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Vitamins 'increase cholesterol'
Vitamins could actually increase levels of "bad
cholesterol", researchers have suggested.
It had been thought that vitamins could protect the heart.
But New York University researchers found vitamins including
E, C and beta carotene stop the liver breaking down an early
form of bad cholesterol.
Writing in the Journal of Clinical Investigation, the
researchers say their findings mean they cannot recommend
that people use the vitamins.
The vitamins are antioxidants, thought to be beneficial
because they attack free radicals, produced when the
body fights infection, which inflict damage on the
body's tissues.
But studies carried out by the researchers at the
university's school of medicine found that antioxidants
actually hampered the body's fight against damaging
cholesterol.
Normally, liver cells break down a key protein in harmful
lipoproteins such as VLDL (very low density lipoprotein)
which means they cannot be converted into a form of LDL that
can enter the bloodstream.
However, in laboratory tests, the New York researchers found
vitamin E, C and beta carotene prevented this process taking
place in liver cells.
Further tests in mice and rat livers showed vitamin E
prevented this "breakdown" process taking place, meaning the
liver destroyed fewer lipoproteins.
Dr Edward Fisher, director of the Lipid Treatment & Research
Center at the NYU Medical Center, said: "Our study is the
first to document this association between antioxidant
vitamins and VLDL cholesterol.
"It does appear that antioxidant vitamins may be
potentially harmful for the heart based on their ability to
increase the secretion of VLDL in the liver cells and in
the mice that we studied."
But he added: "More studies are needed to back up our
findings. Until more data becomes available, we can't make
any recommendations about whether people should not use
these vitamins."
However he said there was evidence from other animal studies
that antioxidants could have beneficial effects on other
parts of the body, such as protecting the arteries from
atherosclerosis and the pancreas and other organs from
damage caused by diabetes.
Writing in the journal, Dr Ronald Krauss of Children's
Hospital Oakland Research Institute in California, added
that, although there was "considerable" evidence for the
benefits of antioxidants, "the potential for unintended
outcomes of oxidant therapy should serve as a warning
against proceeding with such treatment in the absence of clinical-
trial evidence of benefit and safety".
Belinda Linden, head of Medical Information at the British
Heart Foundation (BHF), told BBC News Online: "Most
research tends to suggest that supplementation with
antioxidant vitamins, although not beneficial, does not
lead to undue harm.
"Before any clear conclusions can be drawn from this study
we would await the results of larger randomized controlled
clinical trials."