Ken Declerck, Maria Annunziata Carluccio, Cláudia N. Santos, Begoña Muguerza, Anna Arola-Arnal, Ana Rodriguez-Mateos, Francisca Isabel Bravo, Nadia Calabriso, Emilie Combet, Marika Massaro, Wim Vanden Berghe, Eileen R. Gibney, E. Kistanova, Egeria Scoditti, Dragan Milenkovic, Manuel Suárez, Andreia Gomes, Irena Krga, Tatjana Ruskovska, Marie Paule Gonthier, Pedro Mena, Christine Morand, Sonia de Pascual-Teresa, University Goce Delcev (UGD), Institute of Clinical Physiology (IFC), National Research Council [Italy] (CNR), Universitat Rovira i Virgili, Universiteit Antwerpen [Antwerpen], University of Glasgow, University College Dublin [Dublin] (UCD), Instituto de Biologia Experimental e Tecnológica (IBET), Instituto de Tecnologia Química e Biológica António Xavier (ITQB), Universidade Nova de Lisboa = NOVA University Lisbon (NOVA), Diabète athérothrombose et thérapies Réunion Océan Indien (DéTROI), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de La Réunion (UR), Bulgarian Academy of Sciences (BAS), University of Belgrade [Belgrade], Department of Food Science, Human Nutrition Unit, The Phi² Laboratory of Phytochemicals in Physiology - LS9 Bioactives and Health, Interlab Group, University of Parma = Università degli studi di Parma [Parme, Italie], Unité de Nutrition Humaine (UNH), Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Centro de Estudos de Doenças Crónicas (CEDOC), NOVA Medical School - Faculdade de Ciências Médicas (NMS), Universidade Nova de Lisboa = NOVA University Lisbon (NOVA)-Universidade Nova de Lisboa = NOVA University Lisbon (NOVA), Institute of Food Science, Technology and Nutrition (ICTAN-CSIC), King‘s College London, Natl Res Council CNR, Inst Biol & Agr Biotechnol IBBA, Res Unit Pisa, Pisa, Italy, European Cooperation in Science and Technology (COST) FA1403, European Commission, Universiteit Antwerpen = University of Antwerpen [Antwerpen], Université de La Réunion (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM), and Università degli studi di Parma = University of Parma (UNIPR)
Flavanol intake positively influences several cardiometabolic risk factors in humans. However, the specific molecular mechanisms of action of flavanols, in terms of gene regulation, in the cell types relevant to cardiometabolic disease have never been systematically addressed. On this basis, we conducted a systematic literature review and a comprehensive bioinformatic analysis of genes whose expression is affected by flavanols in cells defining cardiometabolic health: hepatocytes, adipocytes, endothelial cells, smooth muscle cells and immune cells. A systematic literature search was performed using the following pre-defined criteria: treatment with pure compounds and metabolites (no extracts) at low concentrations that are close to their plasma concentrations. Differentially expressed genes were analyzed using bioinformatics tools to identify gene ontologies, networks, cellular pathways and interactions, as well as transcriptional and post-transcriptional regulators. The systematic literature search identified 54 differentially expressed genes at the mRNA level in in vitro models of cardiometabolic disease exposed to flavanols and their metabolites. Global bioinformatic analysis revealed that these genes are predominantly involved in inflammation, leukocyte adhesion and transendothelial migration, and lipid metabolism. We observed that, although the investigated cells responded differentially to flavanol exposure, the involvement of anti-inflammatory responses is a common mechanism of flavanol action. We also identified potential transcriptional regulators of gene expression: transcriptional factors, such as GATA2, NFKB1, FOXC1 or PPARG, and post-transcriptional regulators: miRNAs, such as mir-335-5p, let-7b-5p, mir-26b-5p or mir-16-5p. In parallel, we analyzed the nutrigenomic effects of flavanols in intestinal cells and demonstrated their predominant involvement in the metabolism of circulating lipoproteins. In conclusion, the results of this systematic analysis of the nutrigenomic effects of flavanols provide a more comprehensive picture of their molecular mechanisms of action and will support the future setup of genetic studies to pave the way for individualized dietary recommendations., COST (European Cooperation in Science and Technology) Action FA1403.