Effect of Palmitoleic Acid on C-reactive Protein
Maneno muhimu
Kikemikali
Maelezo
Palmitoleic acid (POA) is a monounsaturated fatty acid that has recently been shown to function as a lipokine and is present in the human diet and in blood serum. While there is emerging evidence that POA can positively impact beta cell proliferation, reduce lipogenesis, support endothelial function, and suppress cytokine production, POA remains to be poorly studied for its beneficial anti-inflammatory potential. The latest studies suggest that POA could attenuate inflammation in metabolically active tissues. Therefore, the objective of this study is to determine if administration of POA in 2 varying doses to overweight participants with biomarkers of chronic inflammation will lower circulating c-reactive protein (CRP) and cytokine levels, as well as improve metabolism by lowering levels of circulating leptin and raising expression of adiponectin. The rationale for focusing on overweight individuals is that they routinely have elevated c-reactive protein levels and are highly prone to have chronic inflammation.
Investigators propose a 12-week randomized, double blinded study to assess changes in select inflammatory markers, ghrelin, peptide YY, cardiovascular lipids, fatty acid levels, and glucose sensitivity markers in volunteers consuming either the test agent, 500 mg or 1,000 mg POA per day, or an olive oil containing fatty acid (placebo). There are three arms to study and 41 individuals per arm, thus, a total of 123 subjects. Approximately 30% loss of subjects is expected. Administration of the POA supplements and placebo (olive oil capsules) will be double blinded. The study sponsor will hold the code for the subjects and will randomize the capsules. Only the study sponsor will have the code. The identity of the capsules will be revealed after the completion of the study. Subjects will bring back their bottles at each of the concurrent visits and the end of the study to assess compliance and to account for any missed doses of POA. The rationale for selecting olive oil as a placebo is that olive oil is routinely consumed by the public. Additionally, oleic acid (the active ingredient of olive oil) is the most prevalent fatty acid in human circulation, and olive oil is a routine placebo for fatty acid intervention studies. The olive oil will not be extra virgin olive oil that has several bioactive components. POA is virtually tasteless, thus participants should not be able to self-identify their regimen of either placebo or active test agent. The rationale for the experimental dose follows what is commercially available in POA products, which average 700 mg per day and generally range from 450 - 1000 mg per day regimens. The rationale for the 12-week time frame is to ensure uptake of POA into the target cells.
Tarehe
Imethibitishwa Mwisho: | 10/31/2019 |
Iliyowasilishwa Kwanza: | 08/06/2018 |
Uandikishaji uliokadiriwa Uliwasilishwa: | 08/06/2018 |
Iliyotumwa Kwanza: | 08/09/2018 |
Sasisho la Mwisho Liliwasilishwa: | 11/10/2019 |
Sasisho la Mwisho Lilichapishwa: | 11/12/2019 |
Tarehe halisi ya kuanza kwa masomo: | 09/25/2019 |
Tarehe ya Kukamilisha Msingi iliyokadiriwa: | 07/31/2021 |
Tarehe ya Kukamilisha Utafiti: | 07/31/2021 |
Hali au ugonjwa
Uingiliaji / matibabu
Dietary Supplement: Placebo
Dietary Supplement: Palmitoleic acid, 500 mg (Dose 1)
Dietary Supplement: Palmitoleic acid, 1,000 mg (Dose 2)
Awamu
Vikundi vya Arm
Mkono | Uingiliaji / matibabu |
---|---|
Placebo Comparator: Placebo The placebo is olive oil, stripped of polyphenols, 70% oleic acid, and will be administered at two 1 gram capsules per day for twelve weeks. The doses will be administered in single serve packets containing two capsules for each daily dose to be taken at breakfast. | Dietary Supplement: Placebo The placebo is olive oil, stripped of polyphenols, 70% oleic acid, administered as two 1-gram capsules per day. Packaged as single-serve packets containing 2 capsules for each daily dose. |
Experimental: Palmitoleic acid, 500 mg (Dose 1) POA Dose 1 is a 1 gram capsule containing 500 mg POA and one placebo capsule containing 500 mg olive oil per day for twelve weeks. The doses will be administered in single serve packets containing two capsules for each daily dose to be taken at breakfast. | Dietary Supplement: Palmitoleic acid, 500 mg (Dose 1) Palmitoleic acid (POA) 1 gram capsules containing 500 mg POA |
Experimental: Palmitoleic acid, 1,000 mg (Dose 2) POA Dose 2 is two, 1 gram capsules containing 500 mg POA, totaling 1,000 mg POA per day for twelve weeks.The doses will be administered in single serve packets containing two capsules for each daily dose to be taken at breakfast. | Dietary Supplement: Palmitoleic acid, 1,000 mg (Dose 2) Palmitoleic acid (POA) taken as two 1 gram capsules each containing 500 mg POA |
Vigezo vya Kustahiki
Zama zinazostahiki Kujifunza | 30 Years Kwa 30 Years |
Jinsia Inastahiki Kujifunza | All |
Hupokea Wajitolea wa Afya | Ndio |
Vigezo | Inclusion Criteria: 1. Subject will be free-living, middle-aged to older men and women between ages 30-80 years with BMIs between 25.0-40.0, and CRP greater than or equal to 2.0 mg/L 2. Generally healthy adults 3. Understand protocol and comply to take supplements during the trial 4. Ability to understand English 5. Be able to report to clinical research center, fasting, at least 3 times 6. Women who are of childbearing potential should be on birth control (one method is acceptable) Exclusion Criteria: 1. BMI higher than 40.0 2. Taking anti-hyperlipidemia medications (including statins) 3. Taking anti-diabetic medications 4. Auto-immune disease 5. Documented cognitive impairment 6. Unable to draw blood from veins 7. Alcohol or other drug dependency 8. Are currently breastfeeding, or pregnant, or plan to become pregnant 9. Have experienced a significant weight change of 10%, or more, of body weight in previous 3 months 10. If on hormone therapy, no change during study 11. Chronic use of NSAIDs 12. Decreased QOL due to pathology, such as cancer, genetic diseases, Rx side effects, or injury 13. Taking fish oil, within 8 weeks of enrollment 14. Taking Seabuckthorn supplements 15. Taking sterols or fat blockers 16. Fish allergies |
Matokeo
Hatua za Matokeo ya Msingi
1. Mean c-reactive protein circulating level [Week 12]
Hatua za Matokeo ya Sekondari
1. Mean circulating cytokine IL-6 level [Week 12]
2. Mean circulating cytokine TNF alpha level [Week 12]
3. Mean circulating ghrelin level [Week 12]
4. Mean circulating peptide YY level [Week 12]
5. Mean circulating leptin level [Week 12]
6. Mean circulating adiponectin level [Week 12]
7. Mean glucose/insulin ratio level [Week 12]
8. Mean HbA1c level [Week 12]