Antihypertensive effect of casein hydrolysate in a placebo-controlled study in subjects with high-normal blood pressure and mild hypertension.

Abstract

We describe a clinical trial to study the efficacy of a casein hydrolysate, prepared using an Aspergillus oryzae protease, containing the major angiotensin-I-converting enzyme inhibitory peptides Val-Pro-Pro (VPP) and Ile-Pro-Pro (IPP) in a single-blind, placebo-controlled study. A total of 131 volunteers with high-normal blood pressure and mild hypertension were randomly divided into four groups (n 32 or 33 in each group). Each volunteer was given two tablets containing four different dosages of VPP and IPP (VPP+IPP: 0, 1.8, 2.5 and 3.6 mg), daily for 6 weeks. A significant decrease in systolic blood pressure was observed at 6 weeks in the active group receiving 1.8 mg (P<0.01) VPP and IPP; in the active groups receiving either 2.5 mg or 3.6 mg, systolic blood pressure was decreased at both 3 weeks (P<0.05 and P<0.05) and 6 weeks (P<0.001 and P<0.0001) compared with systolic blood pressure measured before treatment. Changes in the systolic blood pressure after 6 weeks of treatment in the four groups were --1.7, --6.3, --6.7 and --10.1 mmHg, and these effects were dose dependent. In addition, a significant difference in systolic blood pressure between the placebo group and the VPP and IPP group receiving 3.6 mg was observed (P<0.001) by two-way ANOVA. The antihypertensive effect was greater in mildly hypertensive subjects (n 20 or 21 in each group) than in any of the other subjects. No significant change of diastolic blood pressure was observed for all the test groups, and no differences in diastolic blood pressure in the test sample groups compared with the placebo group were observed during the test period.

• Authors: Seiichi Mizuno, Keiichi Matsuura, Takanobu Gotou, Shingo Nishimura, Osami Kajimoto, Mitsuharu Yabune, Yoshitaka Kajimoto, Naoyuki Yamamoto
• Journal: The British journal of nutrition (Br J Nutr) Vol. 94 Issue 1 Pg. 84-91 (Jul 2005) ISSN: 0007-1145 [Print] England
• PMID: 16115337 (Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial)

Chemical References

• Angiotensin-Converting Enzyme Inhibitors
• Antihypertensive Agents
• Caseins
• Oligopeptides
• isoleucyl-prolyl-proline
• valyl-prolyl-proline
• casein hydrolysate

Topics

• Administration, Oral
• Adult
• Analysis of Variance
• Angiotensin-Converting Enzyme Inhibitors (administration & dosage)
• Antihypertensive Agents (administration & dosage)
• Aspergillus oryzae
• Blood Pressure (physiology)
• Body Mass Index
• Body Weight (physiology)
• Caseins (administration & dosage, chemistry)
• Dietary Supplements
• Female
• Humans
• Hypertension (diet therapy, physiopathology)
• Male
• Oligopeptides (administration & dosage)
• Single-Blind Method