PMID- 25709792 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20150224 LR - 20220408 IS - 2008-7802 (Print) IS - 2008-8213 (Electronic) IS - 2008-7802 (Linking) VI - 5 IP - 12 DP - 2014 Dec TI - Effect of conjugated linoleic Acid, vitamin e, alone or combined on immunity and inflammatory parameters in adults with active rheumatoid arthritis: a randomized controlled trial. PG - 1567-77 AB - BACKGROUND: Little information about the effects of conjugated linoleic acids (CLAs) on inflammation and immune function in humans is available. This study investigated the effects of CLAs, with and without Vitamin E on immunity and inflammatory parameters in adults with active rheumatoid arthritis (RA). METHODS: In a double-blind clinical trial, 78 patients were randomly divided into four groups, each group receiving one of the following daily supplement for 3 months; group C: 2.5 g CLAs, group E: 400 mg Vitamin E, group CE: CLAs plus Vitamin E, group P: Placebo. Cytokines, matrix metalloproteinase 3 (MMP-3) and citrullinated antibody (CCP-A) were measured by ELISA method and Vitamin E by high-performance liquid chromatography. RESULTS: Consider statistical methods there were no significant differences between groups in cytokines interleukin-2 (IL-2), IL-4, tumor necrosis factor-alpha (TNF-alpha), IL-1beta, IL-2/IL-4, CCP-A white blood cells and neutrophils, lymphocyte, monocytes, and eosinophils numbers. TNF-alpha decreased in all groups, but its reduction was significant in group CE. IL-1beta increased in groups P (P = 0.004) and E (P = 0.041) but the difference between group P and CE was significant. IL-4 decreased in groups C, CE and E (P = 0.03, P = 0.03, P = 0.07 respectively). IL2 did not change significantly within groups. CCP-A increased in groups P (P = 0.035) and E (P = 0.05), while it decreased in groups CE (P = 0.034). CCP-A and MMP-3 decrease were significant between groups P and CE. MMP-3 reduction was significant in group CE. CONCLUSIONS: Co-supplementation CLAs and Vitamin E may be effective in the level of inflammatory markers in RA patients. FAU - Aryaeian, Naheed AU - Aryaeian N AD - Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. FAU - Djalali, Mahmoud AU - Djalali M AD - Department of Cellular and Molecular Nutrition, School of Nutrition and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. FAU - Shahram, Farhad AU - Shahram F AD - Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Iran. FAU - Djazayery, Abolghassem AU - Djazayery A AD - Department of Public Nutrition, School of Nutrition and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. FAU - Eshragian, Mohammad Reza AU - Eshragian MR AD - Department of Biostatistics and Epidemiology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. LA - eng PT - Journal Article PL - Iran TA - Int J Prev Med JT - International journal of preventive medicine JID - 101535380 PMC - PMC4336987 OTO - NOTNLM OT - Conjugated linoleic acids OT - Vitamin E OT - immunity OT - inflammatory markers OT - rheumatoid arthritis COIS- Conflict of Interest: None declared. EDAT- 2015/02/25 06:00 MHDA- 2015/02/25 06:01 PMCR- 2014/12/01 CRDT- 2015/02/25 06:00 PHST- 2013/09/25 00:00 [received] PHST- 2014/10/21 00:00 [accepted] PHST- 2015/02/25 06:00 [entrez] PHST- 2015/02/25 06:00 [pubmed] PHST- 2015/02/25 06:01 [medline] PHST- 2014/12/01 00:00 [pmc-release] AID - IJPVM-5-1567 [pii] PST - ppublish SO - Int J Prev Med. 2014 Dec;5(12):1567-77.