White kidney bean extract as a nutraceutical: effects on gut microbiota, alpha-amylase inhibition, and user experiences.

Gut microbiome (Cambridge, England) Pub Date : 2023-06-01 eCollection Date: 2023-01-01 DOI:10.1017/gmb.2023.5
David Houghton, Oliver M Shannon, Peter I Chater, Matthew D Wilcox, Jeffrey P Pearson, Kyle Stanforth, Cara Jordan, Leah Avery, Alasdair P Blain, Abraham Joel, Ruth Jeffers, Ruth Nolan, Andrew Nelson, Christopher J Stewart, Fiona C Malcomson
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Abstract

White kidney bean extract (WKBE) is a nutraceutical often advocated as an anti-obesity agent. The main proposed mechanism for these effects is alpha-amylase inhibition, thereby slowing carbohydrate digestion and absorption. Thus, it is possible that WKBE could impact the gut microbiota and modulate gut health. We investigated the effects of supplementing 20 healthy adults with WKBE for 1 week in a randomised, placebo-controlled crossover trial on the composition of the gut microbiota, gastrointestinal (GI) inflammation (faecal calprotectin), GI symptoms, and stool habits. We conducted in vitro experiments and used a gut model system to explore potential inhibition of alpha-amylase. We gained qualitative insight into participant experiences of using WKBE via focus groups. WKBE supplementation decreased the relative abundance of Bacteroidetes and increased that of Firmicutes, however, there were no significant differences in post-intervention gut microbiota measurements between the WKBE and control. There were no significant effects on GI inflammation or symptoms related to constipation, or stool consistency or frequency. Our in vitro and gut model system analyses showed no effects of WKBE on alpha-amylase activity. Our findings suggest that WKBE may modulate the gut microbiota in healthy adults, however, the underlying mechanism is unlikely due to active site inhibition of alpha-amylase.

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白芸豆提取物作为营养品:对肠道微生物群、α-淀粉酶抑制和用户体验的影响
摘要白芸豆提取物(WKBE)是一种经常被提倡作为抗肥胖剂的营养品。这些作用的主要机制是抑制α-淀粉酶,从而减缓碳水化合物的消化和吸收。因此,WKBE可能会影响肠道微生物群并调节肠道健康。在一项随机、安慰剂对照的交叉试验中,我们研究了20名健康成年人补充WKBE 1周对肠道微生物群组成、胃肠道炎症(粪便钙卫蛋白)、胃肠道症状和排便习惯的影响。我们进行了体外实验,并使用肠道模型系统来探索对α-淀粉酶的潜在抑制作用。我们通过焦点小组获得了对参与者使用WKBE体验的定性见解。补充WKBE降低了拟杆菌门的相对丰度,增加了厚壁菌门的相对丰富度,然而,干预后的肠道微生物群测量结果在WKBE和对照组之间没有显著差异。对胃肠道炎症或与便秘有关的症状、粪便稠度或频率没有显著影响。我们的体外和肠道模型系统分析显示WKBE对α-淀粉酶活性没有影响。我们的研究结果表明,WKBE可能调节健康成年人的肠道微生物群,然而,由于α-淀粉酶的活性位点抑制,其潜在机制不太可能。
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