Atherosclerosis, Inflammation, Smoking
Conditions
Keywords
endothelial function, atherosclerosis, smoking, inflammation, antioxidant
Brief summary
To test the hypothesis that DM could have anti-inflammatory effect and thus achieve vascular protection effect on heavy smokers.
Detailed description
Dextromethorphan (DM), an ingredient widely used in antitussive remedies, had been reported to reduce the inflammation-mediated degeneration of neurons. We recently found that DM can prevent vascular remodeling and neuron injury in animal models of carotid ligation and cerebral ischemia injuries, respectively. It was believed that its action was through the anti-oxidant and NADPH pathway to protect brain cells. However, the mechanism and actual effect on human vascular protection remained unclear. To test the hypothesis that DM could have anti-inflammatory effect and thus achieve vascular protection effect on heavy smokers, this prospective study will be conducted to treat subjects with heavy smoking history with DM or not and evaluate the anti-inflammatory and the improvement of endothelial function.
Interventions
120 mg/day, single once daily dose taken after breakfast by oral route
Sponsors
Study design
Eligibility
Inclusion criteria
* healthy male volunteers who are currently smoking
Exclusion criteria
* personal history of hypertension or diabetes mellitus * family history with * documented premature cardiovascular events * cardiovascular-associated sudden death * total cholesterol \> 240 mg/dL * triglyceride \> 200 mg/dL * low-density lipoprotein \> 160 mg/dL.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Endothelial function | 1, 2, 3 and 6 month |
Secondary
| Measure | Time frame |
|---|---|
| Surrogate end-points of the study: hs-CRP, sPLA2, matrix metalloproteinase-3, interleukin-6, tumor necrosis factor-alfa receptor II, GSH-Px, and urinary excretion of 8-PGF2alfa | 1, 2, 3 and 6 months |
Countries
Taiwan