Optimal functioning of the immune system is crucial to human health, and nutrition is one
of the major exogenous factors modulating different aspects of immune function. Currently,
no single marker is available to predict the effect of a dietary intervention on different
aspects of immune function. To provide further guidance on the assessment and
interpretation of the modulation of immune functions due to nutrition in the general
population, International Life Sciences Institute Europe commissioned a group of experts
from academia, government and the food industry to prepare a guidance document. A draft of
this paper was refined at a workshop involving additional experts. First, the expert group
defined criteria to evaluate the usefulness of immune function markers. Over seventy-five
markers were scored within the context of three distinct immune system functions: defence
against pathogens; avoidance or mitigation of allergy; control of low-grade (metabolic)
inflammation. The most useful markers were subsequently classified depending on whether
they by themselves signify clinical relevance and/or involvement of immune function. Next,
five theoretical scenarios were drafted describing potential changes in the values of
markers compared with a relevant reference range. Finally, all elements were combined,
providing a framework to aid the design and interpretation of studies assessing the
effects of nutrition on immune function. This stepwise approach offers a clear rationale
for selecting markers for future trials and provides a framework for the interpretation of
outcomes. A similar stepwise approach may also be useful to rationalise the selection and
interpretation of markers for other physiological processes critical to the maintenance of
health and well-being.
The present study was undertaken to determine the prebiotic efficacy of gum arabic upon consumption by man for up to 4 weeks and, if any, to establish the dose-effect relationship. Human healthy volunteers consumed various daily doses (5, 10, 20, 40 g) of gum arabic (EmulGold w ) in water for up to 4 weeks. Daily consumption of water was taken as the negative control and that of 10 g inulin as the positive control. At 0, 1, 2 and 4 weeks quantification of bacterial numbers in stool samples was performed via real time-PCR techniques and questionnaires were filled in to account for potential drawbacks. The genera of Bifidobacteria and Lactobacilli were taken as potentially beneficial bacteria and those of Bacteroides, Clostridium difficile and Enterococci as potentially non-beneficial, this distinction was dependent on the issue of these numbers being or becoming out of balance in the host. Compared with the negative control the numbers of Bifidobacteria and Lactobacilli 4 weeks after consumption were significantly higher for gum arabic: the optimal dose being around 10 g. Moreover, at this dose the numbers of Bifidobacteria, Lactobacilli and Bacteroides were significantly higher for gum arabic than for inulin. No significant drawback was encountered during the study. It is concluded that gum arabic establishes prebiotic efficacy, at least as good as inulin. The optimal daily dose was found to be 10 g.
Gum arabic: Prebiotic: Bifidobacteria: LactobacilliGum arabic is a dried exudate of the acacia tree (Acacia senegal or Acacia seyal), a tree commonly encountered in various tropical and subtropical parts of the world, especially in Africa. It is a heteropolysaccharide of high molecular weight (approximately 350-850 kDa) containing galactose, rhamnose, glucuronic acid and arabinose residues, but also minerals like calcium, potassium and magnesium (1) . The total amount of protein is limited to less than 3 %. Gum arabic is highly soluble in water, concentrations up to 40 % are feasible without a major impact on viscosity (1) , rendering it an attractive candidate compound for various applications, like beverages.
Objectives: To study the effect of four protein hydrolysates from vegetable (pea, gluten, rice and soy) and two protein hydrolysates from animal origin (whey and egg) on glucagon and insulin responses. Subjects/Methods: Eight healthy normal-weight male subjects participated in this study. The study employed a repeatedmeasures design with Latin square randomization and single-blind trials. Protein hydrolysates used in this study (pea, rice, soy, gluten, whey and egg protein hydrolysate) consisted of 0.2 g hydrolysate per kg body weight (bw) and 0.2 g maltodextrin per kg bw and were compared to maltodextrin alone. Postprandial plasma glucose, glucagon, insulin and amino acids were determined over 2 h. Results: All protein hydrolysates induced an enhanced insulin secretion compared to maltodextrin alone and a correspondingly low plasma glucose response. A significant difference was observed in area under the curve (AUC) for plasma glucagon between protein hydrolysates and the maltodextrin control drink (Po0.05). Gluten protein hydrolysate induced the lowest glucagon response. Conclusions: High amino-acid-induced glucagon response does not necessarily go together with low insulin response. Protein hydrolysate source affects AUC for glucagon more profoundly than for insulin, although the protein load used in this study seemed to be at lower level for significant physiological effects.
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