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| ID | Type | Description | Link |
|---|---|---|---|
| 5P01HL069999 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Heart, Lung, and Blood Institute (NHLBI) | NIH |
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Cardiovascular disease is the leading cause of death in the United States. Other studies have shown that stress, early in life, could be a risk factor for cardiovascular disease, later in life. This study will look at the effect of early life stressors on your cardiovascular health.
This study will have two parts involved to investigate the role that childhood SES status has on cardiovascular health.
Part one: Subjects will give a blood sample which will be processed and analyzed. Flow mediated dilation (FMD) and Pulse wave velocity (PWV/PWA) will be performed at baseline and 2 hours following either a single dose oral antioxidant cocktail (1000 mg of Vitamin C, 600 IU of Vitamin E, and 600 mg of alpha-lipoic acid) or placebo on two days separated by at least 72 hours. Nitroglycerin mediated dilation (NMD, 0.4mg sub-lingual nitroglycerin spray), will be assessed at baseline.
Part two: Subjects, if interested will undergo a subcutaneous gluteal/hip fat biopsy. Micro vessels will be isolated from the adipose tissue and analyzed by pressurized myography for endothelial function and nitric oxide bioavailability.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Antioxidant Cocktail | Experimental | Following an overnight fast, blood samples, flow-mediated dilation, and nitroglycerin mediated dilation (NMD; 0.4mg sub-lingual nitroglycerin spray) will be performed at baseline and 2 hours following either a single dose oral antioxidant cocktail (1000 mg Vitamin C, 600 IU vitamin E, 600 mg Alpha Lipoic Acid) or placebo on two days separated by at least 72 hours. |
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| Biopsy | Other | Following an overnight fast, a subcutaneous gluteal/hip fat biopsy sample will be obtained from each subject under local anesthesia, with adipose tissue (~2x1.5x1.5cm) to be harvested and placed immediately in physiological saline solution (PSS): Small arteries, 100 to 150 um in diameter, will be dissected from the fat under a dissecting microscope, transferred to an arteriographic bath chamber, and cannulated for pressurized myography. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Antioxidant cocktail | Dietary Supplement | Flow-Mediated Dilation will be determined at baseline and 2 hours following acute antioxidant treatment |
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| Measure | Description | Time Frame |
|---|---|---|
| Acute Change in Flow mediated dilation | Flow-Mediated Dilation will be determined at baseline and 2 hours following acute antioxidant treatment | Change from baseline (2 hours) |
| Measure | Description | Time Frame |
|---|---|---|
| Acute Change in Biomarkers of oxidative stress | Nitrite/nitrate, antioxidant capacity, and 8-isoprostane at baseline and 2 hours following acute antioxidant treatment | Change from baseline (2 hours) |
| Acute Change in Arterial Stiffness |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ryan Harris, PhD | Augusta University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Georgia Prevention Institute , Georgia Regents University | Augusta | Georgia | 30912 | United States |
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| ID | Term |
|---|---|
| D002318 | Cardiovascular Diseases |
| D013315 | Stress, Psychological |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D001205 | Ascorbic Acid |
| D014810 | Vitamin E |
| D008063 | Thioctic Acid |
| D001706 | Biopsy |
| D059365 | Nonsense Mediated mRNA Decay |
| ID | Term |
|---|---|
| D013400 | Sugar Acids |
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
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| Biopsy | Other | Under sterile conditions, a small incision (¼ - ½ inch) by the study doctor will be made and the piece of fat will be taken out. Fat tissue was chosen for this study because it is a big source of small blood vessels which we are studying |
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| Placebo | Other | Flow-Mediated Dilation will be determined at baseline and 2 hours following acute antioxidant treatment |
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| NMD; 0.4mg sub-lingual nitroglycerin spray | Drug | Nitroglycerin mediated dilation will be measured immediately following an administered 0.4mg dose of nitroglycerin spray, sub-lingual. |
|
|
Pulse wave velocity will be determined at baseline and 2 hours following acute antioxidant treatment
| Change from baseline (2 hours) |
| Acute change in Flow mediated dilation | Nitroglycerin mediated dilation will be measured immediately following an administered 0.4mg dose of nitroglycerin spray, sub-lingual. | Immediate |
| D006880 |
| Hydroxy Acids |
| D002241 | Carbohydrates |
| D001578 | Benzopyrans |
| D011714 | Pyrans |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D013876 | Thiophenes |
| D013457 | Sulfur Compounds |
| D003067 | Coenzymes |
| D045762 | Enzymes and Coenzymes |
| D005227 | Fatty Acids |
| D008055 | Lipids |
| D003581 | Cytodiagnosis |
| D003584 | Cytological Techniques |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D013048 | Specimen Handling |
| D003949 | Diagnostic Techniques, Surgical |
| D013514 | Surgical Procedures, Operative |
| D008919 | Investigative Techniques |
| D012323 | RNA Processing, Post-Transcriptional |
| D001669 | Biochemical Phenomena |
| D055598 | Chemical Phenomena |
| D020871 | RNA Stability |
| D008660 | Metabolism |
| D005786 | Gene Expression Regulation |
| D055614 | Genetic Phenomena |