Low serum enterolactone concentration is associated with low colonic Lactobacillus-Enterococcus counts in men but is not affected by a synbiotic mixture in a randomised, placebo-controlled, double-blind, cross-over intervention study
AbstractThe aims of the present study were to assess the possible differences in faecal microbiota between men with a low serum enterolactone concentration and those with a high concentration, and to investigate the impact of a synbiotic mixture on serum enterolactone concentration in men with a low concentration. We compared faecal microbiota between ten men with the lowest serum enterolactone concentration and ten men with the highest concentration at recruitment (n 84). Furthermore, we carried out a randomised, double-blind, placebo-controlled, cross-over intervention study (6-week intervention periods and 4-week washout period) to investigate the impact of a synbiotic mixture (two Lactobacillus strains, one Bifidobacterium strain, one Propionibacterium strain and galacto-oligosaccharides (32 g/l)) on serum enterolactone concentration in fifty-two men who had a concentration ,20 nmol/l. Serum sensitive C-reactive protein (CRP) concentration was measured at the end of the first intervention period. Men with a low serum enterolactone concentration when compared with those with a high concentration had less faecal bacteria, especially those belonging to the Lactobacillus -Enterococcus group (median 8·2 (interquartile range 7·8 -8·4) log 10 colony-forming units/g v. median 8·8 (interquartile range 8·5 -8·9) log 10 colony-forming units/g, P¼ 0·009). The synbiotic mixture that was used did not have a significant effect on serum enterolactone (synbiotic v. placebo ratio 0·96 (95 % CI 0·76, 1·22), P¼ 0·724) or serum sensitive CRP (synbiotic v. placebo ratio 0·99 (95 % CI 0·74, 1·33), P¼ 0·954) concentration. Men with a low serum enterolactone concentration harbour less colonic bacteria, especially those belonging to the Lactobacillus -Enterococcus group. A synbiotic mixture does not increase serum enterolactone concentration.Key words: Faecal microbiota: Serum enterolactone: Sensitive C-reactive protein: Synbiotic mixture Low serum enterolactone concentration is an independent risk factor of acute coronary events and death for CHD and CVD in men (1,2) . The inhibition of lipid peroxidation (3,4) , up-regulation of hepatic LDL receptor activity (5) , inhibition of lipoprotein uptake by macrophages (6) and oestrogen-like effect (7) are the proposed mechanisms behind the protective effect of enterolactone. Enterolactone is produced by intestinal metabolism of food lignans such as matairesinol, secoisolariciresinol, pinoresinol and lariciresinol (8 -10) , non-energetic, phenolic plant compounds abundantly found in whole-grain cereals, vegetables and some fruits and berries (10,11) . Enterolactone is the main circulating product of intestinal lignan metabolism (10) and has been proposed to be more potent in terms of biological properties than the parent compounds (12) .Although it is pos...