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© 2008 American Society for Nutrition J. Nutr. 138:747-752, April 2008


Nutrition and Disease

Chronic Dietary Intake of Plant-Derived Anthocyanins Protects the Rat Heart against Ischemia-Reperfusion Injury1–3,

Marie-Claire Toufektsian4,*, Michel de Lorgeril4, Norbert Nagy4, Patricia Salen4, Maria Benedetta Donati5, Lucia Giordano5, Hans-Peter Mock6, Silke Peterek6, Andrea Matros6, Katia Petroni7, Roberto Pilu7, Domenico Rotilio5, Chiara Tonelli7, Joel de Leiris4, François Boucher4 and Cathie Martin8

4 Equipe PRETA-Cœur et Nutrition, TIMC-IMAG Unité Mixte de Recherche, Université Jospeh Fourier CNRS 5525, F-38000 Grenoble, France; 5 "John Paul II" Center for High Technology Research and Education in Biomedical Sciences, Catholic University, 86100 Campobasso, Italy; 6 Institute of Plant Genetics and Crop Plant Research, D.06466 Gatersleben, Germany; 7 Dipartimento di Scienze Biomolecolari e Biotecnologie, 20133 Milan, Italy; and 8 John Innes Centre, Norwich, UK NR4 7UH

* To whom correspondence should be addressed. E-mail: marie-claire.toufektsian{at}ujf-grenoble.fr.

Consumption of flavonoid-rich foods and beverages is thought to reduce the risk of cardiovascular diseases. Whereas the biological activities of flavonoids have been characterized in vitro, there are no clear experimental data demonstrating that chronic dietary intake and intestinal absorption of flavonoids actually protects the heart against ischemia-reperfusion injury. We tested whether long-term consumption of specific flavonoids (anthocyanins) included in normal food could render the heart of rats more resistant to myocardial infarction. Maize kernels that differed specifically in their accumulation of anthocyanins were used to prepare rodent food in which anthocyanins were either present or absent. Male Wistar rats were fed the anthocyanin-rich (ACN-rich) or the anthocyanin-free (ACN-free) diet for a period of 8 wk. Anthocyanins were significantly absorbed and detected in the blood and urine of only rats fed the ACN-rich diet. In Langendorff preparations, the hearts of rats fed the ACN-rich diet were more resistant to regional ischemia and reperfusion insult. Moreover, on an in vivo model of coronary occlusion and reperfusion, infarct size was reduced in rats that ate the ACN-rich diet than in those that consumed the ACN-free diet (P < 0.01). Cardioprotection was associated with increased myocardial glutathione levels, suggesting that dietary anthocyanins might modulate cardiac antioxidant defenses. Our findings suggest important potential health benefits of foods rich in anthocyanins and emphasize the need to develop anthocyanin-rich functional foods with protective activities for promoting human health.





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