PMID- 34578989 OWN - NLM STAT- MEDLINE DCOM- 20211119 LR - 20211119 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 13 IP - 9 DP - 2021 Sep 4 TI - Effects of Acute Fructose Loading on Markers of Inflammation-A Pilot Study. LID - 10.3390/nu13093110 [doi] LID - 3110 AB - Inflammation plays a role in development of diabetic complications. The postprandial state has been linked to chronic low grade inflammation. We therefore aimed to investigate the acute effects of fructose loading, with and without a pizza, on metabolic and inflammatory markers in patients with type 2 diabetes (T2D) (n = 7) and in healthy subjects (HS) (n = 6), age 47-76 years. Drinks consumed were blueberry drink (18 g fructose), Coca-Cola (17.5 g fructose), and fructose drink (35 g fructose). The levels of glucose, insulin, insulin-like growth factor binding protein-1 (IGFBP-1) and inflammatory markers: Interleukin-6 (IL-6), Monocyte chemoattractant protein-1 (MCP-1), Interleukin-18 (IL-18), Intercellular Adhesion Molecule 1 (ICAM-1), vascular cell adhesion molecule 1 (VCAM-1), and bacterial lipopolysaccharides (LPS) were analyzed in blood. The postprandial responses were assessed using Wilcoxon's matched-pairs test, Friedman's ANOVA and Mann-Whitney U test. There was no difference in baseline levels of inflammatory markers between the groups. In T2D, MCP-1 decreased following blueberry drink and Coca-Cola (p = 0.02), Coca-Cola + pizza and fructose + pizza (p = 0.03). In HS, IL-6 increased following blueberry + pizza and fructose + pizza (p = 0.03), there was a decrease in MCP-1 following blueberry drink and Coca-Cola (p = 0.03), and in ICAM-1 following blueberry + pizza (p = 0.03). These results may indicate a role for MCP-1 as a link between postprandial state and diabetes complications, however further mechanistic studies on larger population of patients with T2D are needed for confirmation of these results. FAU - Olofsson, Camilla AU - Olofsson C AD - Department of Molecular Medicine and Surgery, Karolinska Institutet, 171 77 Stockholm, Sweden. FAU - Eriksson, Monica AU - Eriksson M AD - Division of Renal Medicine M99, CLINTEC, Karolinska Institutet, 171 77 Stockholm, Sweden. FAU - Bragfors Helin, Ann-Christin AU - Bragfors Helin AC AD - Division of Renal Medicine M99, CLINTEC, Karolinska Institutet, 171 77 Stockholm, Sweden. FAU - Anderstam, Bjorn AU - Anderstam B AD - Division of Renal Medicine M99, CLINTEC, Karolinska Institutet, 171 77 Stockholm, Sweden. FAU - Orsini, Nicola AU - Orsini N AD - Department of Global Public Health, Karolinska Institutet, 171 77 Stockholm, Sweden. FAU - Stenvinkel, Peter AU - Stenvinkel P AD - Division of Renal Medicine M99, CLINTEC, Karolinska Institutet, 171 77 Stockholm, Sweden. FAU - Rajamand Ekberg, Neda AU - Rajamand Ekberg N AUID- ORCID: 0000-0001-5597-2593 AD - Department of Molecular Medicine and Surgery, Karolinska Institutet, 171 77 Stockholm, Sweden. AD - Department of Endocrinology, Karolinska University Hospital, 171 76 Stockholm, Sweden. AD - Centre for Diabetes, Academic Specialist Centre, 113 65 Stockholm, Sweden. LA - eng GR - 1, 2, 3/(1) Diabetic Theme Centre, (2) Swedish Research Council and (3)the Family Erling Persson Foundation/ PT - Journal Article DEP - 20210904 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Biomarkers) RN - 0 (Blood Glucose) RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (ICAM1 protein, human) RN - 0 (IL18 protein, human) RN - 0 (IL6 protein, human) RN - 0 (Insulin) RN - 0 (Interleukin-18) RN - 0 (Interleukin-6) RN - 0 (Vascular Cell Adhesion Molecule-1) RN - 126547-89-5 (Intercellular Adhesion Molecule-1) RN - 30237-26-4 (Fructose) SB - IM MH - Aged MH - Biomarkers/blood MH - Blood Glucose/analysis MH - Carbonated Beverages/adverse effects MH - Chemokine CCL2/blood MH - Diabetes Mellitus, Type 2/complications/metabolism MH - Female MH - Fructose/administration & dosage/*adverse effects MH - Fruit and Vegetable Juices MH - Humans MH - Inflammation/blood/*chemically induced MH - Insulin/blood MH - Intercellular Adhesion Molecule-1/blood MH - Interleukin-18/blood MH - Interleukin-6/blood MH - Male MH - Middle Aged MH - Pilot Projects MH - Vascular Cell Adhesion Molecule-1/blood PMC - PMC8465001 OTO - NOTNLM OT - IGFBP-1 OT - IL-6 OT - MCP-1 OT - fructose loading OT - inflammatory markers OT - type 2 diabetes COIS- The authors declare that they have no conflict of interest. EDAT- 2021/09/29 06:00 MHDA- 2021/11/20 06:00 PMCR- 2021/09/04 CRDT- 2021/09/28 01:28 PHST- 2021/06/22 00:00 [received] PHST- 2021/08/30 00:00 [revised] PHST- 2021/09/01 00:00 [accepted] PHST- 2021/09/28 01:28 [entrez] PHST- 2021/09/29 06:00 [pubmed] PHST- 2021/11/20 06:00 [medline] PHST- 2021/09/04 00:00 [pmc-release] AID - nu13093110 [pii] AID - nutrients-13-03110 [pii] AID - 10.3390/nu13093110 [doi] PST - epublish SO - Nutrients. 2021 Sep 4;13(9):3110. doi: 10.3390/nu13093110.