The influence of opuntia robusta (prickly pear), a traditionally used dieta
ry nutrient against diabetes mellitus among the American Indian population,
was examined in 15 young patients suffering from familial heterozygous iso
lated hypercholesterolemia. Oxidation injury was determined via 8-epi-PGF(2
alpha) in plasma, serum and urine. Daily consumption of 250 g broiled edib
le pulp of prickly pear had no influence on body weight and body fat compos
ition. Total cholesterol was lowered (P < 0.01) as was LDL-cholesterol (P <
0.04). No significant changes were observed either in triglycerides or in
HDL. Prickly pear induced a significant decrease in plasma (27.9 +/- 3.3 --
> 25.6 +/- 3.2; P < 0.03), serum (302.0 +/- 11.4 --> 283.2 +/- 14.5; P < 0.
0003) and urinary (355.9 +/- 18.4 --> 323.9 +/- 16; P < 0.00002) 8-epi-PGF(
2 alpha) values. The findings on a decrease of 8-epi-PGF(2 alpha) were more
pronounced in females than in males, the highest significance being found
in urine, while, in contrast, the effects on total- and LDL-cholesterol wer
e more pronounced in males. A prerunning 4 weeks period of dietary counseli
ng had no significant effect on either of the parameters examined. These fi
ndings indicate that the regular ingestion of opuntia robusta is able to si
gnificantly reduce in-vivo oxidation injury in a group of patients sufferin
g from familial hypercholesterolemia. This traditional food of the American
Indians thus may have a significant cardiovascular benefit. (C) 2001 Harco
urt Publishers Ltd.