我们最近开发了一种富含半胱氨酸的新型角蛋白衍生蛋白(KDP),甘氨酸,还有精氨酸,有可能改变组织氧化还原状态和胰岛素敏感性。在一项14周的随机对照试点试验中,对35名患有2型糖尿病(T2DM)的成年人进行了KDP测试,该试验包括三个2×20g补充蛋白/天的组:KDP乳清(KDPWHE),乳清(WHEY),非蛋白质等热量控制(CON),标准化练习。结果是在早晨禁食和胰岛素刺激(80mU/m2/min高胰岛素血症-等血糖钳夹)后测量的。补充KDPWHE后,有良好和非常好的证据表明胰岛素刺激的葡萄糖清除率中等大小增加(GCR;26%;90%的置信限,CL2%,49%)和骨骼肌微血管血流量(46%;16%,83%),分别,和胰岛素刺激的肌质GLUT4易位增加的良好证据(18%;0%,39%)vsCON。相比之下,WHEY没有影响GCR(-2%;-25%,21%)和减弱的HbA1c降低(14%;5%,24%)vsCON。KDPWHE对红细胞和骨骼肌中基础谷胱甘肽的影响尚不清楚,但是在肌肉中,有很好的证据表明氧化过氧化物氧化还原蛋白同工型2(oxiPRX2)(19%;2.2%,35%)和较低GPx1浓度的良好证据(-40%;-4.3%,-63%)与CON;胰岛素刺激,然而,减弱了基础oxyPRX2反应(4%;-16%,24%),并增加GPx1(39%;-5%,101%)和SOD1(26%;-3%,60%)蛋白表达。KDPWHE对oxyPRX3和NRF2含量的影响,GLUT4易位AktSer437和AS160Thr642上游的毛细血管eNOS和胰岛素信号蛋白的磷酸化尚无定论,但有很好的证据表明IRSer312增加(41%;3%,95%),胰岛素刺激的NFκB-DNA结合(46%;3.4%,105%),和基础PAK-1Thr423/2Thr402磷酸化(143%;66%,257%)vsWHEY。我们的研究结果提供了很好的证据表明,在2型糖尿病患者中,膳食补充一种新型可食用的角蛋白可能会增加葡萄糖清除率,并改变涉及过氧化物氧化还原的系统中的骨骼肌组织氧化还原和胰岛素敏感性。抗氧化剂表达,和葡萄糖摄取。
We recently developed a novel keratin-derived protein (KDP) rich in cysteine, glycine, and arginine, with the potential to alter tissue redox status and insulin sensitivity. The KDP was tested in 35 human adults with type-2 diabetes mellitus (T2DM) in a 14-wk randomised controlled pilot
trial comprising three 2×20 g supplemental protein/day arms: KDP-whey (KDPWHE), whey (WHEY), non-protein isocaloric control (CON), with standardised exercise. Outcomes were measured morning fasted and following insulin-stimulation (80 mU/m2/min hyperinsulinaemic-isoglycaemic clamp). With KDPWHE supplementation there was good and very-good evidence for moderate-sized increases in insulin-stimulated glucose clearance rate (GCR; 26%; 90% confidence limits, CL 2%, 49%) and skeletal-muscle microvascular blood flow (46%; 16%, 83%), respectively, and good evidence for increased insulin-stimulated sarcoplasmic GLUT4 translocation (18%; 0%, 39%) vs CON. In contrast, WHEY did not effect GCR (-2%; -25%, 21%) and attenuated HbA1c lowering (14%; 5%, 24%) vs CON. KDPWHE effects on basal glutathione in erythrocytes and skeletal muscle were unclear, but in muscle there was very-good evidence for large increases in oxidised
peroxiredoxin isoform 2 (oxiPRX2) (19%; 2.2%, 35%) and good evidence for lower GPx1 concentrations (-40%; -4.3%, -63%) vs CON; insulin stimulation, however, attenuated the basal oxiPRX2 response (4%; -16%, 24%), and increased GPx1 (39%; -5%, 101%) and SOD1 (26%; -3%, 60%) protein expression. Effects of KDPWHE on oxiPRX3 and NRF2 content, phosphorylation of capillary eNOS and insulin-signalling proteins upstream of GLUT4 translocation AktSer437 and AS160Thr642 were inconclusive, but there was good evidence for increased IRSSer312 (41%; 3%, 95%), insulin-stimulated NFκB-DNA binding (46%; 3.4%, 105%), and basal PAK-1Thr423/2Thr402 phosphorylation (143%; 66%, 257%) vs WHEY. Our findings provide good evidence to suggest that dietary supplementation with a novel edible keratin protein in humans with T2DM may increase glucose clearance and modify skeletal-muscle tissue redox and insulin sensitivity within systems involving peroxiredoxins, antioxidant expression, and glucose uptake.