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Role of Flavonoids in Obesity Induced Cardiovascular Dysfunction

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Biochemistry of Cardiovascular Dysfunction in Obesity

Abstract

Obesity is found to be a contributing risk factor for Cardiovascular Dysfunction (CVD), coronary heart disease (CHD) and heart failure (HF). Obesity is found to be linked to the release of several proinflammatory mediators. The fluctuation in the levels of these mediators and adipocytokines released by the adipocytes further leads to cardiovascular complications. The increase in the risk of CVD and mortality caused by obesity is due to increasing levels of atherosclerotic plaques in the arteries and blood vessels leading to the heart. The current available treatment strategies leads to several unwanted side effects for the patient which leads to a decreased quality of life. Flavonoids are polyphenolic compounds which occur naturally in nature. Several clinical and preclinical studies have demonstrated that flavonoids are beneficial in decreasing the cardiovascular risks presented by obesity. The mechanism of action primarily depends on the antioxidant and anti-inflammatory actions of flavonoids. In view of these observations, the intake of foods containing flavonoids have enormous potential in preventing obesity induced cardio-metabolic diseases. However, randomized and placebo-controlled clinical trials are needed to determine the long-term safety and efficacy of different flavonoids. The focus of this chapter is to highlight the cost-effective health benefits of flavonoid-rich-foods and dietary supplements containing flavonoids for the prevention and cure of obesity linked cardiovascular diseases (CVDs).

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Abbreviations

CVDs:

Cardiovascular diseases

CHD:

Congenital heart disease

LDL:

Low density lipoproteins

HDL:

High density lipoproteins

BMI:

Body mass index

TNF-α:

Tumor necrosis factor alpha

IL-1:

Interleukin-1

IL-6:

Interleukin-6

SAA:

Serum amyloid A

MI:

Myocardial infarction

References

  1. Hertz RP, Unger AN, Cornell JA, Saunders E (2005) Racial disparities in hypertension prevalence, awareness, and management. Arch Intern Med 165(18):2098–2104

    Article  PubMed  Google Scholar 

  2. Kearney PM, Whelton M, Reynolds K, Whelton PK, He J (2004) Worldwide prevalence of hypertension: a systematic review. J Hypertens 22(1):11–19

    Article  CAS  PubMed  Google Scholar 

  3. Anchala R, Kannuri NK, Pant H, Khan H (2014) Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension. J Hypertens 32(6):1170–1177

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Jeemon P, Reddy KS (2010) Social determinants of cardiovascular disease outcomes in Indians. Indian J Med Res 132(5):617–622

    PubMed  PubMed Central  Google Scholar 

  5. Cardiovascular diseases (CVDs)-Key Facts [Internet] (2017) Cited 2019 Mar 3. Available from: https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)

  6. Huffman MD, Bhatnagar D (2012) Novel treatments for cardiovascular disease prevention. Cardiovasc Ther 30(5):257–263

    Article  CAS  PubMed  Google Scholar 

  7. Vernarelli JA, Lambert JD (2017) Flavonoid intake is inversely associated with obesity and C-reactive protein, a marker for inflammation, US adults. Nutr Diab 7(5):e276

    Article  CAS  Google Scholar 

  8. Kopustinskiene DM, Savickas A, Vetchý D, Masteikova R, Kasauskas A, Bernatoniene J (2015) Direct effects of (-)-Epicatechin and procyanidin B2 on the respiration of rat heart mitochondria. Biomed Res Int

    Google Scholar 

  9. Vita JA (2005) Polyphenols and cardiovascular disease: effects on endothelial and platelet function. Am J Clin Nutr 81(1 Suppl):292S-297S

    Article  CAS  PubMed  Google Scholar 

  10. Donato KA (1998) Executive summary of the clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. Arch Intern Med 158(17):1855–1867

    Article  Google Scholar 

  11. Williams CL, Hayman LL, Daniels SR, Robinson TN, Steinberger J, Paridon S, Bazzarre T (2002) Cardiovascular health in childhood: a statement for health professionals from the Committee on Atherosclerosis, Hypertension, and Obesity in the Young (AHOY) of the Council on Cardiovascular Disease in the Young. American Heart Association. Circulation 106(1):143–160

    Article  PubMed  Google Scholar 

  12. Ortega FB, Lavie CJ, Blair SN (2016) Obesity and cardiovascular disease. Circ Res 118(11):1752–1770

    Article  CAS  PubMed  Google Scholar 

  13. Kenchaiah S, Evans JC, Levy D, Wilson PWF, Benjamin EJ, Larson MG, Kannel WB, Vasan RS (2002) Obesity and the risk of heart failure. N Engl J Med 347(5):305–313

    Article  PubMed  Google Scholar 

  14. Van Gaal LF, Mertens IL, De Block CE (2006) Mechanisms linking obesity with cardiovascular disease. Nature 444:875–880

    Article  PubMed  CAS  Google Scholar 

  15. Lai SW, Ng KC, Lin HF, Chen HL (2001) Association between obesity and hyperlipidemia among children. Yale J Biol Med 74(4):205–210

    CAS  PubMed  PubMed Central  Google Scholar 

  16. Greenberg AS, Obin MS (2006) Obesity and the role of adipose tissue in inflammation and metabolism. Am J Clin Nutr 83(2):461S-465S

    Article  CAS  PubMed  Google Scholar 

  17. Tilg H, Moschen AR (2006) Adipocytokines: Mediators linking adipose tissue, inflammation and immunity. Nat Rev Immunol 6(10):772–783

    Article  CAS  PubMed  Google Scholar 

  18. Cavalera M, Wang J, Frangogiannis NG (2014) Obesity, metabolic dysfunction, and cardiac fibrosis: pathophysiological pathways, molecular mechanisms, and therapeutic opportunities. Transl Res 164(4):323–335

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Matsuzawa Y, Funahashi T, Kihara S, Shimomura I (2004) Adiponectin and metabolic syndrome. Arterioscler Thromb Vasc Biol 24(1):29–33

    Article  CAS  PubMed  Google Scholar 

  20. Hansen T, Ahlström H, Söderberg S, Hulthe J, Wikström J, Lind L, Johansson L (2009) Visceral adipose tissue, adiponectin levels and insulin resistance are related to atherosclerosis as assessed by whole-body magnetic resonance angiography in an elderly population. Atherosclerosis 205(1):163–167

    Article  CAS  PubMed  Google Scholar 

  21. Tilg H, Hotamisligil GS (2006) Nonalcoholic fatty liver disease: cytokine-adipokine interplay and regulation of insulin resistance. Gastroenterology 131(3):934–945

    Article  CAS  PubMed  Google Scholar 

  22. Ross R (1993) The pathogenesis of atherosclerosis: a perspective for the 1990s. Nature 362(6423):801–809

    Article  CAS  PubMed  Google Scholar 

  23. Ouchi N, Kihara S, Arita Y, Maeda K, Kuriyama H, Okamoto Y, Hotta K, Nishida M, Takahashi M, Nakamura T, Yamashita S, Funahashi T (1999) Novel modulator for endothelial adhesion molecules: adipocyte-derived plasma protein. Circulation 100:2473–2476

    Article  CAS  PubMed  Google Scholar 

  24. Ouchi N, Walsh K (2007) Adiponectin as an anti-inflammatory factor. Clin Chim Acta 380(1–2):24–30

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Stofkova A (2009) Leptin and adiponectin: from energy and metabolic dysbalance to inflammation and autoimmunity. Endocr Regul 43(4):157–168

    CAS  PubMed  Google Scholar 

  26. Flier JS (1995) The adipocyte: Storage depot or node on the energy information superhighway? Cell 80(1):15–18

    Article  CAS  PubMed  Google Scholar 

  27. Frederich RC, Hamann A, Anderson S, Löllmann B, Lowell BB, Flier JS (1995) Leptin levels reflect body lipid content in mice: evidence for diet-induced resistance to leptin action. Nat Med 1(12):1311–1314

    Article  CAS  PubMed  Google Scholar 

  28. Pelleymounter MA, Cullen MJ, Baker MB, Hecht R, Winters D, Boone T, Collins F (1995) Effects of the obese gene product on body weight regulation in ob/ob mice. Science 269(5223):540–543.

    Google Scholar 

  29. Wang TY, Li Q, Bi KS (2017) Bioactive flavonoids in medicinal plants: Structure, activity and biological fate. Asian J Pharm Sci 13(1):12–23. Available from: https://doi.org/10.1016/j.ajps.2017.08.004

  30. Baldim JL, Alcantara BGV De, Domingos ODS, Soares MG, Caldas IS, Novaes RD, Oliveira TB, Lago JHG, Chagas-Paula DA (2017) The correlation between chemical structures and antioxidant, prooxidant, and antitrypanosomatid properties of flavonoids. Oxid Med Cell Longev

    Google Scholar 

  31. Kumar S, Pandey AK (2013) Chemistry and biological activities of flavonoids : an overview chemistry and biological activities of flavonoids : an overview. Sci World J

    Google Scholar 

  32. Tsao R (2010) Chemistry and biochemistry of dietary polyphenols. Nutrients 2(12):1231–1246

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Nijveldt RJ, Van Nood E, Van Hoorn DEC, Boelens PG, Van Norren K, Van Leeuwen PAM (2001) Flavonoids: a review of probable mechanisms of action and potential applications. Am J Clin Nutr 74(4):418–425

    Article  CAS  PubMed  Google Scholar 

  34. Fraga CG, Croft KD, Kennedy DO, Tomás-Barberán FA (2019) The effects of polyphenols and other bioactives on human health. Food Funct 10(2):514–528. Available from: https://xlink.rsc.org/?DOI=C8FO01997E

  35. Higdon JVJD (2016) BDAC. Flavonoids [Internet]. Cited 2019 Jan 28. Available from: https://lpi.oregonstate.edu/mic/dietary-factors/phytochemicals/flavonoids

  36. Citrus fruits could help prevent obesity-related heart disease, liver disease, diabetes [Internet] (2016). Cited 2019 Mar 3. Available from: https://www.acs.org/content/acs/en/pressroom/newsreleases/2016/august/citrus-fruits-could-help-prevent-obesity-related-heart-disease-liver-disease-diabetes.html

  37. Felgines C, Texier O, Morand C, Manach C, Scalbert A, Régerat F, Rémésy C (2000) Bioavailability of the flavanone naringenin and its glycosides in rats. Am J Physiol Gastrointest Liver Physiol 279(6):G1148–G1154

    Article  CAS  PubMed  Google Scholar 

  38. Sacks FM, Lichtenstein A, Van Horn L, Harris W, Kris-Etherton P, Winston M (2006) Soy protein, isoflavones, and cardiovascular health: an American Heart Association Science Advisory for professionals from the Nutrition Committee. Circulation 113(7):1034–1044

    Article  CAS  PubMed  Google Scholar 

  39. Iglesias J, Medina I, Pazos M (2013) Galloylation and polymerization: role of structure to antioxidant activity of polyphenols in lipid systems. Polyphenols Hum Heal Dis 1:323–338

    Google Scholar 

  40. Hostetler GL, Ralston RA, Schwartz SJ (2017) Flavones : food sources. Bioavailability 423–435

    Google Scholar 

  41. Gong WYI, Wu JF, Liu BJ, Zhang HY, Cao YUX, Sun J, Lv YUB, Wu X, Dong JC (2014) Flavonoid components in Scutellaria baicalensis inhibit nicotine-induced proliferation, metastasis and lung cancer-associated inflammation in vitro. Int J Oncol 44(5):1561–1570

    Article  CAS  PubMed  Google Scholar 

  42. Tomás-Navarro M, Vallejo F, Tomás-Barberán FA (2013) Bioavailability and metabolism of citrus fruit beverage flavanones in humans. Polyphenols Hum Heal Dis 1:537–551

    Google Scholar 

  43. Hernández-Aquino E, Muriel P (2017) Naringenin and the liver. Liver Pathophysiol Therapies Antioxidants

    Google Scholar 

  44. Di Majo D, Giammanco M, La Guardia M, Tripoli E, Giammanco S, Finotti E (2005) Flavanones in citrus fruit: structure-antioxidant activity relationships. Food Res Int 38(10):1161–1166

    Article  CAS  Google Scholar 

  45. Anthony MS, Clarkson TB, Williams JK (1998) Effects of soy isoflavones on atherosclerosis: potential mechanisms. Am J Clin Nutr 68(6 Suppl):1390S-1393S

    Article  CAS  PubMed  Google Scholar 

  46. Teede HJ, Dalais FS, Kotsopoulos D, Liang YL, Davis S, Mcgrath BP (2001) Dietary soy has both beneficial and potentially adverse cardiovascular effects: a placebo-controlled study in men and postmenopausal women. J Clin Endocrinol Metab 86(7):3053–3060

    CAS  PubMed  Google Scholar 

  47. Swanson BG (2003) Tannins and polyphenols. Encyclopedia Food Sci Nutr

    Google Scholar 

  48. Khoo HE, Azlan A, Tang ST, Lim SM (2017) Anthocyanidins and anthocyanins: colored pigments as food, pharmaceutical ingredients, and the potential health benefits. Food Nutr Res 61(1):1361779

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  49. Patel K, Watson RR (2018) Chocolate and its component’s effect on cardiovascular disease. Lifestyle Heart Health Dis 255–266

    Google Scholar 

  50. Gentile D, Fornai M, Pellegrini C, Colucci R, Benvenuti L, Duranti E, Masi S, Carpi S, Nieri P, Nericcio A, Garelli F, Virdis A, Pistelli L, Blandizzi C, Antonioli L (2018) Luteolin prevents cardiometabolic alterations and vascular dysfunction in mice with HFD-induced obesity. Front Pharmacol

    Google Scholar 

  51. Alam MA, Kauter K, Brown L (2013) Naringin improves diet-induced cardiovascular dysfunction and obesity in high carbohydrate, high fat diet-fed rats. Nutrients 5(3):637–650

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Rizza S, Muniyappa R, Iantorno M, Kim J, Chen H, Pullikotil P, Senese N, Tesauro M, Lauro D, Cardillo C, Quon MJ (2011) Citrus polyphenol hesperidin stimulates production of nitric oxide in endothelial cells while improving endothelial function and reducing inflammatory markers in patients with metabolic syndrome. J Clin Endocrinol Metab 96(5):E782–E792

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Irace C, Marini H, Bitto A, Altavilla D, Polito F, Adamo EB, Arcoraci V, Minutoli L, Di Benedetto A, Di Vieste G, de Gregorio C, Gnasso A, Corrao S, Licata G, Squadrito F (2013) Genistein and endothelial function in postmenopausal women with metabolic syndrome. Eur J Clin Invest 43(10):1025–1031

    Article  CAS  PubMed  Google Scholar 

  54. Bhaswant M, Fanning K, Netzel M, Mathai ML, Panchal SK, Brown L (2015) Cyanidin 3-glucoside improves diet-induced metabolic syndrome in rats. Pharmacol Res 102:208–217

    Article  CAS  PubMed  Google Scholar 

  55. Rivera L, Morón R, Sánchez M, Zarzuelo A, Galisteo M (2008) Quercetin ameliorates metabolic syndrome and improves the inflammatory status in obese Zucker rats. Obesity 16(9):2081–2087

    Article  CAS  PubMed  Google Scholar 

  56. Panchal SK, Poudyal H, Arumugam TV, Brown L (2011) Rutin attenuates metabolic changes, nonalcoholic steatohepatitis, and cardiovascular remodeling in high-carbohydrate, high-fat diet-fed rats. J Nutr 141(6):1026–1029

    Article  CAS  Google Scholar 

  57. Jung U, Cho Y-Y, Choi M-S (2016) Apigenin ameliorates dyslipidemia, hepatic steatosis and insulin resistance by modulating metabolic and transcriptional profiles in the liver of high-fat diet-induced obese mice. Nutrients 8(5):305

    Article  PubMed Central  CAS  Google Scholar 

  58. Guo HX, Liu DH, Ma Y, Liu JF, Wang Y, Du ZY, Wang X, Shen JK, Peng HL (2009) Long-term baicalin administration ameliorates metabolic disorders and hepatic steatosis in rats given a high-fat diet. Acta Pharmacol Sin 30(11):1505–1512

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  59. Queenthy SS, John B (2013) Diosmin exhibits anti-hyperlipidemic effects in isoproterenol induced myocardial infarcted rats. Eur J Pharmacol 718(1–3):213–218

    Article  CAS  PubMed  Google Scholar 

  60. Silverberg DS, Wexler D, Blum M, Iaina A, Sheps D, Keren G, Schwartz D (2005) Erythropoietin in heart failure. Semin Nephrol 25(6):397–403

    Article  CAS  PubMed  Google Scholar 

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Ahmed, Z., Pal, A., Bagwe-Parab, S., Kaur, G., Buttar, H.S., Tuli, H.S. (2020). Role of Flavonoids in Obesity Induced Cardiovascular Dysfunction. In: Tappia, P.S., Bhullar, S.K., Dhalla, N.S. (eds) Biochemistry of Cardiovascular Dysfunction in Obesity. Advances in Biochemistry in Health and Disease, vol 20. Springer, Cham. https://doi.org/10.1007/978-3-030-47336-5_16

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