The effects of coenzyme Q10 supplementation on biomarkers of inflammation and oxidative stress in among coronary artery disease: a systematic review and meta-analysis of randomized controlled trials

Objective Systemic inflammation and oxidative stress significantly contribute in developing coronary artery disease (CAD). This systematic review and meta-analysis was aimed to determine the effects of coenzyme Q10 (CoQ10) supplementation on biomarkers of inflammation and oxidative stress among pati...

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Veröffentlicht in:Inflammopharmacology 2019-04, Vol.27 (2), p.233-248
Hauptverfasser: Jorat, Mohammad Vahid, Tabrizi, Reza, Kolahdooz, Fariba, Akbari, Maryam, Salami, Maryamalsadat, Heydari, Seyed Taghi, Asemi, Zatollah
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container_end_page 248
container_issue 2
container_start_page 233
container_title Inflammopharmacology
container_volume 27
creator Jorat, Mohammad Vahid
Tabrizi, Reza
Kolahdooz, Fariba
Akbari, Maryam
Salami, Maryamalsadat
Heydari, Seyed Taghi
Asemi, Zatollah
description Objective Systemic inflammation and oxidative stress significantly contribute in developing coronary artery disease (CAD). This systematic review and meta-analysis was aimed to determine the effects of coenzyme Q10 (CoQ10) supplementation on biomarkers of inflammation and oxidative stress among patients with CAD. Methods The electronic databases including MEDLINE, EMBASE, Scopus, Web of Science, and Cochrane Library databases were systematically searched until Oct 2018. The quality assessment and heterogeneity of the selected randomized clinical Trials (RCTs) were examined using the Cochrane Collaboration risk of bias tool, and Q and I 2 tests, respectively. Given the presence of heterogeneity, random-effects model or fixed-effect model were used to pool standardized mean differences (SMDs) as summary effect sizes. Results A total of 13 clinical RCTs of 912 potential citations were found to be eligible for the current meta-analysis. The pooled findings for biomarkers of inflammation and oxidative stress demonstrated that CoQ10 supplementation significantly increased superoxide dismutase (SOD) (SMD 2.63; 95% CI, 1.17, 4.09, P  
doi_str_mv 10.1007/s10787-019-00572-x
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This systematic review and meta-analysis was aimed to determine the effects of coenzyme Q10 (CoQ10) supplementation on biomarkers of inflammation and oxidative stress among patients with CAD. Methods The electronic databases including MEDLINE, EMBASE, Scopus, Web of Science, and Cochrane Library databases were systematically searched until Oct 2018. The quality assessment and heterogeneity of the selected randomized clinical Trials (RCTs) were examined using the Cochrane Collaboration risk of bias tool, and Q and I 2 tests, respectively. Given the presence of heterogeneity, random-effects model or fixed-effect model were used to pool standardized mean differences (SMDs) as summary effect sizes. Results A total of 13 clinical RCTs of 912 potential citations were found to be eligible for the current meta-analysis. The pooled findings for biomarkers of inflammation and oxidative stress demonstrated that CoQ10 supplementation significantly increased superoxide dismutase (SOD) (SMD 2.63; 95% CI, 1.17, 4.09, P  &lt; 0.001; I 2  = 94.5%) and catalase (CAT) levels (SMD 1.00; 95% CI, 0.57, 1.43, P  &lt; 0.001; I 2  = 24.5%), and significantly reduced malondialdehyde (MDA) (SMD − 4.29; 95% CI − 6.72, − 1.86, P  = 0.001; I 2  = 97.6%) and diene levels (SMD − 2.40; 95% CI − 3.11, − 1.68, P  &lt; 0.001; I 2  = 72.6%). We did not observe any significant effect of CoQ10 supplementation on C-reactive protein (CRP) (SMD − 0.62; 95% CI − 1.31, 0.08, P  = 0.08; I 2  = 87.9%), tumor necrosis factor alpha (TNF-α) (SMD 0.22; 95% CI − 1.07, 1.51, P  = 0.73; I 2  = 89.7%), interleukin-6 (IL-6) (SMD − 1.63; 95% CI − 3.43, 0.17, P  = 0.07; I 2  = 95.2%), and glutathione peroxidase (GPx) levels (SMD 0.14; 95% CI − 0.77, 1.04, P  = 0.76; I 2  = 78.7%). Conclusions Overall, this meta-analysis demonstrated CoQ10 supplementation increased SOD and CAT, and decreased MDA and diene levels, but did not affect CRP, TNF-α, IL-6, and GPx levels among patients with CAD.</description><identifier>ISSN: 0925-4692</identifier><identifier>EISSN: 1568-5608</identifier><identifier>DOI: 10.1007/s10787-019-00572-x</identifier><identifier>PMID: 30758695</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Allergology ; Animals ; Biomarkers - metabolism ; Biomedical and Life Sciences ; Biomedicine ; Coronary Artery Disease - metabolism ; Dermatology ; Dietary Supplements ; Gastroenterology ; Humans ; Immunology ; Inflammation - metabolism ; Oxidative Stress - drug effects ; Pharmacology/Toxicology ; Randomized Controlled Trials as Topic ; Review Article ; Rheumatology ; Ubiquinone - analogs &amp; derivatives ; Ubiquinone - pharmacology</subject><ispartof>Inflammopharmacology, 2019-04, Vol.27 (2), p.233-248</ispartof><rights>Springer Nature Switzerland AG 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-622beba3886f1c5a9773b230c6c7164e89d081e5dd17f1c44fbfd610ca8ebd023</citedby><cites>FETCH-LOGICAL-c347t-622beba3886f1c5a9773b230c6c7164e89d081e5dd17f1c44fbfd610ca8ebd023</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10787-019-00572-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10787-019-00572-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30758695$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jorat, Mohammad Vahid</creatorcontrib><creatorcontrib>Tabrizi, Reza</creatorcontrib><creatorcontrib>Kolahdooz, Fariba</creatorcontrib><creatorcontrib>Akbari, Maryam</creatorcontrib><creatorcontrib>Salami, Maryamalsadat</creatorcontrib><creatorcontrib>Heydari, Seyed Taghi</creatorcontrib><creatorcontrib>Asemi, Zatollah</creatorcontrib><title>The effects of coenzyme Q10 supplementation on biomarkers of inflammation and oxidative stress in among coronary artery disease: a systematic review and meta-analysis of randomized controlled trials</title><title>Inflammopharmacology</title><addtitle>Inflammopharmacol</addtitle><addtitle>Inflammopharmacology</addtitle><description>Objective Systemic inflammation and oxidative stress significantly contribute in developing coronary artery disease (CAD). This systematic review and meta-analysis was aimed to determine the effects of coenzyme Q10 (CoQ10) supplementation on biomarkers of inflammation and oxidative stress among patients with CAD. Methods The electronic databases including MEDLINE, EMBASE, Scopus, Web of Science, and Cochrane Library databases were systematically searched until Oct 2018. The quality assessment and heterogeneity of the selected randomized clinical Trials (RCTs) were examined using the Cochrane Collaboration risk of bias tool, and Q and I 2 tests, respectively. Given the presence of heterogeneity, random-effects model or fixed-effect model were used to pool standardized mean differences (SMDs) as summary effect sizes. Results A total of 13 clinical RCTs of 912 potential citations were found to be eligible for the current meta-analysis. The pooled findings for biomarkers of inflammation and oxidative stress demonstrated that CoQ10 supplementation significantly increased superoxide dismutase (SOD) (SMD 2.63; 95% CI, 1.17, 4.09, P  &lt; 0.001; I 2  = 94.5%) and catalase (CAT) levels (SMD 1.00; 95% CI, 0.57, 1.43, P  &lt; 0.001; I 2  = 24.5%), and significantly reduced malondialdehyde (MDA) (SMD − 4.29; 95% CI − 6.72, − 1.86, P  = 0.001; I 2  = 97.6%) and diene levels (SMD − 2.40; 95% CI − 3.11, − 1.68, P  &lt; 0.001; I 2  = 72.6%). We did not observe any significant effect of CoQ10 supplementation on C-reactive protein (CRP) (SMD − 0.62; 95% CI − 1.31, 0.08, P  = 0.08; I 2  = 87.9%), tumor necrosis factor alpha (TNF-α) (SMD 0.22; 95% CI − 1.07, 1.51, P  = 0.73; I 2  = 89.7%), interleukin-6 (IL-6) (SMD − 1.63; 95% CI − 3.43, 0.17, P  = 0.07; I 2  = 95.2%), and glutathione peroxidase (GPx) levels (SMD 0.14; 95% CI − 0.77, 1.04, P  = 0.76; I 2  = 78.7%). Conclusions Overall, this meta-analysis demonstrated CoQ10 supplementation increased SOD and CAT, and decreased MDA and diene levels, but did not affect CRP, TNF-α, IL-6, and GPx levels among patients with CAD.</description><subject>Allergology</subject><subject>Animals</subject><subject>Biomarkers - metabolism</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Coronary Artery Disease - metabolism</subject><subject>Dermatology</subject><subject>Dietary Supplements</subject><subject>Gastroenterology</subject><subject>Humans</subject><subject>Immunology</subject><subject>Inflammation - metabolism</subject><subject>Oxidative Stress - drug effects</subject><subject>Pharmacology/Toxicology</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Review Article</subject><subject>Rheumatology</subject><subject>Ubiquinone - analogs &amp; derivatives</subject><subject>Ubiquinone - pharmacology</subject><issn>0925-4692</issn><issn>1568-5608</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctu1TAQhi0EoqeFF2CBvGSTMnYSO2GHKm5SJYRU1pHjTIpLYh88TnvSB-S5cE8KSyRL48s3n6X5GXsl4FwA6LckQDe6ANEWALWWxeEJ24laNUWtoHnKdtDKuqhUK0_YKdENACit2ufspARdN6qtd-z31Q_kOI5oE_EwchvQ368z8m8COC37_YQz-mSSC57n1bswm_gT45F2fpzMPG-vxg88HNyQT7fIKUUkygQ3c_DXWRyDN3HlJibMZXCEhvAdN5xWSvggsTzircO7o2rGZArjzbSSO34W822Y3T0OWeZTDNOUtyk6M9EL9mzMBV8-1jP2_eOHq4vPxeXXT18u3l8Wtqx0KpSUPfambBo1ClubVuuylyVYZbVQFTbtAI3AehiEzkBVjf04KAHWNNgPIMsz9mbz7mP4tSClbnZkcZqMx7BQJ6WoAao834zKDbUxEEUcu310eXZrJ6B7yK_b8utyft0xv-6Qm14_-pd-xuFfy9_AMlBuAOUnf42xuwlLzFOi_2n_AHZXrNA</recordid><startdate>20190401</startdate><enddate>20190401</enddate><creator>Jorat, Mohammad Vahid</creator><creator>Tabrizi, Reza</creator><creator>Kolahdooz, Fariba</creator><creator>Akbari, Maryam</creator><creator>Salami, Maryamalsadat</creator><creator>Heydari, Seyed Taghi</creator><creator>Asemi, Zatollah</creator><general>Springer International Publishing</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20190401</creationdate><title>The effects of coenzyme Q10 supplementation on biomarkers of inflammation and oxidative stress in among coronary artery disease: a systematic review and meta-analysis of randomized controlled trials</title><author>Jorat, Mohammad Vahid ; 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derivatives</topic><topic>Ubiquinone - pharmacology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jorat, Mohammad Vahid</creatorcontrib><creatorcontrib>Tabrizi, Reza</creatorcontrib><creatorcontrib>Kolahdooz, Fariba</creatorcontrib><creatorcontrib>Akbari, Maryam</creatorcontrib><creatorcontrib>Salami, Maryamalsadat</creatorcontrib><creatorcontrib>Heydari, Seyed Taghi</creatorcontrib><creatorcontrib>Asemi, Zatollah</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Inflammopharmacology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jorat, Mohammad Vahid</au><au>Tabrizi, Reza</au><au>Kolahdooz, Fariba</au><au>Akbari, Maryam</au><au>Salami, Maryamalsadat</au><au>Heydari, Seyed Taghi</au><au>Asemi, Zatollah</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effects of coenzyme Q10 supplementation on biomarkers of inflammation and oxidative stress in among coronary artery disease: a systematic review and meta-analysis of randomized controlled trials</atitle><jtitle>Inflammopharmacology</jtitle><stitle>Inflammopharmacol</stitle><addtitle>Inflammopharmacology</addtitle><date>2019-04-01</date><risdate>2019</risdate><volume>27</volume><issue>2</issue><spage>233</spage><epage>248</epage><pages>233-248</pages><issn>0925-4692</issn><eissn>1568-5608</eissn><abstract>Objective Systemic inflammation and oxidative stress significantly contribute in developing coronary artery disease (CAD). This systematic review and meta-analysis was aimed to determine the effects of coenzyme Q10 (CoQ10) supplementation on biomarkers of inflammation and oxidative stress among patients with CAD. Methods The electronic databases including MEDLINE, EMBASE, Scopus, Web of Science, and Cochrane Library databases were systematically searched until Oct 2018. The quality assessment and heterogeneity of the selected randomized clinical Trials (RCTs) were examined using the Cochrane Collaboration risk of bias tool, and Q and I 2 tests, respectively. Given the presence of heterogeneity, random-effects model or fixed-effect model were used to pool standardized mean differences (SMDs) as summary effect sizes. Results A total of 13 clinical RCTs of 912 potential citations were found to be eligible for the current meta-analysis. The pooled findings for biomarkers of inflammation and oxidative stress demonstrated that CoQ10 supplementation significantly increased superoxide dismutase (SOD) (SMD 2.63; 95% CI, 1.17, 4.09, P  &lt; 0.001; I 2  = 94.5%) and catalase (CAT) levels (SMD 1.00; 95% CI, 0.57, 1.43, P  &lt; 0.001; I 2  = 24.5%), and significantly reduced malondialdehyde (MDA) (SMD − 4.29; 95% CI − 6.72, − 1.86, P  = 0.001; I 2  = 97.6%) and diene levels (SMD − 2.40; 95% CI − 3.11, − 1.68, P  &lt; 0.001; I 2  = 72.6%). We did not observe any significant effect of CoQ10 supplementation on C-reactive protein (CRP) (SMD − 0.62; 95% CI − 1.31, 0.08, P  = 0.08; I 2  = 87.9%), tumor necrosis factor alpha (TNF-α) (SMD 0.22; 95% CI − 1.07, 1.51, P  = 0.73; I 2  = 89.7%), interleukin-6 (IL-6) (SMD − 1.63; 95% CI − 3.43, 0.17, P  = 0.07; I 2  = 95.2%), and glutathione peroxidase (GPx) levels (SMD 0.14; 95% CI − 0.77, 1.04, P  = 0.76; I 2  = 78.7%). Conclusions Overall, this meta-analysis demonstrated CoQ10 supplementation increased SOD and CAT, and decreased MDA and diene levels, but did not affect CRP, TNF-α, IL-6, and GPx levels among patients with CAD.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>30758695</pmid><doi>10.1007/s10787-019-00572-x</doi><tpages>16</tpages></addata></record>
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subjects Allergology
Animals
Biomarkers - metabolism
Biomedical and Life Sciences
Biomedicine
Coronary Artery Disease - metabolism
Dermatology
Dietary Supplements
Gastroenterology
Humans
Immunology
Inflammation - metabolism
Oxidative Stress - drug effects
Pharmacology/Toxicology
Randomized Controlled Trials as Topic
Review Article
Rheumatology
Ubiquinone - analogs & derivatives
Ubiquinone - pharmacology
title The effects of coenzyme Q10 supplementation on biomarkers of inflammation and oxidative stress in among coronary artery disease: a systematic review and meta-analysis of randomized controlled trials
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