Four-Week Supplementation of Water-Soluble Tomato Extract Attenuates Platelet Function in Chinese Healthy Middle-Aged and Older Individuals: A Randomized, Double-Blinded, and Crossover Clinical Trial

Background and AimsPlatelets are linked to atherosclerotic development and pathological thrombosis. Single dose of water-soluble tomato extract (WTE) which is a natural extraction can exert anti-platelet effects after 3 or 7 h in British healthy people. However, the effects of WTE supplementation on...

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Main Authors: Zezhong Tian, Die Fan, Kongyao Li, Dan Zhao, Ying Liang, Qiuhua Ji, Xiaoli Gao, Xilin Ma, Yimin Zhao, Yuheng Mao, Huicui Meng, Yan Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2022.891241/full
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author Zezhong Tian
Zezhong Tian
Zezhong Tian
Die Fan
Kongyao Li
Dan Zhao
Dan Zhao
Dan Zhao
Ying Liang
Ying Liang
Ying Liang
Qiuhua Ji
Qiuhua Ji
Qiuhua Ji
Xiaoli Gao
Xilin Ma
Xilin Ma
Xilin Ma
Yimin Zhao
Yimin Zhao
Yimin Zhao
Yuheng Mao
Yuheng Mao
Yuheng Mao
Huicui Meng
Huicui Meng
Huicui Meng
Yan Yang
Yan Yang
Yan Yang
author_facet Zezhong Tian
Zezhong Tian
Zezhong Tian
Die Fan
Kongyao Li
Dan Zhao
Dan Zhao
Dan Zhao
Ying Liang
Ying Liang
Ying Liang
Qiuhua Ji
Qiuhua Ji
Qiuhua Ji
Xiaoli Gao
Xilin Ma
Xilin Ma
Xilin Ma
Yimin Zhao
Yimin Zhao
Yimin Zhao
Yuheng Mao
Yuheng Mao
Yuheng Mao
Huicui Meng
Huicui Meng
Huicui Meng
Yan Yang
Yan Yang
Yan Yang
author_sort Zezhong Tian
collection DOAJ
description Background and AimsPlatelets are linked to atherosclerotic development and pathological thrombosis. Single dose of water-soluble tomato extract (WTE) which is a natural extraction can exert anti-platelet effects after 3 or 7 h in British healthy people. However, the effects of WTE supplementation on platelet function in Chinese healthy middle-aged and older individuals have not been studied, and the effects or safety of 4-week WTE supplementation also remain unclear. The present study aims to determine the effects of WTE on platelet function, and explore the safety of 4-week WTE supplementation in Chinese healthy middle-aged and older individuals.MethodsA randomized, double-blinded, and crossover clinical trial was conducted. Firstly, 105 individuals were randomly divided into two groups that received WTE (150 mg/day) or placebo for 4 weeks. Then, after a washout period of 2 weeks, two groups exchanged groups and continued for another 4-week intervention. Platelet aggregation, P-selectin, activated GPIIbIIIa, plasma platelet factor 4 (PF4), β-thromboglobulin (β-TG), and thromboxane B2 (TXB2) were tested at baseline, 4, 6, and 10 weeks.ResultsCompared with the placebo group, 150 mg/day WTE supplement for 4 weeks significantly reduced ADP-induced or collagen-induced platelet aggregation (−10.8 ± 1.8 or −3.9 ± 1.5%, P < 0.05), ADP-induced or collagen-induced platelet P-selectin expression (−6.9 ± 1.5 or −6.6 ± 1.3%, P < 0.05), ADP-induced or collagen-induced activated GPIIbIIIa (−6.2 ± 2.0 or −3.8 ± 2.0%, P < 0.05). Besides, 4-week intervention of 150 mg WTE per day also resulted in significant reductions in plasma PF4 (−120.6 ± 33.2 ng/mL, P < 0.05) and β-TG (−129.7 ± 27.5 ng/mL, P < 0.05) and TXB2 (−42.0 ± 4.0 ng/mL, P < 0.05), while had no effects on coagulation function and liver or renal function. Interestingly, 2-week washout period is enough to reverse the inhibitory effect of 4-week WTE supplementation on platelet function.ConclusionWTE supplementation for 4 weeks could moderately reduce platelet activation, aggregation, and granule secretion in Chinese healthy middle-aged and older individuals, and these effects are safe. After 2-week washout period, the inhibitory effect of 4-week WTE on platelet function can be eliminated.Clinical Trial Registration[http://www.chictr.org.cn/], identifier [ChiCTR-POR-17012927].
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spelling doaj.art-1a6f963f53b849dba7515cac5b3913bc2022-12-22T03:31:59ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2022-06-01910.3389/fnut.2022.891241891241Four-Week Supplementation of Water-Soluble Tomato Extract Attenuates Platelet Function in Chinese Healthy Middle-Aged and Older Individuals: A Randomized, Double-Blinded, and Crossover Clinical TrialZezhong Tian0Zezhong Tian1Zezhong Tian2Die Fan3Kongyao Li4Dan Zhao5Dan Zhao6Dan Zhao7Ying Liang8Ying Liang9Ying Liang10Qiuhua Ji11Qiuhua Ji12Qiuhua Ji13Xiaoli Gao14Xilin Ma15Xilin Ma16Xilin Ma17Yimin Zhao18Yimin Zhao19Yimin Zhao20Yuheng Mao21Yuheng Mao22Yuheng Mao23Huicui Meng24Huicui Meng25Huicui Meng26Yan Yang27Yan Yang28Yan Yang29School of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Sun Yat-sen University, Shenzhen, ChinaGuangdong Provincial Key Laboratory of Food, Nutrition and Health, Guangzhou, ChinaGuangdong Engineering Technology Center of Nutrition Transformation, Guangzhou, ChinaDepartment of Clinical Nutrition, The General Hospital of Western Theater Command, Chengdu, ChinaShenzhen Nanshan Center for Chronic Disease Control, Shenzhen, ChinaSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Sun Yat-sen University, Shenzhen, ChinaGuangdong Provincial Key Laboratory of Food, Nutrition and Health, Guangzhou, ChinaGuangdong Engineering Technology Center of Nutrition Transformation, Guangzhou, ChinaSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Sun Yat-sen University, Shenzhen, ChinaGuangdong Provincial Key Laboratory of Food, Nutrition and Health, Guangzhou, ChinaGuangdong Engineering Technology Center of Nutrition Transformation, Guangzhou, ChinaSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Sun Yat-sen University, Shenzhen, ChinaGuangdong Provincial Key Laboratory of Food, Nutrition and Health, Guangzhou, ChinaGuangdong Engineering Technology Center of Nutrition Transformation, Guangzhou, ChinaThe Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, ChinaSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Sun Yat-sen University, Shenzhen, ChinaGuangdong Provincial Key Laboratory of Food, Nutrition and Health, Guangzhou, ChinaGuangdong Engineering Technology Center of Nutrition Transformation, Guangzhou, ChinaSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Sun Yat-sen University, Shenzhen, ChinaGuangdong Provincial Key Laboratory of Food, Nutrition and Health, Guangzhou, ChinaGuangdong Engineering Technology Center of Nutrition Transformation, Guangzhou, ChinaSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Sun Yat-sen University, Shenzhen, ChinaGuangdong Provincial Key Laboratory of Food, Nutrition and Health, Guangzhou, ChinaGuangdong Engineering Technology Center of Nutrition Transformation, Guangzhou, ChinaSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Sun Yat-sen University, Shenzhen, ChinaGuangdong Provincial Key Laboratory of Food, Nutrition and Health, Guangzhou, ChinaGuangdong Engineering Technology Center of Nutrition Transformation, Guangzhou, ChinaSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Sun Yat-sen University, Shenzhen, ChinaGuangdong Provincial Key Laboratory of Food, Nutrition and Health, Guangzhou, ChinaGuangdong Engineering Technology Center of Nutrition Transformation, Guangzhou, ChinaBackground and AimsPlatelets are linked to atherosclerotic development and pathological thrombosis. Single dose of water-soluble tomato extract (WTE) which is a natural extraction can exert anti-platelet effects after 3 or 7 h in British healthy people. However, the effects of WTE supplementation on platelet function in Chinese healthy middle-aged and older individuals have not been studied, and the effects or safety of 4-week WTE supplementation also remain unclear. The present study aims to determine the effects of WTE on platelet function, and explore the safety of 4-week WTE supplementation in Chinese healthy middle-aged and older individuals.MethodsA randomized, double-blinded, and crossover clinical trial was conducted. Firstly, 105 individuals were randomly divided into two groups that received WTE (150 mg/day) or placebo for 4 weeks. Then, after a washout period of 2 weeks, two groups exchanged groups and continued for another 4-week intervention. Platelet aggregation, P-selectin, activated GPIIbIIIa, plasma platelet factor 4 (PF4), β-thromboglobulin (β-TG), and thromboxane B2 (TXB2) were tested at baseline, 4, 6, and 10 weeks.ResultsCompared with the placebo group, 150 mg/day WTE supplement for 4 weeks significantly reduced ADP-induced or collagen-induced platelet aggregation (−10.8 ± 1.8 or −3.9 ± 1.5%, P < 0.05), ADP-induced or collagen-induced platelet P-selectin expression (−6.9 ± 1.5 or −6.6 ± 1.3%, P < 0.05), ADP-induced or collagen-induced activated GPIIbIIIa (−6.2 ± 2.0 or −3.8 ± 2.0%, P < 0.05). Besides, 4-week intervention of 150 mg WTE per day also resulted in significant reductions in plasma PF4 (−120.6 ± 33.2 ng/mL, P < 0.05) and β-TG (−129.7 ± 27.5 ng/mL, P < 0.05) and TXB2 (−42.0 ± 4.0 ng/mL, P < 0.05), while had no effects on coagulation function and liver or renal function. Interestingly, 2-week washout period is enough to reverse the inhibitory effect of 4-week WTE supplementation on platelet function.ConclusionWTE supplementation for 4 weeks could moderately reduce platelet activation, aggregation, and granule secretion in Chinese healthy middle-aged and older individuals, and these effects are safe. After 2-week washout period, the inhibitory effect of 4-week WTE on platelet function can be eliminated.Clinical Trial Registration[http://www.chictr.org.cn/], identifier [ChiCTR-POR-17012927].https://www.frontiersin.org/articles/10.3389/fnut.2022.891241/fullwater-soluble tomato extractrandomized clinical trialplateletChinese healthy middle-aged and older individualscrossover study
spellingShingle Zezhong Tian
Zezhong Tian
Zezhong Tian
Die Fan
Kongyao Li
Dan Zhao
Dan Zhao
Dan Zhao
Ying Liang
Ying Liang
Ying Liang
Qiuhua Ji
Qiuhua Ji
Qiuhua Ji
Xiaoli Gao
Xilin Ma
Xilin Ma
Xilin Ma
Yimin Zhao
Yimin Zhao
Yimin Zhao
Yuheng Mao
Yuheng Mao
Yuheng Mao
Huicui Meng
Huicui Meng
Huicui Meng
Yan Yang
Yan Yang
Yan Yang
Four-Week Supplementation of Water-Soluble Tomato Extract Attenuates Platelet Function in Chinese Healthy Middle-Aged and Older Individuals: A Randomized, Double-Blinded, and Crossover Clinical Trial
Frontiers in Nutrition
water-soluble tomato extract
randomized clinical trial
platelet
Chinese healthy middle-aged and older individuals
crossover study
title Four-Week Supplementation of Water-Soluble Tomato Extract Attenuates Platelet Function in Chinese Healthy Middle-Aged and Older Individuals: A Randomized, Double-Blinded, and Crossover Clinical Trial
title_full Four-Week Supplementation of Water-Soluble Tomato Extract Attenuates Platelet Function in Chinese Healthy Middle-Aged and Older Individuals: A Randomized, Double-Blinded, and Crossover Clinical Trial
title_fullStr Four-Week Supplementation of Water-Soluble Tomato Extract Attenuates Platelet Function in Chinese Healthy Middle-Aged and Older Individuals: A Randomized, Double-Blinded, and Crossover Clinical Trial
title_full_unstemmed Four-Week Supplementation of Water-Soluble Tomato Extract Attenuates Platelet Function in Chinese Healthy Middle-Aged and Older Individuals: A Randomized, Double-Blinded, and Crossover Clinical Trial
title_short Four-Week Supplementation of Water-Soluble Tomato Extract Attenuates Platelet Function in Chinese Healthy Middle-Aged and Older Individuals: A Randomized, Double-Blinded, and Crossover Clinical Trial
title_sort four week supplementation of water soluble tomato extract attenuates platelet function in chinese healthy middle aged and older individuals a randomized double blinded and crossover clinical trial
topic water-soluble tomato extract
randomized clinical trial
platelet
Chinese healthy middle-aged and older individuals
crossover study
url https://www.frontiersin.org/articles/10.3389/fnut.2022.891241/full
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