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DIET INFLUENCES RISK FACTORS FOR DIABETES-INDUCED CARDIAC DYSFUNCTION

 Melisse Erasmus , Ebrahim Samodien , Carmen Pheiffer , and Rabia Johnson 1,2
                        1,2
 1
 1,2
 1 Biomedical Research and Innovation Platform, South African Medical Research Council. Francie van Zijl drive, Parow Valley, Cape Town, South Africa.
 2 Department of Medical Physiology, Stellenbosch University, Tygerberg campus. Francie van Zijl drive, Tygerberg, Cape Town, South Africa.
 INTRODUCTION:         RESULTS:

 Unhealthy diet is associated with 1 in 5 deaths and is  600  BODY WEIGHT  TOTAL CHOLESTEROL  GENE EXPRESSION  PROTEIN EXPRESSION
 known to increase the risk of cardiovascular disease  5  *  1.5  LOXL2  15  COL1A1
 (CVD). Conversely, polyphenols are known to reduce  500  **  *  4
 cardiovascular risk. Fibrosis, defined as stiffening of the  Body weight (g)  400  Total Cholesterol (mmol/L)  3 2  Fold Change  1.0  10
 heart muscle, has been  300  1  0.5         Fold Change  5
 positively correlated with  200  OB1  OB2  0  0.0
 cardiovascular dysfunction.  CTRL  OB1+GRT  OB2+GRT  CTRL  OB1 OB1+GRT  OB2 OB2+GRT  CTRL  OB1  OB2  0 CTRL  OB1  OB2
 HYPOTHESIS:  OGTT  LDL     OB1+GRT  OB2+GRT         OB1+GRT  OB2+GRT
 #
 Diet composition increases  1000  *  **  2.5  ***  1.5  SMAD2  2.5  SMAD3
 800
 2.0
 the expression of genes  600  1.5  1.0       2.0
 associated  with  cardiac  AUC  400  Serum LDL (mmol/L)  1.0  Fold Change  Fold Change  1.5
                                              1.0
 fibrosis, and AfriplexGRT TM  200 0  0.5  0.5  0.5
 as a therapeutic agent may  CTRL  OB1 OB1+GRT  OB2 OB2+GRT  0.0 CTRL  OB1  OB2  0.0  0.0
 attenuate the expression of  OB1+GRT  OB2+GRT  CTRL  OB1 OB1+GRT  OB2 OB2+GRT  CTRL  OB1 OB1+GRT  OB2 OB2+GRT
 these genes in a high-  TRIGLYCERIDES  SERUM AST/ALT
 sucrose  (OB1)  or  high  2.5  ***  ***  5  ***  2.0  TGFB2  1.5  CTGF
 fat/fructose  (OB2)  diet-  2.0  4  1.5       1.0
 1.5
 induced Wistar rat model.  Triglycerides (mmol/L)  1.0  AST:ALT  3 2  Fold Change  1.0  Fold Change  0.5
 METHODS:  0.5  1 0  0.5                       0.0
                    0.0
 0.0
 RNA &   CTRL  OB1 OB1+GRT  OB2 OB2+GRT  CTRL  OB1 OB1+GRT  OB2 OB2+GRT  CTRL  OB1 OB1+GRT  OB2 OB2+GRT  CTRL  OB1 OB1+GRT  OB2 OB2+GRT
 protein  * p≤0,05, ** p≤0,01, *** p≤0,001  Acknowledgements: BRIP baseline; South African Rooibos Council; National Research Foundation for funding
 expression          CONCLUSION:

 • Triglycerides, LDL and cholesterol are known risk predictors of CVD. OB2 diet increased this risk, that was marginally reduced by AfriplexGRT . A serum
                                                                                     TM
 Serum  AST/ALT ratio <1 is indicative of NAFLD, which directly correlates to CVD. OB2 diet decreased the ratio and thus increased the risk of CVD. However,
 analysis  AfriplexGRT TM  was unable to reverse this.
 • Compare to control, COL1A1, LOXL2 and TGF-β2 were moderately regulated but did not translate into its expressed protein that dictates cell function.
 OB1 = high sucrose/medium fat (35% energy from fat)  AfriplexGRT TM  had no effect. This study showed that the OB2 diet increased non-modifiable risk factor of CVD, which is important for the implementation of
 OB2 = high fat/fructose/cholesterol (67% energy from fat)  mitigation strategies prior to overt symptoms.
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