PMID- 31728681 OWN - NLM STAT- MEDLINE DCOM- 20210623 LR - 20221207 IS - 1436-6215 (Electronic) IS - 1436-6207 (Linking) VI - 59 IP - 7 DP - 2020 Oct TI - Prebiotic supplementation modulates advanced glycation end-products (AGEs), soluble receptor for AGEs (sRAGE), and cardiometabolic risk factors through improving metabolic endotoxemia: a randomized-controlled clinical trial. PG - 3009-3021 LID - 10.1007/s00394-019-02140-z [doi] AB - PURPOSE: The oxidative stress plays a key role in the initiation, propagation, and development of the complications of type 2 diabetes mellitus (T2DM). This trial aimed to evaluate the effects of resistant dextrin as a prebiotic on the cardiometabolic risk factors and the status of oxidative stress in patients with T2DM. METHODS: Sixty-five female subjects with T2DM were assigned to either the intervention (n = 33) or control (n = 32) groups receiving 10 g/day of resistant dextrin or placebo, respectively, for 8 weeks. Fasting blood samples were collected at baseline and post-intervention to determine the serum levels of glycemic indices, lipid profile, atherogenic indices, and soluble receptor for AGEs (sRAGE), carboxymethyl lysine (CML), pentosidine, malondialdehyde (MDA), 8-iso-prostaglandin F2alpha (8-iso-PGF2alpha), total antioxidant capacity (TAC), antioxidant enzymes activity, and uric acid. Data were analyzed using SPSS software 17. Paired, unpaired Student's t tests, and analysis of covariance were used to compare the quantitative variables. RESULTS: Resistant dextrin caused a significant decrease in FPG (- 17.43 mg/dl, 9.80%), TG (- 40.25 mg/dl, 23.01%), TC/HDL (- 0.80, 21.87%), LDL-c/HDL-c (- 0.80, 17.85%), Atherogenic index (- 0.40, 15.80%), LPS (- 6.5 EU/ml, 23.40%) and hs-CRP (- 8.02 ng/ml, 54.00%), MDA (- 1.21 nmol/mL, 25.58%), CML (- 93.40 ng/ml, 26.30%), 8-iso-PGF2alpha (- 4.65 pg/ml, 15.00%), and a significant increase in TAC (0.33 mmol/L, 36.25%) and s-RAGE (2.10 ng/ml, 28.90%) in the intervention group compared with the control group. No significant changes were observed in glycosylated hemoglobin, total cholesterol, LDL-c, HDL-c, superoxide dismutase, glutathione peroxidase and catalase, pentosidine, and uric acid in the intervention group compared with the control group. CONCLUSIONS: Supplementation with resistant dextrin may improve the advanced glycation end-products, sRAGE, and cardiometabolic risk factors in women with type 2 diabetes mellitus. FAU - Farhangi, Mahdieh Abbasalizad AU - Farhangi MA AD - Drug Applied Research Center, Nutrition Research Center, Faculty of Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Dehghan, Parvin AU - Dehghan P AD - Nutrition Research Center, Immunology Research Center, Faculty of Nutrition, Tabriz University of Medical Sciences, Tabriz, 5166614711, Iran. dehghan.nut@gmail.com. FAU - Namazi, Nazli AU - Namazi N AD - Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran. LA - eng GR - 11/University of Tabriz/ PT - Journal Article PT - Randomized Controlled Trial DEP - 20191114 PL - Germany TA - Eur J Nutr JT - European journal of nutrition JID - 100888704 RN - 0 (Glycated Hemoglobin A) RN - 0 (Glycation End Products, Advanced) RN - 0 (Prebiotics) RN - 0 (Receptor for Advanced Glycation End Products) SB - IM MH - Cardiometabolic Risk Factors MH - *Diabetes Mellitus, Type 2 MH - *Endotoxemia MH - Female MH - Glycated Hemoglobin MH - Glycation End Products, Advanced MH - Humans MH - Prebiotics MH - Receptor for Advanced Glycation End Products OTO - NOTNLM OT - Advanced glycation end-products OT - Blood pressure OT - Cardiovascular diseases OT - Lipid profile OT - Prebiotic OT - Resistant dextrin OT - sRAGE EDAT- 2019/11/16 06:00 MHDA- 2021/06/24 06:00 CRDT- 2019/11/16 06:00 PHST- 2019/04/27 00:00 [received] PHST- 2019/11/04 00:00 [accepted] PHST- 2019/11/16 06:00 [pubmed] PHST- 2021/06/24 06:00 [medline] PHST- 2019/11/16 06:00 [entrez] AID - 10.1007/s00394-019-02140-z [pii] AID - 10.1007/s00394-019-02140-z [doi] PST - ppublish SO - Eur J Nutr. 2020 Oct;59(7):3009-3021. doi: 10.1007/s00394-019-02140-z. Epub 2019 Nov 14.