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From the Lipid Research Unit, Department of Medicine, Fundación Jiménez Díaz, Universidad Autónoma Madrid (P.M., R.A., C.L., M.d.O.), and the Cardiovascular Research Center, Consejo Superior de Investigaciones CientíficasHospital de la Sta. Cruz y San Pablo, Universidad Autónoma Barcelona (O.V., L.B.), Spain.
Correspondence to Prof Lina Badimon, Cardiovascular Unit, CSIC, Jordi Girona, 18-26 # Lab. 623, 08034 Barcelona, Spain. E-mail: lbmucv{at}cid.csic.es.
Abstract Proliferation of smooth muscle cells (SMCs) plays an important role in atherosclerotic lesion progression. The purpose of this investigation was to examine the effect of diets differing in fatty acid composition on human coronary SMC entry in the cell proliferation cycle. Twenty-four healthy men and women were placed on four consecutive diets lasting 5 weeks each: (1) saturated fatty acid (SFA)rich diet with palm oil; (2) monounsaturated fatty acid (MUFA)rich diet with olive oil; (3) polyunsaturated fatty acid (PUFA) n-6rich diet with sunflower oil; and (4) PUFA n-3rich diet (3.8 g/d). All diets supplied 35% of calories as fat. Compared with the SFA diet, all unsaturated diets reduced LDL cholesterol. Resistance of LDL to oxidative modification was significantly increased during the MUFA period (P<.05). Human coronary SMCs were cultured and induced by sera derived from the different groups. 3H-Thymidine incorporation into doubling DNA was significantly (P<.01) reduced during the MUFA and PUFA n-6 periods but not during the PUFA n-3 diet with respect to the SFA diet. This effect was more pronounced in women than in men. In conclusion, the MUFA-enriched diet reduced SMC DNA synthesis and LDL levels and protected LDL from oxidation. Therefore, these combined effects suggest that an oleic acidrich Mediterranean diet could be better than PUFA (n-6) or PUFA (n-3)rich diets in the prevention of atherosclerosis.
Key Words: monounsaturated fatty acids polyunsaturated fatty acids lipoproteins lipid oxidation smooth muscle cells atherosclerosis
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