P. Benito et al., The effect of conjugated linoleic acid on platelet function, platelet fatty acid composition, and blood coagulation in humans, LIPIDS, 36(3), 2001, pp. 221-227
Despite extensive research on conjugated linoleic acid (CLA) showing multip
le beneficial effects in animal models, little is known about the role of d
ietary CLA in human health. To investigate if the beneficial effects of CLA
seen in animal models are relevant to humans, Lye conducted a study with 1
7 healthy female volunteers who lived in the Metabolic Research Unit of the
Western Human Nutrition Research Center for 93 d. This paper reports only
the results from this study that are related to the effects of CLA suppleme
ntation on blood coagulation, platelet function, and platelet fatty acid co
mposition. Throughout the study, the subjects were fed a low-fat diet (30 e
n% fat, 19 en% protein, and 51 en% carbohydrate) consisting of natural food
s with the recommended dietary allowances for all known nutrients. After a
30-d stabilization period, subjects were randomly assigned to either an int
ervention group (n = 10) whose diet was supplemented With 3.9 g/d of CLA or
a control group (n = 7) who received an equivalent amount of sunflower oil
consisting of 72.6% linoleic acid with no detectable CLA. Platelet aggrega
tion was measured in platelet-rich plasma using adenosine diphosphate, coll
agen, and arachidonic acid agonists. No statistical difference was detected
between the amount of agonist required to produce 50% aggregation of plate
let-rich plasma before and after the subjects consumed the CLA, with the ex
ception of a decrease in response to collagen. This decrease was found in b
oth control and intervention groups with no significant difference between
the groups, suggesting that both linoleic acid (sunflower oil) and CLA migh
t have similar effects on platelet function. The prothrombin time, activate
d partial thromboplastin time, and the antithrombin III levels in the subje
cts were determined. Again, there was no statistically significant differen
ce in these three parameters when pre- and post-CLA consumption values were
compared. The in vivo bleeding times were also unaffected by CLA supplemen
tation (10.4 + 2.8 min pre- and 10.2 + 1.6 min postconsumption). Platelet f
atty acid composition was not markedly influenced by the consumption of die
tary CLA, although there was a small increase in the amount of the 9 cis,11
trans-18:2 isomer normally present in platelets after feeding CLA for 63 d
ays. In addition, small amounts of the 8 trans,10 cis-18:2 and the 10 trans
, 12 cis-18:2 isomers were detected in the platelets along with traces of s
ome of the other isomers. Thus, when compared to sunflower oil, the blood-c
lotting parameters and in vitro platelet aggregation showed that adding 3.9
g/d of dietary CLA to a typical Western diet for 63 d produces no observab
le physiological change in blood coagulation and platelet function in healt
hy adult females. Short-term consumption of CLA does not seem to exhibit an
tithrombotic properties in humans.