Objective: To assess the antioxidant/non-antioxidant effects of a hydroxytyrosol (HT)-rich phenolic extract from olive mill wastewaters administered with a breakfast. Design, setting and subjects: Five type I diabetic patients received 25 mg of HT the first day and 12.5 mg/day the following 3 days. Blood sampling was carried out at T 0 (baseline) and T 4d just before the breakfast þ HT administration and at time points 1, 2, 3 and 4 h after T 0 . Urines (24-h) were collected from T 0 to T 4d . Baseline HbA1c was generally inferior to 10%, glycemia was within the range 6-24 mmol/l, whereas total cholesterol, HDL-chol and triglycerides were normal. Results: The major finding was the 46% decrease in the serum TXB 2 production after blood clotting at T 4d . Plasma vitamin A, E, b-carotene were not changed. Vitamin C tended to increase (P ¼ 0.075). Plasma antioxidant capacity was enhanced at T 0 þ 1 h only, whereas its main determinants (albumin, bilirubin, uric acid) were not modified. Urinary 8-isoPGF 2a levels were highly variable and were not affected significantly by HT administration. Conclusion: The major effect of HT accounts for an antiaggregating platelet action, leading to a possible prevention of thrombotic and microthrombotic processes.
IntroductionNutritional intervention studies have already shown the beneficial effects of olive oil towards cholesterolemia and LDL oxidizability in humans (Visioli & Galli, 2001;Léger, 2003). These effects are not explained only by the oleic acid substitution to saturated (for cholesterolemia) or polyunsaturated (for oxidizability) fatty acids. Polyphenols from olive or olive oil are potentially able to protect LDL against oxidation by enhancing the antioxidant defense of LDL (Fito et al, 2000;Masella et al, 2001), regardless of the oxidationgenerating system (Shafiee et al, 2003). It is likely that this LDL protecting effect is due to a systemic general antioxidant effect accounted for by the decrease in urinary excretion of 8-iso PGF 2a (Visioli et al, 2000a). Hydroxytyrosol (HT) is mainly responsible for antioxidant capacities of olive fruit and olive oil polyphenolic extracts (Soler-Rivas et al, 2000). The HT bioavailability has been established (Visioli et al, 2000b;Miro-Casas et al, 2001). Olive oil wastewaters polyphenolic extracts protect LDL against oxidation ex vivo (Visioli et al, 1998). They may also exhibit cell-mediated antioxidant and non-antioxidant effects (Visioli et al, 1999;Léger et al, 2000). The physiological relevance of these properties remains to be explored in humans.The purpose here was to assess the effect of a HT preparation on the oxidative and nonoxidative status of type I diabetic patients who are known to be exposed to an early atherogenic process, a rapid development of advanced atherosclerotic lesions and lipid peroxidation (Feener & King, 1997). Some of the present data were already published in the form of an abstract (Léger et al, 2002). Contributors: CLL and BD drew up the experimental design and were the coordinators of the study....