Nutr Metab Cardiovasc Dis. 2023 Jul 20. pii: S0939-4753(23)00295-8. [Epub ahead of print]
Giuliano Tocci,
Giuseppe Biondi-Zoccai,
Maurizio Forte,
Giovanna Gallo,
Giulia Nardoianni,
Emiliano Fiori,
Luca D'Ambrosio,
Riccardo Di Pietro,
Giulio Stefanini,
Francesco Cannata,
Erica Rocco,
Beatrice Simeone,
Gianmarco Sarto,
Leonardo Schirone,
Alessandra D'Amico,
Mariangela Peruzzi,
Cristina Nocella,
Massimo Volpe,
Speranza Rubattu.
BACKGROUND AND AIMS: Trehalose, spermidine, nicotinamide, and polyphenols are natural substances that exert pro-autophagic and antioxidant properties. Their role in blood pressure (BP) regulation and preservation of vascular function in essential hypertension is unknown. The aim of this study was to evaluate the effect of a mixture of these agents on BP level, markers of oxidative stress, autophagy, endothelial function, and vascular stiffness in outpatients with grade 1 uncomplicated essential hypertension.METHODS AND RESULTS: A single-centre, open-label, case-control, pilot study was conducted in adult outpatients (aged ≥18 years) receiving or not the mixture for two months along with the standard therapies. Both at baseline and at the end of the treatment the following clinical parameters were evaluated: brachial seated office BP level, central aortic pressure, pulse wave velocity, augmentation index (AI@75). Both at baseline and at the end of the treatment, a blood sample was drawn for the measurement of: H2O2, HBA%, levels of sNOX2-dp, Atg 5, P62, endothelin 1, and NO bioavailability. The mixture of nutraceuticals did not influence BP levels. Patients receiving the mixture showed a significant decrease of oxidative stress, stimulation of autophagy, increased NO bioavailability and no increase of the AI@75, in contrast to what observed in hypertensive patients not receiving the mixture.
CONCLUSIONS: The supplementation of the trehalose, spermidine, nicotinamide, and polyphenols mixture counteracted hypertension-related arterial stiffness through mechanisms likely dependent on oxidative stress downregulation and autophagy stimulation. These natural activators of autophagy may represent favourable adjuvants for prevention of the hypertensive cardiovascular damage.
Keywords: Autophagy; Hypertension; Oxidative stress; Polyphenols; Trehalose; Vascular function