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OGTT diabetes. Recovery heart rate physical fitness. lipid load. resistance (vaccination). exercise . Challenge concept to measure diet related health. Perturbation of homeostasis to reveal health and resistance . 1 st NuGO metabolomics meeting, Reading, 4 July 2005.
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OGTT diabetes Recovery heart rate physical fitness lipid load resistance (vaccination) exercise Challenge concept to measure diet related health Perturbation of homeostasis to reveal health and resistance
1st NuGO metabolomics meeting, Reading, 4 July 2005
Hanni`s examples • Fasting • OGTT • Meal • Lipid tolerance test • Physical exercise other examples • Inflammation challenge test • Vaccination • Mental stress test
Physical challenge en resistance (Nieman, Curr Sports Med Rep, 2003)
Cortisol CRP 1000 3.00 Placebo Placebo Supplement Supplement 2.50 800 2.00 Neutrophils IL-10 600 CRP (ng/ml) Cortisol (nmol/L) 14.00 75.00 1.50 Placebo Placebo 400 Supplement Supplement 12.00 1.00 60.00 10.00 200 0.50 8.00 45.00 cell count (10^6/ml) IL-10 (pg/ml) 0.00 0 6.00 30.00 T0 T2 T0 T1 T2 T3 4.00 15.00 2.00 0.00 0.00 T0 T1 T2 T3 T0 T2 Effects of challenge on immune parameters * * * * * * * * *
vaccination as challenge vaccination vaccination vaccination DTH DTH days: 1 3 43 57 71 85 INTERVENTION anti-hepatitis B antibodies anti-hepatitis B antibodies anti-hepatitis B antibodies CLA in PBMC ex vivo immune function parameters CLA in PBMC ex vivo immune function parameters Treatment: CLA 50:50 fatty acids
Anti-inflammatory effects of supplement mixPostprandial challenge – high fat challenge 5 weeks 5 weeks placebo Anti-inflammatory food mix N=18 Anti-inflammatory food mix placebo N=18 High fat challenge minutes 0 30 60 120 360 180 240 • 500ml high fat dairy shake (706kcal) • 21g protein (12en%), • 46g fat (59en%) (27g saturated fat) • 42g carbohydrates (30en%)
Metabolites and proteins that respond differentially between AIDM and placebo in response to PPCT
An inflammation challenge test: LPS The effect of moderate alcohol consumption on a human in vivo model of low-grade systemic inflammation in young, normal-weight men • 24 young men (21-40 yr) with BMI 18-27 kg/m2 • moderate alcohol (30 g/day) versus placebo • In vivo LPS challenge with low dose (0.06 ng/kg) 4 weeks 4 weeks orange juice orange juice + wodka orange juice + wodka orange juice LPS challenge LPS challenge In vivo LPS challenge: blood samples taken at 0-1-2-3-4-5-6 hours after LPS infusion
MIP-1alpha: response in vitro >1000 fold induction * * * ANOVA pvalue 0.0001 mean -LPS values ~14 pg/ml MIP-1alpha: response in vivo ANOVA pvalue 0.0508 Max induction ~ 2-fold *
Key questions for group discussion: What could be a “gold standard” challenge to be able to assess phenotype specific alterations in metabolic response? • What are the key processes & changes that we need to look for? • Challenging functional modules? • Metabokinetics? • How ‘individual’ do we want / need to go? • What “thinking tools” do we need? What metabolic challenges and related metabolomics analysis need to be developed and standardized in the next 3 years? • What is the best way to compete / collaborate? • Where do we get the funds?