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研究奥利司他乙醇酰胺补充剂对肥胖人群中阿克曼氏菌属黏液菌丰度和饮食摄入的影响:一项随机临床试验。

Investigation the effect of oleoylethanolamide supplementation on the abundance of Akkermansia muciniphila bacterium and the dietary intakes in people with obesity: A randomized clinical trial.

机构信息

Assistant Professor of Nutrition Sciences, Maragheh University of Medical Sciences, Maragheh, Iran.

Department of Medical Genetics, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Appetite. 2019 Oct 1;141:104301. doi: 10.1016/j.appet.2019.05.032. Epub 2019 May 24.

Abstract

Akkermansia muciniphila bacterium is one of the inhabitant gut microbiota involving in the energy homeostasis and inhibition of the inflammations. The present study was designed to evaluate the effects of Oleoylethanolamide (OEA) supplementation on the abundance of A. muciniphila and the dietary intakes in obese people. In this randomized, double-blind, controlled clinical trial, 60 eligible obese people were selected and divided randomly into two groups including OEA group (received two capsules containing 125 mg of OEA daily) and placebo group (received two capsules containing 125 mg of starch daily). The treatment lasted for 8 weeks. Dietary intakes were evaluated according to the three -day food record and, were analyzed by the Nutritionist 4 software. In order to evaluate the changes in the abundance of A. muciniphila bacterium, faeces samples were collected at baseline and at the end of study. The targeting of the 16S rRNA gene in A. muciniphila was measured by the quantitative real-time PCR analysis. For OEA group, the energy and carbohydrate intakes decreased significantly after adjusting for baseline values and confounder factors; (p = 0.035), the amount of carbohydrate was reported as 422.25 (SD = 103.11) gr and 368.44 (SD = 99.08) gr; (p = 0.042)), before and after the treatment, respectively. The abundance of A. muciniphila bacterium increased significantly in OEA group compared to placebo group (p < 0.001). Considering the accumulating evidence identified OEA as a novel, safe, and efficacious pharmaceutical agent increasing the abundance of A. muciniphila bacterium and modifying the energy balance, therefore it is suggested to use its supplement for treatment of the obese people. However, future studies are needed to confirm the positive results obtained in this study.

摘要

阿克曼氏菌是参与能量平衡和抑制炎症的常驻肠道微生物群之一。本研究旨在评估奥利诺酰胺 (OEA) 补充对肥胖人群中阿克曼氏菌丰度和饮食摄入的影响。在这项随机、双盲、对照临床试验中,选择了 60 名符合条件的肥胖者,并将他们随机分为两组,OEA 组(每天服用两粒含有 125mg OEA 的胶囊)和安慰剂组(每天服用两粒含有 125mg 淀粉的胶囊)。治疗持续 8 周。根据三天的食物记录评估饮食摄入,并使用营养师 4 软件进行分析。为了评估阿克曼氏菌丰度的变化,在基线和研究结束时收集粪便样本。通过定量实时 PCR 分析靶向阿克曼氏菌的 16S rRNA 基因。对于 OEA 组,在校正基线值和混杂因素后,能量和碳水化合物摄入量显著下降;(p=0.035),碳水化合物的量分别报告为 422.25(SD=103.11)克和 368.44(SD=99.08)克;(p=0.042)),治疗前后。与安慰剂组相比,OEA 组中阿克曼氏菌的丰度显著增加(p<0.001)。鉴于越来越多的证据表明 OEA 是一种新型、安全、有效的药物,可增加阿克曼氏菌的丰度并调节能量平衡,因此建议将其补充剂用于治疗肥胖人群。然而,需要进一步的研究来证实本研究中获得的积极结果。

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