Disaccharides

二糖
  • 文章类型: Journal Article
    木聚糖酶是木聚糖水解酶体系中最重要的水解酶,其主要功能是β-1,4-内切木聚糖酶,将木聚糖随机裂解为低聚木糖和木糖。木聚糖酶具有广泛的应用,但是对一些低温行业所需的冷适应酶的研究很少。据报道,糖苷水解酶家族8(GH8)木聚糖酶具有冷适应酶活性。在这项研究中,通过序列比对,从地热异常球菌中挖掘了木聚糖酶基因dgeoxyn。重组木聚糖酶DgeoXyn编码403个氨基酸,理论分子量为45.39kDa。结构分析表明,DgeoXyn具有典型的GH8木聚糖酶的(α/α)6桶折叠结构。同时,它具有严格的底物特异性,只对木聚糖有活性,其水解产物包括木二糖,木甲糖,木糖,二甲苯糖,和少量的木糖。DgeoXyn在70℃和pH6.0时最活跃。它在10、20和30℃下非常稳定,保留其最大酶活性的80%以上。DgeoXyn的酶活性在添加Mn2+后增加了10%,在添加Cu2+后降低了80%。dgeox的Km和Vmax分别为42mg/ml和20,000U/mg,分别,在温度为70℃和pH为6.0的条件下,使用10mg/ml山毛鱼木聚糖作为底物。本研究为低温木聚糖酶的开发和应用提供了理论依据。
    Xylanase is the most important hydrolase in the xylan hydrolase system, the main function of which is β-1,4-endo-xylanase, which randomly cleaves xylans to xylo-oligosaccharides and xylose. Xylanase has wide ranging of applications, but there remains little research on the cold-adapted enzymes required in some low-temperature industries. Glycoside hydrolase family 8 (GH8) xylanases have been reported to have cold-adapted enzyme activity. In this study, the xylanase gene dgeoxyn was excavated from Deinococcus geothermalis through sequence alignment. The recombinant xylanase DgeoXyn encodes 403 amino acids with a theoretical molecular weight of 45.39 kDa. Structural analysis showed that DgeoXyn has a (α/α)6-barrel fold structure typical of GH8 xylanase. At the same time, it has strict substrate specificity, is only active against xylan, and its hydrolysis products include xylobiose, xylotrinose, xytetranose, xylenanose, and a small amount of xylose. DgeoXyn is most active at 70 ℃ and pH 6.0. It is very stable at 10, 20, and 30 ℃, retaining more than 80% of its maximum enzyme activity. The enzyme activity of DgeoXyn increased by 10% after the addition of Mn2+ and decreased by 80% after the addition of Cu2+. The Km and Vmax of dgeox were 42 mg/ml and 20,000 U/mg, respectively, at a temperature of 70 ℃ and pH of 6.0 using 10 mg/ml beechwood xylan as the substrate. This research on DgeoXyn will provide a theoretical basis for the development and application of low-temperature xylanase.
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  • 文章类型: Journal Article
    硫酸乙酰肝素(HS)的生物活性与其分子量密切相关,硫酸化的程度和模式和均匀性。用于合成低分散性的均质糖链的现有方法涉及多个步骤并且需要逐步分离和纯化过程。这里,我们设计了一种用于包封糖基转移酶的介孔金属有机胶囊,并获得了能够酶催化聚合反应的微反应器,以制备低分散性的均相肝素,HS和肝素的前体。由于糖链延伸发生在微反应器的孔中,低分子量肝素可以通过空间限制催化合成。此外,糖基化副产物,尿苷二磷酸(UDP),可以与金属有机胶囊的暴露金属位点螯合,抑制反式切割以降低分子量分散性。这种微反应器提供了效率的优点,可重用性,并且消除了对逐步分离和纯化过程的需要。使用合成的肝素,我们进一步成功地制备了低分散性的均相6-O-硫酸化HS,其分子量约为6kDa,多分散指数(PDI)为1.032。值得注意的是,产生的HS表现出最小的抗凝血活性,其与成纤维细胞生长因子1的结合亲和力与低分子量肝素相当。
    The biological activities of heparan sulfate (HS) are intimately related to their molecular weights, degree and pattern of sulfation and homogeneity. The existing methods for synthesizing homogeneous sugar chains of low dispersity involve multiple steps and require stepwise isolation and purification processes. Here, we designed a mesoporous metal-organic capsule for the encapsulation of glycosyltransferase and obtained a microreactor capable of enzymatically catalyzing polymerization reactions to prepare homogeneous heparosan of low dispersity, the precursor of HS and heparin. Since the sugar chain extension occurs in the pores of the microreactor, low molecular weight heparosan can be synthesized through space-restricted catalysis. Moreover, the glycosylation co-product, uridine diphosphate (UDP), can be chelated with the exposed metal sites of the metal-organic capsule, which inhibits trans-cleavage to reduce the molecular weight dispersity. This microreactor offers the advantages of efficiency, reusability, and obviates the need for stepwise isolation and purification processes. Using the synthesized heparosan, we further successfully prepared homogeneous 6-O-sulfated HS of low dispersity with a molecular weight of approximately 6 kDa and a polydispersity index (PDI) of 1.032. Notably, the HS generated exhibited minimal anticoagulant activity, and its binding affinity to fibroblast growth factor 1 was comparable to that of low molecular weight heparins.
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  • 文章类型: Journal Article
    低聚半乳糖(GOS)是重要的益生元,其功能与其结构密切相关。然而,由于表征GOS中多种异构体的挑战,对结构-功能关系的全面概述仍然有限。本研究提出了一种将亲水相互作用液相色谱(HILIC)保留时间和串联质谱(MS/MS)片段模式相结合的策略,以通过HILIC-MS/MS分析区分GOS中二糖异构体的α/β键和键位置。结果表明,m/z203.0524与m/z365.1054的比值可以区分α/β键。而m/z347.0947与m/z365.1054,m/z245.0642与m/z365.1054和HILIC保留时间的比值可以区分(1→2),(1→3),(1→4)和(1→6)连杆。上述规则能够有效表征含GOS的食品样品中的二糖,包括奶粉,米粉,喝,酸奶。该方法可用于GOS的质量控制和未来对GOS结构特异性健康效应的研究。
    Galactooligosaccharides (GOS) are important prebiotics with function closely related to their structure. However, a comprehensive overview of the structure-function relationship is still limited due to the challenge in characterizing multiple isomers in GOS. This study presents a strategy of combining both hydrophilic interaction liquid chromatography (HILIC) retention time and tandem mass spectrometry (MS/MS) fragmentation pattern to distinguish α/β-linkages and linkage positions of disaccharide isomers in GOS through HILIC-MS/MS analysis. The results indicated that the ratio of m/z 203.0524 to m/z 365.1054 could distinguish α/β-linkages, while the ratios of m/z 347.0947 to m/z 365.1054, m/z 245.0642 to m/z 365.1054 and HILIC retention time could distinguish (1 → 2), (1 → 3), (1 → 4) and (1 → 6) linkages. The above rules enabled effective characterization of disaccharides in GOS-containing food samples, including milk powder, rice flour, drink, yogurt. This method can be used in the quality control of GOS and future research on the structure-specific health effects of GOS.
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  • 文章类型: Journal Article
    二糖(β-D-吡喃葡萄糖糖醛酸)-(1→4)-β-D-吡喃葡萄糖苷代表肺炎链球菌血清型3的荚膜多糖的重复单元。与未加佐剂的缀合物相反,用氢氧化铝佐剂的二糖与BSA的缀合物(di-BSA缀合物)诱导IgG1抗体产生,并在腹膜内初免-加强免疫后保护小鼠免受肺炎链球菌血清型3感染。佐剂和非佐剂缀合物诱导Th1(IFNγ,TNFα);Th2(IL-5,IL-13);Th17(IL-17A),Th1/Th17(IL-22),和免疫后的Th2/Th17细胞因子(IL-21)。响应于佐剂化的缀合物,小鼠血清中细胞因子的浓度较高,在初次免疫和加强免疫后,IL-17A的产生水平最高。相比之下,非佐剂缀合物仅引起IL-17A的弱产生,第二次免疫后逐渐下降。用佐剂化的二-BSA缀合物加强免疫小鼠后,CD45+/CD19+B细胞数量显著增加,TCR+γδT细胞,CD5+‰1细胞,和激活的细胞在小鼠的脾脏中具有MHCII+表达。IL-17A,TCR+γδT细胞,和CD5+‰1细胞在预防肺炎球菌感染中起着至关重要的作用,但也可能导致自身免疫性疾病。在小鼠中,用佐剂化和非佐剂化的二-BSA缀合物的免疫不引发针对靶向细胞核的双链DNA的自身抗体。因此,与抗体产生和保护活性相关的分子和细胞标记物响应于用氢氧化铝佐剂的di-BSA缀合物的免疫是IL-17A,TCR+γδT细胞,和CD5B1细胞在增加MHCII+表达的背景下。
    The disaccharide (β-D-glucopyranosyluronic acid)-(1→4)-β-D-glucopyranoside represents a repeating unit of the capsular polysaccharide of Streptococcus pneumoniae serotype 3. A conjugate of the disaccharide with BSA (di-BSA conjugate) adjuvanted with aluminum hydroxide induced - in contrast to the non-adjuvanted conjugate - IgG1 antibody production and protected mice against S. pneumoniae serotype 3 infection after intraperitoneal prime-boost immunization. Adjuvanted and non-adjuvanted conjugates induced production of Th1 (IFNγ, TNFα); Th2 (IL-5, IL-13); Th17 (IL-17A), Th1/Th17 (IL-22), and Th2/Th17 cytokines (IL-21) after immunization. The concentration of cytokines in mice sera was higher in response to the adjuvanted conjugate, with the highest level of IL-17A production after the prime and boost immunizations. In contrast, the non-adjuvanted conjugate elicited only weak production of IL-17A, which gradually decreased after the second immunization. After boost immunization of mice with the adjuvanted di-BSA conjugate, there was a significant increase in the number of CD45+/CD19+ B cells, TCR+ γδ T cell, CD5+ В1 cells, and activated cells with MHC II+ expression in the spleens of the mice. IL-17A, TCR+ γδ T cells, and CD5+ В1 cells play a crucial role in preventing pneumococcal infection, but can also contribute to autoimmune diseases. Immunization with the adjuvanted and non-adjuvanted di-BSA conjugate did not elicit autoantibodies against double-stranded DNA targeting cell nuclei in mice. Thus, the molecular and cellular markers associated with antibody production and protective activity in response to immunization with the di-BSA conjugate adjuvanted with aluminum hydroxide are IL-17A, TCR+ γδ T cells, and CD5+ В1 cells against the background of increasing MHC II+ expression.
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  • 文章类型: Journal Article
    阿拉伯木聚糖是甘蔗植物细胞壁中的主要半纤维素,具有阿拉伯糖装饰,对木聚糖酶对该底物的活性施加空间限制。通过阿拉伯呋喃糖苷酶酶促去除装饰可以允许木聚糖酶更有效地降解阿拉伯木聚糖。在这里,我们生产并表征了来自糖苷水解酶家族43(BlAbff43)的重组长双歧杆菌阿拉伯呋喃糖苷酶,并应用了它,与GH10和GH11木聚糖酶一起,从小麦阿拉伯木聚糖和碱预处理的甘蔗渣中生产低聚木糖(XOS)。该酶通过GH10和GH11木聚糖酶协同增强XOS的产生,与后者家族的酶结合特别有效,协同度为1.7。我们还证明,该酶不仅能够从阿拉伯木聚糖和寡聚底物的非还原末端去除阿拉伯糖装饰,而且在特定情况下水解木聚糖主链主要产生木二糖和木糖。BlAbf43的结构研究揭示了底物识别的分子基础,并允许对其多功能性的结构原因进行假设。
    Arabinoxylan is a major hemicellulose in the sugarcane plant cell wall with arabinose decorations that impose steric restrictions on the activity of xylanases against this substrate. Enzymatic removal of the decorations by arabinofuranosidases can allow a more efficient arabinoxylan degradation by xylanases. Here we produced and characterized a recombinant Bifidobacterium longum arabinofuranosidase from glycoside hydrolase family 43 (BlAbf43) and applied it, together with GH10 and GH11 xylanases, to produce xylooligosaccharides (XOS) from wheat arabinoxylan and alkali pretreated sugarcane bagasse. The enzyme synergistically enhanced XOS production by GH10 and GH11 xylanases, being particularly efficient in combination with the latter family of enzymes, with a degree of synergism of 1.7. We also demonstrated that the enzyme is capable of not only removing arabinose decorations from the arabinoxylan and from the non-reducing end of the oligomeric substrates, but also hydrolyzing the xylan backbone yielding mostly xylobiose and xylose in particular cases. Structural studies of BlAbf43 shed light on the molecular basis of the substrate recognition and allowed hypothesizing on the structural reasons of its multifunctionality.
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  • 文章类型: Journal Article
    本研究旨在揭示HPLC指纹图谱的动力学,色度值,以及桑皮在炒制过程中的主要化学成分。建立了桑皮原料和加工产品的指纹图谱。莫伯兰甙A的含量,氧化白藜芦醇,kuwanonG,样品中的kuwanonH和样品的色度值被确定。此外,进行了指纹图谱的相似性评价和指纹图谱与色度值的相关性分析。结果表明,桑皮原料与加工品的指纹图谱具有较高的相似性,炒制过程中主要化学成分含量的总体变化相似。根据经验,当炒菜适中时,总色度值差|ΔE~*_(ab)|大于1.5。随着炒菜时间的延长,L~*和E~*_(ab)值不断减小,a~*值不断增加。指纹图谱与色度值的相关性分析结果表明,峰1(5-羟基麦芽酚),2(马伯罗塞德A),3,4,6,7,11(氧白藜芦醇),14、17(kuwanonG),和18(kuwanonH)与色度值显着相关。对含量较高的四种成分进行定量分析,结果表明,当炒菜过量时,四种成分的含量均有不同程度的下降。此外,5-羟基麦芽酚是在桑皮炒后生产的,指纹和色度值在炒制过程中呈规律性变化。色度可以包括在对MoriCortex的炒制过程的评估中,为规范炒桑皮质量提供参考。
    This study aims to reveal the dynamics of the HPLC fingerprint, chromaticity values, and main chemical components of Mori Cortex during the stir-frying process. The fingerprints of raw and processed products of Mori Cortex were established. The content of mulberroside A, oxyresveratrol, kuwanon G, and kuwanon H in the samples and the chromaticity values of the samples were determined. Furthermore, the similarity evaluation of fingerprints and the correlation analysis between fingerprints and chromaticity values were carried out. The results showed that the fingerprints of raw and processed products of Mori Cortex had high similarity, and the overall changes in the content of the main chemical components in the stir-frying process were similar. According to the experience, when the stir-frying is moderate, the total chromaticity value difference |ΔE~*_(ab)| is above 1.5. With the extension of stir-frying time, the L~* and E~*_(ab) values keep decreasing, and the a~* value keeps increasing. The results of the correlation analysis between fingerprints and chromaticity values showed that peaks 1(5-hydroxy maltol), 2(mulberroside A), 3, 4, 6, 7, 11(oxyresveratrol), 14, 17(kuwanon G), and 18(kuwanon H) had significant correlations with the chromaticity values. Quantitative analysis of the four components with higher content showed that the content of the four components decreased to varying degrees when the stir-frying was excessive. In addition, 5-hydroxy maltol was produced after stir-frying of Mori Cortex, and the fingerprint and chromaticity values showed regular changes during the stir-frying process. The chromaticity can be included in the evaluation of the stir-frying process of Mori Cortex, which provides a reference for standardizing the quality of stir-fried Mori Cortex.
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  • 文章类型: Journal Article
    肠道厌氧菌Akkermansiamuciniphila是专门降解粘蛋白的细菌,它们是大量的O-糖基化蛋白质,构成了肠道粘液的主要成分。尽管粘蛋白的粘附被认为对于粘蛋白A在人体肠道中的持久性至关重要,我们对这种肠道共生体如何识别和结合粘蛋白的了解仍然有限。这里,我们首先表明,粘蛋白A的粘蛋白结合特性与环境氧浓度无关,并且不会被巴氏灭菌所消除。然后,我们通过使用最近开发的基于细胞的粘蛋白阵列来解剖巴氏灭菌的粘蛋白结合特性,该阵列能够显示具有不同O-聚糖模式和结构的人类粘蛋白的串联重复序列。我们发现A.muciniphila在core2和core3O-聚糖上选择性地识别未唾液酸化的LacNAc(Galβ1-4GlcNAcβ1-R)二糖。这种二糖表位在唾液酸覆盖的人结肠粘蛋白上大量发现,我们证明了内源性粘虫神经氨酸酶活性可以揭示表位并促进结合。总之,我们的研究提供了对重要粘蛋白觅食细菌定植的粘蛋白结合特性的见解.
    The intestinal anaerobic bacterium Akkermansia muciniphila is specialized in the degradation of mucins, which are heavily O-glycosylated proteins that constitute the major components of the mucus lining the intestine. Despite that adhesion to mucins is considered critical for the persistence of A. muciniphila in the human intestinal tract, our knowledge of how this intestinal symbiont recognizes and binds to mucins is still limited. Here, we first show that the mucin-binding properties of A. muciniphila are independent of environmental oxygen concentrations and not abolished by pasteurization. We then dissected the mucin-binding properties of pasteurized A. muciniphila by use of a recently developed cell-based mucin array that enables display of the tandem repeats of human mucins with distinct O-glycan patterns and structures. We found that A. muciniphila recognizes the unsialylated LacNAc (Galβ1-4GlcNAcβ1-R) disaccharide selectively on core2 and core3 O-glycans. This disaccharide epitope is abundantly found on human colonic mucins capped by sialic acids, and we demonstrated that endogenous A. muciniphila neuraminidase activity can uncover the epitope and promote binding. In summary, our study provides insights into the mucin-binding properties important for colonization of a key mucin-foraging bacterium.
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  • 文章类型: Journal Article
    糖胺聚糖(GAG),如硫酸乙酰肝素(HS),在生物体中发挥重要作用。了解HS的功能及其在疾病进展中的参与需要对HS衍生的不饱和二糖进行灵敏和定量的检测。传统上,荧光衍生作用先于这些二糖的HPLC分析。然而,过量未反应的衍生试剂的存在会抑制色谱测定中的快速和灵敏分析。在这项研究中,我们描述了使用丹磺肼作为衍生剂的分析方法,用于使用HPLC检测和测定HS衍生的不饱和二糖。此外,我们已经开发了使用MonoSpinNH2柱除去过量未反应试剂的简单方法。该方法可用于去除过量的预标记试剂,从而有利于以令人满意的再现性分析HS衍生的不饱和二糖。
    Glycosaminoglycans (GAGs), such as heparan sulfate (HS), play essential roles in living organisms. Understanding the functionality of HS and its involvement in disease progression necessitates the sensitive and quantitative detection of HS-derived unsaturated disaccharides. Conventionally, fluorescence derivatization precedes the HPLC analysis of these disaccharides. However, the presence of excess unreacted derivatization reagents can inhibit rapid and sensitive analysis in chromatographic determinations. In this study, we describe analytical methods that use dansylhydrazine as a derivatization agent for the detection and determination of HS-derived unsaturated disaccharides using HPLC. In addition, we have developed a straightforward method for removing excess unreacted reagent using a MonoSpin NH2 column. This method may be employed to remove excess pre-labeling reagents, thereby facilitating the analysis of HS-derived unsaturated disaccharides with satisfactory reproducibility.
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  • 文章类型: Journal Article
    对双糖酶活性的遗传决定因素的研究为改善胃肠病学的诊断和选择医疗策略开辟了新的前景。该研究的目的是将蔗糖酶-异麦芽糖酶基因(SI)在调节蔗糖代谢中的作用以及SI突变对蔗糖吸收不良疾病(蔗糖酶-异麦芽糖酶缺乏症,SID)和不同人群中某些形式的肠道病理学。材料和方法。对同行评审的科学文献的回顾,主要在PubMed数据库(https://pubmed.ncbi.nlm.nih.gov)和eLibrary(https://elibrary。ru),使用关键词:碳水化合物吸收不良,蔗糖酶,蔗糖酶-异麦芽糖酶缺乏症,蔗糖酶-异麦芽糖酶SI基因。未指定搜索深度,但特别关注最近的出版物。gnomAD数据库(https://www.ncbi.nlm.nih.gov/snp/rs781470490)也被使用。结果。根据审查结果,已证实150个已知SI基因突变中有37个导致蔗糖酶活性降低或蔗糖酶产量受限。SI基因中的点突变的患病率估计为0.0006%,但SIdelAG删除的载波速率(rs781470490),表现为SID中的纯合性,在东亚和美洲北极地区的土著人口中,这一比例很高(5-21%)。医学遗传学研究方法提高了原发性和继发性SID以及其他形式的二糖和多糖吸收不良的鉴别诊断的准确性。关于蔗糖酶-异麦芽糖酶不足的遗传决定因素的普遍性的数据库的形成是改进SID流行病学的有希望的方法。在Chukotka中SIdelAG突变的纯合携带者中,SID临床表现的风险增加(0.2-2.3%),堪察加半岛,和北部的Priochotye人口。建议验证与对照组相比,SIdelAG携带者脂质代谢紊乱趋势较不明显的报告。结论。表型中突变SI变体的表现与伴随的碳水化合物吸收不良变体和特定肠道微生物群的存在有关。SI15Phe变体(rs9290264)可能有助于肠易激综合征的发展。
    The study of the genetic determinants of the disaccharidase activity opens up new prospects for improving diagnostics and choosing medical tactics in gastroenterology. The aim of the study was to systematize the data on the role of the sucrase-isomaltase gene (SI) in regulating sucrose metabolism and the contribution of SI mutations to the prevalence of sucrose malabsorption disorders (sucrase-isomaltase deficiency, SID) and certain forms of enterological pathology in different population groups. Material and methods. A review of the peer-reviewed scientific literature, mainly in the PubMed database (https://pubmed.ncbi.nlm.nih.gov) and eLibrary (https://elibrary.ru), was conducted using key words: carbohydrate malabsorption, sucrase, sucrase-isomaltase deficiency, sucrase-isomaltase SI gene. The search depth was not specified, but particular attention was paid to recent publications. The gnomAD database (https://www.ncbi.nlm. nih.gov/snp/rs781470490) was also used. Results. According to the review results, 37 out of 150 known SI gene mutations have been confirmed to contribute to reduced sucrase activity or restricted sucrase production. The prevalence of point mutations in the SI gene is estimated at 0.0006%, but carrier rates of the SI delAG deletion (rs781470490), manifested as homozygosity in SID, are very high (5-21%) in indigenous populations of Arctic regions in East Asia and America. Medicalgenetic research methods improve the accuracy of differential diagnosis of primary and secondary SID and other forms of disaccharide and polysaccharide malabsorption. The formation of databases on the prevalence of genetic determinants of sucrase-isomaltase insufficiency is a promising way to refine the epidemiology of SID. There is an increased (0.2-2.3%) risk of clinical manifestations of SID in homozygous carriers of the SI delAG mutation in the Chukotka, Kamchatka, and Northern Priochotye populations. Verification of reports on a less pronounced tendency to lipid metabolism disorders in SI delAG carriers compared with the control group is recommended. Conclusion. Manifestations of mutant SI variants in the phenotype are associated with the presence of accompanying carbohydrate malabsorption variants and specific gut microbiota. The SI 15Phe variant (rs9290264) may contribute to the development of irritable bowel syndrome.
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  • 文章类型: Journal Article
    背景:高FODMAP(可发酵寡头-,di,单糖和多元醇)食物与IBS患者症状恶化有关。目的是比较低FODMAP饮食后肠易激综合征患者的胃肠道症状和饮食摄入量,有或没有单独的营养治疗。
    方法:将符合IBS罗马IV标准的54例患者随机分为两组,指导组(个体营养治疗,n=28)和自我管理组(在网上了解了低FODMAP饮食,n=26)。两组均遵循低FODMAP饮食4周。使用四天的食物记录来评估饮食摄入量。通过IBS严重程度评分系统(ISB-SSS)评估症状。
    结果:未完成研究的受试者人数为13人,其中5人是营养治疗组,8人是自我管理组,留下23和18个受试者可供分析,分别。两组的症状从基线下降到终点,接受营养治疗组平均183±101分(p<0.001),自我管理组平均132±110分(p<0.001),组间没有差异。在基线,两组中大约80%的膳食含有高FODMAP的食物。营养治疗和自我管理组在第3周的相应比例为9%和36%,分别(p<0.001)。
    结论:两组症状都有所缓解,但与仅接受在线了解低FODMAP饮食指导的组相比,接受个体营养治疗组的低FODMAP饮食依从性更好.
    BACKGROUND: High FODMAP (fermentable oligo-, di, monosaccharides and polyols) foods have been linked with worsening symptoms of IBS patients. The aim was to compare gastrointestinal symptoms and dietary intake of patients with irritable bowel syndrome following a low FODMAP diet, with or without individual nutrition therapy.
    METHODS: A total of 54 patients that met Rome IV criteria for IBS were randomized into two groups, guided group (individual nutrition therapy, n=28) and self-management group (learned about low FODMAP diet online, n=26). Both groups followed low FODMAP diet for 4 weeks. Four-day food records were used to assess dietary intake. Symptoms were assessed by the IBS-severity scoring system (ISB-SSS).
    RESULTS: The number of subjects who did not complete the study was 13, thereof five in the nutrition therapy and eight in the self-management group, leaving 23 and 18 subjects available for analysis, respectively. Symptoms declined from baseline to endpoint in both groups, by 183±101 points on average in the group receiving nutrition therapy (p< 0.001) and 132±110 points in the self-management group (p< 0.001), with no difference between groups. At baseline, about 80% of meals in both groups contained food high in FODMAP\'s. The corresponding proportion was 9% and 36% in week 3 in the nutrition therapy and self-management group, respectively (p< 0.001).
    CONCLUSIONS: Both groups experienced relieve of symptoms, but compliance to the low FODMAP diet was better in the group receiving individual nutrition therapy compared with the group who only received instructions on how to learn about low FODMAP diet online.
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