Skip to main content
Top
Published in: European Journal of Nutrition 4/2007

01-06-2007 | ORIGINAL CONTRIBUTION

Preferential response of glutathione-related enzymes to folate-dependent changes in the redox state of rat liver

Authors: Aurélie Chanson, Edmond Rock, Jean-François Martin, Anne Liotard, Patrick Brachet, PhD

Published in: European Journal of Nutrition | Issue 4/2007

Login to get access

Abstract

Background

Oxidative stress likely constitutes an important contributing factor in the onset of degenerative diseases associated with folate deficiency. Direct, as well as homocysteine-linked, antioxidant properties of folate could explain its preventive effect on these pathologies.

Aim of the study

Our study aimed at determining the changes in the redox status of adult rats as a function of folate intake.

Methods

Adult male rats were pair-fed for 4 weeks with a semi-synthetic diet containing 0, 0.5, 1.5, 8 or 20 mg of folic acid/kg. Folate and homocysteine concentrations, redox status markers and antioxidant enzyme activities were measured in the plasma and/or liver of the rats. A principal component analysis of the overall data was performed to draw a general scheme of the changes observed between the conditions.

Results

Folate deficiency caused increased homocysteinemia and features of oxidative stress including reduced plasma antioxidant capacity together with increased lipid peroxidation in liver and heart. This was associated with an increase in the specific activity of several enzymes involved in liver glutathione metabolism (glutathione peroxidase, glutathione reductase and glutathione S-transferase), suggesting an adaptive tissue response to the oxidative stress induced by folate deficiency. In contrast, no such variation was observed for hepatic superoxide dismutase and catalase.

Conclusion

Despite no changes in hepatic levels of total glutathione, our findings indicate that glutathione-dependent antioxidant pathways could be particularly involved in the compensatory mechanism committed by liver to counteract the oxidative stress induced by folate deficiency. They also suggest that folate supplementation may not be associated with a better antioxidant protection of rats.
Literature
1.
go back to reference Halliwell B, Whiteman M (2004) Measuring reactive species and oxidative damage in vivo and in cell culture: how should you do it and what do the results mean? Br J Pharmacol 142:231–255CrossRefPubMed Halliwell B, Whiteman M (2004) Measuring reactive species and oxidative damage in vivo and in cell culture: how should you do it and what do the results mean? Br J Pharmacol 142:231–255CrossRefPubMed
2.
go back to reference Durand P, Prost M, Blache D (1996) Pro-thrombotic effects of a folic acid deficient diet in rat platelets and macrophages related to elevated homocysteine and decreased n-3 polyunsaturated fatty acids. Atherosclerosis 121:231–243CrossRefPubMed Durand P, Prost M, Blache D (1996) Pro-thrombotic effects of a folic acid deficient diet in rat platelets and macrophages related to elevated homocysteine and decreased n-3 polyunsaturated fatty acids. Atherosclerosis 121:231–243CrossRefPubMed
3.
go back to reference Huang RF, Hsu YC, Lin HL, Yang FL (2001) Folate depletion and elevated plasma homocysteine promote oxidative stress in rat livers. J Nutr 131:33–38PubMed Huang RF, Hsu YC, Lin HL, Yang FL (2001) Folate depletion and elevated plasma homocysteine promote oxidative stress in rat livers. J Nutr 131:33–38PubMed
4.
go back to reference Zhang R, Ma J, Xia M, Zhu H, Ling W (2004) Mild hyperhomocysteinemia induced by feeding rats diets rich in methionine or deficient in folate promotes early atherosclerotic inflammatory processes. J Nutr 134:825–830PubMed Zhang R, Ma J, Xia M, Zhu H, Ling W (2004) Mild hyperhomocysteinemia induced by feeding rats diets rich in methionine or deficient in folate promotes early atherosclerotic inflammatory processes. J Nutr 134:825–830PubMed
5.
go back to reference Diez N, Perez R, Hurtado V, Santidrian S (2005) Hyperhomocysteinaemia induced by dietary folate restriction causes kidney oxidative stress in rats. Br J Nutr 94:204–210CrossRefPubMed Diez N, Perez R, Hurtado V, Santidrian S (2005) Hyperhomocysteinaemia induced by dietary folate restriction causes kidney oxidative stress in rats. Br J Nutr 94:204–210CrossRefPubMed
6.
go back to reference Mason JB (2003) Biomarkers of nutrient exposure and status in one-carbon (methyl) metabolism. J Nutr 133 Suppl 3:941S–947SPubMed Mason JB (2003) Biomarkers of nutrient exposure and status in one-carbon (methyl) metabolism. J Nutr 133 Suppl 3:941S–947SPubMed
7.
go back to reference Eberhardt RT, Forgione MA, Cap A, Leopold JA, Rudd MA, Trolliet M, Heydrick S, Stark R, Klings ES, Moldovan NI, Yaghoubi M, Goldschmidt-Clermont PJ, Farber HW, Cohen R, Loscalzo J (2000) Endothelial dysfunction in a murine model of mild hyperhomocyst(e)inemia. J Clin Invest 106:483–491PubMed Eberhardt RT, Forgione MA, Cap A, Leopold JA, Rudd MA, Trolliet M, Heydrick S, Stark R, Klings ES, Moldovan NI, Yaghoubi M, Goldschmidt-Clermont PJ, Farber HW, Cohen R, Loscalzo J (2000) Endothelial dysfunction in a murine model of mild hyperhomocyst(e)inemia. J Clin Invest 106:483–491PubMed
8.
go back to reference Olszewski AJ, McCully KS (1993) Homocysteine metabolism and the oxidative modification of proteins and lipids. Free Radic Biol Med 14:683–693CrossRefPubMed Olszewski AJ, McCully KS (1993) Homocysteine metabolism and the oxidative modification of proteins and lipids. Free Radic Biol Med 14:683–693CrossRefPubMed
9.
go back to reference Jacobsen DW (2000) Hyperhomocysteinemia and oxidative stress: time for a reality check? Arterioscler Thromb Vasc Biol 20:1182–1184PubMed Jacobsen DW (2000) Hyperhomocysteinemia and oxidative stress: time for a reality check? Arterioscler Thromb Vasc Biol 20:1182–1184PubMed
10.
go back to reference Lentz SR (2005) Mechanisms of homocysteine-induced atherothrombosis. J Thromb Haemost 3:1646–1654CrossRefPubMed Lentz SR (2005) Mechanisms of homocysteine-induced atherothrombosis. J Thromb Haemost 3:1646–1654CrossRefPubMed
11.
go back to reference Siroen MP, Teerlink T, Nijveldt RJ, Prins HA, Richir MC, van Leeuwen PA (2006) The clinical significance of asymmetric dimethylarginine. Annu Rev Nutr 26:203–228CrossRefPubMed Siroen MP, Teerlink T, Nijveldt RJ, Prins HA, Richir MC, van Leeuwen PA (2006) The clinical significance of asymmetric dimethylarginine. Annu Rev Nutr 26:203–228CrossRefPubMed
12.
go back to reference Brachet P, Chanson A, Demigné C, Batifoulier F, Alexandre-Gouabau MC, Tyssandier V, Rock E (2004) Age-associated B vitamin deficiency as a determinant of chronic diseases. Nutr Res Rev 17:55–68CrossRef Brachet P, Chanson A, Demigné C, Batifoulier F, Alexandre-Gouabau MC, Tyssandier V, Rock E (2004) Age-associated B vitamin deficiency as a determinant of chronic diseases. Nutr Res Rev 17:55–68CrossRef
13.
go back to reference Honein MA, Paulozzi LJ, Mathews TJ, Erickson JD, Wong LY (2001) Impact of folic acid fortification of the US food supply on the occurrence of neural tube defects. Jama 285:2981–2986CrossRefPubMed Honein MA, Paulozzi LJ, Mathews TJ, Erickson JD, Wong LY (2001) Impact of folic acid fortification of the US food supply on the occurrence of neural tube defects. Jama 285:2981–2986CrossRefPubMed
14.
go back to reference Verhaar MC, Stroes E, Rabelink TJ (2002) Folates and cardiovascular disease. Arterioscler Thromb Vasc Biol 22:6–13CrossRefPubMed Verhaar MC, Stroes E, Rabelink TJ (2002) Folates and cardiovascular disease. Arterioscler Thromb Vasc Biol 22:6–13CrossRefPubMed
15.
go back to reference Verhaar MC, Wever RM, Kastelein JJ, van Dam T, Koomans HA, Rabelink TJ (1998) 5-methyltetrahydrofolate, the active form of folic acid, restores endothelial function in familial hypercholesterolemia. Circulation 97:237–241PubMed Verhaar MC, Wever RM, Kastelein JJ, van Dam T, Koomans HA, Rabelink TJ (1998) 5-methyltetrahydrofolate, the active form of folic acid, restores endothelial function in familial hypercholesterolemia. Circulation 97:237–241PubMed
16.
go back to reference Doshi SN, McDowell IF, Moat SJ, Lang D, Newcombe RG, Kredan MB, Lewis MJ, Goodfellow J (2001) Folate improves endothelial function in coronary artery disease: an effect mediated by reduction of intracellular superoxide? Arterioscler Thromb Vasc Biol 21:1196–1202PubMed Doshi SN, McDowell IF, Moat SJ, Lang D, Newcombe RG, Kredan MB, Lewis MJ, Goodfellow J (2001) Folate improves endothelial function in coronary artery disease: an effect mediated by reduction of intracellular superoxide? Arterioscler Thromb Vasc Biol 21:1196–1202PubMed
17.
go back to reference Joshi R, Adhikari S, Patro BS, Chattopadhyay S, Mukherjee T (2001) Free radical scavenging behavior of folic acid: evidence for possible antioxidant activity. Free Radic Biol Med 30:1390–1399CrossRefPubMed Joshi R, Adhikari S, Patro BS, Chattopadhyay S, Mukherjee T (2001) Free radical scavenging behavior of folic acid: evidence for possible antioxidant activity. Free Radic Biol Med 30:1390–1399CrossRefPubMed
18.
go back to reference Nakano E, Higgins JA, Powers HJ (2001) Folate protects against oxidative modification of human LDL. Br J Nutr 86:637–639PubMed Nakano E, Higgins JA, Powers HJ (2001) Folate protects against oxidative modification of human LDL. Br J Nutr 86:637–639PubMed
19.
go back to reference Rezk BM, Haenen GR, van der Vijgh WJ, Bast A (2003) Tetrahydrofolate and 5-methyltetrahydrofolate are folates with high antioxidant activity. Identification of the antioxidant pharmacophore. FEBS Lett 555:601–605CrossRefPubMed Rezk BM, Haenen GR, van der Vijgh WJ, Bast A (2003) Tetrahydrofolate and 5-methyltetrahydrofolate are folates with high antioxidant activity. Identification of the antioxidant pharmacophore. FEBS Lett 555:601–605CrossRefPubMed
20.
go back to reference Racek J, Rusnakova H, Trefil L, Siala KK (2005) The influence of folate and antioxidants on homocysteine levels and oxidative stress in patients with hyperlipidemia and hyperhomocysteinemia. Physiol Res 54:87–95PubMed Racek J, Rusnakova H, Trefil L, Siala KK (2005) The influence of folate and antioxidants on homocysteine levels and oxidative stress in patients with hyperlipidemia and hyperhomocysteinemia. Physiol Res 54:87–95PubMed
21.
go back to reference Chanson A, Sayd T, Rock E, Chambon C, Santé-Lhoutellier V, Potier de Courcy G, Brachet P (2005) Proteomic analysis reveals changes in the liver protein pattern of rats exposed to dietary folate deficiency. J Nutr 135:2524–2529PubMed Chanson A, Sayd T, Rock E, Chambon C, Santé-Lhoutellier V, Potier de Courcy G, Brachet P (2005) Proteomic analysis reveals changes in the liver protein pattern of rats exposed to dietary folate deficiency. J Nutr 135:2524–2529PubMed
22.
go back to reference Chango A, Potier De Courcy G, Boisson F, Guilland JC, Barbe F, Perrin MO, Christides JP, Rabhi K, Pfister M, Galan P, Hercberg S, Nicolas JP (2000) 5,10-methylenetetrahydrofolate reductase common mutations, folate status and plasma homocysteine in healthy French adults of the Supplementation en Vitamines et Mineraux Antioxydants (SU.VI.MAX) cohort. Br J Nutr 84:891–896PubMed Chango A, Potier De Courcy G, Boisson F, Guilland JC, Barbe F, Perrin MO, Christides JP, Rabhi K, Pfister M, Galan P, Hercberg S, Nicolas JP (2000) 5,10-methylenetetrahydrofolate reductase common mutations, folate status and plasma homocysteine in healthy French adults of the Supplementation en Vitamines et Mineraux Antioxydants (SU.VI.MAX) cohort. Br J Nutr 84:891–896PubMed
23.
go back to reference Pfeiffer CM, Huff DL, Gunter EW (1999) Rapid and accurate HPLC assay for plasma total homocysteine and cysteine in a clinical laboratory setting. Clin Chem 45:290–292PubMed Pfeiffer CM, Huff DL, Gunter EW (1999) Rapid and accurate HPLC assay for plasma total homocysteine and cysteine in a clinical laboratory setting. Clin Chem 45:290–292PubMed
24.
go back to reference Rayssiguier Y, Gueux E, Bussière L, Durlach J, Mazur A (1993) Dietary magnesium affects susceptibility of lipoproteins and tissues to peroxidation in rats. J Am Coll Nutr 12:133–137PubMed Rayssiguier Y, Gueux E, Bussière L, Durlach J, Mazur A (1993) Dietary magnesium affects susceptibility of lipoproteins and tissues to peroxidation in rats. J Am Coll Nutr 12:133–137PubMed
25.
go back to reference Grolier P, Boirie Y, Levadoux E, Brandolini M, Borel P, Azais-Braesco V, Beaufrère B, Ritz P (2000) Age-related changes in plasma lycopene concentrations, but not in vitamin E, are associated with fat mass. Br J Nutr 84:711–716PubMed Grolier P, Boirie Y, Levadoux E, Brandolini M, Borel P, Azais-Braesco V, Beaufrère B, Ritz P (2000) Age-related changes in plasma lycopene concentrations, but not in vitamin E, are associated with fat mass. Br J Nutr 84:711–716PubMed
26.
go back to reference Benzie IF, Strain JJ (1996) The ferric reducing ability of plasma (FRAP) as a measure of “antioxidant power”: the FRAP assay. Anal Biochem 239:70–76CrossRefPubMed Benzie IF, Strain JJ (1996) The ferric reducing ability of plasma (FRAP) as a measure of “antioxidant power”: the FRAP assay. Anal Biochem 239:70–76CrossRefPubMed
28.
go back to reference Capel F, Buffière C, Patureau Mirand P, Mosoni L (2004) Differential variation of mitochondrial H2O2 release during aging in oxidative and glycolytic muscles in rats. Mech Ageing Dev 125:367–373CrossRefPubMed Capel F, Buffière C, Patureau Mirand P, Mosoni L (2004) Differential variation of mitochondrial H2O2 release during aging in oxidative and glycolytic muscles in rats. Mech Ageing Dev 125:367–373CrossRefPubMed
29.
go back to reference Malmezat T, Breuillé D, Capitan P, Mirand PP, Obled C (2000) Glutathione turnover is increased during the acute phase of sepsis in rats. J Nutr 130:1239–1246PubMed Malmezat T, Breuillé D, Capitan P, Mirand PP, Obled C (2000) Glutathione turnover is increased during the acute phase of sepsis in rats. J Nutr 130:1239–1246PubMed
30.
go back to reference Smith PK, Krohn RI, Hermanson GT, Mallia AK, Gartner FH, Provenzano MD, Fujimoto EK, Goeke NM, Olson BJ, Klenk DC (1985) Measurement of protein using bicinchoninic acid. Anal Biochem 150:76–85CrossRefPubMed Smith PK, Krohn RI, Hermanson GT, Mallia AK, Gartner FH, Provenzano MD, Fujimoto EK, Goeke NM, Olson BJ, Klenk DC (1985) Measurement of protein using bicinchoninic acid. Anal Biochem 150:76–85CrossRefPubMed
31.
go back to reference Varela-Moreiras G, Selhub J (1992) Long-term folate deficiency alters folate content and distribution differentially in rat tissues. J Nutr 122:986–991PubMed Varela-Moreiras G, Selhub J (1992) Long-term folate deficiency alters folate content and distribution differentially in rat tissues. J Nutr 122:986–991PubMed
32.
go back to reference Achon M, Alonso-Aperts E, Varela-Moreiras G (2002) High dietary folate supplementation: effects on diet utilization and methionine metabolism in aged rats. J Nutr Health Aging 6:51–54PubMed Achon M, Alonso-Aperts E, Varela-Moreiras G (2002) High dietary folate supplementation: effects on diet utilization and methionine metabolism in aged rats. J Nutr Health Aging 6:51–54PubMed
33.
go back to reference Roncales M, Achon M, Manzarbeitia F, Maestro de las Casas C, Ramirez C, Varela-Moreiras G, Perez-Miguelsanz J (2004) Folic acid supplementation for 4 weeks affects liver morphology in aged rats. J Nutr 134:1130–1133PubMed Roncales M, Achon M, Manzarbeitia F, Maestro de las Casas C, Ramirez C, Varela-Moreiras G, Perez-Miguelsanz J (2004) Folic acid supplementation for 4 weeks affects liver morphology in aged rats. J Nutr 134:1130–1133PubMed
34.
go back to reference Dalton TP, Chen Y, Schneider SN, Nebert DW, Shertzer HG (2004) Genetically altered mice to evaluate glutathione homeostasis in health and disease. Free Radic Biol Med 37:1511–1526CrossRefPubMed Dalton TP, Chen Y, Schneider SN, Nebert DW, Shertzer HG (2004) Genetically altered mice to evaluate glutathione homeostasis in health and disease. Free Radic Biol Med 37:1511–1526CrossRefPubMed
35.
go back to reference Brigelius-Flohé R (1999) Tissue-specific functions of individual glutathione peroxidases. Free Radic Biol Med 27:951–965CrossRefPubMed Brigelius-Flohé R (1999) Tissue-specific functions of individual glutathione peroxidases. Free Radic Biol Med 27:951–965CrossRefPubMed
36.
go back to reference Johnson F, Giulivi C (2005) Superoxide dismutases and their impact upon human health. Mol Aspects Med 26:340–352CrossRefPubMed Johnson F, Giulivi C (2005) Superoxide dismutases and their impact upon human health. Mol Aspects Med 26:340–352CrossRefPubMed
37.
go back to reference Buettner GR (1993) The pecking order of free radicals and antioxidants: lipid peroxidation, alpha tocopherol and ascorbate. Arch Biochem Biophys 300:535–543CrossRefPubMed Buettner GR (1993) The pecking order of free radicals and antioxidants: lipid peroxidation, alpha tocopherol and ascorbate. Arch Biochem Biophys 300:535–543CrossRefPubMed
38.
go back to reference Gaziano JM (2004) Vitamin E and cardiovascular disease: observational studies. Ann N Y Acad Sci 1031:280–291CrossRefPubMed Gaziano JM (2004) Vitamin E and cardiovascular disease: observational studies. Ann N Y Acad Sci 1031:280–291CrossRefPubMed
39.
go back to reference Therond P, Bonnefont-Rousselot D, Davit-Spraul A, Conti M, Legrand A (2000) Biomarkers of oxidative stress: an analytical approach. Curr Opin Clin Nutr Metab Care 3:373–384CrossRefPubMed Therond P, Bonnefont-Rousselot D, Davit-Spraul A, Conti M, Legrand A (2000) Biomarkers of oxidative stress: an analytical approach. Curr Opin Clin Nutr Metab Care 3:373–384CrossRefPubMed
40.
go back to reference Shea TB, Rogers E, Ashline D, Ortiz D, Sheu MS (2002) Apolipoprotein E deficiency promotes increased oxidative stress and compensatory increases in antioxidants in brain tissue. Free Radic Biol Med 33:1115–1120CrossRefPubMed Shea TB, Rogers E, Ashline D, Ortiz D, Sheu MS (2002) Apolipoprotein E deficiency promotes increased oxidative stress and compensatory increases in antioxidants in brain tissue. Free Radic Biol Med 33:1115–1120CrossRefPubMed
41.
go back to reference Moat SJ, Bonham JR, Cragg RA, Powers HJ (2000) Elevated plasma homocysteine elicits an increase in antioxidant enzyme activity. Free Radic Res 32:171–179CrossRefPubMed Moat SJ, Bonham JR, Cragg RA, Powers HJ (2000) Elevated plasma homocysteine elicits an increase in antioxidant enzyme activity. Free Radic Res 32:171–179CrossRefPubMed
42.
go back to reference Dafre AL, Sies H, Akerboom T (1996) Protein S-thiolation and regulation of microsomal glutathione transferase activity by the glutathione redox couple. Arch Biochem Biophys 332:288–294CrossRefPubMed Dafre AL, Sies H, Akerboom T (1996) Protein S-thiolation and regulation of microsomal glutathione transferase activity by the glutathione redox couple. Arch Biochem Biophys 332:288–294CrossRefPubMed
43.
go back to reference Tchantchou F, Graves M, Ashline D, Morin A, Pimenta A, Ortiz D, Rogers E, Shea TB (2004) Increased transcription and activity of glutathione synthase in response to deficiencies in folate, vitamin E, and apolipoprotein E. J Neurosci Res 75:508–515CrossRefPubMed Tchantchou F, Graves M, Ashline D, Morin A, Pimenta A, Ortiz D, Rogers E, Shea TB (2004) Increased transcription and activity of glutathione synthase in response to deficiencies in folate, vitamin E, and apolipoprotein E. J Neurosci Res 75:508–515CrossRefPubMed
44.
go back to reference Mosharov E, Cranford MR, Banerjee R (2000) The quantitatively important relationship between homocysteine metabolism and glutathione synthesis by the transsulfuration pathway and its regulation by redox changes. Biochemistry 39:13005–13011CrossRefPubMed Mosharov E, Cranford MR, Banerjee R (2000) The quantitatively important relationship between homocysteine metabolism and glutathione synthesis by the transsulfuration pathway and its regulation by redox changes. Biochemistry 39:13005–13011CrossRefPubMed
45.
go back to reference Shea TB, Rogers E, Ashline D, Ortiz D, Duarte N, Wilson TO, Nicolosi RJ, Sheu MS (2003) Vitamin E deficiency does not induce compensatory antioxidant increases in central nervous system tissue of apolipoprotein E-deficient mice. J Alzheimers Dis 5:9–14PubMed Shea TB, Rogers E, Ashline D, Ortiz D, Duarte N, Wilson TO, Nicolosi RJ, Sheu MS (2003) Vitamin E deficiency does not induce compensatory antioxidant increases in central nervous system tissue of apolipoprotein E-deficient mice. J Alzheimers Dis 5:9–14PubMed
46.
go back to reference Rock E, Astier C, Lab C, Malpuech C, Nowacki W, Gueux E, Mazur A, Rayssiguier Y (1995) Magnesium deficiency in rats induces a rise in plasma nitric oxide. Magnes Res 8:237–242PubMed Rock E, Astier C, Lab C, Malpuech C, Nowacki W, Gueux E, Mazur A, Rayssiguier Y (1995) Magnesium deficiency in rats induces a rise in plasma nitric oxide. Magnes Res 8:237–242PubMed
47.
go back to reference Weiss N, Zhang YY, Heydrick S, Bierl C, Loscalzo J (2001) Overexpression of cellular glutathione peroxidase rescues homocyst(e)ine-induced endothelial dysfunction. Proc Natl Acad Sci U S A 98:12503–12508CrossRefADSPubMed Weiss N, Zhang YY, Heydrick S, Bierl C, Loscalzo J (2001) Overexpression of cellular glutathione peroxidase rescues homocyst(e)ine-induced endothelial dysfunction. Proc Natl Acad Sci U S A 98:12503–12508CrossRefADSPubMed
48.
go back to reference Chern CL, Huang RF, Chen YH, Cheng JT, Liu TZ (2001) Folate deficiency-induced oxidative stress and apoptosis are mediated via homocysteine-dependent overproduction of hydrogen peroxide and enhanced activation of NF-kappaB in human Hep G2 cells. Biomed Pharmacother 55:434–442CrossRefPubMed Chern CL, Huang RF, Chen YH, Cheng JT, Liu TZ (2001) Folate deficiency-induced oxidative stress and apoptosis are mediated via homocysteine-dependent overproduction of hydrogen peroxide and enhanced activation of NF-kappaB in human Hep G2 cells. Biomed Pharmacother 55:434–442CrossRefPubMed
Metadata
Title
Preferential response of glutathione-related enzymes to folate-dependent changes in the redox state of rat liver
Authors
Aurélie Chanson
Edmond Rock
Jean-François Martin
Anne Liotard
Patrick Brachet, PhD
Publication date
01-06-2007
Publisher
Steinkopff-Verlag
Published in
European Journal of Nutrition / Issue 4/2007
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-007-0651-1

Other articles of this Issue 4/2007

European Journal of Nutrition 4/2007 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.