■ AbstractBACKGROUND: Beneficial effects of milk protein on glucose metabolism have been reported. OBJECTIVES: We hypothesized that dietary supplementation with specific milk protein fractions could prevent diabetes and differentially alter tissue gene expression. Therefore, we studied the effects of supplementing the diet with whey isolate, whey hydrolysate, α-lactalbumin, and casein proteins in Zucker Diabetic Fatty rats (ZDF) and normal Wistar rats. A chow diet was included as well. METHODS: Six week old male ZDF (n = 60) and Wistar rats (n = 44) were used in a 13 week study. P-glucose, p-insulin, p-glucagon, HbA1c, totalcholesterol, HDL-cholesterol, and triglycerides were measured. An oral glucose tolerance test (OGTT) was performed. Liver, muscle, and adipose samples were used for RT-PCR. One-way ANOVA and multiple comparison tests were performed. RESULTS: HbA1c increased during intervention, and was significantly lower for all milk protein fractions compared to chow in the ZDF rats (p < 0.05). At week 18, iAUCs during OGTT in the ZDF rats were similar for all milk protein-treated groups and significantly lower than in the chow fed group (p < 0.01). In the chow-fed group of ZDF rats, p-glucagon increased significantly compared to all milk protein fed animals. Total and HDL cholesterol were increased in the milk protein-treated ZDF rats compared with the control group. Expression of liver GYS2 and SREBP-2 were downregulated in the milk protein-fed ZDF groups compared with chow. CONCLUSIONS: We conclude that milk protein fractions improve glycemic indices in diabetic rats. No major differences were seen between the milk protein fractions. However, the fractions had a differential impact on tissue gene expression, most pronounced in ZDF rats.Keywords: type 2 diabetes · milk protein · whey protein · casein · Zucker rat · Wistar rat · ZDF · glucose tolerance test · OGTT · gene expression Introduction he high prevalence and incidence of obesity and type 2 diabetes (T2D) call for new ways to reduce the risk of T2D and cardiovascular disease. Dietary means of preventing the obesity problem is of major importance. Consumption of milk and dairy products has been associated with reduced risk of diabetes [1]. Milk contains two primary sources of protein, casein and whey. Recently, the beneficial physiological effects of whey protein on the control of food intake and glucose metabolism have been reported [2]. Studies have shown insulinotropic and glucose-lowering properties of whey protein in healthy and T2D subjects [2,3]. Diets high in whey protein and isolates have therefore been of interest in weight management and as promoters of muscle protein synthesis [4].We have previously shown that whey protein acutely lowers postprandial triglyceride levels in obese [5] and T2D subjects ingesting a fat-rich meal [6]. Whey protein contains high amounts of branched chain amino acids, β-lactalbumin, α-lactalbumin, immunoglobulins, and albumin [7].
Reprint fromThe The potential of specific milk protein fractions to prevent T2D n...