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1.
Nutr J ; 23(1): 75, 2024 Jul 15.
Article de Anglais | MEDLINE | ID: mdl-39004744

RÉSUMÉ

OBJECTIVE: An increasing number of studies shown that inadequate energy intake causes an increase in adverse incidents in chronic kidney disease (CKD) patients on low-protein diets (LPD). The study aimed to investigate the relationship between energy intake and cardiovascular mortality in CKD patients on a LPD. METHODS: This was a cross-sectional study, a total of 4264 CKD patients were enrolled from the NHANES database between 2009 and 2018. Restricted cubic spline plots and Cox regression analysis were used to analyze the association between energy intake and cardiovascular mortality in CKD patients on a LPD. Additionally, a nomogram was constructed to estimate cardiovascular survival in CKD patients on a LPD. RESULTS: Among CKD patients on a LPD in the United States, 90.05% had an energy intake of less than 25 kcal/kg/day, compared to 36.94% in CKD patients on a non-LPD. Energy intake and cardiovascular mortality showed a linear relationship in CKD patients on a LPD, while a 'U-shaped' relationship was observed in CKD patients on a non-LPD. Multifactorial Cox regression models revealed that for Per-standard deviation (Per-SD) decrement in energy intake, the risk of cardiovascular mortality increased by 41% (HR: 1.41, 95% CI: 1.12, 1.77; P = 0.004) in CKD patients on a LPD. The concordance index of the nomogram was 0.79 (95% CI, 0.75, 0.83). CONCLUSION: CKD patients, especially those on a LPD, have significantly inadequate energy intake. Lower energy intake is associated with higher cardiovascular mortality in CKD patients on a LPD.


Sujet(s)
Maladies cardiovasculaires , Régime pauvre en protéines , Ration calorique , Enquêtes nutritionnelles , Insuffisance rénale chronique , Humains , Mâle , Insuffisance rénale chronique/mortalité , Insuffisance rénale chronique/complications , Femelle , Maladies cardiovasculaires/mortalité , Adulte d'âge moyen , Études transversales , Enquêtes nutritionnelles/méthodes , Enquêtes nutritionnelles/statistiques et données numériques , Régime pauvre en protéines/méthodes , Sujet âgé , États-Unis/épidémiologie , Adulte , Facteurs de risque , Modèles des risques proportionnels
2.
Nutrients ; 16(13)2024 Jun 24.
Article de Anglais | MEDLINE | ID: mdl-38999749

RÉSUMÉ

Undernutrition (UN) increases child vulnerability to illness and mortality. Caused by a low amount and/or poor quality of food intake, it impacts physical, cognitive, and social development. Modern types of food consumption have given highly processed food a higher cultural value compared to minimally processed food. OBJECTIVE: The objective of this study was to evaluate the effect on growth, metabolism, physical activity (PA), memory, inflammation, and toxicity of an enriched black corn chip (BC) made with endemic ingredients on post-weaned UN mice. METHODS: A chip was made with a mixture of black corn, fava beans, amaranth, and nopal cactus. To probe the effects of UN, UN was induced in 3wo post-weaned male C57Bl/6j mice through a low-protein diet (LPD-50% of the regular requirement of protein) for 3w. Then, the BC was introduced to the animals' diet (17%) for 5w; murinometric parameters were measured, as were postprandial glucose response, PA, and short-term memory. Histological analysis was conducted on the liver and kidneys to measure toxicity. Gene expression related to energy balance, thermogenesis, and inflammation was measured in adipose and hypothalamic tissues. RESULTS: Treatment with the BC significantly improved mouse growth, even with a low protein intake, as evidenced by a significant increase in body weight, tail length, cerebral growth, memory improvement, physical activation, normalized energy expenditure (thermogenesis), and orexigenic peptides (AGRP and NPY). It decreased anorexigenic peptides (POMC), and there was no tissue toxicity. CONCLUSIONS: BC treatment, even with persistent low protein intake, is a promising strategy against UN, as it showed efficacy in correcting growth deficiency, cognitive impairment, and metabolic problems linked to treatment by adjusting energy expenditure, which led to the promotion of energy intake and regulation of thermogenesis, all by using low-cost, accessible, and endemic ingredients.


Sujet(s)
Modèles animaux de maladie humaine , Malnutrition , Souris de lignée C57BL , Zea mays , Animaux , Mâle , Souris , Métabolisme énergétique , Régime pauvre en protéines , Foie/métabolisme , Aliment enrichi , Thermogenèse
3.
Nutrients ; 16(14)2024 Jul 11.
Article de Anglais | MEDLINE | ID: mdl-39064671

RÉSUMÉ

Low-protein diets (LPDs) seem to improve metabolic complications of advanced CKD, thus postponing kidney replacement therapy (KRT) initiation. However, the nutritional safety of LPDs remains debatable in patients with diabetic kidney disease (DKD), especially in the elderly. This is a sub-analysis of a prospective unicentric interventional study which assessed the effects of LPD in patients with advanced DKD, focusing on the feasibility and safety of LPD in elderly patients. Ninety-two patients with DKD and stable CKD stage 4+, proteinuria >3 g/g creatininuria, good nutritional status, with confirmed compliance to protein restriction, were enrolled and received LPD (0.6 g mixed proteins/kg-day) supplemented with ketoanalogues of essential amino acids for 12 months. Of the total group, 42% were elderly with a median eGFR 12.6 mL/min and a median proteinuria 5.14 g/g creatininuria. In elderly patients, proteinuria decreased by 70% compared to baseline. The rate of kidney function decline was 0.1 versus 0.5 mL/min-month before enrolment. Vascular events occurred in 15% of cases, not related to nutritional intervention, but to the severity of CKD and higher MAP. LPDs seem to be safe and effective in postponing KRT in elderly patients with advanced DKD while preserving the nutritional status.


Sujet(s)
Néphropathies diabétiques , Régime pauvre en protéines , Protéinurie , Humains , Régime pauvre en protéines/méthodes , Sujet âgé , Mâle , Femelle , Néphropathies diabétiques/diétothérapie , Études prospectives , Protéinurie/diétothérapie , Adulte d'âge moyen , Sujet âgé de 80 ans ou plus , Débit de filtration glomérulaire , Résultat thérapeutique , État nutritionnel , Insuffisance rénale chronique/diétothérapie , Acides aminés essentiels/administration et posologie
4.
Poult Sci ; 103(8): 103968, 2024 Aug.
Article de Anglais | MEDLINE | ID: mdl-38959643

RÉSUMÉ

Berberine (BBR), a well-known quaternary ammonium alkaloid, is recognized for its ability to prevent and alleviate metabolic disorders because of its anti-oxidative and anti-inflammatory properties. However, the underlying mechanisms of BBR to mitigate fatty liver hemorrhagic syndrome (FLHS) through the modulation of gut microbiota and their metabolism remained unclear. The results revealed that BBR ameliorates lipid metabolism disorder in high-energy and low-protein (HELP) diet-induced FLHS laying hens, as evidenced by improved liver function and lipid deposition of the liver, reduced blood lipids, and the expression of liver lipid synthesis-related factors. Moreover, BBR alleviated HELP diet-induced barrier dysfunction, increased microbial population, and dysregulated lipid metabolism in the ileum. BBR reshaped the HELP-perturbed gut microbiota, particularly declining the abundance of Desulfovibrio_piger and elevating the abundance of Bacteroides_salanitronis_DSM_18170. Meanwhile, metabolomic profiling analysis revealed that BBR reshaped microbial metabolism and function, particularly by reducing the levels of hydrocinnamic acid, dehydroanonaine, and leucinic acid. Furthermore, fecal microbiota transplantation (FMT) experiments revealed that BBR-enriched gut microbiota alleviated hepatic lipid deposition and intestinal inflammation compared with those chicks that received a gut microbiota by HELP. Collectively, our study provided evidence that BBR effectively alleviated FLHS induced by HELP by reshaping the microbial and metabolic homeostasis within the liver-gut axis.


Sujet(s)
Aliment pour animaux , Berbérine , Poulets , Microbiome gastro-intestinal , Maladies de la volaille , Animaux , Microbiome gastro-intestinal/effets des médicaments et des substances chimiques , Femelle , Maladies de la volaille/microbiologie , Maladies de la volaille/prévention et contrôle , Aliment pour animaux/analyse , Berbérine/pharmacologie , Berbérine/administration et posologie , Régime pauvre en protéines/médecine vétérinaire , Métabolomique , Stéatose hépatique/médecine vétérinaire , Métabolisme lipidique/effets des médicaments et des substances chimiques , Compléments alimentaires/analyse
5.
Am Nat ; 204(1): 73-95, 2024 Jul.
Article de Anglais | MEDLINE | ID: mdl-38857346

RÉSUMÉ

AbstractDevelopmental plasticity allows organisms to increase the fit between their phenotype and their early-life environment. The extent to which such plasticity also enhances adult fitness is not well understood, however, particularly when early-life and adult environments differ substantially. Using a cross-factorial design that manipulated diet at two life stages, we examined predictions of major hypotheses-silver spoon, environmental matching, and thrifty phenotype-concerning the joint impacts of early-life and adult diets on adult morphology/display traits, survival, and reproductive allocation. Overall, results aligned with the silver spoon hypothesis, which makes several predictions based on the premise that development in poor-quality environments constrains adult performance. Males reared and bred on a low-protein diet had lower adult survivorship than other male treatment groups; females' survivorship was higher than males' and not impacted by early diet. Measures of allocation to reproduction primarily reflected breeding diet, but where natal diet impacted reproduction, results supported the silver spoon. Both sexes showed reduced expression of display traits when reared on a low-protein diet. Results accord with other studies in supporting the relevance of the silver spoon hypothesis to birds and point to significant ramifications of sex differences in early-life viability selection on the applicability/strength of silver spoon effects.


Sujet(s)
Fringillidae , Reproduction , Animaux , Mâle , Femelle , Fringillidae/physiologie , Longévité , Régime alimentaire/médecine vétérinaire , Phénotype , Régime pauvre en protéines
6.
BMC Genomics ; 25(1): 557, 2024 Jun 04.
Article de Anglais | MEDLINE | ID: mdl-38834972

RÉSUMÉ

Reducing the levels of dietary protein is an effective nutritional approach in lowering feed cost and nitrogen emissions in ruminants. The purpose of this study was to evaluate the effects of dietary Lys/Met ratio in a low protein diet (10%, dry matter basis) on the growth performance and hepatic function (antioxidant capacity, immune status, and glycolytic activity) in Tibetan lambs. Ninety two-month-old rams with an average weight of 15.37 ± 0.92 kg were randomly assigned to LP-L (dietary Lys/Met = 1:1), LP-M (dietary Lys/Met = 2:1) and LP-H (dietary Lys/Met = 3:1) treatments. The trial was conducted over 100 d, including 10 d of adaption to the diets. Hepatic phenotypes, antioxidant capacity, immune status, glycolytic activity and gene expression profiling was detected after the conclusion of the feeding trials. The results showed that the body weight was higher in the LP-L group when compared to those on the LP-M group (P < 0.05). In addition, the activities of the catalase (CAT) and glutathione peroxidase (GSH-Px) in the LP-L group were significantly increased compared with the LP-M group (P < 0.05), while the malondialdehyde (MDA) levels in LP-H group were significantly decreased (P < 0.05). Compared with LP-H group, both hepatic glycogen (P < 0.01) and lactate dehydrogenase (LDH) (P < 0.05) were significantly elevated in LP-L group. For the LP-L group, the hepatocytes were arranged radially with the central vein in the center, and hepatic plates exhibited tight arrangement. Transcriptome analysis identified 29, 179, and 129 differentially expressed genes (DEGs) between the LP-M vs. LP-L, LP-H vs. LP-M, and LP-H vs. LP-L groups, respectively (Q-values < 0.05 and |log2Fold Change| > 1). Gene Ontology (GO) and correlation analyses showed that in the LP-L group, core genes (C1QA and JUNB) enriched in oxidoreductase activity were positively correlated with antioxidant indicators, while the MYO9A core gene enriched in the immune response was positively associated with immune indicators, and core genes enriched in molecular function (PDK3 and PDP2) were positively correlated with glycolysis indicators. In summary, low-protein diet with a low Lys/Met ratio (1:1) could reduce the hepatic oxidative stress and improve the glycolytic activity by regulating the expression of related genes of Tibetan sheep.


Sujet(s)
Antioxydants , Glycolyse , Foie , Méthionine , Animaux , Foie/métabolisme , Foie/effets des médicaments et des substances chimiques , Glycolyse/effets des médicaments et des substances chimiques , Antioxydants/métabolisme , Ovis , Méthionine/pharmacologie , Méthionine/administration et posologie , Méthionine/métabolisme , Lysine/métabolisme , Régime pauvre en protéines/médecine vétérinaire , Compléments alimentaires , Aliment pour animaux/analyse , Mâle
7.
Nat Commun ; 15(1): 5217, 2024 Jun 18.
Article de Anglais | MEDLINE | ID: mdl-38890307

RÉSUMÉ

Dietary protein is a critical regulator of metabolic health and aging. Low protein diets are associated with healthy aging in humans, and dietary protein restriction extends the lifespan and healthspan of mice. In this study, we examined the effect of protein restriction (PR) on metabolic health and the development and progression of Alzheimer's disease (AD) in the 3xTg mouse model of AD. Here, we show that PR promotes leanness and glycemic control in 3xTg mice, specifically rescuing the glucose intolerance of 3xTg females. PR induces sex-specific alterations in circulating and brain metabolites, downregulating sphingolipid subclasses in 3xTg females. PR also reduces AD pathology and mTORC1 activity, increases autophagy, and improves the cognition of 3xTg mice. Finally, PR improves the survival of 3xTg mice. Our results suggest that PR or pharmaceutical interventions that mimic the effects of this diet may hold promise as a treatment for AD.


Sujet(s)
Maladie d'Alzheimer , Encéphale , Régime pauvre en protéines , Modèles animaux de maladie humaine , Évolution de la maladie , Souris transgéniques , Animaux , Maladie d'Alzheimer/anatomopathologie , Maladie d'Alzheimer/métabolisme , Maladie d'Alzheimer/génétique , Femelle , Mâle , Souris , Encéphale/métabolisme , Encéphale/anatomopathologie , Humains , Complexe-1 cible mécanistique de la rapamycine/métabolisme , Autophagie , Intolérance au glucose/métabolisme , Sphingolipides/métabolisme , Cognition , Souris de lignée C57BL
8.
Nutrients ; 16(11)2024 May 29.
Article de Anglais | MEDLINE | ID: mdl-38892620

RÉSUMÉ

Low protein diet (LPD) seems beneficial in ameliorating the complications of chronic kidney disease (CKD), in reducing proteinuria and the decline in kidney function, thus postponing the need for kidney replacement therapy (KRT). However, this type of intervention was less investigated in diabetic kidney disease (DKD). This is a single-center, prospective, interventional study that aims to assess the efficacy of reducing proteinuria and the rate of decline in the estimated glomerular filtration rate (eGFR). Patients with advanced DKD (stable proteinuria > 3 g/g and eGFR < 30 mL/min) with a good nutritional status and accepting a LPD were evaluated for inclusion. Ninety-two of the 452 screened patients (66% males, median age 61 years, proteinuria 4.8 g/g creatininuria, eGFR 11.7 mL/min/1.73 m2) completed the study. Intervention consisted of LPD supplemented with ketoanalogues of essential amino acids (KA) along with conventional nephroprotective therapy. Efficacy parameters were the variation in proteinuria and in eGFR from baseline to the end of the study. Proteinuria decreased 3-fold, and the rate of decline in eGFR decreased 5-fold in the intervention phase. No patient initiated KRT or died. LPD supplemented with KA seems effective in safely postponing KRT by reducing proteinuria and the decline in kidney function in advanced DKD.


Sujet(s)
Néphropathies diabétiques , Régime pauvre en protéines , Débit de filtration glomérulaire , Protéinurie , Humains , Mâle , Protéinurie/diétothérapie , Adulte d'âge moyen , Régime pauvre en protéines/méthodes , Néphropathies diabétiques/diétothérapie , Néphropathies diabétiques/physiopathologie , Femelle , Études prospectives , Sujet âgé , Acides aminés essentiels/administration et posologie , Résultat thérapeutique
9.
Nutrients ; 16(12)2024 Jun 14.
Article de Anglais | MEDLINE | ID: mdl-38931234

RÉSUMÉ

Pregnancy represents a stage during which maternal physiology and homeostatic regulation undergo dramatic change and adaptation. The fundamental purpose of these adaptations is to ensure the survival of her offspring through adequate nutrient provision and an environment that is tolerant to the semi-allogenic foetus. While poor maternal diet during pregnancy is associated with perturbed maternal adaptations during pregnancy, the influence of paternal diet on maternal well-being is less clearly defined. We fed C57BL/6 male mice either a control (CD), low protein diet (LPD), a high fat/sugar Western diet (WD) or the LPD or WD supplemented with methyl donors (MD-LPD and MD-WD, respectively) for a minimum of 8 weeks prior to mating with C57BL/6 females. Mated females were culled at day 17 of gestation for the analysis of maternal metabolic, gut, cardiac and bone health. Paternal diet had minimal influences on maternal serum and hepatic metabolite levels or gut microbiota diversity. However, analysis of the maternal hepatic transcriptome revealed distinct profiles of differential gene expression in response to the diet of the father. Paternal LPD and MD-LPD resulted in differential expression of genes associated with lipid metabolism, transcription, ubiquitin conjugation and immunity in dams, while paternal WD and MD-WD modified the expression of genes associated with ubiquitin conjugation and cardiac morphology. Finally, we observed changes in maternal femur length, volume of trabecular bone, trabecular connectivity, volume of the cortical medullar cavity and thickness of the cortical bone in response to the father's diets. Our current study demonstrates that poor paternal diet at the time of mating can influence the patterns of maternal metabolism and gestation-associated adaptations to her physiology.


Sujet(s)
Adaptation physiologique , Souris de lignée C57BL , Animaux , Femelle , Grossesse , Mâle , Souris , Phénomènes physiologiques nutritionnels maternels , Régime occidental , Foie/métabolisme , Régime pauvre en protéines , Microbiome gastro-intestinal , Régime alimentaire , Alimentation riche en graisse/effets indésirables , Phénomènes physiologiques nutritionnels chez l'animal
10.
Neuropharmacology ; 255: 110010, 2024 Sep 01.
Article de Anglais | MEDLINE | ID: mdl-38797244

RÉSUMÉ

Free-feeding animals navigate complex nutritional landscapes in which food availability, cost, and nutritional value can vary markedly. Animals have thus developed neural mechanisms that enable the detection of nutrient restriction, and these mechanisms engage adaptive physiological and behavioral responses that limit or reverse this nutrient restriction. This review focuses specifically on dietary protein as an essential and independently defended nutrient. Adequate protein intake is required for life, and ample evidence exists to support an active defense of protein that involves behavioral changes in food intake, food preference, and food motivation, likely mediated by neural changes that increase the reward value of protein foods. Available evidence also suggests that the circulating hormone fibroblast growth factor 21 (FGF21) acts in the brain to coordinate these adaptive changes in food intake, making it a unique endocrine signal that drives changes in macronutrient preference in the context of protein restriction. This article is part of the Special Issue on "Food intake and feeding states".


Sujet(s)
Consommation alimentaire , Facteurs de croissance fibroblastique , Préférences alimentaires , Facteurs de croissance fibroblastique/métabolisme , Animaux , Préférences alimentaires/physiologie , Consommation alimentaire/physiologie , Humains , Nutriments , Protéines alimentaires/administration et posologie , Adaptation physiologique/physiologie , Régime pauvre en protéines , Encéphale/métabolisme , Encéphale/physiologie
11.
Nutrients ; 16(10)2024 May 16.
Article de Anglais | MEDLINE | ID: mdl-38794736

RÉSUMÉ

INTRODUCTION: Chronic kidney disease is a degenerative and increasingly prevalent condition that includes metabolic abnormalities and is associated with a higher risk of sarcopenia. The conservative approach points primarily to controlling metabolic issues and reducing the risk of malnutrition and sarcopenia, slowing the progression of kidney disease. The present study aims to evaluate the effect of a low-protein diet on malnutrition and sarcopenia. METHODS: A total of 45 patients (33 male and 12 female) aged over 70 with chronic kidney disease stage 4-5 in conservative management were considered. All patients had a dietary assessment and prescription of personalized low-protein dietary plans (≤0.6 g protein/kg) and a follow-up control between 4 and 6 months. In preliminary and follow-up evaluations, anthropometric data, blood examinations, body composition results, muscle strength, physical performance, and a 3-day food diary were collected. RESULTS: In the follow-up period, a significant weight loss (p = 0.001) and a decrease in body mass index (p = 0.002) were recorded. Food diaries revealed a significant reduction in protein, sodium, potassium, and phosphorus intake (p < 0.001), with a significant reduction in urea (p < 0.001) and proteinuria (p = 0.01) without any impact on lean mass (p = 0.66). Considerable variations in adherence between food diaries and the prescribed diet were also noted. CONCLUSIONS: Providing a personalized low-protein diet led to significant benefits in a short period without worsening the patient's nutritional status.


Sujet(s)
Régime pauvre en protéines , Insuffisance rénale chronique , Sarcopénie , Humains , Mâle , Femelle , Insuffisance rénale chronique/diétothérapie , Insuffisance rénale chronique/thérapie , Sujet âgé , Sarcopénie/diétothérapie , Régime pauvre en protéines/méthodes , Sujet âgé de 80 ans ou plus , Traitement conservateur/méthodes , Indice de masse corporelle , Composition corporelle , État nutritionnel , Malnutrition/diétothérapie , Force musculaire , Perte de poids
12.
Poult Sci ; 103(7): 103811, 2024 Jul.
Article de Anglais | MEDLINE | ID: mdl-38763061

RÉSUMÉ

A 35-d study investigated the impact of dietary supplementation with Arginine (Arg) or branched-chain amino acids (BCAA) of broilers receiving low-protein diets whilst infected with mixed Eimeria species. All birds were given the same starter (d0-10) and finisher (d28-35) diets. The 4 grower diets used were a positive control (PC) with adequate protein (18.5%), a low protein diet (NC;16.5% CP), or the NC supplemented with Arg or BCAA. Supplemental AA was added at 50% above the recommended levels. The treatments were in a 4 × 2 factorial arrangement, with 4 diets, with or without Eimeria inoculation on d14. Birds and feed were weighed after inoculation in phases: prepatent (d14-17), acute (d18-21), recovery (d22-28), and compensatory (d29-35). Ileal digesta, jejunum, and breast tissue were collected on d21, 28, and 35. There was no diet × Eimeria inoculation on growth performance at any phase. Infected birds weighed less and consumed less feed (P < 0.05) in all phases. In the prepatent and acute phases, birds on the Arg diets had higher weight gain (P < 0.05) and lower FCR, similar to PC, when compared to NC and BCAA-fed ones. Infection reduced AA digestibility on d21 and 28 (Met and Cys). However, birds that received supplemental AA had higher digestibility (P < 0.05) of their respective supplemented AA on d 21 only. Infected birds had lower (P < 0.05) BO + AT and higher PEPT1 expression on d21. There was a diet × Eimeria interaction (P = 0.004) on gene expression at d28; 4EBP1 genes were significantly downwardly expressed (P < 0.05) in birds fed Arg diet, irrespective of infection. Infected birds exhibited an upward expression (P < 0.05) of Eef2 on d21 and d28 but experienced a downward expression on d35. Supplemental Arg and BCAA had variable effects on growth performance, apparent ileal AA digestibility, and genes of protein synthesis and degradation, but the effect of Arg on promoting weight gain, irrespective of the Eimeria challenge, was more consistent.


Sujet(s)
Acides aminés à chaine ramifiée , Aliment pour animaux , Arginine , Poulets , Coccidiose , Compléments alimentaires , Digestion , Eimeria , Maladies de la volaille , Animaux , Coccidiose/médecine vétérinaire , Coccidiose/parasitologie , Eimeria/physiologie , Arginine/administration et posologie , Arginine/pharmacologie , Maladies de la volaille/parasitologie , Compléments alimentaires/analyse , Aliment pour animaux/analyse , Acides aminés à chaine ramifiée/administration et posologie , Digestion/effets des médicaments et des substances chimiques , Régime pauvre en protéines/médecine vétérinaire , Mâle , Régime alimentaire/médecine vétérinaire , Phénomènes physiologiques nutritionnels chez l'animal/effets des médicaments et des substances chimiques , Répartition aléatoire
13.
Br J Hosp Med (Lond) ; 85(5): 1-5, 2024 May 30.
Article de Anglais | MEDLINE | ID: mdl-38815966

RÉSUMÉ

A low-protein diet (LPD) has become an important way to delay the progression of chronic kidney disease (CKD) and to delay the need for dialysis. A review of the literature reveals the low-protein diet's influence on the course of chronic kidney disease. An artificial low-protein food, wheat starch, for example, can not only increase the high-quality protein intake ratio, but can ensure adequate energy intake on a low-protein diet while meeting the nutritional needs of the body, effectively reducing the burden on the damaged kidneys. The purpose of this review is to provide a reference for the clinical implementation of diet and nutrition therapy in patients with chronic kidney disease.


Sujet(s)
Régime pauvre en protéines , Évolution de la maladie , Insuffisance rénale chronique , Humains , Régime pauvre en protéines/méthodes , Insuffisance rénale chronique/diétothérapie , Insuffisance rénale chronique/thérapie , Protéines alimentaires/administration et posologie
14.
BMJ Case Rep ; 17(5)2024 May 02.
Article de Anglais | MEDLINE | ID: mdl-38697679

RÉSUMÉ

Ornithine transcarbamylase deficiency (OTCD) is a rare, X linked disorder that can manifest in late adulthood in heterozygous females as severe hyperammonaemia following environmental stressors. We present a case of hyperammonaemic encephalopathy that was triggered by glucocorticoid administration in an adult woman with heterozygous OTCD with clinical response to haemodialysis, ammonia scavengers and a high-calorie, low-protein diet.


Sujet(s)
Hyperammoniémie , Déficit en ornithine carbamyl transférase , Humains , Femelle , Déficit en ornithine carbamyl transférase/complications , Déficit en ornithine carbamyl transférase/diagnostic , Hyperammoniémie/induit chimiquement , Glucocorticoïdes/usage thérapeutique , Glucocorticoïdes/effets indésirables , Dialyse rénale , Encéphalopathies/induit chimiquement , Encéphalopathies/étiologie , Adulte d'âge moyen , Régime pauvre en protéines/effets indésirables
15.
Poult Sci ; 103(6): 103714, 2024 Jun.
Article de Anglais | MEDLINE | ID: mdl-38636202

RÉSUMÉ

We investigated the effects of supplementing low protein diets with methionine (Met) or threonine (Thr) during a mixed Eimeria (consisting of E. acervulina, E. maxima and E. tenella) challenge in broilers. All birds were fed the same starter diet (d1-9) and finisher diet (d28-35) which met Cobb 500 nutrient specifications. Birds were allocated to 1 of 4 dietary treatments from d9 to 28: a standard protein diet (19% CP); a low protein diet (16% CP); or the low protein diet supplemented with Met or Thr at 50% above recommendations. On d14, half of the birds were challenged, and half of the birds were unchallenged. From d14 to 28, feed intake was recorded daily and BW every 3 or 4 d. Oocyst excretion was measured daily from d18 to 27. On d21 and 28, 3 birds per pen were euthanized to assess nutrient digestibility, cytokine expression and intestinal histology. During the acute stage of the challenge, challenged birds reduced ADFI and ADG (P < 0.05). In the pre-patent and recovery stages, birds given the 16% CP diets increased ADFI (P < 0.05), meanwhile there were no differences in ADG in these stages (P > 0.05). Nutrient digestibility was reduced in challenged birds in the acute stage (P < 0.05) but tended to be greater than in unchallenged birds during the recovery stage. There was no significant effect of diet on oocyst excretion or intestinal histology (P > 0.05). Interactions were observed between diet and challenge on IL-10 and IL-21 expression in the cecal tonsils during the acute stage of the challenge (P < 0.05), due to reduced IL-10 expression in challenged Thr birds and greater IL-21 expression in challenged Met birds. Supplementation with Thr or Met had limited effects on the outcomes of a mixed Eimeria challenge but provides benefits to the host by enhancing their immune response.


Sujet(s)
Aliment pour animaux , Poulets , Coccidiose , Régime pauvre en protéines , Compléments alimentaires , Eimeria , Méthionine , Maladies de la volaille , Thréonine , Animaux , Méthionine/administration et posologie , Coccidiose/médecine vétérinaire , Coccidiose/parasitologie , Eimeria/physiologie , Aliment pour animaux/analyse , Thréonine/administration et posologie , Maladies de la volaille/parasitologie , Compléments alimentaires/analyse , Régime pauvre en protéines/médecine vétérinaire , Mâle , Régime alimentaire/médecine vétérinaire , Répartition aléatoire
16.
J Anim Physiol Anim Nutr (Berl) ; 108(4): 1107-1118, 2024 Jul.
Article de Anglais | MEDLINE | ID: mdl-38567963

RÉSUMÉ

Reducing the dietary crude protein (CP) could effectively reduce pressure on protein ingredient supplies. However, few data have been reported about the extent to which CP can be reduced and whether limiting the use of soybean meal leads to electrolyte imbalance. In this experiment, using the low protein (LP) diet [2% lower than NRC (2012)], seventy-two piglets (35 days old) were randomly divided into 2 groups with 6 replicates of 6 piglets each: CON group (CP = 18.5%) and LP group (CP = 16.5%), to investigate the effect of the LP diet on electrolyte balance, acid-base balance, intestinal structure and amino acid transport in piglets. The results revealed that the LP diet decreased the average daily gain and dietary CP digestibility, and damaged the villi structure of the small intestine. Compared with the CON diet, the potassium content decreased and the chlorine content increased in the LP diet, and similar trends were shown in piglet serum. The arterial pH, pCO2, HCO3 -, and base excess of piglets in the LP group were lower than those in the CON group, while pO2 was higher than those in the CON group. Interestingly, the LP diet significantly increased the lysine content in piglet serum and significantly decreased the levels of arginine, leucine, and glutamic acid. Furthermore, the LP diet significantly affected the expression of some amino acid transport vectors (B0AT1, EAAC1, and y+LAT1). In summary, these findings suggested that the LP diet leads to acid-base imbalance, amino acid transport disorder and amino acids imbalance in piglets, and the dietary electrolyte may be a key factor in the impact of the LP diet on piglet growth performance and intestinal health.


Sujet(s)
Équilibre acido-basique , Acides aminés , Aliment pour animaux , Phénomènes physiologiques nutritionnels chez l'animal , Régime pauvre en protéines , Animaux , Suidae/physiologie , Aliment pour animaux/analyse , Régime pauvre en protéines/médecine vétérinaire , Acides aminés/métabolisme , Équilibre hydroélectrolytique/physiologie , Intestins/physiologie , Intestins/effets des médicaments et des substances chimiques , Régulation de l'expression des gènes/effets des médicaments et des substances chimiques , Régulation de l'expression des gènes/physiologie , Régime alimentaire/médecine vétérinaire , Systèmes de transport d'acides aminés/métabolisme
17.
Pak J Biol Sci ; 27(3): 113-118, 2024 Mar.
Article de Anglais | MEDLINE | ID: mdl-38686732

RÉSUMÉ

<b>Background and Objective:</b> Malnutrition and stunting are major unresolved problems in Indonesia. Protein deficiency can cause stunted growth, as well as make physical and cognitive abilities cannot reach their maximum potential. During childhood the need for protein must be fulfilled so that the peak of bone formation during adolescence can be perfect. In malnourished children, a low protein diet will lead to thinning of the bone cortex. Due to the high rate of stunting and malnutrition in children due to protein deficiency, a study was conducted on the effects of feeding low protein diet on rat bones. <b>Materials and Methods:</b> Male Wistar rats (n = 10) at 6-8 weeks old (body weight around 250 g), control groups were fed a normal chow diet and low protein diet groups were given low protein chow diet (protein 5%) for 18 weeks, then the rats were sacrificed and the femoral bones were isolated. Body weight, femur weight, femur length were checked and bone density was examined using X-ray. <b>Results:</b> The body proportions of the low protein group rats were smaller and thinner than those of the control group. This difference is supported by the significant weight loss starting from the sixth week after low protein feeding. There are significant differences in body weight and femur weight between the control and low protein diet groups. Bone density decreases significantly in low protein diet group. Macroscopically, the femur length of the low protein group was shorter than the control group, however the femur length did not show significant differences statistically between the two groups. <b>Conclusion:</b> A low protein diet decreased the body weight of the rats, also causing impaired bone growth characterized by decreasing femur weight. The low protein diet also caused osteoporosis in the bones.


Sujet(s)
Densité osseuse , Régime pauvre en protéines , Fémur , Rat Wistar , Animaux , Mâle , Fémur/métabolisme , Rats , Poids , Développement osseux , Os et tissu osseux/métabolisme , Protéines alimentaires/administration et posologie , Protéines alimentaires/métabolisme
18.
Fish Shellfish Immunol ; 149: 109555, 2024 Jun.
Article de Anglais | MEDLINE | ID: mdl-38615703

RÉSUMÉ

Developing a low-protein feed is important for the sustainable advancement of aquaculture. The aim of this study was to investigate the effects of essential amino acid (EAA) supplementation in a low-protein diet on the growth, intestinal health, and microbiota of the juvenile blotched snakehead, Channa maculata in an 8-week trial conducted in a recirculating aquaculture system. Three isoenergetic diets were formulated to include a control group (48.66 % crude protein (CP), HP), a low protein group (42.54 % CP, LP), and a low protein supplementation EAA group (44.44 % CP, LP-AA). The results showed that significantly lower weight gain (WG), specific growth rate (SGR), protein efficiency ratio (PER), and feed efficiency ratio (FER) were observed in fish that were fed LP than in the HP and LP-AA groups (P < 0.05). The HP and LP-AA groups exhibited a significant increase in intestinal villus length, villus width, and muscular thickness compared to the LP group (P < 0.05). Additionally, the HP and LP-AA groups demonstrated significantly higher levels of intestinal total antioxidant capacity (T-AOC), catalase (CAT), and superoxide dismutase (SOD) and lower levels of malondialdehyde (MDA) compared to the LP group (P < 0.05). The apoptosis rate of intestinal cells in the LP group was significantly higher than those in the LP and HP groups (P < 0.05). The mRNA expression levels of superoxide dismutase (sod), nuclear factor kappa B p65 subunit (nfκb-p65), heat shock protein 70 (hsp70), and inhibitor of NF-κBα (iκba) in the intestine were significantly higher in the LP group than those in the HP and LP-AA groups (P < 0.05). The 16s RNA analysis indicated that EAA supplementation significantly increased the growth of Desulfovibrio and altered the intestinal microflora. The relative abundances of Firmicutes and Cyanobacteria were positively correlated with antioxidant parameters (CAT and T-AOC), whereas Desulfobacterota was negatively correlated with sod and T-AOC. The genera Bacillus, Bacteroides, and Rothia were associated with the favorable maintenance of gut health. In conclusion, dietary supplementation with EAAs to achieve a balanced amino acid profile could potentially reduce the dietary protein levels from 48.66 % to 44.44 % without adversely affecting the growth and intestinal health of juvenile blotched snakeheads.


Sujet(s)
Acides aminés essentiels , Aliment pour animaux , Compléments alimentaires , Microbiome gastro-intestinal , Intestins , Animaux , Aliment pour animaux/analyse , Compléments alimentaires/analyse , Microbiome gastro-intestinal/effets des médicaments et des substances chimiques , Acides aminés essentiels/administration et posologie , Perciformes/croissance et développement , Perciformes/immunologie , Régime pauvre en protéines/médecine vétérinaire , Régime alimentaire/médecine vétérinaire , Répartition aléatoire , Poissons/croissance et développement , Aquaculture , Channa punctatus
19.
Sci Rep ; 14(1): 8612, 2024 04 14.
Article de Anglais | MEDLINE | ID: mdl-38616198

RÉSUMÉ

This study investigated the effects of Lactobacillus-fermented low-protein diet on the growth performance, nitrogen balance, fecal microbiota, and metabolomic profiles of finishing pigs. A total of 90 finishing pigs were assigned to one of three dietary treatments including a normal protein diet (CON) as well as two experimental diets in which a low-protein diet supplemented with 0 (LP) or 1% Lactobacillus-fermented low-protein feed (FLP). In comparison with CON, the LP and FLP significantly increased average daily gain (P = 0.044), significantly decreased feed to gain ratio (P = 0.021), fecal nitrogen (P < 0.01), urine nitrogen (P < 0.01), and total nitrogen (P < 0.01), respectively. The LP group exhibited increased abundances of unclassified_f_Selenomonadaceae, Coprococcus, Faecalibacterium, and Butyricicoccus, while the abundances of Verrucomicrobiae, Verrucomicrobiales, Akkermansiaceae, and Akkermansia were enriched in the FLP group. Low-protein diet-induced metabolic changes were enriched in sesquiterpenoid and triterpenoid biosynthesis and Lactobacillus-fermented low-protein feed-induced metabolic changes were enriched in phenylpropanoid biosynthesis and arginine biosynthesis. Overall, low-protein diet and Lactobacillus-fermented low-protein diet improved the growth performance and reduce nitrogen excretion, possibly via altering the fecal microbiota and metabolites in the finishing pigs. The present study provides novel ideas regarding the application of the low-protein diet and Lactobacillus-fermented low-protein diet in swine production.


Sujet(s)
Régime pauvre en protéines , Microbiote , Animaux , Suidae , Métabolomique , Lactobacillus , Azote
20.
BMC Genomics ; 25(1): 374, 2024 Apr 16.
Article de Anglais | MEDLINE | ID: mdl-38627644

RÉSUMÉ

BACKGROUND: Fatty liver hemorrhagic syndrome (FLHS) in the modern poultry industry is primarily caused by nutrition. Despite encouraging progress on FLHS, the mechanism through which nutrition influences susceptibility to FLHS is still lacking in terms of epigenetics. RESULTS: In this study, we analyzed the genome-wide patterns of trimethylated lysine residue 27 of histone H3 (H3K27me3) enrichment by chromatin immunoprecipitation-sequencing (ChIP-seq), and examined its association with transcriptomes in healthy and FLHS hens. The study results indicated that H3K27me3 levels were increased in the FLHS hens on a genome-wide scale. Additionally, H3K27me3 was found to occupy the entire gene and the distant intergenic region, which may function as silencer-like regulatory elements. The analysis of transcription factor (TF) motifs in hypermethylated peaks has demonstrated that 23 TFs are involved in the regulation of liver metabolism and development. Transcriptomic analysis indicated that differentially expressed genes (DEGs) were enriched in fatty acid metabolism, amino acid, and carbohydrate metabolism. The hub gene identified from PPI network is fatty acid synthase (FASN). Combined ChIP-seq and transcriptome analysis revealed that the increased H3K27me3 and down-regulated genes have significant enrichment in the ECM-receptor interaction, tight junction, cell adhesion molecules, adherens junction, and TGF-beta signaling pathways. CONCLUSIONS: Overall, the trimethylation modification of H3K27 has been shown to have significant regulatory function in FLHS, mediating the expression of crucial genes associated with the ECM-receptor interaction pathway. This highlights the epigenetic mechanisms of H3K27me3 and provides insights into exploring core regulatory targets and nutritional regulation strategies in FLHS.


Sujet(s)
Malformations multiples , Malformations crâniofaciales , Régime pauvre en protéines , Stéatose hépatique , Troubles de la croissance , Communications interventriculaires , Animaux , Femelle , Histone/métabolisme , Poulets/génétique , Poulets/métabolisme , Épigenèse génétique , Stéatose hépatique/génétique , Stéatose hépatique/médecine vétérinaire , Hémorragie/génétique , Transcriptome
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