Mediterranean Diet Modulates Gene Expression of Cholesterol Efflux Receptors in High-Risk Cardiovascular Patients

In this study, we investigated gene expression related to cholesterol efflux receptors in individuals at high cardiovascular risk undergoing Mediterranean dietary interventions. Through transcriptomic analysis, we examined samples from two randomized controlled trials: PREDIMED and PREDIMED-Plus, wi...

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Autores: Hernando Redondo, Javier, Hernáez Camba, Álvaro, Sanllorente, Albert, Pintó Sala, Xavier, Estruch Riba, Ramon, Salas Salvadó, Jordi, Corella Piquer, Dolores, Arós, Fernando, Martínez González, Miguel Ángel, 1957-, Subirana Cachinero, Isaac, Muñoz-Aguayo, Daniel, Malcampo, Mireia, Serra Majem, Lluís, Romaguera, Dora, Lapetra, José, Ros Rahola, Emilio, Tinahones, Francisco J., Lamuela Raventós, Rosa Ma., Gómez Gracia, Enrique, Fitó Colomer, Montserrat, Castañer, Olga
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2025
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/223810
Acceso en línea:https://hdl.handle.net/2445/223810
Access Level:acceso abierto
Palabra clave:Cuina mediterrània
Dieta
Malalties cardiovasculars
Colesterol
Mediterranean cooking
Diet
Cardiovascular diseases
Cholesterol
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spelling Mediterranean Diet Modulates Gene Expression of Cholesterol Efflux Receptors in High-Risk Cardiovascular PatientsHernando Redondo, JavierHernáez Camba, ÁlvaroSanllorente, AlbertPintó Sala, XavierEstruch Riba, RamonSalas Salvadó, JordiCorella Piquer, DoloresArós, FernandoMartínez González, Miguel Ángel, 1957-Subirana Cachinero, IsaacMuñoz-Aguayo, DanielMalcampo, MireiaSerra Majem, LluísRomaguera, DoraLapetra, JoséRos Rahola, EmilioTinahones, Francisco J.Lamuela Raventós, Rosa Ma.Gómez Gracia, EnriqueFitó Colomer, MontserratCastañer, OlgaCuina mediterràniaDietaMalalties cardiovascularsColesterolMediterranean cookingDietCardiovascular diseasesCholesterolIn this study, we investigated gene expression related to cholesterol efflux receptors in individuals at high cardiovascular risk undergoing Mediterranean dietary interventions. Through transcriptomic analysis, we examined samples from two randomized controlled trials: PREDIMED and PREDIMED-Plus, with 151 and 89 elderly adults, respectively. Blood cells were isolated at baseline and after a 12-month intervention. In the PREDIMED trial, participants followed different Mediterranean diets: one supplemented with extra-virgin olive oil (traditional Mediterranean diet enriched with extra-virgin olive oil [MedDiet-EVOO]), another with nuts (MedDiet enriched with nuts MedDiet-Nuts [MedDiet-Nuts]), and a low-fat control diet. The PREDIMED-Plus trial compared an energy-reduced Mediterranean diet (Er-MedDiet) with physical activity to an ad libitum Mediterranean diet. Over time, mild but significant upregulation of genes like ATP binding cassette subfamily A member 1 (ABCA1), retinoid X receptor alpha (RXRA), retinoid X receptor beta (RXRB), and Nuclear Receptor Subfamily 1 Group H Member 3 (NR1H3) was observed in response to MedDiet-EVOO, MedDiet-Nuts, and Er-MedDiet. Notably, RXRA expression was higher in both MedDiet-EVOO and MedDiet-Nuts compared to the control diet. Differences in gene expression, particularly RXRA, ATP binding cassette subfamily G member 1 (ABCG1), NR1H3, and Peroxisome Proliferator Activated Receptor Delta (PPARD), were evident between MedDiet-Nuts and the control diet. In the PREDIMED-Plus trial, no significant differences in gene expression were found between dietary groups. Principal component analysis (PCA) and linear discriminant analysis (LDA) showed overlapping gene expression profiles across different Mediterranean diet interventions. In conclusion, our study highlights the cardiovascular health benefits of long-term adherence to a Mediterranean diet, both normocaloric and hypocaloric, primarily reflected by mild upregulation of cholesterol efflux-related genes-specifically involving RXRA, RXRB, ABCA1, ABCG1, Nuclear Receptor Subfamily 1 Group H Member 2(NR1H2), and PPARD-among elderly adults at high cardiovascular risk. This suggests a potential mechanism by which these diets may exert cardiovascular protective effects.Wiley-VCH2025202520252025info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersion13 p.application/pdfhttps://hdl.handle.net/2445/223810Articles publicats en revistes (Nutrició, Ciències de l'Alimentació i Gastronomia)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésVersió postprint del document publicat a: https://doi.org/10.1002/mnfr.70050Molecular Nutrition & Food Research, 2025, vol. 69, num.13https://doi.org/10.1002/mnfr.70050(c) Wiley-VCH, 2025info:eu-repo/semantics/openAccessoai:recercat.cat:2445/2238102026-05-29T05:05:01Z
dc.title.none.fl_str_mv Mediterranean Diet Modulates Gene Expression of Cholesterol Efflux Receptors in High-Risk Cardiovascular Patients
title Mediterranean Diet Modulates Gene Expression of Cholesterol Efflux Receptors in High-Risk Cardiovascular Patients
spellingShingle Mediterranean Diet Modulates Gene Expression of Cholesterol Efflux Receptors in High-Risk Cardiovascular Patients
Hernando Redondo, Javier
Cuina mediterrània
Dieta
Malalties cardiovasculars
Colesterol
Mediterranean cooking
Diet
Cardiovascular diseases
Cholesterol
title_short Mediterranean Diet Modulates Gene Expression of Cholesterol Efflux Receptors in High-Risk Cardiovascular Patients
title_full Mediterranean Diet Modulates Gene Expression of Cholesterol Efflux Receptors in High-Risk Cardiovascular Patients
title_fullStr Mediterranean Diet Modulates Gene Expression of Cholesterol Efflux Receptors in High-Risk Cardiovascular Patients
title_full_unstemmed Mediterranean Diet Modulates Gene Expression of Cholesterol Efflux Receptors in High-Risk Cardiovascular Patients
title_sort Mediterranean Diet Modulates Gene Expression of Cholesterol Efflux Receptors in High-Risk Cardiovascular Patients
dc.creator.none.fl_str_mv Hernando Redondo, Javier
Hernáez Camba, Álvaro
Sanllorente, Albert
Pintó Sala, Xavier
Estruch Riba, Ramon
Salas Salvadó, Jordi
Corella Piquer, Dolores
Arós, Fernando
Martínez González, Miguel Ángel, 1957-
Subirana Cachinero, Isaac
Muñoz-Aguayo, Daniel
Malcampo, Mireia
Serra Majem, Lluís
Romaguera, Dora
Lapetra, José
Ros Rahola, Emilio
Tinahones, Francisco J.
Lamuela Raventós, Rosa Ma.
Gómez Gracia, Enrique
Fitó Colomer, Montserrat
Castañer, Olga
author Hernando Redondo, Javier
author_facet Hernando Redondo, Javier
Hernáez Camba, Álvaro
Sanllorente, Albert
Pintó Sala, Xavier
Estruch Riba, Ramon
Salas Salvadó, Jordi
Corella Piquer, Dolores
Arós, Fernando
Martínez González, Miguel Ángel, 1957-
Subirana Cachinero, Isaac
Muñoz-Aguayo, Daniel
Malcampo, Mireia
Serra Majem, Lluís
Romaguera, Dora
Lapetra, José
Ros Rahola, Emilio
Tinahones, Francisco J.
Lamuela Raventós, Rosa Ma.
Gómez Gracia, Enrique
Fitó Colomer, Montserrat
Castañer, Olga
author_role author
author2 Hernáez Camba, Álvaro
Sanllorente, Albert
Pintó Sala, Xavier
Estruch Riba, Ramon
Salas Salvadó, Jordi
Corella Piquer, Dolores
Arós, Fernando
Martínez González, Miguel Ángel, 1957-
Subirana Cachinero, Isaac
Muñoz-Aguayo, Daniel
Malcampo, Mireia
Serra Majem, Lluís
Romaguera, Dora
Lapetra, José
Ros Rahola, Emilio
Tinahones, Francisco J.
Lamuela Raventós, Rosa Ma.
Gómez Gracia, Enrique
Fitó Colomer, Montserrat
Castañer, Olga
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Cuina mediterrània
Dieta
Malalties cardiovasculars
Colesterol
Mediterranean cooking
Diet
Cardiovascular diseases
Cholesterol
topic Cuina mediterrània
Dieta
Malalties cardiovasculars
Colesterol
Mediterranean cooking
Diet
Cardiovascular diseases
Cholesterol
description In this study, we investigated gene expression related to cholesterol efflux receptors in individuals at high cardiovascular risk undergoing Mediterranean dietary interventions. Through transcriptomic analysis, we examined samples from two randomized controlled trials: PREDIMED and PREDIMED-Plus, with 151 and 89 elderly adults, respectively. Blood cells were isolated at baseline and after a 12-month intervention. In the PREDIMED trial, participants followed different Mediterranean diets: one supplemented with extra-virgin olive oil (traditional Mediterranean diet enriched with extra-virgin olive oil [MedDiet-EVOO]), another with nuts (MedDiet enriched with nuts MedDiet-Nuts [MedDiet-Nuts]), and a low-fat control diet. The PREDIMED-Plus trial compared an energy-reduced Mediterranean diet (Er-MedDiet) with physical activity to an ad libitum Mediterranean diet. Over time, mild but significant upregulation of genes like ATP binding cassette subfamily A member 1 (ABCA1), retinoid X receptor alpha (RXRA), retinoid X receptor beta (RXRB), and Nuclear Receptor Subfamily 1 Group H Member 3 (NR1H3) was observed in response to MedDiet-EVOO, MedDiet-Nuts, and Er-MedDiet. Notably, RXRA expression was higher in both MedDiet-EVOO and MedDiet-Nuts compared to the control diet. Differences in gene expression, particularly RXRA, ATP binding cassette subfamily G member 1 (ABCG1), NR1H3, and Peroxisome Proliferator Activated Receptor Delta (PPARD), were evident between MedDiet-Nuts and the control diet. In the PREDIMED-Plus trial, no significant differences in gene expression were found between dietary groups. Principal component analysis (PCA) and linear discriminant analysis (LDA) showed overlapping gene expression profiles across different Mediterranean diet interventions. In conclusion, our study highlights the cardiovascular health benefits of long-term adherence to a Mediterranean diet, both normocaloric and hypocaloric, primarily reflected by mild upregulation of cholesterol efflux-related genes-specifically involving RXRA, RXRB, ABCA1, ABCG1, Nuclear Receptor Subfamily 1 Group H Member 2(NR1H2), and PPARD-among elderly adults at high cardiovascular risk. This suggests a potential mechanism by which these diets may exert cardiovascular protective effects.
publishDate 2025
dc.date.none.fl_str_mv 2025
2025
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/223810
url https://hdl.handle.net/2445/223810
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Versió postprint del document publicat a: https://doi.org/10.1002/mnfr.70050
Molecular Nutrition & Food Research, 2025, vol. 69, num.13
https://doi.org/10.1002/mnfr.70050
dc.rights.none.fl_str_mv (c) Wiley-VCH, 2025
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Wiley-VCH, 2025
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 13 p.
application/pdf
dc.publisher.none.fl_str_mv Wiley-VCH
publisher.none.fl_str_mv Wiley-VCH
dc.source.none.fl_str_mv Articles publicats en revistes (Nutrició, Ciències de l'Alimentació i Gastronomia)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
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repository.mail.fl_str_mv
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