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Traditional Korean diet can alter the urine organic acid profile, which may reflect the metabolic influence of the diet

한식의 체내 대사에 미치는 영향에 대한 연구: 소변 유기산 분석을 통한 한식의 효과

  • Received : 2020.03.24
  • Accepted : 2020.05.20
  • Published : 2020.06.30

Abstract

Purpose: To determine the metabolic influence of the traditional Korean diet (K-diet), which has been regarded as a healthy diet, we investigated the profile of urine organic acids that are intermediates of various types of metabolism including energy metabolism. Methods: Ten women aged 50-60 years were recruited and randomly divided into 2 diet groups, K-diet and control diet, the latter of which is a Westernized Korean diet that is commonly consumed by Koreans nowadays. Before and after the 2-week intervention, 46 urine organic acids were determined using LC/MS/MS, along with clinical parameters. Results: The average concentrations of succinate (4.14 ± 0.84 ㎍/mg creatinine vs. 1.49 ± 0.11, p = 0.0346) and hydroxymethylglutarate (3.67 ± 0.36 ㎍/mg creatinine vs. 2.97 ± 0.29, p = 0.0466), both of which are intermediates of energy metabolism, decreased in the K-diet group after the 2-week intervention, but these were not observed in the control diet group. In particular, the average concentration of succinate in the K-diet group was lower than that in the control group (3.33 ± 0.56 ㎍/mg creatinine vs. 1.49 ± 0.11, p = 0.0284) after 2 weeks. The concentrations of two tryptophan metabolites, 5-hydroxyindolacetate (3.72 ± 0.22 ㎍/mg creatinine vs. 3.14 ± 0.21, p = 0.0183) and indican (76.99 ± 8.35 ㎍/mg creatinine vs. 37.89 ± 10.06, p = 0.0205) also decreased only in the K-diet group. After the 2-week intervention, the concentration of kynurenate, another tryptophan metabolite, was lower in the K-diet group than that in the control diet group (3.96 ± 0.51 ㎍/mg creatinine vs. 2.90 ± 0.22, p = 0.0356). Interestingly, the urine level of kynurenate was positively correlated with BMI (r = 0.61424, p = 0.0003) and total cholesterol (r = 0.46979, p = 0.0088), which decreased only in the K-diet group (239.40 ± 15.14 mg/dL vs. 198.20 ± 13.25, p = 0.0163). Conclusion: The K-diet alters the urinary excretion of organic acids involved in energy metabolism and tryptophan metabolism, suggesting the influence of the K-diet on these types of metabolism. Urine organic acids changed by the K-diet may serve as biomarkers in future studies.

소변은 쉽게 채취할 수 있으며 체내의 상태를 파악하기에 좋은 시료라고 할 수 있다. 본 연구에서는 2주간의 한식 섭취 후 변화된 소변 유기산 지표를 찾을 수 있었다. 그 결과 에너지 대사와 관련 있는 대사산물인 succinate, hydroxymethylglutarates 뿐만 아니라 tryptophan 대사물로써 신경전달 물질대사 지표인 5-hydroxyindoleacetate, 비타민 B6, 염증, 면역과도 관련이 있는 kynurenate, 장내세균과 관련 있는 indican이 한식의 섭취를 통해 유의한 차이로 변화하는 것을 확인하여 한식의 효능이 어떤 대사를 통하여 이루어 지는지의 방향 제시를 하였다. 또한 소변 유기산이 한식의 대사에 미치는 영향을 측정하는 생체지표로서의 활용 가능성도 보여주었다. 객관적인 지표로서 확증하기 위해 더욱 큰 표본에서의 연구, 성별, 질병별 다양화한 연구를 통해 관찰된 지표들의 재현성을 확인하여 생체 지표로서의 유효성 검증이 필요하겠다.

Keywords

References

  1. Kwon DY, Chung KR. Korean diets and their tastes. In: Park KY, Kwon DY, Park S, Lee KW, editors. Korean Functional Foods: Composition, Processing, and Health Benefits. Boca Raton (FL); CRC Press; 2017. p.23-78.
  2. Kwon DY. Humanity of Korean diet. Seoul: Health Letter; 2019
  3. Kim SH, Kim MS, Lee MS, Park YS, Lee HJ, Kang SA, et al. Korean diet: characteristics and historical background. J Ethnic Foods 2016; 3(1): 26-31. https://doi.org/10.1016/j.jef.2016.03.002
  4. Kim HJ, Kim Y, Cho Y, Jun B, Oh KW. Trends in the prevalence of major cardiovascular disease risk factors among Korean adults: results from the Korea National Health and Nutrition Examination Survey, 1998-2012. Int J Cardiol 2014; 174(1): 64-72. https://doi.org/10.1016/j.ijcard.2014.03.163
  5. Lee SH, Tao S, Kim HS. The prevalence of metabolic syndrome and its related risk complications among Koreans. Nutrients 2019; 11(8): E1755.
  6. Lee SE, Han K, Kang YM, Kim SO, Cho YK, Ko KS, et al. Trends in the prevalence of metabolic syndrome and its components in South Korea: Findings from the Korean National Health Insurance Service Database (2009-2013). PLoS One 2018; 13(3): e0194490. https://doi.org/10.1371/journal.pone.0194490
  7. Jun S, Ha K, Chung S, Joung H. Meat and milk intake in the rice-based Korean diet: impact on cancer and metabolic syndrome. Proc Nutr Soc 2016; 75(3): 374-384. https://doi.org/10.1017/S0029665116000112
  8. Kim J, Jo I. Grains, vegetables, and fish dietary pattern is inversely associated with the risk of metabolic syndrome in South Korean adults. J Am Diet Assoc 2011; 111(8): 1141-1149. https://doi.org/10.1016/j.jada.2011.05.001
  9. Kim SH. Cultural perspectives and current consumption changes of cooked rice in Korean diet. Nutr Res Pract 2007; 1(1): 8-13. https://doi.org/10.4162/nrp.2007.1.1.8
  10. Jung SJ, Park SH, Choi EK, Cha YS, Cho BH, Kim YG, et al. Beneficial effects of Korean traditional diets in hypertensive and type 2 diabetic patients. J Med Food 2014; 17(1): 161-171. https://doi.org/10.1089/jmf.2013.3042
  11. Jung SJ, Chae SW. Effects of adherence to Korean diets on serum GGT and cardiovascular disease risk factors in patients with hypertension and diabetes. J Nutr Health 2018; 51(5): 386-399. https://doi.org/10.4163/jnh.2018.51.5.386
  12. Kang M, Paik HY, Wie GA, Joung H. Development of healthy Han-sik nutrition education program featuring consumption of Korean foods for prevention of metabolic syndrome in Korean adults. Korean J Nutr 2012; 45(6): 552-561. https://doi.org/10.4163/kjn.2012.45.6.552
  13. Schroeder N, Park YH, Kang MS, Kim Y, Ha GK, Kim HR, et al. A randomized trial on the effects of 2010 Dietary Guidelines for Americans and Korean diet patterns on cardiovascular risk factors in overweight and obese adults. J Acad Nutr Diet 2015; 115(7): 1083-1092. https://doi.org/10.1016/j.jand.2015.03.023
  14. Ha K, Kim K, Chun OK, Joung H, Song Y. Differential association of dietary carbohydrate intake with metabolic syndrome in the US and Korean adults: data from the 2007-2012 NHANES and KNHANES. Eur J Clin Nutr 2018; 72(6): 848-860. https://doi.org/10.1038/s41430-017-0031-8
  15. Fuller NR, Lau NS, Denyer G, Caterson ID. A 12-month, randomised, controlled trial to examine the efficacy of the Korean diet in an Australian overweight and obese population - A follow up analysis. Obes Res Clin Pract 2012; 6(4): e263-e346. https://doi.org/10.1016/j.orcp.2012.08.195
  16. Song Y, Joung H. A traditional Korean dietary pattern and metabolic syndrome abnormalities. Nutr Metab Cardiovasc Dis 2012; 22(5): 456-462. https://doi.org/10.1016/j.numecd.2010.09.002
  17. Chae SW. Beneficial effects of Korean traditional diet in patients with hypertension and type 2 diabetes. Food Ind Nutr 2011; 16(2): 15-26.
  18. Ahn SM, Shin WC, Jeong HB, Seo YJ, Jeong HR, Yoon JH, et al. 8 years report of urine organic acid analysis - Comparison before and after introduction of neonatal screening test using tandem mass spectrometry. J Korean Soc Inherit Metab Dis 2018; 18(1): 1-12.
  19. Lee HJ. Organic acidemias in Korea. J Korean Pediatr Soc 2002; 45(12): 1459-1476.
  20. Tretter L, Patocs A, Chinopoulos C. Succinate, an intermediate in metabolism, signal transduction, ROS, hypoxia, and tumorigenesis. Biochim Biophys Acta 2016; 1857(8): 1086-1101. https://doi.org/10.1016/j.bbabio.2016.03.012
  21. Fahien LA, MacDonald MJ. The succinate mechanism of insulin release. Diabetes 2002; 51(9): 2669-2676. https://doi.org/10.2337/diabetes.51.9.2669
  22. Deana R, Meneghello R, Manzi L, Gregolin C. Formation of acetoacetate from 3-hydroxy-3- methylglutarate by rat liver and isolation of a mitochondrial coenzyme A-transferase activity involved. Biochem J 1974; 138(3): 481-486. https://doi.org/10.1042/bj1380481
  23. Tannahill GM, Curtis AM, Adamik J, Palsson-McDermott EM, McGettrick AF, Goel G, et al. Succinate is an inflammatory signal that induces IL-$1{\beta}$ through HIF-$1{\alpha}$. Nature 2013; 496(7444): 238-242. https://doi.org/10.1038/nature11986
  24. Mills E, O'Neill LA. Succinate: a metabolic signal in inflammation. Trends Cell Biol 2014; 24(5): 313-320. https://doi.org/10.1016/j.tcb.2013.11.008
  25. Yang M, Pollard PJ. Succinate: a new epigenetic hacker. Cancer Cell 2013; 23(6): 709-711. https://doi.org/10.1016/j.ccr.2013.05.015
  26. Connors J, Dawe N, Van Limbergen J. The role of succinate in the regulation of intestinal inflammation. Nutrients 2018; 11(1): E25.
  27. Calanchini M, Tadman M, Krogh J, Fabbri A, Grossman A, Shine B. Measurement of urinary 5-HIAA: correlation between spot versus 24-h urine collection. Endocr Connect 2019; 8(8): 1082-1088. https://doi.org/10.1530/EC-19-0269
  28. Jayamohananan H, Manoj Kumar MK, T P A. 5-HIAA as a potential biological marker for neurological and psychiatric disorders. Adv Pharm Bull 2019; 9(3): 374-381. https://doi.org/10.15171/apb.2019.044
  29. Haleem DJ, Mahmood K. Brain serotonin in high-fat diet-induced weight gain, anxiety and spatial memory in rats. Nutr Neurosci. Forthcoming 2019.
  30. Tohmola N, Johansson A, Sane T, Renkonen R, Hamalainen E, Itkonen O. Transient elevation of serum 5-HIAA by dietary serotonin and distribution of 5-HIAA in serum protein fractions. Ann Clin Biochem 2015; 52(Pt 4): 428-433. https://doi.org/10.1177/0004563214554842
  31. Young SN. How to increase serotonin in the human brain without drugs. J Psychiatry Neurosci 2007; 32(6): 394-399.
  32. Mawe GM, Coates MD, Moses PL. Review article: intestinal serotonin signalling in irritable bowel syndrome. Aliment Pharmacol Ther 2006; 23(8): 1067-1076. https://doi.org/10.1111/j.1365-2036.2006.02858.x
  33. Majewski M, Kozlowska A, Thoene M, Lepiarczyk E, Grzegorzewski WJ. Overview of the role of vitamins and minerals on the kynurenine pathway in health and disease. J Physiol Pharmacol 2016; 67(1): 3-19.
  34. Schwarcz R, Stone TW. The kynurenine pathway and the brain: Challenges, controversies and promises. Neuropharmacology 2017; 112(Pt B): 237-247. https://doi.org/10.1016/j.neuropharm.2016.08.003
  35. Capuron L, Geisler S, Kurz K, Leblhuber F, Sperner-Unterweger B, Fuchs D. Activated immune system and inflammation in healthy ageing: relevance for tryptophan and neopterin metabolism. Curr Pharm Des 2014; 20(38): 6048-6057. https://doi.org/10.2174/1381612820666140317110217
  36. Oxenkrug G, Ratner R, Summergrad P. Kynurenines and vitamin B6: link between diabetes and depression. J Bioinform Diabetes 2013; 1(1): http://openaccesspub.org/journals/download.php?file=51-OAP-JBD-IssuePDF.pdf.
  37. Paul L, Ueland PM, Selhub J. Mechanistic perspective on the relationship between pyridoxal 5'-phosphate and inflammation. Nutr Rev 2013; 71(4): 239-244. https://doi.org/10.1111/nure.12014
  38. Bryan GT. Quantitative studies on the urinary excretion of indoxyl sulfate (indican) in man following administration of L-tryptophan and acetyl-L-tryptophan. Am J Clin Nutr 1966; 19(2): 105-112. https://doi.org/10.1093/ajcn/19.2.105
  39. Huc T, Nowinski A, Drapala A, Konopelski P, Ufnal M. Indole and indoxyl sulfate, gut bacteria metabolites of tryptophan, change arterial blood pressure via peripheral and central mechanisms in rats. Pharmacol Res 2018; 130: 172-179. https://doi.org/10.1016/j.phrs.2017.12.025
  40. Konopelski P, Ufnal M. Indoles-gut bacteria metabolites of tryptophan with pharmacotherapeutic potential. Curr Drug Metab 2018; 19(10): 883-890. https://doi.org/10.2174/1389200219666180427164731
  41. Shin JH, Jung S, Kim SA, Kang MS, Kim MS, Joung H, et al. Differential effects of typical Korean versus American-style diets on gut microbial composition and metabolic profile in healthy overweight Koreans: a randomized crossover trial. Nutrients 2019; 11(10): E2450.
  42. Kim SA, Shin S, Ha K, Hwang Y, Park YH, Kang MS, et al. Effect of a balanced Korean diet on metabolic risk factors among overweight/obese Korean adults: a randomized controlled trial. Eur J Nutr. Forthcoming 2020.
  43. Song S, Song WO, Song Y. Dietary carbohydrate and fat intakes are differentially associated with lipid abnormalities in Korean adults. J Clin Lipidol 2017; 11(2): 338-347.e3. https://doi.org/10.1016/j.jacl.2017.01.016

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