Low HDL Cholesterol
Conditions
Brief summary
The effect of fibrates on high density lipoprotein (HDL)-cholesterol levels is suggested to be mediated by its binding to peroxisome proliferator-activated receptor-g (PPARg). Upon ligand binding, PPARg heterodimerizes with the 9-cis retinoic acid receptor (RXR), and the heterodimer regulates gene expression. We assessed the hypothesis that a dual treatment with fibrate plus 9-cis b-carotene-rich powder of the alga Dunaliella bardawil, as a source of 9-cis retinoic acid, would improve the drug's effect on HDL-cholesterol levels. patients with plasma HDL-cholesterol levels below 40 mg/dl and triglyceride (TG) levels above 200 mg/dl after fibrate treatment (for at least 6 weeks). are given four capsules of Dunaliella, providing 60 mg b-carotene/day. The all-trans to 9-cis b-carotene ratio in the capsules is about 1:1.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* age 18-70 years * Fibrate treatment (for at least 6 weeks) * HDL-Cholesterol lower than 40mg/dl. * Triglyceride over 150mg/dl.
Exclusion criteria
* High CPK. * Elevated liver functions. * Active CHD. * Smokers. * Diabetes patients treated with Insulin or Avandia. HbA1C great than 8.5.