PMID- 26430929 OWN - NLM STAT- MEDLINE DCOM- 20170224 LR - 20230120 IS - 1541-1087 (Electronic) IS - 0731-5724 (Linking) VI - 35 IP - 6 DP - 2016 Aug TI - The Consumption of Synbiotic Bread Containing Lactobacillus sporogenes and Inulin Affects Nitric Oxide and Malondialdehyde in Patients with Type 2 Diabetes Mellitus: Randomized, Double-Blind, Placebo-Controlled Trial. PG - 506-513 AB - OBJECTIVES: To our knowledge, no reports are available indicating the effects of synbiotic bread consumption on nitric oxide (NO), biomarkers of oxidative stress, and liver enzymes among patients with type 2 diabetes mellitus (T2DM). This study was performed to determine the effects of the daily consumption of synbiotic bread on NO, biomarkers of oxidative stress, and liver enzymes in patients with T2DM. METHODS: This randomized, double-blind, placebo-controlled trial was performed among 81 patients with diabetes, aged 35-70 years old. After a 2-week run-in period, patients were randomly divided into 3 groups: group A (n = 27) received synbiotic bread containing viable and the heat-resistant probiotic Lactobacillus sporogenes (1 x 10(8) CFU) and 0.07 g inulin per 1 g, group B (n = 27) received probiotic bread containing Lactobacillus sporogenes (1 x 10(8) CFU), and group C (n = 27) received control bread for 8 weeks. Patients were asked to consume the synbiotic, probiotic, or control breads 3 times a day in 40 g packages for a total of 120 g/day. Fasting blood samples were taken at baseline and after an 8-week intervention for quantificationof related markers. RESULTS: After 8 weeks, the consumption of synbiotic bread compared to the probiotic and control breads resulted in a significant rise in plasma NO (40.6 +/- 34.4 vs 18.5 +/- 36.2 and -0.8 +/- 24.5 micromol/L, respectively, p < 0.001) and a significant reduction in malondialdehyde (MDA) levels (-0.7 +/- 0.7 vs 0.6 +/- 1.7 and 0.5 +/- 1.5 micromol/L, respectively, p = 0.001). We did not find any significant effect of the synbiotic bread consumption on plasma total antioxidant capacity (TAC), plasma glutathione (GSH), catalase, serum liver enzymes, calcium, iron, magnesium levels, and blood pressure compared to the probiotic and control breads. CONCLUSION: In conclusion, consumption of the synbiotic bread for 8 weeks among patients with T2DM had beneficial effects on plasma NO and MDA levels; however, it did not affect plasma TAC, GSH, catalase levels, serum liver enzymes, calcium, iron, magnesium levels, and blood pressure. FAU - Bahmani, Fereashteh AU - Bahmani F AD - a Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences , Kashan , IRAN. FAU - Tajadadi-Ebrahimi, Maryam AU - Tajadadi-Ebrahimi M AD - b Science Faculty, Islamic Azad University, Tehran Central Branch , Tehran , IRAN. FAU - Kolahdooz, Fariba AU - Kolahdooz F FAU - Mazouchi, Marjan AU - Mazouchi M AD - a Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences , Kashan , IRAN. FAU - Hadaegh, Haleh AU - Hadaegh H AD - c Department of Research and Development of Sahar Bread Company , Tehran , IRAN. FAU - Jamal, Atefeh-Sadat AU - Jamal AS AD - a Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences , Kashan , IRAN. FAU - Mazroii, Navid AU - Mazroii N AD - a Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences , Kashan , IRAN. FAU - Asemi, Shiva AU - Asemi S AD - a Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences , Kashan , IRAN. FAU - Asemi, Zatolla AU - Asemi Z AD - a Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences , Kashan , IRAN. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20151002 PL - United States TA - J Am Coll Nutr JT - Journal of the American College of Nutrition JID - 8215879 RN - 0 (Antioxidants) RN - 0 (Biomarkers) RN - 0 (Placebos) RN - 31C4KY9ESH (Nitric Oxide) RN - 4Y8F71G49Q (Malondialdehyde) RN - 9005-80-5 (Inulin) RN - EC 1.11.1.6 (Catalase) RN - GAN16C9B8O (Glutathione) SB - IM ECI - J Am Nutr Assoc. 2022 Jan;41(1):125. PMID: 33155885 UIN - J Am Nutr Assoc. 2022 Jan;41(1):125. PMID: 33155885 MH - Adult MH - Aged MH - Antioxidants/analysis MH - Bacillus coagulans/physiology MH - Biomarkers/blood MH - Blood Pressure MH - Bread/*analysis/microbiology MH - Catalase/blood MH - Diabetes Mellitus, Type 2/*blood/therapy MH - Double-Blind Method MH - Glutathione/blood MH - Humans MH - Inulin/analysis MH - Malondialdehyde/*blood MH - Middle Aged MH - Nitric Oxide/*blood MH - Placebos MH - Synbiotics/*analysis OTO - NOTNLM OT - diabetes OT - nitric oxide OT - oxidative stress OT - probiotic OT - synbiotic EDAT- 2015/10/03 06:00 MHDA- 2017/02/25 06:00 CRDT- 2015/10/03 06:00 PHST- 2015/10/03 06:00 [pubmed] PHST- 2017/02/25 06:00 [medline] PHST- 2015/10/03 06:00 [entrez] AID - 10.1080/07315724.2015.1032443 [doi] PST - ppublish SO - J Am Coll Nutr. 2016 Aug;35(6):506-513. doi: 10.1080/07315724.2015.1032443. Epub 2015 Oct 2.