title: Prolonged, low dose alpha-tocopherol therapy counteracts intercellular cell adhesion molecule-1 activation.
abstract: BACKGROUND
  Up-regulation of ICAM-1 at the vascular endothelial level is one of the most important promoters in the slow progression of a healthy vessel to an atherosclerotic one. The current study aimed to evaluate whether low dose of the antioxidant alpha-tocopherol affects the circulating soluble (s) ICAM-1 in healthy subjects.
  
  
  METHODS
  Either alpha-tocopherol E (50 I.U./day) or placebo was randomly, double-blindly given to 39 healthy male volunteers (mean age 41.6+/-5.9 years) over a period of 20 weeks.
  
  
  RESULTS
  At the baseline, sICAM-1 levels were inversely correlated with alpha-tocopherol concentrations (r=-0.525, p<0.0001). Twenty weeks of alpha-tocopherol supplementation (n=20 subjects) significantly decreased the circulating sICAM-1 levels (from 149.2+/-18.4 to 131.5+/-17.2 microg l(-1), p<0.004) while it increased the alpha-tocopherol concentrations (from 25.8+/-5.0 to 31.2+/-5.7 micromol l(-1), p<0.003). No significant changes in plasma sICAM-1 and alpha-tocopherol levels were observed in placebo-treated subjects (n=19). In actively treated subjects, changes in circulating sICAM-1 were inversely correlated with changes in alpha-tocopherol concentrations (r=-0.597, p=0.005).
  
  
  CONCLUSIONS
  Plasma sICAM-1 concentrations are stable in healthy subjects over a period of 20 weeks while they significantly decreased with low dose of alpha-tocopherol. Thus, antioxidant vitamins are likely to counteract with endothelial changes that could potentially trigger the atherogenetic process.
authors: Department of Internal Medicine and Public Health, University of L'Aquila, Blocco 11-Via Vetoio, 67100 Coppito, Aquila, Italy. gbdesi@iol.it
authors: Giovambattista
authors: G
authors: Desideri
authors: Giuseppe
authors: G
authors: Croce
authors: Maria Contina
authors: MC
authors: Marinucci
authors: Pier Giorgio
authors: PG
authors: Masci
authors: Massimo
authors: M
authors: Stati
authors: Letizia
authors: L
authors: Valeri
authors: Anna
authors: A
authors: Santucci
authors: Claudio
authors: C
authors: Ferri
mesh_terms: D000328:Adult; D001161:Arteriosclerosis / Q000209:etiology; D006801:Humans; D018799:Intercellular Adhesion Molecule-1 / Q000097:blood*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D024502:alpha-Tocopherol / Q000008:administration & dosage* / Q000009:adverse effects / Q000494:pharmacology*
chemical_list: D018799:Intercellular Adhesion Molecule-1; D024502:alpha-Tocopherol