PMID- 27424010 OWN - NLM STAT- MEDLINE DCOM- 20170117 LR - 20181202 IS - 1735-9694 (Electronic) IS - 0044-6025 (Linking) VI - 54 IP - 7 DP - 2016 Jul TI - Effects of DHA Supplementation on Vascular Function, Telomerase Activity in PBMC, Expression of Inflammatory Cytokines, and PPARgamma-LXRalpha-ABCA1 Pathway in Patients With Type 2 Diabetes Mellitus: Study Protocol for Randomized Controlled Clinical Trial. PG - 410-7 AB - Docosahexaenoic acid (DHA), as an omega-3 fatty acid, in a natural ligand of peroxisome proliferator-activated receptors (PPARs). Regarding the combinative effects of Nutrigenomics and Nutrigenetics and due to the lack of in vivo studies conducted using natural ligands of PPARs, we aimed to evaluate the effects of DHA supplementation on vascular function, telomerase activity, and PPARgamma-LXRalpha-ABCA1 pathway, in patients with type 2 diabetes mellitus (T2DM), based on the Pro12Ala polymorphism in PPARgamma encoding gene. 72 T2DM patients (36 dominant and 36 recessive allele carriers), aged 30-70, with body mass index of 18.5 to 35 kg/m2, will be participated in this double blind randomized controlled trial. In each group, stratification will be performed based on sex and age and participants will be randomly assigned to receive 2.4 g/day DHA or placebo (paraffin) for 8 weeks. PPARgamma genotyping will be carried out using PCR-RFLP method; Telomerase activity will be estimated by PCR-ELISA TRAP assay; mRNA expression levels of target genes will be assessed using real time PCR. Serum levels of ADMA, sCD163 and adiponectin, will be measured using ELISA commercial kits. The present study is designed in order to help T2DM patients to modify their health conditions based on their genetic backgrounds, and to recommend the proper food ingredients as the natural agonists for PPARs in order to prevent and treat metabolic abnormalities of the disease. FAU - Toupchian, Omid AU - Toupchian O AD - Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. FAU - Sotoudeh, Gity AU - Sotoudeh G AD - Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. FAU - Mansoori, Anahita AU - Mansoori A AD - Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. AND Nutrition and Metabolic Diseases Research Center, Jundishapur University of Medical Sciences, Ahvaz, Iran. FAU - Djalali, Mahmoud AU - Djalali M AD - Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. FAU - Keshavarz, Seyyed Ali AU - Keshavarz SA AD - Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. FAU - Nasli-Esfahani, Ensieh AU - Nasli-Esfahani E AD - Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran. FAU - Alvandi, Ehsan AU - Alvandi E AD - Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. FAU - Koohdani, Fariba AU - Koohdani F AD - Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. AND Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran. LA - eng PT - Journal Article PT - Randomized Controlled Trial PL - Iran TA - Acta Med Iran JT - Acta medica Iranica JID - 14540050R RN - 0 (ABCA1 protein, human) RN - 0 (ATP Binding Cassette Transporter 1) RN - 0 (Cytokines) RN - 0 (Liver X Receptors) RN - 0 (PPAR gamma) RN - 25167-62-8 (Docosahexaenoic Acids) RN - EC 2.7.7.49 (Telomerase) SB - IM MH - ATP Binding Cassette Transporter 1/metabolism MH - Adult MH - Aged MH - Cytokines/*metabolism MH - Diabetes Mellitus, Type 2/*drug therapy/physiopathology MH - Docosahexaenoic Acids/*pharmacology MH - Double-Blind Method MH - Female MH - Genotype MH - Humans MH - Liver X Receptors/metabolism MH - Male MH - Middle Aged MH - PPAR gamma/metabolism MH - Polymerase Chain Reaction MH - Polymorphism, Genetic MH - Polymorphism, Restriction Fragment Length MH - Signal Transduction/*drug effects MH - Telomerase/*drug effects OTO - NOTNLM OT - ADMA OT - Docosahexaenoic acid OT - Telomerase activity OT - Type 2 diabetes mellitus OT - sCD163 EDAT- 2016/07/18 06:00 MHDA- 2017/01/18 06:00 CRDT- 2016/07/18 06:00 PHST- 2016/07/09 00:00 [accepted] PHST- 2016/07/18 06:00 [entrez] PHST- 2016/07/18 06:00 [pubmed] PHST- 2017/01/18 06:00 [medline] PST - ppublish SO - Acta Med Iran. 2016 Jul;54(7):410-7.