Impact of wheat aleurone on biomarkers of cardiovascular disease, gut microbiota and metabolites in adults with high body mass index: a double-blind, placebo-controlled, randomized clinical trial

Purpose Aleurone is a cereal bran fraction containing a variety of beneficial nutrients including polyphenols, fibers, minerals and vitamins. Animal and human studies support the beneficial role of aleurone consumption in reducing cardiovascular disease (CVD) risk. Gut microbiota fiber fermentation,...

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Veröffentlicht in:European journal of nutrition 2022-08, Vol.61 (5), p.2651-2671
Hauptverfasser: Fava, Francesca, Ulaszewska, Maria M., Scholz, Matthias, Stanstrup, Jan, Nissen, Lorenzo, Mattivi, Fulvio, Vermeiren, Joan, Bosscher, Douwina, Pedrolli, Carlo, Tuohy, Kieran M.
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container_issue 5
container_start_page 2651
container_title European journal of nutrition
container_volume 61
creator Fava, Francesca
Ulaszewska, Maria M.
Scholz, Matthias
Stanstrup, Jan
Nissen, Lorenzo
Mattivi, Fulvio
Vermeiren, Joan
Bosscher, Douwina
Pedrolli, Carlo
Tuohy, Kieran M.
description Purpose Aleurone is a cereal bran fraction containing a variety of beneficial nutrients including polyphenols, fibers, minerals and vitamins. Animal and human studies support the beneficial role of aleurone consumption in reducing cardiovascular disease (CVD) risk. Gut microbiota fiber fermentation, polyphenol metabolism and betaine/choline metabolism may in part contribute to the physiological effects of aleurone. As primary objective, this study evaluated whether wheat aleurone supplemented foods could modify plasma homocysteine. Secondary objectives included changes in CVD biomarkers, fecal microbiota composition and plasma/urine metabolite profiles. Methods A parallel double-blind, placebo-controlled and randomized trial was carried out in two groups of obese/overweight subjects, matched for age, BMI and gender, consuming foods supplemented with either aleurone (27 g/day) (AL, n  = 34) or cellulose (placebo treatment, PL, n  = 33) for 4 weeks. Results No significant changes in plasma homocysteine or other clinical markers were observed with either treatment. Dietary fiber intake increased after AL and PL, animal protein intake increased after PL treatment. We observed a significant increase in fecal Bifidobacterium spp with AL and Lactobacillus spp with both AL and PL, but overall fecal microbiota community structure changed little according to 16S rRNA metataxonomics. Metabolomics implicated microbial metabolism of aleurone polyphenols and revealed distinctive biomarkers of AL treatment, including alkylresorcinol, cinnamic, benzoic and ferulic acids, folic acid, fatty acids, benzoxazinoid and roasted aroma related metabolites. Correlation analysis highlighted bacterial genera potentially linked to urinary compounds derived from aleurone metabolism and clinical parameters. Conclusions Aleurone has potential to modulate the gut microbial metabolic output and increase fecal bifidobacterial abundance. However, in this study, aleurone did not impact on plasma homocysteine or other CVD biomarkers. Trial Registration The study was registered at ClinicalTrials.gov (NCT02067026) on the 17th February 2014.
doi_str_mv 10.1007/s00394-022-02836-9
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Animal and human studies support the beneficial role of aleurone consumption in reducing cardiovascular disease (CVD) risk. Gut microbiota fiber fermentation, polyphenol metabolism and betaine/choline metabolism may in part contribute to the physiological effects of aleurone. As primary objective, this study evaluated whether wheat aleurone supplemented foods could modify plasma homocysteine. Secondary objectives included changes in CVD biomarkers, fecal microbiota composition and plasma/urine metabolite profiles. Methods A parallel double-blind, placebo-controlled and randomized trial was carried out in two groups of obese/overweight subjects, matched for age, BMI and gender, consuming foods supplemented with either aleurone (27 g/day) (AL, n  = 34) or cellulose (placebo treatment, PL, n  = 33) for 4 weeks. Results No significant changes in plasma homocysteine or other clinical markers were observed with either treatment. Dietary fiber intake increased after AL and PL, animal protein intake increased after PL treatment. We observed a significant increase in fecal Bifidobacterium spp with AL and Lactobacillus spp with both AL and PL, but overall fecal microbiota community structure changed little according to 16S rRNA metataxonomics. Metabolomics implicated microbial metabolism of aleurone polyphenols and revealed distinctive biomarkers of AL treatment, including alkylresorcinol, cinnamic, benzoic and ferulic acids, folic acid, fatty acids, benzoxazinoid and roasted aroma related metabolites. Correlation analysis highlighted bacterial genera potentially linked to urinary compounds derived from aleurone metabolism and clinical parameters. Conclusions Aleurone has potential to modulate the gut microbial metabolic output and increase fecal bifidobacterial abundance. However, in this study, aleurone did not impact on plasma homocysteine or other CVD biomarkers. 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The Author(s).</rights><rights>The Author(s) 2022. corrected publication 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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Animal and human studies support the beneficial role of aleurone consumption in reducing cardiovascular disease (CVD) risk. Gut microbiota fiber fermentation, polyphenol metabolism and betaine/choline metabolism may in part contribute to the physiological effects of aleurone. As primary objective, this study evaluated whether wheat aleurone supplemented foods could modify plasma homocysteine. Secondary objectives included changes in CVD biomarkers, fecal microbiota composition and plasma/urine metabolite profiles. Methods A parallel double-blind, placebo-controlled and randomized trial was carried out in two groups of obese/overweight subjects, matched for age, BMI and gender, consuming foods supplemented with either aleurone (27 g/day) (AL, n  = 34) or cellulose (placebo treatment, PL, n  = 33) for 4 weeks. Results No significant changes in plasma homocysteine or other clinical markers were observed with either treatment. Dietary fiber intake increased after AL and PL, animal protein intake increased after PL treatment. We observed a significant increase in fecal Bifidobacterium spp with AL and Lactobacillus spp with both AL and PL, but overall fecal microbiota community structure changed little according to 16S rRNA metataxonomics. Metabolomics implicated microbial metabolism of aleurone polyphenols and revealed distinctive biomarkers of AL treatment, including alkylresorcinol, cinnamic, benzoic and ferulic acids, folic acid, fatty acids, benzoxazinoid and roasted aroma related metabolites. Correlation analysis highlighted bacterial genera potentially linked to urinary compounds derived from aleurone metabolism and clinical parameters. Conclusions Aleurone has potential to modulate the gut microbial metabolic output and increase fecal bifidobacterial abundance. However, in this study, aleurone did not impact on plasma homocysteine or other CVD biomarkers. 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Ulaszewska, Maria M. ; Scholz, Matthias ; Stanstrup, Jan ; Nissen, Lorenzo ; Mattivi, Fulvio ; Vermeiren, Joan ; Bosscher, Douwina ; Pedrolli, Carlo ; Tuohy, Kieran M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-6a89672b77de7902960e014a4d6ac57b30ee2044b6ebd8c182f4659a377444dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Animals</topic><topic>Aroma</topic><topic>Biomarkers</topic><topic>Body Mass Index</topic><topic>Body weight</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Cardiovascular Diseases - prevention &amp; control</topic><topic>Cellulose</topic><topic>Chemistry</topic><topic>Chemistry and Materials Science</topic><topic>Clinical trials</topic><topic>Community structure</topic><topic>Correlation analysis</topic><topic>Dietary Fiber</topic><topic>Dietary intake</topic><topic>Double-Blind Method</topic><topic>Double-blind studies</topic><topic>Fatty acids</topic><topic>Fecal microflora</topic><topic>Feces</topic><topic>Feces - microbiology</topic><topic>Fermentation</topic><topic>Folic acid</topic><topic>Food sources</topic><topic>Gastrointestinal Microbiome</topic><topic>Homocysteine</topic><topic>Humans</topic><topic>Infant</topic><topic>Intestinal microflora</topic><topic>Metabolism</topic><topic>Metabolites</topic><topic>Metabolomics</topic><topic>Microbiota</topic><topic>Minerals</topic><topic>Nutrition</topic><topic>Original Contribution</topic><topic>Overweight</topic><topic>Placebos</topic><topic>Plant Proteins</topic><topic>Plasma</topic><topic>Polyphenols</topic><topic>Polyphenols - analysis</topic><topic>Polyphenols - pharmacology</topic><topic>RNA, Ribosomal, 16S</topic><topic>rRNA 16S</topic><topic>Triticum - chemistry</topic><topic>Vitamins</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fava, Francesca</creatorcontrib><creatorcontrib>Ulaszewska, Maria M.</creatorcontrib><creatorcontrib>Scholz, Matthias</creatorcontrib><creatorcontrib>Stanstrup, Jan</creatorcontrib><creatorcontrib>Nissen, Lorenzo</creatorcontrib><creatorcontrib>Mattivi, Fulvio</creatorcontrib><creatorcontrib>Vermeiren, Joan</creatorcontrib><creatorcontrib>Bosscher, Douwina</creatorcontrib><creatorcontrib>Pedrolli, Carlo</creatorcontrib><creatorcontrib>Tuohy, Kieran M.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; 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Animal and human studies support the beneficial role of aleurone consumption in reducing cardiovascular disease (CVD) risk. Gut microbiota fiber fermentation, polyphenol metabolism and betaine/choline metabolism may in part contribute to the physiological effects of aleurone. As primary objective, this study evaluated whether wheat aleurone supplemented foods could modify plasma homocysteine. Secondary objectives included changes in CVD biomarkers, fecal microbiota composition and plasma/urine metabolite profiles. Methods A parallel double-blind, placebo-controlled and randomized trial was carried out in two groups of obese/overweight subjects, matched for age, BMI and gender, consuming foods supplemented with either aleurone (27 g/day) (AL, n  = 34) or cellulose (placebo treatment, PL, n  = 33) for 4 weeks. Results No significant changes in plasma homocysteine or other clinical markers were observed with either treatment. Dietary fiber intake increased after AL and PL, animal protein intake increased after PL treatment. We observed a significant increase in fecal Bifidobacterium spp with AL and Lactobacillus spp with both AL and PL, but overall fecal microbiota community structure changed little according to 16S rRNA metataxonomics. Metabolomics implicated microbial metabolism of aleurone polyphenols and revealed distinctive biomarkers of AL treatment, including alkylresorcinol, cinnamic, benzoic and ferulic acids, folic acid, fatty acids, benzoxazinoid and roasted aroma related metabolites. Correlation analysis highlighted bacterial genera potentially linked to urinary compounds derived from aleurone metabolism and clinical parameters. Conclusions Aleurone has potential to modulate the gut microbial metabolic output and increase fecal bifidobacterial abundance. However, in this study, aleurone did not impact on plasma homocysteine or other CVD biomarkers. Trial Registration The study was registered at ClinicalTrials.gov (NCT02067026) on the 17th February 2014.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35247098</pmid><doi>10.1007/s00394-022-02836-9</doi><tpages>21</tpages><orcidid>https://orcid.org/0000-0001-8530-2152</orcidid><oa>free_for_read</oa></addata></record>
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1436-6215
language eng
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subjects Adult
Animals
Aroma
Biomarkers
Body Mass Index
Body weight
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - prevention & control
Cellulose
Chemistry
Chemistry and Materials Science
Clinical trials
Community structure
Correlation analysis
Dietary Fiber
Dietary intake
Double-Blind Method
Double-blind studies
Fatty acids
Fecal microflora
Feces
Feces - microbiology
Fermentation
Folic acid
Food sources
Gastrointestinal Microbiome
Homocysteine
Humans
Infant
Intestinal microflora
Metabolism
Metabolites
Metabolomics
Microbiota
Minerals
Nutrition
Original Contribution
Overweight
Placebos
Plant Proteins
Plasma
Polyphenols
Polyphenols - analysis
Polyphenols - pharmacology
RNA, Ribosomal, 16S
rRNA 16S
Triticum - chemistry
Vitamins
title Impact of wheat aleurone on biomarkers of cardiovascular disease, gut microbiota and metabolites in adults with high body mass index: a double-blind, placebo-controlled, randomized clinical trial
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