutrition, Yonsei University, Seoul, Republic of Korea
b
Interdisciplinary Course of Science for Aging, Graduate School, Yonsei University, Seoul, Republic of Korea
c
Yonsei University Research Institute of Science for Aging, Yonsei University, Seoul, Republic of Korea
d
Department of Food and Nutrition, Brain Korea 21 Project, College of Human Ecology, Yonsei University, Seoul, Republic of Korea
e
Division of Cardiology, School of Medicine, Yonsei University Severance Hospital, Seoul, Republic of Korea
f
CJ Food R& D, CJ Corp. Seoul, Republic of Korea
g
Cardiovascular Genome Center, Yonsei University, Seoul, Republic of Korea
article info
Article history:
Received 7 June 2009
Received in revised form 18 July 2009
Accepted 6 August 2009
Available online 13 August 2009
Keywords:
Lycopene
Arterial stiffness
Branchial-ankle pulse wave velocity
Oxidative stress
Inflammation
abstract
Objective: Emerging evidence suggests a role of lycopene in the primary prevention of cardiovascular
disease. This study aimed to investigate the association of serum lycopene concentration with brachial-
ankle pulse wave velocity (baPWV), a marker of arterial stiffness and markers of oxidative stress and
inflammation.
Methods: healthy women (n = 264, 31–75 yrs) were classified into tertiles according to serum lycopene
concentration. Multivariate linear regression analyses were used to assess the relationship between
serum lycopene and baPWV.
Results: Subjects in middle tertile (T2) and upper tertile (T3) had lower baPWV (1263 ± 23 and
1265 ± 14 cm/s vs. 1338 ± 21 cm/s; p = 0.009) and lower oxidized LDL (oxLDL) (53 ± 3 and 55 ± 3 U/L vs.
66 ± 3U/L; p < 0.001) than those in lower tertile (T1). Subjects in T3 showed higher LDL particle size
(24.3 ± 0.08 nm vs. 24.0 ± 0.07 nm, p = 0.005) and lower C-reactive protein (hs-CRP) (0.80 ± 0.25 mg/dL
vs. 1.27 ± 0.24 mg/dL, p = 0.015), compared with those in T1. Logistic regression analysis showed that
baPWV decreased with the increment of lycopene concentration; log baPWV decreased by 0.21 cm/s
(95% CI -0.168;-0.045, p = 0.001) per unit change in lycopene. After adjustment for age, BMI, smoking,
drinking, menopause and blood pressure, the estimated effect was attenuated by 35%, but remained sta-
tistically significant [-0.13 cm/s (95% CI -0.112;-0.018, p = 0.006)]. Further adjustment for -carotene,
-tocopherol, oxLDL, LDL particle size, and hs-CRP increased the strength of the association [ˇ = -0.221
(95% CI -0.215;-0.012, p = 0.029)].
Conclusion: This study supports the presence of an independent inverse relationship between circulating
lycopene and baPWV. Additionally, reduced oxidative modification of LDL may be one of mediators on
the mechanisms how lycopene reduces arterial stiffness.
© 2009 Elsevier Ireland Ltd. All rights reserved.
1. Introduction
Lycopene is the most predominant carotenoid in human plasma
and found to concentrate in low-density and very-low-density frac-
tions of the serum [1,2]. Lycopene is known as the most powerful
antioxidant among major carotenoids detected in human tissues or
blood [1] and it may have a inhibitory effect on cholesterol synthe-
∗
Corresponding author at: Department of Food and Nutrition, Yonsei University,
Seoul 120-749, Republic of Korea. Tel.: +82 2 2123 3122; fax: +82 2 364 9605.
E-mail address: jhleeb@yonsei.ac.kr (J.H. Lee).
1
These two authors equally contributed to the work.
sis which may enhance LDL degradation [3,4]. Dietary intervention
studies involving either lycopene-containing foods or lycopene
supplementation have shown potential short-term improvement
in LDL oxidation [4,5]. Low concentration of serum lycopene has
been associated with increased intima-media thickness (IMT) of the
carotid artery wall and suggested to play a protective role against
the development of atherosclerosis [6,7]. Riccioni et al. [8] reported
that people with higher carotid IMT (≥0.8 mm) had lower levels
of lycopene and higher levels of C-reactive protein (CRP), a gen-
eral inflammatory marker than those without evidence of carotid
atheroscerlosis among participants in asymptomatic with respect
to carotid artery disease in the ACADIM Study. However, the results
on the studies for the relationship between lycopene and early
0021-9150/$ – see front matter © 2009 Elsevier Ireland Ltd. All rights reserved.
doi:10.1016/j.atherosclerosis.2009.08.009