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Status |
Public on Jan 16, 2021 |
Title |
Ayurvedic herbal preparation supplementation does not improve metabolic health in impaired glucose tolerance subjects; observations from a randomised placebo controlled trial |
Organism |
Homo sapiens |
Experiment type |
Expression profiling by array
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Summary |
The increased usage of alternative Ayurvedic treatments as potential health-beneficial therapies emphasizes the importance of studying its efficacy in sound placebo-controlled intervention trials. An example of such a traditional Ayurvedic herbal preparation is Mohana Choorna, a mixture composed of 20 different herbs and used to prevent and treat type 2-diabetes (T2D). We studied the efficacy of “Mohana Choorna” on T2D-related parameters in subjects with impaired glucose tol-erance. In a double blind, placebo-controlled cross-over trial, 19 overweight (BMI > 27 kg/m2) subjects aged 50–70 years with an impaired glucose tolerance received two four-week interven-tions, i.e., herbal or placebo with a four-week wash-out between interventions. HbA1c, glucose, insulin, triglycerides, cholesterol, blood pressure and augmentation index were measured before and after both interventions at fasting and during a glucose tolerance test. After both interventions, urine was collected to measure treatment exposure using LCMS-based metabolomics and whole genome gene-expression in adipose tissue of 13 subjects. The herbal intervention did not affect plasma glucose triglycerides, cholesterol, blood pressure or the augmentation index but showed a trend towards an increased insulin, HOMA-IR and postprandial insulin levels (p = 0.054, p = 0.056 and p = 0.095 respectively). An increase in expression of inflammation-related gene sets in adipose tissue was observed after the herbal intervention compared to placebo. Urine metabolomic analysis did not reveal a correlation of the presence of specific plant metabolites with “health markers”. Our findings suggest that there is no substantiating evidence to claim that four weeks’ use of the Ayurvedic herbal supplement Mohana Choorna beneficially affects glucose homeo-stasis.
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Overall design |
Microarray analysis was performed on subcuteaneous adipose tissue from overweight middle age subjects with an impaired glucose tolerance in cross-over trial with a herbal supplement.
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Contributor(s) |
Esser D, Matualatupau J, de Vos R, Wehren R, van der Stappe J, van der Meer I, Afman L |
Citation(s) |
33477443 |
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Submission date |
Jan 15, 2021 |
Last update date |
Apr 17, 2021 |
Contact name |
Guido Hooiveld |
E-mail(s) |
guido.hooiveld@wur.nl
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Organization name |
Wageningen University
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Department |
Div. Human Nutrition & Health
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Lab |
Nutrition, Metabolism & Genomics Group
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Street address |
HELIX, Stippeneng 4
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City |
Wageningen |
ZIP/Postal code |
NL-6708WE |
Country |
Netherlands |
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Platforms (1) |
GPL11532 |
[HuGene-1_1-st] Affymetrix Human Gene 1.1 ST Array [transcript (gene) version] |
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Samples (26)
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GSM5023293 |
adipose tissue biopsy, after 4 wks supplementation with placebo preparation, subject P02 |
GSM5023294 |
adipose tissue biopsy, after 4 wks supplementation with placebo preparation, subject P05 |
GSM5023295 |
adipose tissue biopsy, after 4 wks supplementation with placebo preparation, subject P09 |
GSM5023296 |
adipose tissue biopsy, after 4 wks supplementation with placebo preparation, subject P17 |
GSM5023297 |
adipose tissue biopsy, after 4 wks supplementation with placebo preparation, subject P22 |
GSM5023298 |
adipose tissue biopsy, after 4 wks supplementation with herbal preparation, subject P02 |
GSM5023299 |
adipose tissue biopsy, after 4 wks supplementation with herbal preparation, subject P05 |
GSM5023300 |
adipose tissue biopsy, after 4 wks supplementation with herbal preparation, subject P09 |
GSM5023301 |
adipose tissue biopsy, after 4 wks supplementation with herbal preparation, subject P17 |
GSM5023302 |
adipose tissue biopsy, after 4 wks supplementation with herbal preparation, subject P22 |
GSM5023303 |
adipose tissue biopsy, after 4 wks supplementation with placebo preparation, subject P03 |
GSM5023304 |
adipose tissue biopsy, after 4 wks supplementation with placebo preparation, subject P07 |
GSM5023305 |
adipose tissue biopsy, after 4 wks supplementation with placebo preparation, subject P14 |
GSM5023306 |
adipose tissue biopsy, after 4 wks supplementation with placebo preparation, subject P18 |
GSM5023307 |
adipose tissue biopsy, after 4 wks supplementation with herbal preparation, subject P03 |
GSM5023308 |
adipose tissue biopsy, after 4 wks supplementation with herbal preparation, subject P07 |
GSM5023309 |
adipose tissue biopsy, after 4 wks supplementation with herbal preparation, subject P14 |
GSM5023310 |
adipose tissue biopsy, after 4 wks supplementation with herbal preparation, subject P18 |
GSM5023311 |
adipose tissue biopsy, after 4 wks supplementation with placebo preparation, subject P04 |
GSM5023312 |
adipose tissue biopsy, after 4 wks supplementation with placebo preparation, subject P08 |
GSM5023313 |
adipose tissue biopsy, after 4 wks supplementation with placebo preparation, subject P16 |
GSM5023314 |
adipose tissue biopsy, after 4 wks supplementation with placebo preparation, subject P21 |
GSM5023315 |
adipose tissue biopsy, after 4 wks supplementation with herbal preparation, subject P04 |
GSM5023316 |
adipose tissue biopsy, after 4 wks supplementation with herbal preparation, subject P08 |
GSM5023317 |
adipose tissue biopsy, after 4 wks supplementation with herbal preparation, subject P16 |
GSM5023318 |
adipose tissue biopsy, after 4 wks supplementation with herbal preparation, subject P21 |
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Relations |
BioProject |
PRJNA692470 |
Supplementary file |
Size |
Download |
File type/resource |
GSE164934_RAW.tar |
114.4 Mb |
(http)(custom) |
TAR (of CEL) |
Processed data included within Sample table |
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