Grape polyphenols prevent fructose-induced oxidative stress and insulin resistance in first-degree relatives of type 2 diabetic patients.

Grape polyphenols prevent fructose-induced oxidative stress and insulin resistance in first-degree relatives of type 2 diabetic patients.
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DOI:
10.2337/dc12-1652
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发表时间:
2013-06
期刊:
影响因子:
16.2
通讯作者:
Avignon A
Avignon A
中科院分区:
医学1区
文献类型:
--
作者:
Hokayem M;Blond E;Vidal H;Lambert K;Meugnier E;Feillet-Coudray C;Coudray C;Pesenti S;Luyton C;Lambert-Porcheron S;Sauvinet V;Fedou C;Brun JF;Rieusset J;Bisbal C;Sultan A;Mercier J;Goudable J;Dupuy AM;Cristol JP;Laville M;Avignon A

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目的:评估营养量葡萄多酚(PPS)对抗高果糖饮食代谢改变的临床疗效,包括氧化应激和胰岛素抵抗(IR),在具有高代谢风险的健康志愿者中。38名2型糖尿病患者的健康超重/肥胖一级亲属(18名男性和20名女性)在葡萄PP(2g/d)和安慰剂(PCB)组之间进行了随机双盲对照试验。受试者在基线以及补充8周和9周后进行调查,在最后6天,他们都接受了3g/kg脱脂质量/天的果糖。主要终点是葡萄PPS对果糖诱导的IR的保护作用。在PCB组,果糖导致1)肝脏胰岛素敏感指数下降20%(P<0.05)和葡萄糖输注率下降11%(P<0.05),2)全身(尿中F2-异前列腺素)和肌肉(硫代巴比妥酸反应物质和蛋白质羰化)氧化应激增加(P<0.05),以及3)线粒体基因下调和线粒体呼吸减少(P<0.05)。果糖的所有有害作用都被添加葡萄PP完全钝化了。抗氧化防御、炎症标志物和主要脂肪因子既不受果糖影响,也不受葡萄PPS影响。营养剂量的葡萄PPS的天然混合物有效地防止果糖诱导的氧化应激和IR。目前全球食品和营养行业对葡萄PP成分和产品的兴趣很可能使它们成为预防性营养的垫脚石。
To assess the clinical efficacy of nutritional amounts of grape polyphenols (PPs) in counteracting the metabolic alterations of high-fructose diet, including oxidative stress and insulin resistance (IR), in healthy volunteers with high metabolic risk. Thirty-eight healthy overweight/obese first-degree relatives of type 2 diabetic patients (18 men and 20 women) were randomized in a double-blind controlled trial between a grape PP (2 g/day) and a placebo (PCB) group. Subjects were investigated at baseline and after 8 and 9 weeks of supplementation, the last 6 days of which they all received 3 g/kg fat-free mass/day of fructose. The primary end point was the protective effect of grape PPs on fructose-induced IR. In the PCB group, fructose induced 1) a 20% decrease in hepatic insulin sensitivity index (P < 0.05) and an 11% decrease in glucose infusion rate (P < 0.05) as evaluated during a two-step hyperinsulinemic-euglycemic clamp, 2) an increase in systemic (urinary F2-isoprostanes) and muscle (thiobarbituric acid–reactive substances and protein carbonylation) oxidative stress (P < 0.05), and 3) a downregulation of mitochondrial genes and decreased mitochondrial respiration (P < 0.05). All the deleterious effects of fructose were fully blunted by grape PP supplementation. Antioxidative defenses, inflammatory markers, and main adipokines were affected neither by fructose nor by grape PPs. A natural mixture of grape PPs at nutritional doses efficiently prevents fructose-induced oxidative stress and IR. The current interest in grape PP ingredients and products by the global food and nutrition industries could well make them a stepping-stone of preventive nutrition.
DOI: 10.1016/j.jnutbio.2008.02.005
发表时间: 2009-03-01
影响因子: 5.6
作者:
Terra, Ximena;Montagut, Gemma;Blay, Mayte
通讯作者: Blay, Mayte
DOI: 10.1073/pnas.1032913100
发表时间: 2003-07-08
影响因子: 11.1
作者:
Patti, ME;Butte, AJ;Mandarino, LJ
通讯作者: Mandarino, LJ
DOI: 10.1172/jci32601
发表时间: 2008-02-01
影响因子: 15.9
作者:
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通讯作者: Rieusset, Jennifer
DOI: 10.1016/j.jchromb.2008.07.037
发表时间: 2008-09-01
影响因子: 3
作者:
Mas, Emilie;Michel, Francoise;Durand, Thierry
通讯作者: Durand, Thierry
DOI: 10.1053/meta.2000.17672
发表时间: 2000-11-01
影响因子: 9.8
作者:
Cordain, L;Melby, CL;Hill, JO
通讯作者: Hill, JO