Urinary oxidized, but not enzymatic vitamin E metabolites are inversely associated with measures of glucose homeostasis in middle-aged healthy individuals

Autor: Diana van Heemst, Fleur L. Meulmeester, Nadia Ashrafi, Dennis O. Mook-Kanamori, Frits R. Rosendaal, Kevin Mills, Raymond Noordam, Jiao Luo, Renée de Mutsert, Ko Willems van Dijk, Saskia le Cessie, Leon G. Martens
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Blood Glucose
Male
0301 basic medicine
Metabolite
medicine.medical_treatment
Urine
Critical Care and Intensive Care Medicine
Glucose homeostasis
Body Mass Index
Lipid peroxidation
chemistry.chemical_compound
0302 clinical medicine
Homeostasis
Vitamin E
Prospective Studies
Netherlands
education.field_of_study
Nutrition and Dietetics
Middle Aged
Healthy Volunteers
Postprandial
Female
Oxidation-Reduction
Vitamin E
Alpha-tocopherol
Glucose homeostasis
Insulin resistance

medicine.medical_specialty
Population
030209 endocrinology & metabolism
03 medical and health sciences
Insulin resistance
Internal medicine
medicine
Humans
Chromans
education
Aged
030109 nutrition & dietetics
business.industry
medicine.disease
Cross-Sectional Studies
Endocrinology
chemistry
Linear Models
Alpha-tocopherol
Lipid Peroxidation
Propionates
alpha-Tocopherol
business
Zdroj: Clinical Nutrition
Clinical Nutrition, 40(6), 4192-4200. ELSEVIER
Clinical Nutrition, 40(6), 4192-4200. CHURCHILL LIVINGSTONE
Popis: Background & aims: Damage induced by lipid peroxidation has been associated with impaired glucose homeostasis. Vitamin E (alpha-tocopherol, alpha-TOH) competitively reacts with lipid peroxyl radicals to mitigate oxidative damage, and forms oxidized vitamin E metabolites. Accordingly, we aimed to investigate the associations between alpha-TOH metabolites (oxidized and enzymatic) in both circulation and urine and measures of glucose homeostasis in the general middle-aged population. Methods: This cross-sectional study was embedded in the population-based Netherlands Epidemiology of Obesity (NEO) Study. alpha-TOH metabolites in blood (alpha-TOH and alpha-CEHC-SO3) and urine [sulfate (SO3) and glucuronide (GLU) of both alpha-TLHQ (oxidized) and alpha-CEHC (enzymatic)] were quantified by liquid chromatography coupled with tandem mass spectrometry (LC/MSeMS). Measures of glucose homeostasis (HOMA-B, HOMA-IR, Insulinogenic index and Matsuda index) were obtained from fasting and postprandial blood samples. Multivariable linear regression analyses were performed to assess the associations of alpha-TOH metabolites and measures of glucose homeostasis. Results: We included 498 participants (45% men) with mean (SD) age of 55.8 (6.1) years who did not use glucose-lowering medication. While blood alpha-TOH was not associated with measures of glucose homeostasis, urinary oxidized metabolites (alpha-TLHQ-SO3/GLU) were associated with HOMA-IR and Matsuda index. For example, a one-SD higher alpha-TLHQ-SO3 was associated with 0.92 (95% CI: 0.87, 0.97) fold lower HOMA-IR and 1.06 (1.01, 1.11) fold higher Matsuda index, respectively. Similar results were obtained for the urinary alpha-TLHQ to alpha-CEHC ratio as a measure of oxidized-over-enzymatic conversion of alpha-TOH. Conclusion: Higher urinary levels of oxidized alpha-TOH metabolites as well as higher oxidized-to-enzymatic alpha-TOH metabolite ratio, but not circulating alpha-TOH or enzymatic metabolites, were associated with lower insulin resistance. Rather than circulating alpha-TOH, estimates of the conversion of alpha-TOH might be informative in relation to health and disease. (c) 2021 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/
Databáze: OpenAIRE