Coronary artery disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Adult (age >18 years) - Diagnosed with a myocardial infarction (1 to 5 years ago diagnosed) - Body mass index between 20 and 35 kg/m2 - Able to understand, be motivated and follow the study related procedures - Able to understand and give written informed consent
Exclusion criteria
Exclusion criteria: - Myocardial infarction (defined as an increase in cardiac enzymes in combination with symptoms of ischemia or newly developed ischemic ECG changes) in the year prior to screening. - Coronary artery bypass graft surgery or other major (cardiovascular) surgery, stroke or transient ischemic attack (TIA) in the past 6 months days prior to screening. - Use of immunomodulatory drugs - Diabetes Mellitus type I and type II - Medical history of any disease associated with immune deficiency (either congenital or acquired, including chemotherapy, active malignancy, organ transplant) or auto immune disease - Clinically significant infections within 1 months prior to start of or during intervention period or control period (defined as fever >38.5). - Vaccination
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Cytokine production capacity of isolated peripheral blood mononuclear cells (PBMCs) after ex-vivo stimulation with relevant stimuli. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Immune cell composition - Circulating inflammatory markers - Circulating metabolites - Clinical cardiovascular risk factors: body weight, blood pressure, heart rate, BMI - Cardiovascular risk factors in the blood: o before start: renal function (creatinine), glucose, cholesterol (total, HDL-c, LDL-c, triglycerides), and lipoprotein(a), and uric acid measured via venous blood analysis o Before and after the two diet interventions, we will measure glucose and cholesterol values. - In a selection of subjects we will perform RNAsequencing and chromatin immunoprecipition to detect histone modifications. - We will store plasma and serum in -80 C.. | — |
Countries
Netherlands