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LG839:奖赏缺乏综合征的抗肥胖作用及多态性基因关联

LG839: anti-obesity effects and polymorphic gene correlates of reward deficiency syndrome.

作者信息

Blum Kenneth, Chen Amanda L C, Chen Thomas J H, Rhoades Patrick, Prihoda Thomas J, Downs B William, Waite Roger L, Williams Lonna, Braverman Eric R, Braverman Dasha, Arcuri Vanessa, Kerner Mallory, Blum Seth H, Palomo Tomas

机构信息

Department of Physiology & Pharmacology, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.

出版信息

Adv Ther. 2008 Sep;25(9):894-913. doi: 10.1007/s12325-008-0093-z.

Abstract

INTRODUCTION

This study systematically assessed the weight management effects of a novel experimental DNA-customized nutraceutical, LG839 (LifeGen, Inc., La Jolla, CA, USA).

METHODS

A total of 1058 subjects who participated in the overall D.I.E.T. study were genotyped and administered an LG839 variant based on polymorphic outcomes. A subset of 27 self-identified obese subjects of Dutch descent, having the same DNA pattern of four out of the five candidate genes tested (chi-square analysis) as the entire data set, was subsequently evaluated. Simple t tests comparing a number of weight management parameters before and after 80 days of treatment with LG839 were performed.

RESULTS

Significant results were observed for weight loss, sugar craving reduction, appetite suppression, snack reduction, reduction of late night eating (all P<0.01), increased perception of overeating, enhanced quality of sleep, increased happiness (all P<0.05), and increased energy (P<0.001). Polymorphic correlates were obtained for a number of genes (LEP, PPAR-gamma2, MTHFR, 5-HT2A, and DRD2 genes) with positive clinical parameters tested in this study. Of all the outcomes and gene polymorphisms, only the DRD2 gene polymorphism (A1 allele) had a significant Pearson correlation with days on treatment (r=0.42, P=0.045).

CONCLUSION

If these results are confirmed in additional rigorous, controlled studies, we carefully suggest that DNA-directed targeting of certain regulator genes, along with customized nutraceutical intervention, provides a unique framework and strategic modality to combat obesity.

摘要

引言

本研究系统评估了一种新型实验性DNA定制营养剂LG839(美国加利福尼亚州拉霍亚市LifeGen公司)对体重管理的效果。

方法

共有1058名参与整体饮食研究的受试者进行了基因分型,并根据多态性结果给予LG839变体。随后对27名自我认定为肥胖的荷兰裔受试者进行了评估,这些受试者在五个测试候选基因中的四个基因上具有与整个数据集相同的DNA模式(卡方分析)。对使用LG839治疗80天前后的一些体重管理参数进行了简单t检验。

结果

在体重减轻、减少对糖的渴望、抑制食欲、减少零食、减少夜间进食(所有P<0.01)、增加对暴饮暴食的认知、提高睡眠质量、增加幸福感(所有P<0.05)以及增加能量(P<0.001)方面观察到显著结果。获得了一些基因(LEP、PPAR-γ2、MTHFR、5-HT2A和DRD2基因)与本研究中测试的阳性临床参数的多态性相关性。在所有结果和基因多态性中,只有DRD2基因多态性(A1等位基因)与治疗天数具有显著的皮尔逊相关性(r=0.42,P=0.045)。

结论

如果这些结果在更多严格的对照研究中得到证实,我们谨慎地建议,对某些调节基因进行DNA定向靶向,以及定制营养剂干预,为对抗肥胖提供了一个独特的框架和战略模式。

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