Ignite Creation Date:
2024-05-06 @ 1:53 AM
Last Modification Date:
2024-10-26 @ 11:11 AM
Study NCT ID:
NCT01927666
Status:
COMPLETED
Last Update Posted:
2016-09-05
First Post:
2013-08-20
Brief Title:
The Conversion of ENcapsulated GlucorAphanin Gut Microbiota Phylogeny and gEnotype Study ENGAGE
Sponsor:
Quadram Institute Bioscience
Organization:
Quadram Institute Bioscience
Study Overview
Official Title:
A Human Intervention Trial Investigating the Conversion of Encapsulated Glucoraphanin to Isothiocyanates and the Potential Link Between the Extent of the Conversion to an Individuals Gut Microbiota Phylogeny and Genotype
Status:
COMPLETED
Status Verified Date:
2015-11
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
ENGAGE
Brief Summary:
The variation in extent of isothiocyanate ITC excretion in urine from a capsule delivered dose of glucoraphanin will correlate with differences in a the gut microbiota and b the genotype of key polymorphic genes GSTM1 GSTT1 and other as yet undetermined candidate genes
Our study is a human dietary intervention in which participants will consume one capsule containing 100mg purified glucoraphanin from broccoli The levels of glucoraphanin delivered by the capsule are similar to one to two portions of broccoli As this is purified glucoraphanin there is no myrosinase enzyme present All conversion of the glucoraphanin contained within the capsule to ITC will therefore occur by enzymes found in the gut microbiota
The ability of the glucoraphanin in the capsule to be metabolised to ITCs by the gut microflora is unknown and will be assessed by measuring ITCs excreted in the urine The ITCs will be quantified in urine using validated analytical methods
It has been shown in human dietary intervention studies that the extent of conversion of glucosinolates varies greatly In order to assess possible causative factors for variation in rate of glucoraphanin metabolism each participant will provide a faecal sample from which their faecal gut microbiota phylogeny will be analysed
For a small number of participants a second faecal sample will be requested a maximum of 3 participants It is our aim to select one low one medium and one high ITC excreter Ideally the low and high excreters would be within the lowest and highest 5 excretion of ITC and the third participant would be as close to the mean ITC excretion as possible The aim would be to culture the faecal microbiota over time with repeat dosing of glucoraphanin in order to select for microbiota that are able to metabolise glucoraphanin It is known that the main hydrolysis product of glucoraphanin sulforaphane has a variety of benefits to human health however there is no known clinical relevance to being a high medium or low excreter of ITC
For each participant a blood sample will also be requested in order that we can assess whether genotype affects the rate of ITC excretion in urine The GSTM1 genotype and other as yet unidentified candidate genes of each participant will be determined Whether the genotype affects the rate of ITC excretion either alone or in combination with the phylogenetic profile will be assessed
Our study is a human dietary intervention in which participants will consume one capsule containing 100mg purified glucoraphanin from broccoli The levels of glucoraphanin delivered by the capsule are similar to one to two portions of broccoli As this is purified glucoraphanin there is no myrosinase enzyme present All conversion of the glucoraphanin contained within the capsule to ITC will therefore occur by enzymes found in the gut microbiota
The ability of the glucoraphanin in the capsule to be metabolised to ITCs by the gut microflora is unknown and will be assessed by measuring ITCs excreted in the urine The ITCs will be quantified in urine using validated analytical methods
It has been shown in human dietary intervention studies that the extent of conversion of glucosinolates varies greatly In order to assess possible causative factors for variation in rate of glucoraphanin metabolism each participant will provide a faecal sample from which their faecal gut microbiota phylogeny will be analysed
For a small number of participants a second faecal sample will be requested a maximum of 3 participants It is our aim to select one low one medium and one high ITC excreter Ideally the low and high excreters would be within the lowest and highest 5 excretion of ITC and the third participant would be as close to the mean ITC excretion as possible The aim would be to culture the faecal microbiota over time with repeat dosing of glucoraphanin in order to select for microbiota that are able to metabolise glucoraphanin It is known that the main hydrolysis product of glucoraphanin sulforaphane has a variety of benefits to human health however there is no known clinical relevance to being a high medium or low excreter of ITC
For each participant a blood sample will also be requested in order that we can assess whether genotype affects the rate of ITC excretion in urine The GSTM1 genotype and other as yet unidentified candidate genes of each participant will be determined Whether the genotype affects the rate of ITC excretion either alone or in combination with the phylogenetic profile will be assessed
Detailed Description:
Glucosinolates GSLs are non-volatile sulphur-containing phytochemicals secondary metabolites found in plant tissues of cruciferous crops such as broccoli cabbage and watercress Glucosinolates accumulate in these foods with glucoraphanin being the predominant glucosinolate found in broccoli When tissue is disrupted the glucosinolates are converted to isothiocyanates ITCs by the enzyme myrosinase Sulforaphane is the predominant ITC obtained by enzymatic hydrolysis from glucoraphanin When vegetables are cooked very thoroughly the myrosinase enzyme is denatured which results in GSLs passing through the gastrointestinal GI tract into the colon
The ITCs have been shown in animal studies to exert diverse biological effects such as anti-oxidant effects anti-inflammatory properties inhibition of platelet aggregation reduction of systolic blood pressure and the reduction of cholesterol levels all of which reduce the risk developing cardiovascular diseases Sulforaphane has been linked to health benefits in humans such as cancer chemoprevention and helping to maintain a healthy heart
When cooked cruciferous vegetables in which the myrosinase enzyme has been inactivated are consumed some of the microflora in the colon produce a myrosinase-like enzyme that can also convert glucosinolates to ITCs This process of gut microbiota conversion of glucoraphanin to ITC is abolished by enteric antibiotics and bowel cleansing There have been several in vitro studies performed with both pure and mixed cultures of bacteria confirming the ability of bacterial strains found within the human gut having the ability to metabolize GSLs in culture It has been shown that the extent of conversion of GSLs to ITCs by human gut microbiota varies greatly between individuals but the conversion rate from repeated determinations within individuals are much more consistent A recent study attempted to correlate the conversion of glucosinolate ex vivo by human gut bacteria to in vivo data of glucosinolate metabolism from a small number of individuals however no specific link to individual bacterial specials was established
Our study is a human dietary intervention in which participants will consume one capsule containing 100mg purified glucoraphanin from broccoli The levels of glucoraphanin delivered by the capsule are similar to one to two portions of broccoli As this is purified glucoraphanin there is no myrosinase enzyme present All conversion of the glucoraphanin contained within the capsule to ITC will therefore occur by enzymes found in the gut microbiota
The ability of the glucoraphanin in the capsule to be metabolised to ITCs by the gut microflora is unknown and will be assessed by measuring ITCs excreted in the urine In brief each participant on the study will be requested to abstain from any glucosinolate and ITC containing foods for three days prior to dietary intervention and for a further 24 hours during the intervention They will be requested to fast overnight prior to the study day intervention and on the morning after the fast collect a urine sample This will effectively constitute a negative control sample and be used as a measure of compliance with the dietary restriction The participant will then be given the glucoraphanin capsule along with their breakfast The dietary restriction will continue for a further 24hours during which time the participant will collect all the urine they produce The ITCs will be quantified in urine by HP-LC and LC-MS using validated analytical methods Once the 24 hour urine collection is complete the dietary restriction will cease
It has been shown in human dietary intervention studies that the extent of conversion of glucosinolates varies greatly In order to assess possible causative factors for variation in rate of glucoraphanin metabolism each participant will provide a faecal sample from which their faecal gut microbiota phylogeny will be analysed A detailed description of how the sample should be collected along with all equipment necessary will be provided The faecal samples will be returned to the study scientist within two hours of production in order to maintain faecal bacteria viability
For a small number of participants a second faecal sample will be requested a maximum of 3 participants The aim is to select one low one medium and one high ITC excreter Ideally the low and high excreters would be within the lowest and highest 5 excretion of ITC and the third participant will be as close to the mean ITC excretion as possible The aim is to culture the faecal microbiota over time with repeat dosing of glucoraphanin in order to select for microbiota that are able to metabolise glucoraphanin It is known that the main hydrolysis product of glucoraphanin sulforaphane has a variety of benefits to human health however there is no known clinical relevance to being a high medium or low excreter of ITC
Several epidemiological and intervention studies suggest that the health benefits and physiological response to cruciferous vegetables may be mediated by an individuals GSTM1 genotype glutathione-S-transferases GST gene family When ITCs are absorbed into the body they conjugate with glutathione and are then metabolised through the mercapturic acid pathway Conjugation happens spontaneously due to the relatively high concentration of glutathione within cells compared to the ITC concentration However as non-conjugated ITCs occur in the plasma at some stage there must be dissociation of the ITC-thiol conjugate It is thought that this may be catalyzed by the GSTM1 enzyme Approximately 50 of the population have a homologous deletion of the GSTM1 gene resulting in a null genotype and 20 has a deletion of the GSTT1 gene There are some studies including one of our own that suggests that GSTM1 genotype may affect the rate of ITC excretion in urine but have not suggested that GSTM1 genotype affects the peak plasma ITC concentration
Unpublished results from a previous intervention the Diet and Vascular Health study Clinical Trialsgov NCT01114399 have added credence to the notion that GSTM1 nulls metabolise sulforaphane in a different manner to those with a functional GSTM1 allele Along with the GST gene family and their association with cruciferous vegetables there may be other genes of interest that may be able to determine the extent of glucoraphanin conversion to sulforaphane Work carried out on our previous intervention the Diet and Vascular Health study has sought to investigate possible candidate genes With a substantial amendment looking to take a more global approach in identifying candidate genes of interest by performing an Affymetrix SNP analysis on samples from participants who had been on a high glucoraphanin diet
Therefore the GSTM1 genotype and other as yet unidentified candidate genes of each participant will be determined to assess whether genotype affects the rate of ITC excretion in urine either alone or in combination with their phylogenic profile A 5 ml blood sample will be taken from each participant and the DNA extracted PCR will then be used to test whether the gene is present or not
The ITCs have been shown in animal studies to exert diverse biological effects such as anti-oxidant effects anti-inflammatory properties inhibition of platelet aggregation reduction of systolic blood pressure and the reduction of cholesterol levels all of which reduce the risk developing cardiovascular diseases Sulforaphane has been linked to health benefits in humans such as cancer chemoprevention and helping to maintain a healthy heart
When cooked cruciferous vegetables in which the myrosinase enzyme has been inactivated are consumed some of the microflora in the colon produce a myrosinase-like enzyme that can also convert glucosinolates to ITCs This process of gut microbiota conversion of glucoraphanin to ITC is abolished by enteric antibiotics and bowel cleansing There have been several in vitro studies performed with both pure and mixed cultures of bacteria confirming the ability of bacterial strains found within the human gut having the ability to metabolize GSLs in culture It has been shown that the extent of conversion of GSLs to ITCs by human gut microbiota varies greatly between individuals but the conversion rate from repeated determinations within individuals are much more consistent A recent study attempted to correlate the conversion of glucosinolate ex vivo by human gut bacteria to in vivo data of glucosinolate metabolism from a small number of individuals however no specific link to individual bacterial specials was established
Our study is a human dietary intervention in which participants will consume one capsule containing 100mg purified glucoraphanin from broccoli The levels of glucoraphanin delivered by the capsule are similar to one to two portions of broccoli As this is purified glucoraphanin there is no myrosinase enzyme present All conversion of the glucoraphanin contained within the capsule to ITC will therefore occur by enzymes found in the gut microbiota
The ability of the glucoraphanin in the capsule to be metabolised to ITCs by the gut microflora is unknown and will be assessed by measuring ITCs excreted in the urine In brief each participant on the study will be requested to abstain from any glucosinolate and ITC containing foods for three days prior to dietary intervention and for a further 24 hours during the intervention They will be requested to fast overnight prior to the study day intervention and on the morning after the fast collect a urine sample This will effectively constitute a negative control sample and be used as a measure of compliance with the dietary restriction The participant will then be given the glucoraphanin capsule along with their breakfast The dietary restriction will continue for a further 24hours during which time the participant will collect all the urine they produce The ITCs will be quantified in urine by HP-LC and LC-MS using validated analytical methods Once the 24 hour urine collection is complete the dietary restriction will cease
It has been shown in human dietary intervention studies that the extent of conversion of glucosinolates varies greatly In order to assess possible causative factors for variation in rate of glucoraphanin metabolism each participant will provide a faecal sample from which their faecal gut microbiota phylogeny will be analysed A detailed description of how the sample should be collected along with all equipment necessary will be provided The faecal samples will be returned to the study scientist within two hours of production in order to maintain faecal bacteria viability
For a small number of participants a second faecal sample will be requested a maximum of 3 participants The aim is to select one low one medium and one high ITC excreter Ideally the low and high excreters would be within the lowest and highest 5 excretion of ITC and the third participant will be as close to the mean ITC excretion as possible The aim is to culture the faecal microbiota over time with repeat dosing of glucoraphanin in order to select for microbiota that are able to metabolise glucoraphanin It is known that the main hydrolysis product of glucoraphanin sulforaphane has a variety of benefits to human health however there is no known clinical relevance to being a high medium or low excreter of ITC
Several epidemiological and intervention studies suggest that the health benefits and physiological response to cruciferous vegetables may be mediated by an individuals GSTM1 genotype glutathione-S-transferases GST gene family When ITCs are absorbed into the body they conjugate with glutathione and are then metabolised through the mercapturic acid pathway Conjugation happens spontaneously due to the relatively high concentration of glutathione within cells compared to the ITC concentration However as non-conjugated ITCs occur in the plasma at some stage there must be dissociation of the ITC-thiol conjugate It is thought that this may be catalyzed by the GSTM1 enzyme Approximately 50 of the population have a homologous deletion of the GSTM1 gene resulting in a null genotype and 20 has a deletion of the GSTT1 gene There are some studies including one of our own that suggests that GSTM1 genotype may affect the rate of ITC excretion in urine but have not suggested that GSTM1 genotype affects the peak plasma ITC concentration
Unpublished results from a previous intervention the Diet and Vascular Health study Clinical Trialsgov NCT01114399 have added credence to the notion that GSTM1 nulls metabolise sulforaphane in a different manner to those with a functional GSTM1 allele Along with the GST gene family and their association with cruciferous vegetables there may be other genes of interest that may be able to determine the extent of glucoraphanin conversion to sulforaphane Work carried out on our previous intervention the Diet and Vascular Health study has sought to investigate possible candidate genes With a substantial amendment looking to take a more global approach in identifying candidate genes of interest by performing an Affymetrix SNP analysis on samples from participants who had been on a high glucoraphanin diet
Therefore the GSTM1 genotype and other as yet unidentified candidate genes of each participant will be determined to assess whether genotype affects the rate of ITC excretion in urine either alone or in combination with their phylogenic profile A 5 ml blood sample will be taken from each participant and the DNA extracted PCR will then be used to test whether the gene is present or not
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None