A double-blind, randomized trial on the effect of a broad-spectrum dietary supplement on key biomarkers of cellular aging including inflammation, oxidative stress, and DNA damage in healthy adults.

Journal of clinical and translational research Pub Date : 2017-01-03 eCollection Date: 2017-01-04
Lucas C Lages, Johanna Lopez, Ana Maria Lopez-Medrano, Steven E Atlas, Ana H Martinez, Judi M Woolger, Eduard Tiozzo, Janet Konefal, Armando J Mendez, Herbert G Simoes, John E Lewis
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Abstract

Background and Aim: Nutritional approaches that ameliorate cellular senescence may have the potential to counteract the effects of chronic disease. This study will investigate the effect of the Healthycell dietary supplement on markers of inflammation, oxidative stress, and DNA damage. Methods: Thirty adults between the ages of 18 and 55 were enrolled and randomly assigned to one of the two study conditions (n = 15 Healthycell and n = 15 placebo). Subjects participated in a four-week intervention and were assessed at baseline, four weeks, and six weeks (after a two-week washout period). Results: Pro-inflammatory cytokine interleukin (IL)-1α (t = 2.033; mean difference = -3.97 pg/ml; SE = 2.0; 95% CI: -8.0, -0.3; Cohen's d = 0.77; p = 0.05) decreased, while soluble cytokine receptors sTNFR-I (t = 2.057; mean difference = 52.39 pg/mL; SE = 18.5; 95% CI: 5.2, 99.6; Cohen's d = 0.53; p = 0.03) and sTNFR-II (t = 1.739; mean difference = 208.71 pg/ml; SE = 72.0; 95% CI: 24.4, 393.0; Cohen's d = 0.61; p = 0.02) increased in the treatment group versus control. C-reactive protein also rose in the Healthycell group during the trial (t = 2.568; mean difference = 1.41 mg/dL; SE = 0.4; 95% CI: 0.3, 2.5; Cohen's d = 0.66; p < 0.01), without accompanying increases in IL-6 and TNF-α. Additionally, cortisol levels decreased in the Healthycell group (t = 0.575; mean difference = -0.31 ug/dL; SE=0.1; 95% CI: -0.6, -0.03; Cohen's d = 0.88; p = 0.03). When groups were split by age (< 35 years vs. ≥ 35 years), 8-hydroxydeoxyguanosine, a marker of DNA damage, decreased in the older Healthycell group compared to placebo (t = 1.782; mean difference = -7.09 ng/mL; SE = 3.0; 95% CI: -13.3, -0.9; Cohen's d = 0.63; p = 0.03). Significant changes were also found for sTNFR-I, sTNFR-II, and IL-5 in the older group. All results were obtained from t tests by post-hoc analysis. Conclusions: Our findings show an improved inflammatory profile and decreased DNA damage. Additionally, the efficacy of Healthycell was primarily in older adults, where the processes that cause or are associated with cell senescence are more predominant. Relevance for patients: Healthycell may help to counteract the inflammatory effects of aging that lead to both cell senescence and the multitude of age-related chronic diseases.

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一项关于广谱膳食补充剂对健康成年人细胞衰老关键生物标志物(包括炎症、氧化应激和DNA损伤)影响的双盲随机试验。
背景和目的:改善细胞衰老的营养方法可能有可能抵消慢性疾病的影响。本研究将研究Healthycell膳食补充剂对炎症、氧化应激和DNA损伤标志物的影响。方法:30名年龄在18岁至55岁之间的成年人被纳入研究,并被随机分配到两种研究条件中的一种(n=15 Healthycell和n=15安慰剂)。受试者参与了为期四周的干预,并在基线、四周和六周(两周的冲洗期后)进行评估。结果:促炎细胞因子白细胞介素-1α(t=2.033;平均差异=-3.97 pg/ml;SE=2.0;95%CI:-8.0,-0.3;Cohen’s d=0.77;p=0.05)降低,而可溶性细胞因子受体sTNFR-I(t=2.057;平均差异=52.39pg/mL;SE=18.5;95%CI:5.299.6;Cohen’s d=0.53;p=0.03)和sTNFR-II(t=1.739;平均差异=208.71pg/mL;SE=72.0;95%CI:24.4393.0;Cohen‘s d=0.61;p=0.02)在治疗组中与对照组相比增加。在试验期间,Healthycell组的C反应蛋白也升高(t=2.568;平均差异=1.41 mg/dL;SE=0.4;95%CI:0.3,2.5;Cohen’s d=0.66;p<0.01),而IL-6和TNF-α没有增加。此外,Healthycell组的皮质醇水平下降(t=0.575;平均差异=0.31 ug/dL;SE=0.1;95%CI:-0.6,-0.03;Cohen’s d=0.88;p=0.03),与安慰剂相比,老年Healthycell组的sTNFR-I、sTNFR-II和IL-5也发生了显著变化(t=1.782;平均差异=7.09 ng/mL;SE=3.0;95%CI:-13.3,-0.9;Cohen’s d=0.63;p=0.03)。所有结果均通过事后分析从t检验中获得。结论:我们的研究结果显示炎症特征得到改善,DNA损伤减少。此外,Healthycell的疗效主要针对老年人,在老年人中,导致细胞衰老或与细胞衰老相关的过程更为重要。与患者的相关性:Healthycell可能有助于抵消衰老的炎症效应,这些炎症效应会导致细胞衰老和多种与年龄相关的慢性疾病。
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