2′-fucosyllactose alone or combined with resistant starch increases circulating short-chain fatty acids in lean men and men with prediabetes and obesity

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  • Emanuel E. Canfora
  • Lars M.M. Vliex
  • Taojun Wang
  • Arjen Nauta
  • Freek G. Bouwman
  • Holst, Jens Juul
  • Koen Venema
  • Erwin G. Zoetendal
  • Ellen E. Blaak

Background: Infusion of short-chain fatty acids (SCFA) to the distal colon beneficially affects human substrate and energy metabolism. Here, we hypothesized that the combination of 2′-fucosyllactose (2′-FL) with resistant starch (RS) increases distal colonic SCFA production and improves metabolic parameters. Methods: In this randomized, crossover study, 10 lean (BMI 20–24.9 kg/m2) and nine men with prediabetes and overweight/obesity (BMI 25–35 kg/m2) were supplemented with either 2′-FL, 2′-FL+RS, or placebo one day before a clinical investigation day (CID). During the CID, blood samples were collected after a overnight fast and after intake of a liquid high-fat mixed meal to determine plasma SCFA (primary outcomes). Secondary outcomes were fasting and postprandial plasma insulin, glucose, free fatty acid (FFA), glucagon-like peptide-1, and peptide YY concentrations. In addition, fecal SCFA and microbiota composition, energy expenditure and substrate oxidation (indirect calorimetry), and breath hydrogen excretion were determined. Results: In lean men, supplementation with 2′-FL increased postprandial plasma acetate (P = 0.017) and fasting H2 excretion (P = 0.041) compared to placebo. Postprandial plasma butyrate concentration increased after 2′-FL and 2′-FL+RS as compared to placebo (P < 0.05) in lean men and men with prediabetes and overweight/obesity. Additionally, 2′-FL+RS decreased fasting and postprandial plasma FFA concentrations compared to placebo (P < 0.05) in lean men. Conclusion: Supplementation of 2′-FL with/without RS the day before investigation increased systemic butyrate concentrations in lean men as well as in men with prediabetes and obesity, while acetate only increased in lean men. The combination of 2′-FL with RS showed a putatively beneficial metabolic effect by lowering plasma FFA in lean men, indicating a phenotype-specific effect. Clinical trial registration: nr. NCT04795804.

OriginalsprogEngelsk
Artikelnummer1200645
TidsskriftFrontiers in Nutrition
Vol/bind10
Antal sider13
ISSN2296-861X
DOI
StatusUdgivet - 2023

Bibliografisk note

Funding Information:
Research of this work was performed in the public–private partnership CarboKinetics coordinated by the Carbohydrate Competence Center (CCC, www.cccresearch.nl ). CarboKinetics is financed by participating industrial partners Agrifirm Innovation Center B.V., Cooperatie AVEBE U.A., DSM Food Specialties B.V., FrieslandCampina Nederland B.V., Nutrition Sciences N.V., Sensus B.V., and VanDrie Holding N.V. under allowances of The Netherlands Organisation for Scientific Research (NWO). JH was supported by the NovoNordisk Foundation.

Publisher Copyright:
Copyright © 2023 Canfora, Vliex, Wang, Nauta, Bouwman, Holst, Venema, Zoetendal and Blaak.

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