Numerous studies over the past two decades have clearly proven that the
tocotrienol form of vitamin E is a top choice for cardiovascular protection and heart health. A recent review of
tocotrienol science1 points out that they are also being researched for benefits to
bone health,
blood sugar metabolism,
brain health, and
cancer.
Tocotrienols offer a safe and effective way to help achieve or maintain
healthy cholesterol, while simultaneously protecting your arteries. It
is worthwhile understanding more about them and how they can improve
your health.
The vitamin E family consists of four tocotrienols and four
tocopherols. D alpha tocopherol is the commonly understood form of
vitamin E and has been extensively researched and has its own value to
human health. The difference between tocotrienols and tocopherols is the
“tail” on the vitamin E molecule. Tocopherols have a long saturated
tail. Tocotrienols have a short unsaturated tail. The unique structure
of tocotrienols enables them to do many things that tocopherols cannot
do. This includes easier access to cells, better antioxidant function in
cells, a better ability to move around in cells, and the activation of a
wide variety of gene signals including cholesterol regulation.
The first recognition of tocotrienols as regulators of cholesterol occurred in a
1986 study2
in which tocotrienols were isolated from barley and fed to chickens.
Tocotrienols reduced the rate of synthesis of cholesterol by the liver,
in turn reducing total and
LDL cholesterol. In April 1991, the
American Journal of Clinical Nutrition
published an animal study and two human studies, triggering an
explosion in scientific interest in tocotrienols, which continues to
this day. The animal study involved
pigs with inherited high cholesterol3.
Tocotrienols reduced their total cholesterol by 44 percent and LDL by
60 percent. They also reduced factors in the blood associated with
sticky platelets, suggesting an additional cardiovascular protective
mechanism was in play.
The same University of Wisconsin research team that did the pig study
also conducted an 8 week double-blind crossover study with 15 humans.
During the four weeks on
50 mg per day of tocotrienols the
total cholesterol was lowered 15 percent, LDL by 8 percent, and factors
affecting platelet stickiness were also improved. Another preliminary
human study with
42 mg of tocotrienols per day5 found that many participants lowered their cholesterol, in some cases up to 35 percent for both total and
LDL cholesterol.
The dose of tocotrienols used in these early studies was relatively
small, yet it still showed a positive influence on cholesterol levels.
Researchers next documented that it was
gamma tocotrienol6 responsible for inhibiting cholesterol synthesis in the liver. As the research progressed, scientists showed that gamma
tocotrienol was reducing the
HMG CoA reductase enzyme7,
which is the starting point in the production line for cholesterol
synthesis within your liver. It should be pointed out that
statins—especially in high doses—take a sledgehammer to this same
enzyme, essentially clogging up its receptors so that no communication
can get through. By comparison, tocotrienols work more on a consulting
basis, gently down-regulating the enzyme as part of a communication
strategy. Big Pharma invariably likes the sledgehammer approach, as they
produce forced behavior on human systems. They can change numbers, even
if a person continues to eat excessively. Maximizing the benefits of
tocotrienols would require a person actually eat better. Of course,
tocotrienols have none of the
toxic side effects8 that statins have.
While your liver uses this HMG CoA reductase cholesterol synthesis pathway (melvalonate pathway) to produce
LDL cholesterol
for your entire body, every cell in your body also uses the same
pathway to produce small pieces of cholesterol that are vital for
maintaining the health and survival of any cell. In cancer situations,
this pathway is hijacked and used by cancer cells to foster their own
survival at the expense of your body. Researchers quickly realized that
the “consulting style” of tocotrienols within your liver and healthy
cells would be
very different inside cancer cells9
and would not place any brakes on tocotrienols stopping HMG CoA
reductase activity. In other words, tocotrienols had a unique ability to
differentiate between healthy cells and cancer cells and
in the case of cancer
they could cripple a primary defense system of the cancer. I should
point out that statins can also kill cancer in a test tube but the dose
required to kill cancer in humans kills the human first. On the other
hand, tocotrienols have demonstrated excellent tumor killing ability,
even
helping chemo drugs work much better10 on resistant forms of cancer. Tocotrienols do not injure the human body.
As the benefits of tocotrienols became apparent,so did the commercial
interests in potentially different sources of them. Palm oil was high
in gamma
tocotrienol but not as high in alpha
tocotrienol,
which was turning out to be relevant to antioxidant protection of the
arteries and brain. Palm oil is more difficult to put into capsules and
requires the addition of other oils to make it flow easily. Rice bran
oil is a rich source of both gamma and alpha
tocotrienol;
with some additional attention to quality it can be produced without
any filler oils. This allows for the production of a highly purified end
product with no additive oils, should a manufacturer chose to go the
extra mile.
Rice bran oil11
was known for some time to help cholesterol reduction. The recognition
that tocotrienols were a main component of the oil in combination with
all the emerging
tocotrienol research, led
scientists to study tocotrienols isolated from rice bran oil. Leading
the pack was the University of Wisconsin research team that a decade
earlier had done the pioneering work with palm tocotrienols,
hypercholesterolemic pigs, and the first human studies. They tested 50
mgs per day of
rice bran oil tocotrienols12 in the genetically high cholesterol pigs. After six weeks total, cholesterol was reduced 32-38 percent,
LDL cholesterol
was reduced 35-43 percent, glucose was reduced 22-25 percent,
triglycerides were reduced 15-19 percent, and various factors
influencing sticky platelets were also reduced.
Next the Wisconsin researchers placed
28 people with high cholesterol13 on a restricted diet for a month and then gave them either 50 mg of rice bran oil tocotrienols, 10 mg of the
statin
drug Mevacor (a relatively low dose, which is generally not toxic), or
50 mg tocotrienols, or a combination of 50 mg tocotrienols and 10 mg
Mevacor. In the 50 mg
tocotrienol group total
cholesterol was lowered by 14 percent and LDL by 18 percent. In the
Mevacor group total cholesterol was lowered by 13 percent and LDL by 15
percent. In the combination group, total cholesterol was lowered by 20
percent and LDL by 25 percent. Several months later the researchers
tested various doses of rice bran oil tocotrienols (25 mg, 50 mg, 100
mg, 200 mg). After being put on a restricted diet for a month 90 people
were then divided into various groups. The
100 mg per day dose14
worked best, lowering total cholesterol by 20 percent, LDL by 25
percent, and triglycerides by 12 percent. This is excellent human data
to support the use of tocotrienols from rice bran oil in combination
with eating well in the management of cholesterol.
In addition to the cholesterol-lowering properties of tocotrienols
scientists were becoming interested in the ability of tocotrienols to
positively benefit the health of arteries. In this case the focus turned
primarily to alpha
tocotrienol, which demonstrated a high level of antioxidant function. It was first recognized that alpha
tocotrienol could prevent free radical
damage to LDL cholesterol15 in humans with high cholesterol. Only damaged (oxidized LDL) can form plaque in the arteries.
Scientists then
tested tocotrienols in mice16
who were genetically programmed to develop high cholesterol and
hardening of the arteries when eating a high fat diet. When given
tocotrienols and a high fat diet these mice did not develop high
cholesterol and the hardening of their arteries was almost completely
stopped (98 percent reduction). Other researchers found similar results
when they placed rabbits on a diet designed to produce
hardening of the arteries17.
Free radical damage in the blood was significantly reduced and the
rabbits fed tocotrienols along with the bad diet had much less
thickening of their arteries as well as retaining more elastic
properties in their arteries.
In order for damaged cholesterol to stick to the lining of your
arteries it is engulfed by macrophages (immune cells) that then stick to
the
endothelial cells that line your arteries. When
endothelial cells
become inflamed they project a Velcro-like piece of fly paper on the
surface of their cells (adhesion molecules) which then enable the
cholesterol-laden macrophages to lock on and start the plaque-forming
process. A study with
inflamed human endothelial cells18 shows that alpha
tocotrienol
powerfully inhibits this sticking process, turning off the sticky
adhesion molecules by turning down the inflammatory gene regulator
within the endothelial cell (
NF-kappaB ).
The ability of alpha
tocotrienol to
regulate the core inflammatory gene signal is highly relevant to human
health, since it is now recognized that chronic low-grade activation of
NF-kappaB is a primary factor in nearly every disease of aging. Indeed, researchers soon discovered that alpha
tocotrienol, but not d alpha tocopherol, could completely inhibit
excitotoxic injury to brain cells19 (a key feature to most aspects of cognitive decline and memory loss).
This article highlights some of the key
tocotrienol
cardiovascular and cancer research going on around the world, which
continues in full swing today. Human studies continue to show
cholesterol-lowering benefits20, even in difficult problems like
type 2 diabetes21. Numerous
review articles22 tout the broad range of benefits, including the
prevention of disease23, offered by the unique form of vitamin E known as tocotrienols, which truly is the
vitamin E for the 21st Century24.
Originally published 2/23/2011