AMY1拷贝数变化和不同剂量淀粉摄入对葡萄糖稳态的影响:来自横断面观察研究和交叉膳食研究的数据

Mary Farrell, Stina Ramne, Phébée Gouinguenet, Louise Brunkwall, Ulrika Ericson, Anne Raben, Peter M Nilsson, Marju Orho-Melander, Yvonne Granfeldt, Juscelino Tovar, Emily Sonestedt
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引用次数: 4

摘要

背景:唾液淀粉酶基因(AMY1)拷贝数(CN)变异(CNV)影响淀粉消化能力,并可能影响葡萄糖稳态、肥胖和肠道微生物群组成。因此,本研究的目的是在考虑习惯性淀粉摄入的情况下,研究AMY1 CNV与空腹血糖、BMI和肠道微生物群组成的关系,并研究AMY1 CNV对两种不同淀粉剂量后餐后反应的影响。方法:Malmö后代研究(n = 1764, 18-71岁)用于评估AMY1 CNV(通过数字液滴聚合酶链反应进行基因分型)和淀粉摄入量(通过4天食物记录评估)对空腹血糖、BMI和64种肠道细菌(16S rRNA测序)的相互作用。AMY1 CN低拷贝(≤4拷贝,n = 9)和高拷贝(≥10拷贝,n = 10)的参与者被招募参加一项跨餐研究,比较40g和80g白小麦面包淀粉对餐后血糖和胰岛素的反应。结果:在观察性研究中,没有发现AMY1 CNV与空腹血糖、BMI或肠道微生物群组成之间的总体关联。然而,我们观察到AMY1 CNV与习惯性淀粉摄入对空腹血糖(P = 0.03)和BMI (P = 0.05)的交互作用,表明高淀粉摄入水平下AMY1 CNV与空腹血糖和BMI呈负相关,低淀粉摄入水平下AMY1 CNV与空腹血糖和BMI呈正相关。没有观察到与肠道微生物群的关联。在膳食研究中,高AMY1 CN的人在摄入40 g淀粉后,餐后血糖(P = 0.02)和胰岛素(P = 0.05)升高。在摄入80克淀粉后,这种差异较小且不显著。结论:淀粉摄入改变了AMY1 CNV与空腹血糖和BMI之间的关系。此外,根据淀粉剂量的不同,高AMY1 CN的个体比低AMY1 CN的个体有更高的餐后葡萄糖和胰岛素反应。试验注册:ClinicalTrials.gov, NCT03974126。2019年6月4日注册-追溯注册。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Effect of AMY1 copy number variation and various doses of starch intake on glucose homeostasis: data from a cross-sectional observational study and a crossover meal study.

Background: Copy number (CN) variation (CNV) of the salivary amylase gene (AMY1) influences the ability to digest starch and may influence glucose homeostasis, obesity and gut microbiota composition. Hence, the aim was to examine the association of AMY1 CNV with fasting glucose, BMI, and gut microbiota composition considering habitual starch intake and to investigate the effect of AMY1 CNV on the postprandial response after two different starch doses.

Methods: The Malmö Offspring Study (n = 1764, 18-71 years) was used to assess interaction effects between AMY1 CNV (genotyped by digital droplet polymerase chain reaction) and starch intake (assessed by 4-day food records) on fasting glucose, BMI, and 64 gut bacteria (16S rRNA sequencing). Participants with low (≤ 4 copies, n = 9) and high (≥ 10 copies, n = 10) AMY1 CN were recruited for a crossover meal study to compare postprandial glycemic and insulinemic responses to 40 g and 80 g starch from white wheat bread.

Results: In the observational study, no overall associations were found between AMY1 CNV and fasting glucose, BMI, or gut microbiota composition. However, interaction effects between AMY1 CNV and habitual starch intake on fasting glucose (P = 0.03) and BMI (P = 0.05) were observed, suggesting inverse associations between AMY1 CNV and fasting glucose and BMI at high starch intake levels and positive association at low starch intake levels. No associations with the gut microbiota were observed. In the meal study, increased postprandial glucose (P = 0.02) and insulin (P = 0.05) were observed in those with high AMY1 CN after consuming 40 g starch. This difference was smaller and nonsignificant after consuming 80 g starch.

Conclusions: Starch intake modified the observed association between AMY1 CNV and fasting glucose and BMI. Furthermore, depending on the starch dose, a higher postprandial glucose and insulin response was observed in individuals with high AMY1 CN than in those with low AMY1 CN.

Trial registration: ClinicalTrials.gov , NCT03974126 . Registered 4 June 2019-retrospectively registered.

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