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1.
J Anim Sci ; 90(3): 989-95, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21984717

RESUMO

The calpain protease system, in particular, µ-calpain is involved in the disassembly of specific myofibrillar proteins, resulting in tenderization of meat postmortem. Given the size, complexity, and integral nature of titin to the structure of the sarcomere, it is plausible that the length of a sarcomere may alter the susceptibility of various domains of titin to cleavage by the calpains. Therefore, we hypothesized titin degradation differs in a sarcomere-length-dependent manner in beef. After slaughter, beef carcasses were split and sides were either suspended by the Achilles tendon (normal suspension, NS) or by the aitchbone (hip suspension, HS). Immediately after suspension, samples were dissected from the LM, psoas major (PM), and semitendinosus (STN) muscles to serve as 0-d controls. After 24 h, 4 steaks were removed from each muscle and randomly assigned to 1-, 4-, 7-, or 10-d aging treatments. After the assigned aging period, myofibrils were purified for determination of sarcomere length. Warner-Bratzler shear force analysis was also performed to evaluate differences in tenderness. Muscle proteins were solubilized and subjected to SDS-VAGE (vertical agarose gel electrophoresis) to evaluate titin degradation. Sarcomere lengths differed (P < 0.0001) between contralateral muscles of NS and HS carcasses. Quantification of SDS-VAGE gels revealed less (P < 0.05) intact titin in the PM muscle of NS carcasses at each aging period compared with the PM of HS carcasses. No significant differences (P > 0.05) were detected in the disappearance of intact titin among suspension methods in the LM or STN. These data demonstrate that suspension method alters proteolysis of titin and suggest an increase in sarcomere length may contribute to the susceptibility of titin to postmortem proteolysis in beef.


Assuntos
Carne/análise , Proteínas Musculares/metabolismo , Músculo Esquelético/fisiologia , Proteínas Quinases/metabolismo , Proteólise , Sarcômeros/fisiologia , Animais , Calpaína/metabolismo , Bovinos , Conectina
2.
Hum Gene Ther ; 19(9): 873-86, 2008 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18710328

RESUMO

Oncolytic viruses are regulated by the tumor phenotype to replicate and lyse cancer cells selectively. To identify optimal strategies for breast cancer we compared five adenoviruses with distinct regulatory mechanisms: Ad-dl922-947 (targets G1-S checkpoint); Ad-Onyx-015 and Ad-Onyx-017 (target p53/mRNA export); Ad-vKH1 (targets Wnt pathway), and AdEHE2F (targets estrogen receptor/G1-S checkpoint/hypoxic signaling). The quantity of virus required to kill 50% of breast cancer cells after 6 days (EC(50), plaque-forming units per cell) was measured. The most potent virus was Ad-dl922-947 (EC(50), 0.01-5.4 in SkBr3, MDA-231, MDA-468, MCF7, and ZR75.1 cells), followed by wild-type (Ad-WT; EC(50), 0.3-5.5) and AdEHE2F (EC(50), 1.4-3.9). Ad-vKH1 (EC(50), 7.2-72.1), Ad-Onyx-017 (EC(50), 8.4-167), and Ad-Onyx-015 (EC(50), 17.7-377) showed less activity. Most viruses showed limited cytotoxicity in normal human cells, including breast epithelium MCF10A (EC(50), >722) and fibroblasts (EC(50), >192) and only moderate cytotoxicity in normal microvascular endothelial cells (HMVECs; EC(50), 42.8-149), except Ad-dl922-947, which was active in HMVECs (EC(50), 1.6). After injection into MDA-231 xenografts, Ad-WT, AdEHE2F, and Ad-dl922-947 showed replication, assessed by hexon staining and quantitative polymerase chain reaction measurement of viral DNA, and significantly inhibited tumor growth, leading to extended survival. After intravenous injection Ad-dl922-947 showed DNA replication (233% of the injected dose was measured in liver after 3 days) whereas AdEHE2F did not. Overall, AdEHE2F showed the best combination of low toxicity in normal cells and high activity in breast cancer in vitro and in vivo, suggesting that molecular targeting using estrogen response elements, hypoxia response elements, and a dysregulated G1-S checkpoint is a promising strategy for virotherapy of breast cancer.


Assuntos
Adenovírus Humanos/genética , Neoplasias da Mama/terapia , Terapia Viral Oncolítica/métodos , Vírus Oncolíticos/genética , Adenovírus Humanos/fisiologia , Animais , Sequência de Bases , Neoplasias da Mama/patologia , Neoplasias da Mama/virologia , Ciclo Celular , Morte Celular , Linhagem Celular , Linhagem Celular Tumoral , Primers do DNA/genética , Feminino , Humanos , Camundongos , Camundongos SCID , Transplante de Neoplasias , Vírus Oncolíticos/fisiologia , Transplante Heterólogo , Replicação Viral
3.
Cancer Gene Ther ; 14(4): 335-45, 2007 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-17235355

RESUMO

Effective gene therapy for disseminated metastatic cancer is currently impossible because of poor delivery of vector to target sites. Modification of viral vectors to target advanced cancer has long been a challenge. In this study, we aimed to redirect adenovirus tropism to infect prostate cancer cells via alpha6beta1 integrins, whose expression is upregulated during prostate cancer progression. To ablate normal mechanisms of infection and provide a framework for attachment of targeting ligands, viruses were non-genetically modified with pHPMA-ONp polymer. Addition of polymer-coated virus to prostate cells showed significantly reduced transgene expression compared with unmodified virus. To restore infectivity, an alpha6-integrin binding peptide (-SIKVAV-) derived from laminin was incorporated onto the surface of the polymer-coated viruses. Photon correlation spectroscopic analysis revealed a small increase in the mean diameter of the particles following retargeting. Addition of -SIKVAV- peptide restored virus infectivity of PC-3 cells in a ligand concentration-dependent manner that was significantly improved following removal of unincorporated polymer and peptide. Competition assays using cells preincubated with Ad5 fiber protein or free -SIKVAV- peptide confirmed that entry of retargeted viruses was mediated via the incorporated ligand. Application of retargeted viruses to a panel of human cell lines revealed varying levels of transduction efficiency. Flow cytometric analysis of cells using anti-alpha6 integrin and anti-beta1 integrin antibodies demonstrated that for prostate cells, greater transduction efficiency correlated with higher levels of expression of both integrin subunits. Furthermore with the exception of LNCaP cells, increased alpha6beta1 integrin expression correlated with advanced disease. Intravenous administration of retargeted viruses to tumor-bearing mice resulted in slower plasma clearance and greatly reduced liver tropism, and hence toxicity compared with unmodified virus, while maintaining reporter gene expression in the tumor. The data suggest that YESIKVAVS-retargeted viruses have potential for systemic delivery for the treatment of metastatic disease.


Assuntos
Adenoviridae/genética , Terapia Genética/métodos , Vetores Genéticos , Integrina alfa6/metabolismo , Laminina/química , Oligopeptídeos/química , Polímeros/química , Neoplasias da Próstata/terapia , Adenoviridae/química , Adenoviridae/metabolismo , Linhagem Celular Tumoral , Humanos , Integrina alfa6/análise , Masculino , Neoplasias da Próstata/química , Neoplasias da Próstata/secundário , Transdução Genética
4.
Gene Ther ; 13(22): 1579-86, 2006 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-16810196

RESUMO

Use of synthetic vectors to deliver genomes of conditionally replicating lytic viruses combines the strengths of viral and non-viral approaches by enabling neutralising antibody resistant deployment of cancer virotherapy. Adenovirus is particularly suitable for this application since all proteins essential for replication can be expressed from the input DNA, although the presence of terminal protein (TP) covalently linked to the 5' termini of the input virus genomes both improves expression of transgenes encoded in the input DNA and also enhances replication. These roles of TP were distinguished in experiments where E1-deleted Ad(GFP)DNA bearing TP (Ad(GFP)DNA-TP), delivered with DOTAP, gave a two-fold greater frequency of transduction than Ad(GFP)DNA(without TP) in non-complementing A549 cells, while in 293 cells (which support replication of E1-deleted viruses) the presence of TP mediated a much greater differential transgene expression, commensurate with its ability to promote replication. Subsequent studies using AdDNA for virotherapy, therefore, included covalently linked TP. AdDNA-TP delivered to A549 cells using a synthetic polyplex vector was shown to be resistant to levels of neutralising antisera that completely ablated infection by wild-type adenovirus, enabling polyplex/Ad(wild type)DNA-TP to mediate a powerful cytopathic effect. Similarly in vivo, direct injection of a polyplex/Ad(wild type)DNA-TP into A549 tumours was neutralising antibody-resistant and enabled virus replication, whereas intact virus was neutralised by the antibody and failed to infect. The delivery of adenovirus genomes-TP using synthetic vectors should provide a strategy to bypass neutralising antibodies and facilitate clinical application of replicating adenovirus for cancer virotherapy.


Assuntos
Adenoviridae/genética , Anticorpos Antivirais/imunologia , DNA Viral/administração & dosagem , Terapia Genética/métodos , Neoplasias/terapia , Vacinas Sintéticas/administração & dosagem , Adenoviridae/imunologia , Animais , Reações Antígeno-Anticorpo , DNA Viral/imunologia , Engenharia Genética , Camundongos , Camundongos SCID , Transplante de Neoplasias , Neoplasias/imunologia , Neoplasias/virologia , Transdução Genética/métodos , Transfecção/métodos
5.
Gene Ther ; 11(16): 1256-63, 2004 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-15215884

RESUMO

Systemic delivery of adenoviral vectors is a major goal in cancer gene therapy, but is currently prohibited by rapid hepatic uptake of virus following intravenous injection with levels of viable virus in the murine plasma typically falling to less than 0.1% after 30 min. We have used a surface-masking technique based on multivalent copolymers of poly(N-(2-hydroxypropyl)methacrylamide) to ablate all pathways of receptor-mediated infection, combined with dose modulation to achieve partial saturation of nonspecific uptake pathways. Polymer coating gave at least 100-fold decreased hepatic transgene expression at all doses and even high doses of coated virus (pc-virus) showed no weight loss or stimulation of serum transaminases. Low doses of virus and pc-virus (10(9) viral particles (vp)/mouse) were mainly captured by the liver (assessed by quantitative PCR), although higher doses led to greater fractional persistence in the plasma (measured after 30 min). Coated virus at a dose of 6 x 10(11) vp/mouse showed nearly 50% plasma circulation, representing a 3.5-fold greater area under the concentration-time curve (0-30 min) compared to unmodified virus. Such an increase in the bioavailability of adenovirus, coupled with substantial decreases in toxicity and unwanted transgene expression is an important step towards producing systemically available tumour-targeted viruses.


Assuntos
Adenoviridae , Vetores Genéticos/genética , Fígado/virologia , Plasma/virologia , Polímeros , Animais , Expressão Gênica , Marcação de Genes/métodos , Terapia Genética/métodos , Injeções Intravenosas , Camundongos , Neoplasias/terapia , Fagocitose/fisiologia , Receptores Virais/genética , Recombinação Genética/genética , Transdução Genética/métodos , Transgenes/genética , Células Tumorais Cultivadas
7.
Gene Ther ; 8(5): 341-8, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11313809

RESUMO

Adenovirus is a widely used vector for cancer gene therapy because of its high infection efficiency and capacity for transgene expression in both dividing and nondividing cells. However, neutralisation of adenovirus by pre-existing antibodies can lead to inefficient delivery, and the wide tissue distribution of the coxsackie and adenovirus receptor (CAR, the primary receptor for adenovirus type 5) precludes target selectivity. These limitations have largely restricted therapeutic use of adenovirus to local or direct administration. A successful viral gene therapy vector would be protected from neutralising antibodies and exhibit a preferential tropism for target cells. We report here the development of a covalent coating and retargeting strategy using a multivalent hydrophilic polymer based on poly-[N-(2-hydroxypropyl)methacrylamide] (pHPMA). Incorporation of targeting ligands such as basic fibroblast growth factor and vascular endothelial growth factor on to the polymer-coated virus produces ligand-mediated, CAR-independent binding and uptake into cells bearing appropriate receptors. Retargeted virus is resistant to antibody neutralisation and can infect receptor-positive target cells selectively in mixed culture, and also in xenografts in vivo. Multivalent polymeric modification of adenovirus is an effective way of changing its tropism and interaction with the immune system. As a non-genetic one-step process, the technology is simple, versatile and should yield vectors with an improved safety profile.


Assuntos
Adenoviridae/genética , Anticorpos Antivirais/metabolismo , Marcação de Genes/métodos , Vetores Genéticos/imunologia , Polímeros , Adenoviridae/imunologia , Animais , Feminino , Terapia Genética/métodos , Humanos , Ligantes , Neoplasias Pulmonares/virologia , Metacrilatos , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Nus , Transplante de Neoplasias , Neoplasias Pancreáticas/virologia , Transplante Heterólogo , Células Tumorais Cultivadas
8.
Gene Ther ; 7(15): 1337-43, 2000 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10918506

RESUMO

We have developed a method for stabilisation of polyelectrolyte gene delivery vectors by crosslinking their surfaces with biodegradable multivalent copolymers based on N-(2-hydroxypropyl)methacrylamide (HPMA). The resulting nanoparticulate vectors resist attack by serum proteins and can be modified for cell-specific delivery by incorporation of targeting ligands onto the polymer coating. Here we show that vascular endothelial growth factor (VEGF), transferrin and basic fibroblast growth factor (bFGF) can each be linked to polyHPMA-coated poly(L-lysine)/DNA complexes. All ligand-targeted complexes demonstrated increased uptake into receptor-positive cells (measured using plasmids containing 32P-dCTP), that could be antagonised with excess free ligand. Targeted complexes also showed increased transfection, resistant to inhibition by serum, suggesting the possibility of effective application in vivo. Analysis using fluorescence microscopy confirmed enhanced uptake of ligand-targeted complexes (using Texas Red-labelled plasmid DNA), although VEGF- and transferrin-targeted complexes were restricted to cytoplasmic or perinuclear distributions. In contrast, bFGF-targeted complexes showed efficient delivery into the nucleus, with accumulation of more than 100000 plasmids per cell within distinct intranuclear compartments. This method permits versatile targeting of genes to selected cells and may also permit manipulation of intracellular trafficking. It should find several important applications in gene delivery systems both in vitro and in vivo.


Assuntos
Endotélio Vascular/metabolismo , Técnicas de Transferência de Genes , Substâncias de Crescimento/genética , Núcleo Celular/metabolismo , Citoplasma/metabolismo , Fatores de Crescimento Endotelial/genética , Fator 2 de Crescimento de Fibroblastos/genética , Expressão Gênica , Humanos , Linfocinas/genética , Microscopia de Fluorescência , Microesferas , Transferrina/genética , Veias Umbilicais , Fator A de Crescimento do Endotélio Vascular , Fatores de Crescimento do Endotélio Vascular
9.
Gene Ther ; 7(8): 637-43, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10800086

RESUMO

Animal models and phase I clinical trials have shown that repeat virus delivery and subsequent transgene expression is limited by the generation of humoral and cellular immune responses directed towards the therapeutic vector. The presence of a pre-existing immune response may even prevent initial delivery. In order to determine the presence of pre-existing anti-adenovirus humoral immunity we analysed ascitic fluid, collected from the peritoneal cavity of patients with advanced ovarian cancer. Twelve ascitic fluid and four matched serum samples were examined. The titre and isotype of anti-adenovirus antibodies was determined by ELISA, and Western blotting identified the molecular basis of the immune response, which was primarily directed towards fibre and penton base. Neutralisation of virus infectivity was assessed in vitro by measurement of green fluorescent protein reporter gene expression. We found that the ascitic fluid samples contain antibodies that recognise both adenovirus types 2 and 5, were predominantly IgG and directed towards the viral antigens responsible for cell adhesion, and had virus neutralising activity.


Assuntos
Infecções por Adenovirus Humanos/imunologia , Adenovírus Humanos/imunologia , Anticorpos Antivirais/análise , Líquido Ascítico/imunologia , Neoplasias Ovarianas/imunologia , Anticorpos Antivirais/sangue , Western Blotting/métodos , Ensaio de Imunoadsorção Enzimática/métodos , Feminino , Humanos , Imunoglobulina G/análise , Testes de Neutralização
10.
J Biol Chem ; 275(6): 3793-802, 2000 Feb 11.
Artigo em Inglês | MEDLINE | ID: mdl-10660529

RESUMO

Binding of serum proteins to polyelectrolyte gene delivery complexes is thought to be an important factor limiting bloodstream circulation and restricting access to target tissues. Protein binding can also inhibit transfection activity in vitro. In this study a multivalent reactive hydrophilic polymer has been used to inhibit protein binding. This polymer is based on poly-[N-(2-hydroxypropyl)methacrylamide] (pHPMA) bearing pendent oligopeptide (Gly-Phe-Leu-Gly) side chains terminated in reactive 4-nitrophenoxy groups (8.6 mol%). The polymer reacts with the primary amino groups of poly(L-lysine) (pLL) and produces a hydrophilic coating on the surface of pLL.DNA complexes (as measured by fluorescamine). The resulting pHPMA-coated complexes show a decreased surface charge (from +14 mV for pLL.DNA complexes to -25 mV for pHPMA-modified complexes) as measured by zeta potential analysis. The pHPMA-coated complexes also show a slightly increased average diameter (approximately 90 nm compared with 60 nm for pLL. DNA complexes) as viewed by atomic force and transmission electron microscopy and around 100 nm as viewed by photon correlation spectroscopy. They are completely resistant to protein interaction, as determined by turbidometry and SDS-polyacrylamide gel electrophoresis analysis of complexes isolated from plasma, and show significantly decreased nonspecific uptake into cells in vitro. Spare reactive ester groups can be used to conjugate targeting ligands (e.g. transferrin) on to the surface of the complex to provide a means of tissue-specific targeting and transfection. The properties of these complexes therefore make them promising candidates for targeted gene delivery, both in vitro and potentially in vivo.


Assuntos
Marcação de Genes/métodos , Técnicas de Transferência de Genes , Vetores Genéticos/genética , Polímeros/química , Transferrina/metabolismo , Resinas Acrílicas/química , Fluorescamina , Humanos , Microscopia Eletrônica , Nefelometria e Turbidimetria , Tamanho da Partícula , Peptídeos/química , Polilisina/metabolismo , Ligação Proteica , Albumina Sérica/metabolismo , Análise Espectral , Eletricidade Estática , Propriedades de Superfície , Transfecção , Células Tumorais Cultivadas
11.
Environ Health Perspect ; 107(10): 773-8, 1999 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-10504141

RESUMO

Virtually all cultures have, throughout history, used a variety of plants or materials derived from plants for the prevention and treatment of disease. Evidence of the beneficial therapeutic effects of these medicinal herbs is seen in their continued use. Additionally, the development of modern chemistry permitted the isolation of chemicals from medicinal herbs that have served as drugs or starting materials for the synthesis of many important drugs used today. Many more modern drugs have been synthesized as a result of knowledge gained from studies of mechanisms of actions of chemicals first isolated from medicinal herbs. Thus, medicinal herbs have played a major role in the development of modern medicine and continue to be widely used in their original form. Whereas it is generally agreed that most medicinal herbs are safe under the conditions used, some are toxic and should be avoided even though they are readily available, and others have significant adverse side effects when misused. Also, little has been done to investigate potential adverse effects that may be associated with extended or high-dose use of medicinal herbs. Thus, concern has been expressed that the lack of quality control used in the preparation of medicinal herbs, plus their unregulated sale and uninformed use, pose potential adverse health effects for consumers. There is also concern regarding potential herb/herb or herb/drug interactions and possible untoward health effects of medicinal herbs in sensitive subpopulations such as the young and the elderly and certain genetically predisposed individuals. In this paper, we discuss these concerns at some length and make recommendations for additional research and education discussed in the recent International Workshop to Evaluate Research Needs on the Use and Safety of Medicinal Herbs.


Assuntos
Fitoterapia , Plantas Medicinais , Suplementos Nutricionais , Interações Medicamentosas , Humanos , Educação de Pacientes como Assunto , Estados Unidos
15.
Fed Proc ; 45(9): 2285-90, 1986 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-3525229

RESUMO

Losses of red blood cell mass (RCM) averaging 10-15% have been observed consistently in astronauts after space flight; postflight recovery of RCM requires 4-6 wk. Although apparently not harmful to the health and effectiveness of crews during uncomplicated flights, decreased RCM could compromise health and performance in the event of illness, injury, or partial malfunction of the life support system. Whether the loss of RCM would worsen or stabilize in missions longer than 7 months is unknown. As a biological response, it is a significant, predictable reaction whose etiology, biological mechanisms, and potential operational significance are inadequately defined. Weightlessness is probably the primary cause; however, contributory factors may include hypokinesia/hypodynamia, bone loss, muscle atrophy, altered hemodynamics, stress, and metabolic disturbances. Space medical specialists consider other possible influences such as hypoxia, hypobaria, radiation, toxic contaminants, and launch and reentry accelerations as less likely factors. Because the data base on loss of RCM is insufficient for the National Aeronautics and Space Administration's space medical responsibilities, the Life Sciences Research Office ad hoc Working Group on Space Anemia suggested research approaches ranging form fundamental topics such as utilization of erythropoietin and oxygen in target organs and cell-cell interactions, through possible splenic and vascular dysfunctions, metabolic disturbances, and inhibitors of erythropoiesis, to methodology and models.


Assuntos
Eritrócitos/fisiologia , Voo Espacial , Peso Corporal , Índices de Eritrócitos , Gravitação , Humanos , Fenômenos Fisiológicos da Nutrição , Osteogênese
17.
Regul Toxicol Pharmacol ; 2(4): 331-4, 1982 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-7185099

RESUMO

A unique peer review program for Federal agencies has been operating since 1962 to provide opinions of leading investigators for sponsors in various fields of the life sciences. The most notable study has recently been completed for the U.S. Food and Drug Administration on the Generally Recognized as Safe (GRAS) food ingredients. Over 400 substances were evaluated by a Select Committee over a 10-year period and evaluative reports were submitted to the regulatory agency. Based in part on these reports made available for public comments, the FDA has been able to develop decisions for appropriate actions on the health aspects of these food ingredients. A comprehensive report on the work of the Select Committee on GRAS substances will be published in the archival literature.


Assuntos
Legislação sobre Alimentos , Revisão por Pares , Estados Unidos , United States Food and Drug Administration
18.
Am J Clin Nutr ; 35(2): 381-97, 1982 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-7039294

RESUMO

Formulas that approximate the composition of human milk are widely used as the sole source of nutrients for infants during the first months of life. Such formulas contain milk, soy, or meal proteins, or protein hydrolysates together with those forms of fat carbohydrate, vitamins, and minerals shown to be bioavailable to the infant. Legislation concerning nutrient composition and quality assurance of products labeled as infant formulas has been enacted by Congress. Governmental and industrial standards also help to assure microbiological safety and stability. Problems of nutrient composition and adverse reactions have occurred during the evolution and development of infant formulas. Problems concerning nutrient deficiency are now almost unknown, but adverse reactions of individuals to specific formula ingredients continue. Accurate information on composition and related nutritional properties of infant formulas is essential for their effective use and for the avoidance of undesirable complications.


Assuntos
Alimentos Infantis/normas , Fenômenos Fisiológicos da Nutrição do Lactente , Animais , Aleitamento Materno , Bovinos , Proteínas Alimentares/administração & dosagem , Digestão , Humanos , Lactente , Alimentos Infantis/efeitos adversos , Alimentos Infantis/análise , Recém-Nascido de Baixo Peso , Recém-Nascido , Doenças do Recém-Nascido/dietoterapia , Intolerância à Lactose/imunologia , Legislação sobre Alimentos , Erros Inatos do Metabolismo/dietoterapia , Leite , Concentração Osmolar , Hidrolisados de Proteína/efeitos adversos , Hidrolisados de Proteína/uso terapêutico , Cloreto de Sódio/efeitos adversos , Glycine max , Estados Unidos
19.
Nutr Rev ; 39(6): 249-56, 1981 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-7312225
20.
Diabetes Care ; 1(4): 231-40, 1978.
Artigo em Inglês | MEDLINE | ID: mdl-400133

RESUMO

The need for special dietary products marketed for use by individuals with diabetes mellitus and the safety and efficacy of certain nutritive sweetener substitutes for sucrose are reviewed. Special foods for individuals with diabetes mellitus are not necessary to achieve the dietary objectives recommended by leading United States and European authorities. They can be achieved conveniently and at minimum expense through enlightened choices of commonly available food items. At present, specific and unique characteristics of food products with special therapeutic properties for diets of diabetic individuals cannot be delineated or defined on rational nutritional grounds. Such terms as "diet", "dietetic", and "diabetic" on food labels have no uniform meaning for consumers, and diabetologists have observed that patients tend to consume such foods without regard to their energy content. Some consumers regard the reduced-calorie and low-calorie prepared food products as convenient in diets for weight reduction and diabetes although their use in dietary management of diabetes has no therapeutic basis other than weight reduction and maintenance. When fed as pure substances to fasted subjects, the nonglucose carbohydrate nutritive sweeteners, fructose, xylitol, and sorbitol, are absorbed relatively slowly and produce less postprandial hyperglycemia and insulin response than sucrose or glucose. Adequate studies of their long-term effectiveness when ingested as part of mixed meals have not been conducted. Although these sucrose substitutes are generally considered safe, the significance of recent information on possible carcinogenicity of oral xylitol in long-term feeding studies has not been fully evaluated. In view of the lack of certain essential information on the long-term effectiveness of various diets in preventing or mitigating the chronic debilitating complication of diabetes, suggestions for future research are included.


Assuntos
Dieta para Diabéticos , Alimentos Formulados , Edulcorantes/uso terapêutico , Glicemia/metabolismo , Carboidratos da Dieta/uso terapêutico , Ingestão de Energia , Frutose/uso terapêutico , Humanos , Sorbitol/uso terapêutico , Edulcorantes/efeitos adversos , Edulcorantes/metabolismo , Xilitol/uso terapêutico
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