The acute effect of green tea consumption on endothelial function in healthy individuals

Background Tea consumption is associated with decreased cardiovascular risk. Flow-mediated dilatation (FMD) of the brachial artery is related to coronary endothelial function and it is an independent predictor of cardiovascular risk. Black tea has a beneficial effect on endothelial function; the effect, however, of green tea on brachial artery reactivity has not been defined yet. Design and methods We studied 14 healthy individuals (age 30 ± 3 years) with no cardiovascular risk factors except from smoking (50%) on three separate occasions on which they took: (a) 6 g of green tea, (b) 125 mg of caffeine (the amount contained in 6 g of tea), or (c) hot water. FMD of the brachial artery was measured before each intervention and 30, 90, and 120 min afterward. High-sensitivity C-reactive protein, interleukins 6 (II-6) and 1 b (II-1b), total plasma antioxidative capacity, and total plasma oxidative status/stress were measured at baseline and at 120 min after each intervention. Results Resting and hyperemic brachial artery diameter did not change either with tea or with caffeine. FMD increased significantly with tea (by 3.69%, peak at 30 min, P < 0.02), whereas it did not change significantly with caffeine (increase by 1.72%, peak at 30 min, P = NS). Neither tea nor caffeine had any effect on high-sensitivity C-reactive protein, II-6, II-1 b, total plasma antioxidative capacity, or total plasma oxidative status/stress. Conclusion Green tea consumption has an acute beneficial effect on endothelial function, assessed with FMD of the brachial artery, in healthy individuals. This may be involved in the beneficial effect of tea on cardiovascular risk.

[1]  J. Wardle,et al.  The effects of chronic tea intake on platelet activation and inflammation: a double-blind placebo controlled trial. , 2007, Atherosclerosis.

[2]  J. Manson,et al.  Dietary intakes of flavonols and flavones and coronary heart disease in US women. , 2007, American journal of epidemiology.

[3]  J. Kyle,et al.  Effects of infusion time and addition of milk on content and absorption of polyphenols from black tea. , 2007, Journal of agricultural and food chemistry.

[4]  E. Schömig,et al.  Effect of cocoa and tea intake on blood pressure: a meta-analysis. , 2007, Archives of internal medicine.

[5]  F. Ruschitzka,et al.  Effect of losartan, compared with atenolol, on endothelial function and oxidative stress in patients with type 2 diabetes and hypertension , 2007, Journal of hypertension.

[6]  J. Keaney,et al.  Acute EGCG Supplementation Reverses Endothelial Dysfunction in Patients with Coronary Artery Disease , 2007, Journal of the American College of Nutrition.

[7]  J. Schrezenmeir,et al.  Addition of milk prevents vascular protective effects of tea. , 2007, European heart journal.

[8]  K. Chayama,et al.  Effects of acute administration of caffeine on vascular function. , 2006, The American journal of cardiology.

[9]  J. Lekakis,et al.  Long-term prognostic role of flow-mediated dilatation of the brachial artery after acute coronary syndromes without ST elevation. , 2006, The American journal of cardiology.

[10]  Shinichi Kuriyama,et al.  Green tea consumption and mortality due to cardiovascular disease, cancer, and all causes in Japan: the Ohsaki study. , 2006, JAMA.

[11]  Karin Persson,et al.  Tea flavanols inhibit angiotensin‐converting enzyme activity and increase nitric oxide production in human endothelial cells , 2006, The Journal of pharmacy and pharmacology.

[12]  C. Vlachopoulos,et al.  Acute Effect of Black and Green Tea on Aortic Stiffness and Wave Reflections , 2006, Journal of the American College of Nutrition.

[13]  M. Lee,et al.  Inhibition of IL-8 production by green tea polyphenols in human nasal fibroblasts and A549 epithelial cells. , 2006, Biological & pharmaceutical bulletin.

[14]  J. Manson,et al.  Coffee Consumption and Coronary Heart Disease in Men and Women: A Prospective Cohort Study , 2006, Circulation.

[15]  T. Cheng All teas are not created equal: the Chinese green tea and cardiovascular health. , 2006, International journal of cardiology.

[16]  J. Lekakis,et al.  Polyphenols compounds from red grapes acutely improve endothelial function in patients with coronary heart disease , 2005, European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology.

[17]  C. Vlachopoulos,et al.  Acute Systemic Inflammation Increases Arterial Stiffness and Decreases Wave Reflections in Healthy Individuals , 2005, Circulation.

[18]  Kimon S Stamatelopoulos,et al.  Effect of coffee on endothelial function in healthy subjects: the role of caffeine. , 2005, Clinical science.

[19]  D. Panagiotakos,et al.  Chronic coffee consumption has a detrimental effect on aortic stiffness and wave reflections. , 2005, The American journal of clinical nutrition.

[20]  C. Vlachopoulos,et al.  Effect of dark chocolate on arterial function in healthy individuals. , 2005, American journal of hypertension.

[21]  J. Keaney,et al.  Effects of black tea consumption on plasma catechins and markers of oxidative stress and inflammation in patients with coronary artery disease. , 2005, Free radical biology & medicine.

[22]  J. Hodgson,et al.  Acute effects of tea on fasting and postprandial vascular function and blood pressure in humans , 2005, Journal of hypertension.

[23]  Gary Williamson,et al.  Bioavailability and bioefficacy of polyphenols in humans. I. Review of 97 bioavailability studies. , 2005, The American journal of clinical nutrition.

[24]  D. Heber,et al.  Bioavailability and antioxidant activity of tea flavanols after consumption of green tea, black tea, or a green tea extract supplement. , 2004, The American journal of clinical nutrition.

[25]  K. Kangawa,et al.  Green tea reverses endothelial dysfunction in healthy smokers , 2004, Heart.

[26]  J. Keaney,et al.  Activation of Endothelial Nitric-oxide Synthase by the p38 MAPK in Response to Black Tea Polyphenols* , 2004, Journal of Biological Chemistry.

[27]  D. Panagiotakos,et al.  Smoking and caffeine have a synergistic detrimental effect on aortic stiffness and wave reflections. , 2004, Journal of the American College of Cardiology.

[28]  J. Lekakis,et al.  Oral folic acid enhances endothelial function in patients with hypercholesterolemia receiving statins , 2004, European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology.

[29]  C. Vlachopoulos,et al.  Effect of caffeine on aortic elastic properties and wave reflection , 2003, Journal of hypertension.

[30]  Y. Momiyama,et al.  Comparison of green tea intake in Japanese patients with and without angiographic coronary artery disease. , 2002, The American journal of cardiology.

[31]  J. Muller,et al.  Tea Consumption and Mortality After Acute Myocardial Infarction , 2002, Circulation.

[32]  A. Hofman,et al.  Inverse association of tea and flavonoid intakes with incident myocardial infarction: the Rotterdam Study. , 2002, The American journal of clinical nutrition.

[33]  David M. Herrington,et al.  Erratum: Guidelines for the ultrasound assessment of endothelial-dependent flow-mediated vasodilation of the brachial artery. A report of the international brachial artery reactivity task force (Journal of American College of Cardiology (2002) 39 (257-265)) , 2002 .

[34]  G. Watts,et al.  Regular ingestion of black tea improves brachial artery vasodilator function. , 2002, Clinical science.

[35]  E. Benjamin,et al.  Guidelines for the ultrasound assessment of endothelial-dependent flow-mediated vasodilation of the brachial artery: a report of the International Brachial Artery Reactivity Task Force. , 2002, Journal of the American College of Cardiology.

[36]  S. Khokhar,et al.  Total phenol, catechin, and caffeine contents of teas commonly consumed in the United kingdom. , 2002, Journal of agricultural and food chemistry.

[37]  J. Hodgson,et al.  Regular ingestion of tea does not inhibit in vivo lipid peroxidation in humans. , 2002, The Journal of nutrition.

[38]  C. Vlachopoulos,et al.  Pressure-Altering Agents Affect Central Aortic Pressures More Than Is Apparent From Upper Limb Measurements in Hypertensive Patients: The Role of Arterial Wave Reflections , 2001, Hypertension.

[39]  D. Kromhout,et al.  Catechin intake might explain the inverse relation between tea consumption and ischemic heart disease: the Zutphen Elderly Study. , 2001, The American journal of clinical nutrition.

[40]  Azra Mahmud,et al.  Acute Effect of Caffeine on Arterial Stiffness and Aortic Pressure Waveform , 2001, Hypertension.

[41]  J. Keaney,et al.  Short- and Long-Term Black Tea Consumption Reverses Endothelial Dysfunction in Patients With Coronary Artery Disease , 2001, Circulation.

[42]  L. Ghiadoni,et al.  Effect of acute blood pressure reduction on endothelial function in the brachial artery of patients with essential hypertension , 2001, Journal of hypertension.

[43]  J. Laranjinha,et al.  Inhibition of human LDL lipid peroxidation by phenol-rich beverages and their impact on plasma total antioxidant capacity in humans. , 2000, The Journal of nutritional biochemistry.

[44]  Aroon D. Hingorani,et al.  Acute Systemic Inflammation Impairs Endothelium-Dependent Dilatation in Humans , 1999, Circulation.

[45]  R. Leenen,et al.  A single dose of tea with or without milk increases plasma antioxidant activity in humans , 2000, European Journal of Clinical Nutrition.

[46]  M. Beal,et al.  Black tea increases the resistance of human plasma to lipid peroxidation in vitro, but not ex vivo. , 1999, Free radical biology & medicine.

[47]  D. Green,et al.  Improvement in endothelial function by angiotensin-converting enzyme inhibition in non-insulin-dependent diabetes mellitus. , 1999, Journal of the American College of Cardiology.

[48]  O. Raitakari,et al.  Arterial Endothelial Dysfunction Related to Passive Smoking Is Potentially Reversible in Healthy Young Adults , 1999, Annals of Internal Medicine.

[49]  L. Beilin,et al.  Effects on blood pressure of drinking green and black tea. , 1999, Journal of hypertension.

[50]  J. Vinson,et al.  Effect of green and black tea supplementation on lipids, lipid oxidation and fibrinogen in the hamster: mechanisms for the epidemiological benefits of tea drinking , 1998, FEBS letters.

[51]  H. Pijl,et al.  No effect of consumption of green and black tea on plasma lipid and antioxidant levels and on LDL oxidation in smokers. , 1998, Arteriosclerosis, thrombosis, and vascular biology.

[52]  P C Elwood,et al.  Antioxidant flavonols and ischemic heart disease in a Welsh population of men: the Caerphilly Study. , 1997, The American journal of clinical nutrition.

[53]  A. Ferro-Luzzi,et al.  In vivo antioxidant effect of green and black tea in man. , 1996, European journal of clinical nutrition.

[54]  A. Yeung,et al.  Close relation of endothelial function in the human coronary and peripheral circulations. , 1995, Journal of the American College of Cardiology.

[55]  P. Jantzen,et al.  Endothelium‐Dependent Vasorelaxation Caused by Various Plant Extracts , 1995, Journal of cardiovascular pharmacology.

[56]  J. K. Lloyd,et al.  Non-invasive detection of endothelial dysfunction in children and adults at risk of atherosclerosis , 1992, The Lancet.