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Low vitamin and carotenoid levels are related to cerebral white matter lesions

  • Published:
The journal of nutrition, health & aging

Abstract

Objectives: Purpose

To determine the effects of vitamins and carotenoids on brain white matter lesions (WMLs), we examined the associations between WMLs with vitamin and carotenoid levels in Japanese middle-aged and elderly subjects.

Subjects and methods

Four-hundred and sixty-nine healthy participants (male = 317; female = 152) that underwent medical examinations were examined. Deep white matter lesions (DWLs) were detected via magnetic resonance imaging (MRI) in 39 subjects. We evaluated the effects of vitamin and carotenoid levels on DWLs via logistic regression analysis.

Results

Lower gamma-tocopherol levels were significantly associated with DWLs in all subjects. While lower gamma-tocopherol and vitamin C levels were significantly associated with DWLs in males, lower delta-tocopherol levels were associated with DWLs in females. The associations between DWLs and lower gamma- and delta-tocopherol and vitamin C levels were independent of age, hypertension, or smoking. However, the associations between DWLs and lower alfatocopherol were not significant following adjustments for smoking.

Conclusion

Lower carotenoid and vitamin levels were independently associated with cerebral DWLs in Japanese subjects.

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References

  1. Gey KF. On the antioxidant hypothesis with regard to arteriosclerosis. Bibl Nutr Dieta 1986:53–91.

  2. Diaz MN, Frei B, Vita JA, Keaney JF, Jr. Antioxidants and atherosclerotic heart disease. N Engl J Med 1997;337:408–416.

    Article  PubMed  CAS  Google Scholar 

  3. Hak AE, Ma J, Powell CB, Campos H, Gaziano JM, Willett WC, et al. Prospective study of plasma carotenoids and tocopherols in relation to risk of ischemic stroke. Stroke 2004;35:1584–1588.

    Article  PubMed  CAS  Google Scholar 

  4. Rissanen TH, Voutilainen S, Nyyssonen K, Lakka TA, Sivenius J, Salonen R, et al. Low serum lycopene concentration is associated with an excess incidence of acute coronary events and stroke: the Kuopio Ischaemic Heart Disease Risk Factor Study. Br J Nutr 2001;85:749–754.

    Article  PubMed  CAS  Google Scholar 

  5. Gey KF, Stahelin HB, Eichholzer M. Poor plasma status of carotene and vitamin C is associated with higher mortality from ischemic heart disease and stroke: Basel Prospective Study. Clin Investig 1993;71:3–6.

    Article  PubMed  CAS  Google Scholar 

  6. Voko Z, Hollander M, Hofman A, Koudstaal PJ, Breteler MM. Dietary antioxidants and the risk of ischemic stroke: the Rotterdam Study. Neurology 2003;61:1273–1275.

    Article  PubMed  CAS  Google Scholar 

  7. Hirvonen T, Virtamo J, Korhonen P, Albanes D, Pietinen P. Intake of flavonoids, carotenoids, vitamins C and E, and risk of stroke in male smokers. Stroke 2000;31:2301–2306.

    Article  PubMed  CAS  Google Scholar 

  8. Ascherio A, Rimm EB, Hernan MA, Giovannucci E, Kawachi I, Stampfer MJ, et al. Relation of consumption of vitamin E, vitamin C, and carotenoids to risk for stroke among men in the United States. Ann Intern Med 1999;130:963–970.

    Article  PubMed  CAS  Google Scholar 

  9. Fazekas F, Kleinert R, Offenbacher H, Schmidt R, Kleinert G, Payer F, et al. Pathologic correlates of incidental MRI white matter signal hyperintensities. Neurology 1993;43:1683–1689.

    Article  PubMed  CAS  Google Scholar 

  10. Fernando MS, O’Brien JT, Perry RH, English P, Forster G, McMeekin W, et al. Comparison of the pathology of cerebral white matter with post-mortem magnetic resonance imaging (MRI) in the elderly brain. Neuropathol Appl Neurobiol 2004;30:385–395.

    Article  PubMed  CAS  Google Scholar 

  11. Breteler MM, van Swieten JC, Bots ML, Grobbee DE, Claus JJ, van den Hout JH, et al. Cerebral white matter lesions, vascular risk factors, and cognitive function in a population-based study: the Rotterdam Study. Neurology 1994;44:1246–1252.

    Article  PubMed  CAS  Google Scholar 

  12. Longstreth WT, Jr., Manolio TA, Arnold A, Burke GL, Bryan N, Jungreis CA, et al. Clinical correlates of white matter findings on cranial magnetic resonance imaging of 3301 elderly people. The Cardiovascular Health Study. Stroke 1996;27:1274–1282.

    Article  PubMed  Google Scholar 

  13. Liao D, Cooper L, Cai J, Toole JF, Bryan NR, Hutchinson RG, et al. Presence and severity of cerebral white matter lesions and hypertension, its treatment, and its control. The ARIC Study. Atherosclerosis Risk in Communities Study. Stroke 1996;27:2262–2270.

    Article  PubMed  CAS  Google Scholar 

  14. Pantoni L, Garcia JH. Pathogenesis of leukoaraiosis: a review. Stroke 1997;28:652–659.

    Article  PubMed  CAS  Google Scholar 

  15. den Heijer T, Launer LJ, de Groot JC, de Leeuw FE, Oudkerk M, van Gijn J, et al. Serum carotenoids and cerebral white matter lesions: the Rotterdam scan study. J Am Geriatr Soc 2001;49:642–646.

    Article  Google Scholar 

  16. Fazekas F, Chawluk JB, Alavi A, Hurtig HI, Zimmerman RA. MR signal abnormalities at 1.5 T in Alzheimer’s dementia and normal aging. AJR Am J Roentgenol 1987;149:351–356.

    Article  PubMed  CAS  Google Scholar 

  17. Ito Y, Ochiai J, Sasaki R, Suzuki S, Kusuhara Y, Morimitsu Y, et al. Serum concentrations of carotenoids, retinol, and alpha-tocopherol in healthy persons determined by high-performance liquid chromatography. Clin Chim Acta 1990;194:131–144.

    Article  PubMed  CAS  Google Scholar 

  18. de Leeuw FE, Richard F, de Groot JC, van Duijn CM, Hofman A, Van Gijn J, et al. Interaction between hypertension, apoE, and cerebral white matter lesions. Stroke 2004;35:1057–1060.

    Article  PubMed  Google Scholar 

  19. McCarty MF. Gamma-tocopherol may promote effective no synthase function by protecting tetrahydrobiopterin from peroxynitrite. Med Hypotheses 2007;69:1367–1370.

    Article  PubMed  CAS  Google Scholar 

  20. Information Sfhan. The national health and nutrition survey in Japan, 2005; 2008:72–84.

    Google Scholar 

  21. Vermeer SE, van Dijk EJ, Koudstaal PJ, Oudkerk M, Hofman A, Clarke R, et al. Homocysteine, silent brain infarcts, and white matter lesions: The Rotterdam Scan Study. Ann Neurol 2002;51:285–289.

    Article  PubMed  CAS  Google Scholar 

  22. Censori B, Partziguian T, Manara O, Poloni M. Plasma homocysteine and severe white matter disease. Neurol Sci 2007;28:259–263.

    Article  PubMed  CAS  Google Scholar 

  23. Wong A, Mok V, Fan YH, Lam WW, Liang KS, Wong KS. Hyperhomocysteinemia is associated with volumetric white matter change in patients with small vessel disease. J Neurol 2006;253:441–447.

    Article  PubMed  Google Scholar 

  24. Longstreth WT, Jr., Katz R, Olson J, Bernick C, Carr JJ, Malinow MR, et al. Plasma total homocysteine levels and cranial magnetic resonance imaging findings in elderly persons: the Cardiovascular Health Study. Arch Neurol 2004;61:67–72.

    Article  PubMed  Google Scholar 

  25. Khan U, Crossley C, Kalra L, Rudd A, Wolfe CD, Collinson P, et al. Homocysteine and Its Relationship to Stroke Subtypes in a UK Black Population. The South London Ethnicity and Stroke Study. Stroke 2008.

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Ohshima, Y., Mizuno, T., Yamada, K. et al. Low vitamin and carotenoid levels are related to cerebral white matter lesions. J Nutr Health Aging 17, 456–460 (2013). https://doi.org/10.1007/s12603-012-0419-z

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  • DOI: https://doi.org/10.1007/s12603-012-0419-z

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