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L-苯丙氨酸对能量摄入和血糖的影响——对健康男性的食欲感知、胃肠激素和胃排空的影响。

Effects of L-Phenylalanine on Energy Intake and Glycaemia-Impacts on Appetite Perceptions, Gastrointestinal Hormones and Gastric Emptying in Healthy Males.

机构信息

Adelaide Medical School and Centre of Research Excellence in Translating Nutritional Science to Good Health, Level 5 Adelaide Health and Medical Sciences Building, Corner North Terrace and George Street, Adelaide 5005, Australia.

Department of Surgery, Division of Visceral and Transplantation Surgery, University Hospital Zürich, 8091 Zürich, Switzerland.

出版信息

Nutrients. 2020 Jun 16;12(6):1788. doi: 10.3390/nu12061788.

Abstract

In humans, phenylalanine stimulates plasma cholecystokinin (CCK) and pyloric pressures, both of which are important in the regulation of energy intake and gastric emptying. Gastric emptying is a key determinant of postprandial blood glucose. We evaluated the effects of intragastric phenylalanine on appetite perceptions and subsequent energy intake, and the glycaemic response to, and gastric emptying of, a mixed-nutrient drink. The study consisted of two parts, each including 16 healthy, lean males (age: 23 ± 1 years). In each part, participants received on three separate occasions, in randomised, double-blind fashion, 5 g (Phe-5 g) or 10g ('Phe-10 g) L-phenylalanine, or control, intragastrically, 30 min before a standardised buffet-meal (part A), or a standardised mixed-nutrient drink (part B). In part A, plasma CCK and peptide-YY (PYY), and appetite perceptions, were measured at baseline, after phenylalanine alone, and following the buffet-meal, from which energy intake was assessed. In part B, plasma glucose, glucagon-like peptide-1 (GLP-1), insulin and glucagon were measured at baseline, after phenylalanine alone, and for 2 h following the drink. Gastric emptying of the drink was also measured by C-acetate breath-test. Phe-10 g, but not Phe-5 g, stimulated plasma CCK ( = 0.01) and suppressed energy intake ( = 0.012); energy intake was correlated with stimulation of CCK (r = -0.4, = 0.027), and tended to be associated with stimulation of PYY (r = -0.31, = 0.082). Both Phe-10 g and Phe-5 g stimulated insulin and glucagon (all < 0.05), but not GLP-1. Phe-10 g, but not Phe-5 g, reduced overall plasma glucose ( = 0.043) and peak plasma glucose ( = 0.017) in response to the mixed-nutrient drink. Phenylalanine had no effect on gastric emptying of the drink. In conclusion, our observations indicate that the energy intake-suppressant effect of phenylalanine is related to the stimulation of CCK and PYY, while the glucoregulatory effect may be independent of stimulation of plasma GLP-1 or slowing of gastric emptying.

摘要

在人类中,苯丙氨酸刺激血浆胆囊收缩素(CCK)和幽门压力,这两者在调节能量摄入和胃排空方面都很重要。胃排空是餐后血糖的关键决定因素。我们评估了胃内苯丙氨酸对食欲感知和随后的能量摄入的影响,以及混合营养饮料的血糖反应和胃排空。该研究包括两个部分,每个部分包括 16 名健康、瘦的男性(年龄:23 ± 1 岁)。在每个部分中,参与者在随机、双盲的情况下,分别在三个不同的时间接受 5 克(Phe-5 g)或 10 克(Phe-10 g)L-苯丙氨酸或对照物,在标准自助餐(第 A 部分)或标准混合营养饮料(第 B 部分)前 30 分钟胃内给药。在第 A 部分中,在基线时、单独给予苯丙氨酸后以及自助餐后测量血浆 CCK 和肽 YY(PYY)以及食欲感知,并评估能量摄入。在第 B 部分中,在基线时、单独给予苯丙氨酸后以及饮料后 2 小时测量血浆葡萄糖、胰高血糖素样肽-1(GLP-1)、胰岛素和胰高血糖素。通过 C-乙酸呼气试验测量饮料的胃排空。Phe-10 g 但不是 Phe-5 g 刺激血浆 CCK(= 0.01)并抑制能量摄入(= 0.012);能量摄入与 CCK 刺激呈正相关(r = -0.4,= 0.027),并且与 PYY 刺激呈趋势相关(r = -0.31,= 0.082)。Phe-10 g 和 Phe-5 g 均刺激胰岛素和胰高血糖素(均<0.05),但不刺激 GLP-1。Phe-10 g 但不是 Phe-5 g 降低混合营养饮料的总体血浆葡萄糖(= 0.043)和峰值血浆葡萄糖(= 0.017)。苯丙氨酸对饮料的胃排空没有影响。总之,我们的观察表明,苯丙氨酸的抑制能量摄入作用与 CCK 和 PYY 的刺激有关,而血糖调节作用可能与刺激血浆 GLP-1 或减缓胃排空无关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8c/7353198/6cc68f579689/nutrients-12-01788-g001.jpg

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