An open-label dosing study to evaluate the safety and effects of a dietary plant derived polysaccharide supplement on the N-glycosylation status of serum glycoproteins in healthy subjects
Résumé
Background: The functional role of dietary carbohydrates in nutrition is one of the most complex and at times controversial areas in nutritional science. In-vitro and in-vivo studies suggest that certain dietary saccharide biopolymers can have bifidogenic and / immunomodulatory effects, and that some could represent preferential substrates or precursors that can impact cellular glycosylation. Objective: Examine the impact of oral ingestion of a standardized dietary plant derived polydisperse polysaccharide supplement (AA) on the N-glycosylation status of serum glycoproteins in a cohort of healthy individuals. Design: An open label study was used. The study was in two phases; pilot study (n=6 individuals) to assess safety and dose, and a larger study (n=12) to evaluate specific glycosylation changes. Serum N-glycosylation profiles, using mass spectrometry, were monitored at weekly intervals, for seven weeks, to evaluate baseline levels and normal fluctuations. The individuals were then monitored for a further seven weeks, during which time increasing doses of AA were ingested (1.3-5.2 g/day). Results: No adverse events were encountered. AA supplementation resulted in distinct changes in the relative intensities of seven biantennary N-glycans (p<0.001), and a significant overall shift towards increased sialylation. Regression analysis revealed a dose dependent decrease in mono- and di-galactosylated structures (coefficient −0.130 decrease/week: p=0.02 and −0.690: p=0.005), and a concomitant increase in disilaylated glycans (x1.083: p<0.05). Conclusions: Supplementation with the dietary plant derived polysaccharides in AA resulted in significant changes in serum protein N-glycosylation in healthy individuals. How this occurs and whether it has biological significance remains to be evaluated.
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