Imperial College London
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ProfessorDannyAltmann

Faculty of Medicine, Department of Immunology and Inflammation

Professor of Immunology
 
 
 
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Contact

 

+44 (0)20 3313 8212d.altmann

 
 
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Location

 

5S5CHammersmith HospitalHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Chambers:2019:10.1136/gutjnl-2019-318424,
author = {Chambers, E and Byrne, C and Morrison, D and Murphy, K and Preston, T and Tedford, MC and Garcia, Perez I and Fountana, S and Serrano, Contreras J and Holmes, E and Roberts, J and Reynolds, C and Boyton, R and Altmann, D and McDonald, J and Marchesi, J and Akbar, A and Riddell, N and Wallis, G and Frost, G},
doi = {10.1136/gutjnl-2019-318424},
journal = {Gut},
pages = {1430--1438},
title = {Dietary supplementation with inulin-propionate ester or inulin improves insulin sensitivity in adults with overweight and obesity with distinct effects on the gut microbiota, plasma metabolome and systemic inflammatory responses: a randomised cross-over trial},
url = {http://dx.doi.org/10.1136/gutjnl-2019-318424},
volume = {68},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objective: To investigate the underlying mechanisms behind changes in glucose homeostasis with delivery of propionate to the human colon by comprehensive and coordinated analysis of gut bacterial composition, plasma metabolome and immune responses.Design: Twelve non-diabetic adults with overweight and obesity received 20g/day of inulin-propionate ester (IPE), designed to selectively deliver propionate to the colon, a high-fermentable fibre control (inulin) and a low-fermentable fibre control (cellulose) in a randomised, double-blind, placebo controlled, crossover design. Outcome measurements of metabolic responses, inflammatory markers and gut bacterial composition were analysed at the end of each 42-day supplementation period.Results: Both IPE and inulin supplementation improved insulin resistance compared to cellulose supplementation, measured by homeostatic model assessment (HOMA) 2 (Mean±SEM 1.23±0.17 IPE vs. 1.59±0.17 cellulose, P=0.001; 1.17±0.15 inulin vs. 1.59±0.17 cellulose, P=0.009), with no differences between IPE and inulin (P=0.272).  Fasting insulin was only associated positively with plasma tyrosine and negatively with plasma glycine following inulin supplementation. IPE supplementation decreased pro-inflammatory IL-8 levels compared to cellulose, whilst inulin had no impact on the systemic inflammatory markers studied. Inulin promoted changes in gut bacterial populations at the class level (increased Actinobacteria and decreased Clostridia) and order level (decreased Clostridales) compared to cellulose, with small differences at the species level observed between IPE and cellulose. Conclusion: These data demonstrate a distinctive physiological impact of raising colonic propionate delivery in humans, as improvements in insulin sensitivity promoted by IPE and inulin were accompanied with different effects on the plasma metabolome, gut bacterial populations and markers of systemic inflammation.
AU  - Chambers,E
AU  - Byrne,C
AU  - Morrison,D
AU  - Murphy,K
AU  - Preston,T
AU  - Tedford,MC
AU  - Garcia,Perez I
AU  - Fountana,S
AU  - Serrano,Contreras J
AU  - Holmes,E
AU  - Roberts,J
AU  - Reynolds,C
AU  - Boyton,R
AU  - Altmann,D
AU  - McDonald,J
AU  - Marchesi,J
AU  - Akbar,A
AU  - Riddell,N
AU  - Wallis,G
AU  - Frost,G
DO  - 10.1136/gutjnl-2019-318424
EP  - 1438
PY  - 2019///
SN  - 0017-5749
SP  - 1430
TI  - Dietary supplementation with inulin-propionate ester or inulin improves insulin sensitivity in adults with overweight and obesity with distinct effects on the gut microbiota, plasma metabolome and systemic inflammatory responses: a randomised cross-over trial
T2  - Gut
UR  - http://dx.doi.org/10.1136/gutjnl-2019-318424
UR  - http://hdl.handle.net/10044/1/66974
VL  - 68
ER  -
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