RESUMEN
BACKGROUND AND AIMS: The aim of this study was to explore the effect of a vegetarian versus conventional diet on the serum levels of persistent organic pollutants (POPs) in patients with T2D after 12 weeks of dietary intervention and to assess their relationships with metabolic parameters. METHODS AND RESULTS: Men and women with T2D were randomly assigned to follow either a vegetarian diet without fish or meat (n = 37) or an isocaloric conventional antidiabetic diet (n = 37). Both diets were energy restricted (minus 500 kcal/day). All foods were provided to the participants. At randomization (week 0) and 12 weeks, the meal test was performed to assess the ß-cell function and serum levels of 24 POPs. Dioxins and dioxin-like POPs were analyzed by isotope dilution high-resolution gas chromatography (HRGC) and mass spectrometry after cleanup of the silica and carbon columns. Non-dioxin-like POPs were analyzed by gas chromatography with an electron capture detector (GC-ECD). Statistical analyses used were repeated-measures analysis of variance (ANOVA), a multivariate regression model, and Pearson's correlations. We observed a statistically nonsignificant trend toward increases in the serum levels of most POPs in response to both hypocaloric diets with no differences between groups. In the groups combined, the change in serum concentrations of total POPs was correlated to changes in HbA1c (r = +0.34; p < 0.01), fasting plasma glucose (r = +0.41; p < 0.01) levels, and ß-cell function measured as insulin secretion at a reference glucose level (r = -0.37; p < 0.01), independent of the changes in body weight and volume of visceral fat. CONCLUSION: Short-term hypocaloric vegetarian and conventional diets did not reduce the POP levels, possibly due to mobilization of fat stores. Our findings support the relationship between POPs and diabetes, especially ß-cell function. TRIAL REGISTRATION: ClinicalTrials.gov number, NCT00883038, completed.
Asunto(s)
Restricción Calórica , Diabetes Mellitus Tipo 2/dietoterapia , Dieta Reductora , Dieta Vegetariana , Dioxinas/sangre , Contaminantes Ambientales/sangre , Contaminación de Alimentos , Adiposidad , Adulto , Anciano , Biomarcadores/sangre , Glucemia/metabolismo , República Checa , Diabetes Mellitus Tipo 2/sangre , Diabetes Mellitus Tipo 2/diagnóstico , Diabetes Mellitus Tipo 2/fisiopatología , Dioxinas/efectos adversos , Exposición a Riesgos Ambientales , Contaminantes Ambientales/efectos adversos , Femenino , Cromatografía de Gases y Espectrometría de Masas , Hemoglobina Glucada/metabolismo , Humanos , Insulina/sangre , Células Secretoras de Insulina/metabolismo , Grasa Intraabdominal/metabolismo , Grasa Intraabdominal/fisiopatología , Masculino , Persona de Mediana Edad , Análisis Multivariante , Factores de Tiempo , Resultado del Tratamiento , Pérdida de PesoRESUMEN
The aim of this study was to reveal whether accumulation of the persistent organic pollutants (POPs), especially polychlorinated biphenyl (2,2',4,4',5,5'-hexachlorobiphenyl, PCB 153), affects plasma levels of adiponectin in obese patients. The study was designed as a longitudinal intervention trial with a control group, where 27 obese women (body mass index (BMI)>30 kg/m(2); age 21-74 years) were studied before (OB) and after (OB-LCD) a 3-month low-calorie-diet intervention (LCD; 5 MJ daily). As the control group, 9 female volunteers without LCD intervention were used (C; BMI=19-25 kg/m(2); age 21-64 years). Plasma levels of PCB 153 were measured by high-resolution gas chromatography with electron capture detection; total adiponectin and insulin plasma levels were quantified by immunoassays; and adiponectin multimeric complexes were quantified by immunoblotting. Plasma levels of total adiponectin, high and medium molecular weight multimers significantly negatively correlated with plasma levels of PCB 153 in OB, but not in C or in OB-LCD, whereas the LCD intervention lowered BMI by 3.3+/-3.0 kg/m(2). Our results may suggest suppression of adiponectin by PCB 153 in obese women under non-energy-restrictive regime, which may contribute to the known association of PCB 153 and other POPs with type 2 diabetes.
Asunto(s)
Adiponectina/sangre , Contaminantes Ambientales/sangre , Obesidad/sangre , Bifenilos Policlorados/sangre , Adulto , Anciano , Biomarcadores/sangre , Índice de Masa Corporal , Restricción Calórica , Estudios de Casos y Controles , República Checa , Femenino , Humanos , Insulina/sangre , Estudios Longitudinales , Persona de Mediana Edad , Adulto JovenRESUMEN
In this paper have been studied properties of a product that arose from the interaction of malonaldehyde with collagen. It has been shown by an amino acid analysis that malonaldehyde reacts in a significant way on lysine and tyrosine residues. The partcipation of tyrosine in the reaction with malonaldehyde has been further demonstrated by means of spectrophotometry. It has also been found that the hydrolysis by pronase is considerably modified with the cross linked collagen.