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A phase 2 randomized controlled trial of oral resistant starch supplements in the prevention of acute radiation proctitis in patients treated for cervical cancer.
Sasidharan, BK, Ramadass, B, Viswanathan, PN, Samuel, P, Gowri, M, Pugazhendhi, S, Ramakrishna, BS
Journal of cancer research and therapeutics. 2019;(6):1383-1391
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Abstract
BACKGROUND Radiation induced proctitis is frequently encountered during the radiation therapy of cervical and prostate cancers that causes pain and occasionally with bleeding and may affect the continuity of radiation therapy. AIMS AND OBJECTIVES The purpose of the study is to look at the benefit of administration of an oral prebiotic amylase resistant starch in reducing the incidence of acute radiation proctitis, a distressing symptom in patients receiving radiation therapy for cancer of the cervix. MATERIAL AND METHODS The study was conducted between 2011 and 2014 in 104 patients receiving radical chemo-radiotherapy for carcinoma cervix. Patients were randomized in to two arms, one receiving 30 gm of resistant starch and the other digestible starch on a daily basis throughout the course of the external radiotherapy. All patients received standard 4-field box radiation portals, 50 Gy in 25 fractions with 4 cycles of weekly concurrent Cisplatin. At completion of external beam radiotherapy, all patients underwent LDR/HDR brachytherapy. The study was double blinded and allocation was concealed from the investigators. The investigator recorded the radiotherapy related toxicity of the patients according to CTC V 3.0. The incidence and severity of grade 2-4 diarrhoea and proctitis were documented on a weekly basis and compared across the two groups and analyzed. Stool short chain fatty acid concentrations were measured at baseline at 2nd and 4th week and after 6 weeks of completion of radiotherapy in both study placebo arms and reported. The pattern of microbiota in the stool were also estimated in all patients at 4 time points. Two patients who progressed during therapy were not included in the analyses and two patients discontinued the intervention. A per protocol analyses was done. RESULTS At analysis there were 50 patients in each arm. The severity of clinical proctitis was found to be similar in both groups of patients with 12.2 % of patients experiencing toxicity of grade 2 and above in digestible starch group versus 14.6% in the resistant starch group. Functional proctitis was similarly graded and it was found that 16.3 % patients in digestible starch group experienced toxicity against 10.2 % patients in the resistant starch group. This difference was seen at 4th week and continued in the subsequent weeks till the end of radiation. Both groups had similar reported toxicity at 6 weeks post intervention and similar incidence of grade 2 and above diarrhea. The resistant starch group was found to have 8% incidence as compared to 2% in the other group at the 5th and 6th week. The short chain fatty acid concentrations were not significantly different in the groups at any point. CONCLUSION The study did not demonstrate a significant benefit in administering resistant starch over and above normal diet to patients receiving pelvic radiotherapy. The reasons may be attributed to concurrent use of chemotherapy and decrease in intestinal probiotics. The use of digestible starch in the control arm may have contributed to lower incidence of the toxicity endpoints as well.
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Occurrence of internal browning in tuberous roots of sweetpotato and its related starch biosynthesis.
Fukuoka, N, Miyata, M, Hamada, T, Takeshita, E
Plant physiology and biochemistry : PPB. 2019;:233-241
Abstract
Although sweetpotato is an important crop worldwide, there has been almost no research on the occurrence of internal browning (IB) to date. In this study, we clarified the mechanism of occurrence of the disorder by using two types of cultivars with different IB susceptibility. In cells around the secondary vascular tissue, large size of starch grains accumulated in IB-susceptible cultivar compared with resistant one. Histochemical observation performed on cells around the secondary vascular tissues showed the presence of high levels of polyphenol oxidase activity, chlorogenic acid, and hydrogen peroxide in cells from the IB-affected regions in IB-susceptible cultivar. Likewise, high levels of starch content, hydrogen peroxide concentration, and polyphenol content were detected in the affected regions of IB-susceptible cultivar. In IB-susceptible cultivar, both the transcript levels of gens related starch and polyphenol biosynthesis were higher at an early stage of root maturation, while the levels in resistant cultivar were low at this stage and thereafter increased relatively more moderately. These observations suggest that the occurrence of IB disorder in sweetpotato largely depends on the morphology and timing of accumulated starch grain in cells around the secondary vascular tissues.
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Hydrothermally Modified Corn Starch Ingestion Attenuates Soccer Skill Performance Decrements in the Second Half of a Simulated Soccer Match.
Quinones, MD, Lemon, PWR
International journal of sport nutrition and exercise metabolism. 2019;(5):498-504
Abstract
Hydrothermally modified non-genetically modified organisms corn starch (HMS) ingestion may enhance endurance exercise performance via sparing carbohydrate oxidation. To determine whether similar effects occur with high-intensity intermittent exercise, we investigated the effects of HMS ingestion prior to and at halftime on soccer skill performance and repeated sprint ability during the later stages of a simulated soccer match. In total, 11 male university varsity soccer players (height = 177.7 ± 6.8 cm, body mass = 77.3 ± 7.9 kg, age = 22 ± 3 years, body fat = 12.8 ± 4.9%, and maximal oxygen uptake = 57.1 ± 3.9 ml·kg BM-1·min-1) completed the match with HMS (8% carbohydrate containing a total of 0.7 g·kg BM-1·hr-1; 2.8 kcal·kg BM-1·hr-1) or isoenergetic dextrose. Blood glucose was lower (p < .001) with HMS at 15 min (5.3 vs. 7.7 mmol/L) and 30 min (5.6 vs. 8.3 mmol/L) following ingestion, there were no treatment differences in blood lactate, and the respiratory exchange ratio was lower with HMS at 15 min (0.84 vs. 0.86, p = .003); 30 min (0.83 vs. 0.85, p = .004); and 45 min (0.83 vs. 0.85, p = .007) of the first half. Repeated sprint performance was similar for both treatments (p > .05). Soccer dribbling time was slower with isoenergetic dextrose versus baseline (15.63 vs. 14.43 s, p < .05) but not so with HMS (15.04 vs. 14.43 s, p > .05). Furthermore, during the passing test, penalty time was reduced (4.27 vs. 7.73 s, p = .004) with HMS. During situations where glycogen availability is expected to become limiting, HMS ingestion prematch and at halftime could attenuate the decline in skill performance often seen late in contests.
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Seasonal and diurnal patterns of non-structural carbohydrates in source and sink tissues in field maize.
Liang, XG, Gao, Z, Zhang, L, Shen, S, Zhao, X, Liu, YP, Zhou, LL, Paul, MJ, Zhou, SL
BMC plant biology. 2019;(1):508
Abstract
BACKGROUND Carbohydrate partitioning and utilization is a key determinant of growth rate and of yield in plants and crops. There are few studies on crops in field conditions. In Arabidopsis, starch accumulation in leaves is a negative indicator of growth rate. RESULTS Here, we wished to establish if starch accumulation in leaves could potentially be a marker for growth rate and yield in crops such as maize. We characterized daily patterns of non-structural carbohydrate (NSC) at different growth stages over two seasons for maize hybrids in the field. In 27 commercial hybrids, we found a significant negative relationship between residual starch in leaves and plant growth, but not with final yield and biomass. We then focused on three typical hybrids and established a method for calculation of C turnover in photosynthetic leaves that took into account photosynthesis, leaf area and NSC accumulation. The ratios of stored NSC decreased from approximately 15% to less than 4% with ongoing ontogeny changes from V7 to 28 days after pollination. CONCLUSION The proportion rather than absolute amount of carbon partitioned to starch in leaves at all stages of development related well with yield and biomass accumulation. It is proposed that screening plants at an early vegetative growth stage such as V7 for partitioning into storage may provide a prospective method for maize hybrid selection. Our study provides the basis for further validation as a screening tool for yield.
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Beneficial effects of green banana biomass consumption in patients with pre-diabetes and type 2 diabetes: a randomised controlled trial.
Costa, ES, França, CN, Fonseca, FAH, Kato, JT, Bianco, HT, Freitas, TT, Fonseca, HAR, Figueiredo Neto, AM, Izar, MC
The British journal of nutrition. 2019;(12):1365-1375
Abstract
Diabetes mellitus is a global epidemic, characterised as a heterogeneous group of metabolic disorders associated with high risk of CVD. Green banana biomass, which is composed of resistant starches (RS) and cannot be hydrolysed by amylases, delays gastric emptying and modulates insulin sensitivity, thus contributing to improve metabolic disorders. The aim of the present study was to investigate the effects of consumption of RS from green banana biomass on body composition, fasting plasma glucose, glycated Hb (HbA1c) and homeostasis model assessment of insulin resistance in subjects with pre-diabetes or type 2 diabetes on top of treatment. Middle-aged subjects (n 113) of both sexes with pre-diabetes (HbA1c: 5·7-6·4 %) or diabetes (HbA1c ≥ 6·5 %) were randomised to receive nutritional support plus green banana biomass (40 g) (RS: approximately 4·5 g, G1, n 62) or diet alone (G2, n 51) for 24 weeks. Body composition, biochemical analyses and dietary intake were evaluated at the beginning and end of the study. In the experimental group (G1), consumption of RS was associated with reduction in HbA1c (P = 0·0001), fasting glucose (P = 0·021), diastolic blood pressure (P = 0·010), body weight (P = 0·002), BMI (P = 0·006), waist and hip circumferences (P < 0·01), fat mass percentage (P = 0·001) and increase in lean mass percentage (P = 0·011). In controls (G2), reductions were observed in waist and hip circumferences (P < 0·01), HbA1c (P = 0·002) and high-density lipoprotein-cholesterol (P = 0·020). In pre-diabetes or diabetes, non-significant differences were observed in the percentage reduction in HbA1c and fasting glucose in exploratory analyses. Our results indicate that the consumption of bioactive starches is a good dietary strategy to improve metabolic control and body composition.
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Advances and challenges in the production of extracellular thermoduric pullulanases by wild-type and recombinant microorganisms: a review.
Akassou, M, Groleau, D
Critical reviews in biotechnology. 2019;(3):337-350
Abstract
Thermoduric pullulanases, acting as starch-debranching enzymes, are required in many industrial applications, mainly in the production of concentrated glucose, maltose, and fructose syrups. To date, however, a single pullulanase, from Bacillus acidopullulyticus, is available on the market for industrial purposes. This review is an investigation of the major advances as well as the major challenges being faced with regard to optimization of the production of extracellular thermoduric pullulanases either by their original hosts or by recombinant organisms. The critical aspects linked to industrial pullulanase production, which should always be considered, are emphasized, including those parameters influencing solubility, thermostability, and catalytic efficiency of the enzyme. This review provides new insights for improving the production of extracellular thermoduric pullulanases in the hope that such information may facilitate their commercial utilization and potentially be applied to the development of other industrially relevant enzymes.
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High-Resistant Starch, Low-Protein Flour Intervention on Patients With Early Type 2 Diabetic Nephropathy: A Randomized Trial.
Meng, Y, Bai, H, Yu, Q, Yan, J, Zhao, L, Wang, S, Li, Z, Wang, Q, Chen, L
Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation. 2019;(5):386-393
Abstract
OBJECTIVE The objective of this study is to explore the effect of high-resistant starch (RS), low-protein flour as a source of RS on patients with early type 2 diabetic nephropathy (DN) through the clinical intervention trial. DESIGN This was a single center, randomized, comparative, open-label trial. Seventy-five patients with early DN, aged 18 to 80 y, were recruited and randomly assigned to two groups. During the 12-week intervention, the control group patients (38 cases) followed protein-restriction diet daily with a common staple. The intervention group (37 cases) received 50 g of high-RS, low-protein flour instead of a common staple of equal quality at lunch and dinner each day. The blood glucose, blood lipids, nutritional parameters, indicators of renal function, oxidative stress, and inflammatory markers were measured. RESULTS Compared with the control group, high-RS, low-protein flour intake led to a significant reduction in fasting blood glucose, HbA1c, total cholesterol, and triglycerides levels (P < .05 for all). The changes in serum uric acid (UA) and β2-microglobulin (β2-MG) level were observed after high-RS, low-protein flour intervention (uric acid [mean ± standard deviation]: -24.7 ± 38.5 μmol/L, P = .001; β2-MG: 0.5 ± 0.9 mg/L, P = 0.018). In addition, high-RS, low-protein flour intake increased serum superoxide dismutase level by 10.1 ± 27.7 U/mL (P < .05); however, it did not change the interleukin-6 and Tumor Necrosis Factor α (TNF-α) concentration. CONCLUSIONS Twelve-week intervention with high-RS, low-protein flour improved the blood glucose and blood lipid levels, decreased the serum uric acid (UA) and urine β2-MG, and enhanced the ability to prevent antioxidative stress in patients with early DN.
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Starch granules as active guest molecules or microorganism delivery systems.
Qi, X, Tester, RF
Food chemistry. 2019;:182-186
Abstract
Starch granules contain an internal channel structure that can be used to encapsulate and deliver active ingredients such as nutrients, drugs, chemicals and microorganisms. Nature creates a broad range of starch granule sizes and compositions in different plants and this range of encapsulation matrices provides a great deal of commercial opportunity. Starch granules can be utilised for encapsulation in their native form or treated with amylases/amyloglucosidase to facilitate the entry of active ingredients into the granules. Interactions within the granules can be relatively passive or more structured in the form of complexes (such as amylose-lipid complexes). This mini-review evaluates this application of starch and potential commercial product opportunities.
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Resistant Starch is Actively Fermented by Infant Faecal Microbiota and Increases Microbial Diversity.
Gopalsamy, G, Mortimer, E, Greenfield, P, Bird, AR, Young, GP, Christophersen, CT
Nutrients. 2019;(6)
Abstract
In adults, fermentation of high amylose maize starch (HAMS), a resistant starch (RS), has a prebiotic effect. Were such a capacity to exist in infants, intake of RS might programme the gut microbiota during a critical developmental period. This study aimed to determine if infant faecal inocula possess the capacity to ferment HAMS or acetylated-HAMS (HAMSA) and characterise associated changes to microbial composition. Faecal samples were collected from 17 healthy infants at two timepoints: Preweaning and within 10 weeks of first solids. Fermentation was assessed using in vitro batch fermentation. Following 24 h incubation, pH, short-chain fatty acid (SCFA) production and microbial composition were compared to parallel control incubations. In preweaning infants, there was a significant decrease at 24 h in pH between control and HAMS incubations and a significant increase in the production of total SCFAs, indicating fermentation. Fermentation of HAMS increased further following commencement of solids. Fermentation of RS with weaning faecal inocula increased Shannon's diversity index (H) and was associated with increased abundance of Bifidobacterium and Bacteroides. In conclusion, the faecal inocula from infants is capable of RS fermentation, independent of stage of weaning, but introduction of solids increases this fermentation capacity. RS may thus function as a novel infant prebiotic.
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Starch granule initiation and morphogenesis-progress in Arabidopsis and cereals.
Seung, D, Smith, AM
Journal of experimental botany. 2019;(3):771-784
Abstract
Starch, the major storage carbohydrate in plants, is synthesized in plastids as semi-crystalline, insoluble granules. Many organs and cell types accumulate starch at some point during their development and maturation. The biosynthesis of the starch polymers, amylopectin and amylose, is relatively well understood and mostly conserved between organs and species. However, we are only beginning to understand the mechanism by which starch granules are initiated, and the factors that control the number of granules per plastid and the size/shape of granules. Here, we review recent progress in understanding starch granule initiation and morphogenesis. In Arabidopsis, granule initiation requires several newly discovered proteins with specific locations within the chloroplast, and also on the availability of maltooligosaccharides which act as primers for initiation. We also describe progress in understanding granule biogenesis in the endosperm of cereal grains-within which there is large interspecies variation in granule initiation patterns and morphology. Investigating whether this diversity results from differences between species in the functions of known proteins, and/or from the presence of novel, unidentified proteins, is a promising area of future research. Expanding our knowledge in these areas will lead to new strategies for improving the quality of cereal crops by modifying starch granule size and shape in vivo.