Preuss Harry G, Echard Bobby, Bagchi Debasis, Stohs Sidney
Georgetown University Medical Center, Department of Physiology, Washington, DC 20057, USA.
Int J Med Sci. 2007 Aug 6;4(4):196-202. doi: 10.7150/ijms.4.196.
Rapid gastrointestinal absorption of refined carbohydrates (CHO) is linked to perturbed glucose-insulin metabolism that is, in turn, associated with many chronic health disorders. We assessed the ability of various natural substances, commonly referred to as "CHO blockers," to influence starch and sucrose absorption in vivo in ninety-six rats and two pigs. These natural enzyme inhibitors of amylase/sucrase reportedly lessen breakdown of starches and sucrose in the gastrointestinal tract, limiting their absorption. To estimate absorption, groups of nine SD rats were gavaged with water or water plus rice starch and/or sucrose; and circulating glucose was measured at timed intervals thereafter. For each variation in the protocol a total of at least nine different rats were studied with an equal number of internal controls on three different occasions. The pigs rapidly drank CHO and inhibitors in their drinking water. In rats, glucose elevations above baseline over four hours following rice starch challenge as estimated by area-under-curve (AUC) were 40%, 27%, and 85% of their internal control after ingesting bean extract, hibiscus extract, and l-arabinose respectively in addition to the rice starch. The former two were significantly different from control. L-Arabinose virtually eliminated the rising circulating glucose levels after sucrose challenge, whereas hibiscus and bean extracts were associated with lesser decreases than l-arabinose that were still significantly lower than control. The glucose elevations above baseline over four hours in rats receiving sucrose (AUC) were 51%, 43% and 2% of control for bean extract, hibiscus extract, and L-arabinose, respectively. Evidence for dose-response of bean and hibiscus extracts is reported. Giving the natural substances minus CHO challenge caused no significant changes in circulating glucose concentrations, indicating no major effects on overall metabolism. A formula combining these natural products significantly decreased both starch and sucrose absorption, even when the CHO were given simultaneously. These results support the hypothesis that the enzyme inhibitors examined here at reasonable doses can safely lower the glycemic loads starch and sucrose.
精制碳水化合物(CHO)在胃肠道的快速吸收与葡萄糖 - 胰岛素代谢紊乱有关,而这种代谢紊乱又与许多慢性健康问题相关。我们评估了多种通常被称为“CHO阻滞剂”的天然物质在96只大鼠和2头猪体内影响淀粉和蔗糖吸收的能力。据报道,这些淀粉酶/蔗糖酶的天然酶抑制剂可减少胃肠道中淀粉和蔗糖的分解,从而限制它们的吸收。为了评估吸收情况,将每组9只SD大鼠用清水或加了大米淀粉和/或蔗糖的水进行灌胃;之后在不同时间间隔测量循环葡萄糖水平。对于实验方案中的每种变化,总共至少有9只不同的大鼠在三个不同的时间点进行研究,并设置相同数量的内部对照。猪会迅速饮用添加了CHO和抑制剂的饮用水。在大鼠中,用曲线下面积(AUC)估计,在摄入大米淀粉后,除大米淀粉外,分别摄入豆提取物、木槿提取物和L - 阿拉伯糖后,四小时内葡萄糖水平高于基线的升高幅度分别为其内部对照的40%、27%和85%。前两者与对照有显著差异。L - 阿拉伯糖几乎消除了蔗糖刺激后循环葡萄糖水平的升高,而木槿提取物和豆提取物导致的葡萄糖水平下降幅度小于L - 阿拉伯糖,但仍显著低于对照。在摄入蔗糖的大鼠中,四小时内葡萄糖水平高于基线的升高幅度(AUC),豆提取物、木槿提取物和L - 阿拉伯糖分别为对照的51%、43%和2%。报告了豆提取物和木槿提取物剂量反应的证据。给予天然物质但不进行CHO刺激,循环葡萄糖浓度没有显著变化,表明对整体代谢没有重大影响。即使同时给予CHO,将这些天然产物组合成的配方也能显著降低淀粉和蔗糖的吸收。这些结果支持了这样的假设,即在此以合理剂量检测的酶抑制剂能够安全地降低淀粉和蔗糖的血糖负荷。