The effects of oral trehalose on glycaemia, inflammation, and quality of life in patients with type 2 diabetes: a pilot randomized controlled trial.

Autor: Hashemian S; Applied Biomedical Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran., Shojaei M; Nutrition and Food Security Research Centre and Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran., Radbakhsh S; Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.; Department of Medical Biotechnology and Nanotechnology, Mashhad University of Medical Sciences, Mashhad, Iran., Ashari S; Applied Biomedical Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran., Matbou Riahi M; Applied Biomedical Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran., Shateri Amiri Z; Department of Community Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran., Atkin SL; School of Postgraduate Studies and Research, RCSI Medical University of Bahrain, Busaiteen, Bahrain., Banach M; Department of Preventive Cardiology, Medical University of Lodz (MUL), Lodz, Poland.; Cardiovascualr Research Centre, University of Zielona Gora, Zielona Gora, Poland.; Department of Cardiology and Congenital Diseases of Adults, Polish Mother's Memorial Hospital Research Institute (PMMHRI), Lodz, Poland., Bagherniya M; Nutrition and Food Security Research Centre and Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran.; Anesthesia and Critical Care Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran., Emami SA; Department of Traditional Pharmacy, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran., Sahebkar A; Biotechnology Research Centre, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran.; Applied Biomedical Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran.; School of Medicine, The University of Western Australia, Perth, Australia.; Department of Biotechnology, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.
Jazyk: angličtina
Zdroj: Archives of medical science : AMS [Arch Med Sci] 2023 Jan 05; Vol. 19 (6), pp. 1693-1700. Date of Electronic Publication: 2023 Jan 05 (Print Publication: 2023).
DOI: 10.5114/aoms/159048
Abstrakt: Introduction: Trehalose is a naturally occurring disaccharide of 2 glucose molecules, which has been suggested as a potential therapeutic agent to reduce blood glucose and ameliorate diabetes-related complications in type 2 diabetes (T2D). This study aimed to determine the efficacy of medium-term trehalose treatment in patients with T2D.
Material and Methods: A double-blind, randomized, placebo-controlled trial in 40 patients with T2D was undertaken; 20 ingested trehalose 3.3 g/day and 20 placebo (sucrose), for 3 months. Parameters of glycaemic indices, high-sensitivity C-reactive protein (CRP), mood status, and quality of life were measured.
Results: CRP was significantly lower with trehalose treatment (-0.62 ±0.3 mg/l, p = 0.02); however, no differences in glycaemic indices of fasting blood glucose (FBG) (-7.1 ±10.7 mg/dl, p = 0.15), glycated hemoglobin (HbA 1c ) (-0.1 ±0.4%, p = 0.73), insulin (0.73 ±0.8 μU/ml, p = 0.39), or insulin resistance (HOMA-IR) (0.19 ±0.33, p = 0.56) were seen between groups after 12 weeks. Depression and stress scores were lower with trehalose compared to the placebo group ( p = 0.02 and p = 0.05, respectively), whilst the quality-of-life score was higher with trehalose compared to placebo ( p = 0.03) at the end of study. Between-group differences in these indices did not reach statistical significance (-2.36 ±1.20, -2.21 ±1.39 and 3.00 ±1.76 for depression, stress, and quality-of-life score, respectively) ( p > 0.05). The pro-oxidant antioxidant balance (PAB) did not differ between groups (-4.6 ±12.8, p = 0.72).
Conclusions: 12 weeks of treatment with 3.3 g/day of oral trehalose significantly improves CRP as a marker of inflammation, with potential favourable effects on quality of life, depression, and stress levels, but overall glycaemic control and pro-oxidant-antioxidant balance were unaltered during this time frame.
Competing Interests: The authors declare no conflict of interest.
(Copyright: © 2023 Termedia & Banach.)
Databáze: MEDLINE