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The Impact of Red Meat and Whole-grains Intake on the Colonic Mucosal Barrier

The Impact of Red Meat and Whole-grains Intake on the Colonic Mucus' Thickness, Colonic MUC-2 Expression Rate and the Inflammatory Markers in the Blood.

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04235348
Enrollment
161
Registered
2020-01-21
Start date
2017-06-01
Completion date
2020-02-28
Last updated
2020-04-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Dietary Exposure, Inflammation, Colon, Mucus Colitis

Keywords

Colonic mucus, Mucosal barrier, Red meat, Whole grain, Dietary fibers, Inflammation, Muc-2

Brief summary

This study evaluates the impact of red meat and whole-grain intake on the colonic mucosal barrier and the dietary impact of these groups on the induced low-grade inflammation

Detailed description

The mucus layer in the colon is a continuous barrier separating the epithelial cells from faecal enzymes, bacteria, toxic and other components. The colonic mucus layer in patients with Crohn's Disease and Ulcerative Colitis was previously demonstrated to be thinner and more permeable compared to healthy subjects. The colonic mucus is composed of glycoproteins held together trough unstable disulfide bridges. The digestion of red meat is associated with monosulfide production, which could bind to the disulfide molecules, make more stable trisulfide molecules, and thus destroy the mucus architecture. Moreover, different bacteria were previously linked to red meat intake and were associated with a degradation of the colonic mucus such as akkermansia muciniphila. From the other side, the fermentation of the undigested fibres, primarily in whole-grains, is associated with the production of short-chain fatty acids, which was related to a local anti-inflammatory effect. In this study, we hypothesise: 1. High consumption of red meat is associated with a thinner colonic mucus layer; 2. High consumption of whole-grain fibres is associated with a thicker colonic mucus layer; 3. Mucin-2 gene expression is different between patients with high red meat consumption vs low red meat consumption; 4. Mucin-2 gene expression is different between patients with high whole-grain consumption vs low whole-grain intake; 5. The level of inflammatory markers in blood IL-1beta, IL-4, IL-6, IL-10, Hs-CRP, and TNF-alfa is higher in subjects with high red meat and low whole-grain intake.

Interventions

None listed

Sponsors

Region of Southern Denmark
CollaboratorOTHER
Horizon 2020 - European Commission
CollaboratorOTHER
Hospital of Southern Jutland
CollaboratorOTHER
Knud and Edith Eriksens fond
CollaboratorUNKNOWN
University of Southern Denmark
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
Yes

Inclusion criteria

* Subjects referred to a colonoscopy in the Hospital of Southern Denmark * Subjects able to read and understand Danish * Mentally habile subjects * Subjects who accept to be a part of the project

Exclusion criteria

* History of active cancer * A recent colonoscopy (less than 3 months ago ) * Anamnesis of Inflammatory bowel diseases.

Design outcomes

Primary

MeasureTime frameDescription
Colonic mucus thicknessNovember 30,2019We will evaluate the thickness of the inner mucus layer in 38 biopsies of subjects, at the upper and lower quartiles of red meat and whole-grain consumption

Secondary

MeasureTime frameDescription
Muc-2 gene expressionDecember 10, 2019Using real time PCR, we will examine the association between the expression of mucin 2 gene in relation to red meat and whole grain fiber intake
Inflammatory markers in blood (IL-1beta, IL-4, IL-6, IL-10, Hs-CRP, and TNF-alfa)January 1-2020These markers will be evaluated in relation to red meat and whole-grain intake

Countries

Denmark

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 18, 2026