<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article">
 <front>
  <journal-meta>
   <journal-id journal-id-type="publisher-id">
    fns
   </journal-id>
   <journal-title-group>
    <journal-title>
     Food and Nutrition Sciences
    </journal-title>
   </journal-title-group>
   <issn pub-type="epub">
    2157-944X
   </issn>
   <issn publication-format="print">
    2157-9458
   </issn>
   <publisher>
    <publisher-name>
     Scientific Research Publishing
    </publisher-name>
   </publisher>
  </journal-meta>
  <article-meta>
   <article-id pub-id-type="doi">
    10.4236/fns.2024.158045
   </article-id>
   <article-id pub-id-type="publisher-id">
    fns-135389
   </article-id>
   <article-categories>
    <subj-group subj-group-type="heading">
     <subject>
      Articles
     </subject>
    </subj-group>
    <subj-group subj-group-type="Discipline-v2">
     <subject>
      Biomedical 
     </subject>
     <subject>
       Life Sciences
     </subject>
    </subj-group>
   </article-categories>
   <title-group>
    Anti-Obesity Effects of Dietary d-Allulose and Medium-Chain Triglycerides in High-Fat Diet-Fed Rats
   </title-group>
   <contrib-group>
    <contrib contrib-type="author" xlink:type="simple">
     <name name-style="western">
      <surname>
       Tatsuhiro
      </surname>
      <given-names>
       Matsuo
      </given-names>
     </name> 
     <xref ref-type="aff" rid="aff1"> 
      <sup>1</sup>
     </xref>
    </contrib>
    <contrib contrib-type="author" xlink:type="simple">
     <name name-style="western">
      <surname>
       Chihiro
      </surname>
      <given-names>
       Yokoyama
      </given-names>
     </name> 
     <xref ref-type="aff" rid="aff1"> 
      <sup>1</sup>
     </xref>
    </contrib>
    <contrib contrib-type="author" xlink:type="simple">
     <name name-style="western">
      <surname>
       Takako
      </surname>
      <given-names>
       Yamada
      </given-names>
     </name> 
     <xref ref-type="aff" rid="aff2"> 
      <sup>2</sup>
     </xref>
    </contrib>
    <contrib contrib-type="author" xlink:type="simple">
     <name name-style="western">
      <surname>
       Tetsuo
      </surname>
      <given-names>
       Iida
      </given-names>
     </name> 
     <xref ref-type="aff" rid="aff2"> 
      <sup>2</sup>
     </xref>
    </contrib>
    <contrib contrib-type="author" xlink:type="simple">
     <name name-style="western">
      <surname>
       Susumu
      </surname>
      <given-names>
       Mochizuki
      </given-names>
     </name> 
     <xref ref-type="aff" rid="aff1"> 
      <sup>1</sup>
     </xref>
    </contrib>
    <contrib contrib-type="author" xlink:type="simple">
     <name name-style="western">
      <surname>
       Akihide
      </surname>
      <given-names>
       Yoshihara
      </given-names>
     </name> 
     <xref ref-type="aff" rid="aff1"> 
      <sup>1</sup>
     </xref>
    </contrib>
    <contrib contrib-type="author" xlink:type="simple">
     <name name-style="western">
      <surname>
       Kazuya
      </surname>
      <given-names>
       Akimitsu
      </given-names>
     </name> 
     <xref ref-type="aff" rid="aff1"> 
      <sup>1</sup>
     </xref>
    </contrib>
   </contrib-group> 
   <aff id="aff1">
    <addr-line>
     aFaculty of Agriculture, Kagawa University, Miki-cho, Japan
    </addr-line> 
   </aff> 
   <aff id="aff2">
    <addr-line>
     aResearch and Development, Matsutani Chemical Industry Co., Ltd., Itami, Japan
    </addr-line> 
   </aff> 
   <pub-date pub-type="epub">
    <day>
     05
    </day> 
    <month>
     08
    </month>
    <year>
     2024
    </year>
   </pub-date> 
   <volume>
    15
   </volume> 
   <issue>
    08
   </issue>
   <fpage>
    701
   </fpage>
   <lpage>
    710
   </lpage>
   <history>
    <date date-type="received">
     <day>
      10,
     </day>
     <month>
      July
     </month>
     <year>
      2024
     </year>
    </date>
    <date date-type="published">
     <day>
      18,
     </day>
     <month>
      July
     </month>
     <year>
      2024
     </year> 
    </date> 
    <date date-type="accepted">
     <day>
      18,
     </day>
     <month>
      August
     </month>
     <year>
      2024
     </year> 
    </date>
   </history>
   <permissions>
    <copyright-statement>
     © Copyright 2014 by authors and Scientific Research Publishing Inc. 
    </copyright-statement>
    <copyright-year>
     2014
    </copyright-year>
    <license>
     <license-p>
      This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/
     </license-p>
    </license>
   </permissions>
   <abstract>
    d-Allulose, a rare sugar, exerts anti-obesity effects by inhibiting hepatic lipogenesis and promoting energy expenditure. Medium-chain triglycerides (MCTs) consist of three medium-chain fatty acids connected by glycerol. MCTs have been extensively investigated for their ability to reduce body fat accumulation. We previously investigated the anti-obesity effects of a combination of dietary d-allulose and MCT (5% - 13%) in rats; however, we could not confirm the anti-obesity effects of MCT or observed synergetic effects between d-allulose and MCT on body fat loss. We speculated that our previous studies were influenced by the excessive amount of MCT in the diets. Therefore, in this study, we aimed to investigate the anti-obesity effects of the simultaneous intake of d-allulose and MCT in rats fed an obesity-inducing high-fat diet with a low amount of MCTs (2%). Thirty-two male Wistar rats (3-week-old) were randomly divided into four groups: control, d-allulose, MCT, and d-allulose + MCT groups. Rats in each group were fed ad libitum on a control (no d-Allulose or MCT), 5% d-allulose, 2% MCT, or 5% d-allulose + 2% MCT diets for 16 weeks. Abdominal adipose tissue weights were significantly lower in the d-allulose diet group than in the control group, whereas no differences were observed between results of the MCT-supplemented groups. The total body fat mass was significantly lower in the d-allulose and MCT diet groups than in the control group, but no differences were observed between the MCT-supplemented groups. These results suggested that anti-obesity effects of dietary d-allulose were observed, and the effects of dietary MCTs were weaker than those of d-allulose. Moreover, we confirmed the interaction between dietary d-allulose and MCT on indicators of obesity. Interestingly, their effects were not synergistic, as MCT supplementation offset the anti-obesity effects of dietary d-allulose. However, the specific mechanisms underlying those effects remain unknown, warranting further investigation.
   </abstract>
   <kwd-group> 
    <kwd>
     Rare Sugar
    </kwd> 
    <kwd>
      d-Allulose
    </kwd> 
    <kwd>
      Medium-Chain Triglycerides
    </kwd> 
    <kwd>
      Body Fat
    </kwd> 
    <kwd>
      Rat
    </kwd>
   </kwd-group>
  </article-meta>
 </front>
 <body>
  <sec id="s1">
   <title>1. Introduction</title>
   <p>Recently, rare sugars have been widely recognized for their distinctive nutritional properties. Rare sugars are rarely found in nature compared to common sugars and are used in functional foods. These are beneficial to human health when used as low-calorie carbohydrate sweeteners and bulking agents <xref ref-type="bibr" rid="scirp.135389-1">
     [1]
    </xref>-<xref ref-type="bibr" rid="scirp.135389-3">
     [3]
    </xref>. Specifically, d-allulose is calorie-free and has a variety of food nutritional functions. Multiple studies have demonstrated the anti-obesity effect of d-allulose via the inhibition of hepatic lipogenesis <xref ref-type="bibr" rid="scirp.135389-4">
     [4]
    </xref> <xref ref-type="bibr" rid="scirp.135389-5">
     [5]
    </xref> and promotion of energy expenditure <xref ref-type="bibr" rid="scirp.135389-6">
     [6]
    </xref> <xref ref-type="bibr" rid="scirp.135389-7">
     [7]
    </xref>.</p>
   <p>Medium-chain triglycerides (MCTs) consist of three medium-chain fatty acids (MCFAs) with six to twelve carbon atoms connected to a glycerol <xref ref-type="bibr" rid="scirp.135389-8">
     [8]
    </xref>. MCTs are broken down in the small intestine and mostly absorbed as free fatty acids, which are transported to the liver via the portal vein and subsequently taken up by the mitochondria, without the need for carnitine palmitoyltransferase (CPT), facilitating rapid β-oxidation <xref ref-type="bibr" rid="scirp.135389-9">
     [9]
    </xref>. This physiological process favors the hepatic oxidation of MCFAs over that of long-chain fatty acids (LCFAs) and consumes more energy in the liver, preventing obesity. MCTs have been extensively investigated for their anti-obesity effects in rats and humans <xref ref-type="bibr" rid="scirp.135389-8">
     [8]
    </xref> <xref ref-type="bibr" rid="scirp.135389-10">
     [10]
    </xref> <xref ref-type="bibr" rid="scirp.135389-11">
     [11]
    </xref>. However, excessive intake of MCTs may stimulate hepatic lipogenesis <xref ref-type="bibr" rid="scirp.135389-12">
     [12]
    </xref> <xref ref-type="bibr" rid="scirp.135389-13">
     [13]
    </xref> and an anti-obesity effect may not be observed.</p>
   <p>Because d-allulose inhibits hepatic lipogenesis, simultaneous intake of MCT and d-allulose may reduce the de novo lipogenesis induced by MCFAs and enhance their efficiency in preventing obesity. We previously investigated the anti-obesity effects of a combination of dietary d-allulose and MCT (5% - 13%) in rats fed a high-carbohydrate <xref ref-type="bibr" rid="scirp.135389-14">
     [14]
    </xref> or a high-fat diet <xref ref-type="bibr" rid="scirp.135389-15">
     [15]
    </xref> for eight weeks. However, we could not confirm the anti-obesity effects of MCT or observed synergetic effects between d-allulose and MCT on body fat loss. We speculated that our previous studies were influenced by the excessive amount of MCT in the diets. Therefore, in this study, we aimed to investigate the anti-obesity effects of the simultaneous intake of d-allulose and MCT in rats fed an obesity-inducing high-fat diet with a low amount of MCTs (2%). Furthermore, the feeding period was extended to 16 weeks to make it easier to detect anti-obesity effects.</p>
  </sec><sec id="s2">
   <title>2. Materials and Methods</title>
   <p>All animal procedures were approved by the Animal Care and Use Committee for Kagawa University (Approval number: 23617).</p>
   <sec id="s2_1">
    <title>2.1. Materials</title>
    <p>MCT oil was purchased from Nisshin Oillio Group Ltd. (Tokyo, Japan). The fatty acid composition of MCT oil was 75.0% octanoic acid and 25.0% decanoic acid. Soybean oil and beef tallow, long-chain triglycerides (LCTs), were purchased from Yamakei Industry Co. Ltd. (Osaka, Japan). The soybean oil was composed of 10.3% palmitic acid, 3.8% stearic acid, 24.3% oleic acid, 52.7% linoleic acid, and 7.9% α-linolenic acid. The beef tallow consisted of 24.0% palmitic acid, 16.6% stearic acid, 46.5% oleic acid, 2.8% linoleic acid, and 0.3% α-linolenic acid. d-allulose was obtained from the International Institute of Rare Sugar Research and Education (Kagawa, Japan). Vitamin and mineral mixtures (AIN-76A) were purchased from Oriental Yeast Co. Ltd. (Tokyo, Japan).</p>
   </sec>
   <sec id="s2_2">
    <title>2.2. Animals, Diets, and Experimental Design</title>
    <p>Thirty-two male Wistar rats (3-week-old) were obtained from Japan SLC (Shizuoka, Japan), adapted to the experimental environment for three days, and then randomly divided into four groups: control (C), d-allulose (A), MCT (M), and d-allulose + MCT (AM) groups. <xref ref-type="table" rid="table1">
      Table 1
     </xref> shows the dietary composition of each group. The A and AM diets contained 5% d-allulose, whereas the M and AM diets contained 2% MCT. All experimental diets were obesity-inducing high-fat diets with high concentrations of sucrose added to increase fat synthesis in the</p>
    <table-wrap id="table1">
     <label>
      <xref ref-type="table" rid="table1">
       Table 1
      </xref></label>
     <caption>
      <title>
       <xref ref-type="bibr" rid="scirp.135389-"></xref>Table 1. Composition of experimental diets.</title>
     </caption>
     <table class="MsoTableGrid custom-table" border="0" cellspacing="0" cellpadding="0"> 
      <tr> 
       <td class="custom-bottom-td custom-top-td acenter" width="34.50%">Ingredients (g/kg diet)<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td custom-top-td acenter" width="16.37%">C<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td custom-top-td acenter" width="16.37%">A<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td custom-top-td acenter" width="16.37%">M<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td custom-top-td acenter" width="16.37%">AM<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="custom-top-td acenter" width="34.50%">Casein<p style="text-align:center"></p></td> 
       <td class="custom-top-td acenter" width="16.37%">200.0<p style="text-align:center"></p></td> 
       <td class="custom-top-td acenter" width="16.37%">200.0<p style="text-align:center"></p></td> 
       <td class="custom-top-td acenter" width="16.37%">200.0<p style="text-align:center"></p></td> 
       <td class="custom-top-td acenter" width="16.37%">200.0<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="34.50%">dL-Methionine<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">3.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">3.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">3.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">3.0<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="34.50%">Corn starch<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">149.9<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">149.9<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">149.9<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">149.9<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="34.50%">Sucrose<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">300.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">250.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">300.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">250.0<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="34.50%">d-allulose (d-Psicose)<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">0.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">50.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">0.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">50.0<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="34.50%">Soybean oil<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">20.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">20.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">20.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">20.0<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="34.50%">Beef tallow<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">230.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">230.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">210.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">210.0<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="34.50%">MCT<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">0.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">0.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">20.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">20.0<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="34.50%">Mineral mixture<sup>1</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">35.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">35.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">35.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">35.0<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="34.50%">Vitamin mixture<sup>1</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">10.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">10.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">10.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">10.0<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="34.50%">Cellulose<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">50.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">50.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">50.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">50.0<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="34.50%">Chorine chloride<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">2.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">2.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">2.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">2.0<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="34.50%">Butylhydroxytoluene<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">0.1<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">0.1<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">0.1<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">0.1<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="34.50%"><p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">1000.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">1000.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">1000.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="16.37%">1000.0<p style="text-align:center"></p></td> 
      </tr> 
     </table>
    </table-wrap>
    <p><sup>1</sup>Based on the AIN-76 mixture. C, A, M, and AM are the control, d-allulose, MCT, and d-allulose + MCT diets, respectively.</p>
    <p>
     <xref ref-type="bibr" rid="scirp.135389-"></xref>liver. All animals were individually caged at 22˚C ± 1˚C, under light from 08:00 to 20:00, and had free access to the experimental diets and water for 16 weeks. The body weight and food intake were recorded daily. After the experimental period, all rats were euthanized via decapitation at 09:00 after 5 h of fasting. Blood was collected to obtain the serum. The heart, liver, kidneys, spleen, and abdominal adipose tissues (epididymal, perirenal, and mesenteric) were quickly removed and stored at −80˚C until analysis. Carcass samples were obtained by removing the head and remaining intra-abdominal and intra-thoracic tissues, and stored at −20˚C until analysis of carcass composition.</p>
   </sec>
   <sec id="s2_3">
    <title>2.3. Biochemical Analysis</title>
    <p>Serum concentrations of glucose, insulin, total cholesterol, free fatty acids, triglycerides, and β-hydroxybutyric acid were determined using kits (Glucose CII-test, LBIS Rat Insulin ELISA Kit, Cholesterol E-Test, NEFA C-Test, Triglyceride E-Test [FUJIFILM Wako Chemicals, Osaka, Japan], and F-kit d-3-hydroxybutyric acid [J.K. International, Tokyo, Japan], respectively). Liver lipids were extracted using the method described by Matyash et al. <xref ref-type="bibr" rid="scirp.135389-16">
      [16]
     </xref>, and liver triglyceride and cholesterol levels were determined using kits (Triglyceride E-Test and Cholesterol E-Test [FUJIFILM Wako Chemicals, Osaka, Japan]). Liver glucose-6-phosphate dehydrogenase (G6PD) and malate dehydrogenase (MDH) activities were determined using the QuantiChromTM Glucose-6-Phosphate Dehydrogenase Kit and EnzyChromTM Malate Dehydrogenase Assay Kit, respectively (BioAssay Systems, CA, USA). The carcass fat content was determined using the method described by Mickelsen and Anderson <xref ref-type="bibr" rid="scirp.135389-17">
      [17]
     </xref>. The total body fat was calculated as described by Paik and Yearick <xref ref-type="bibr" rid="scirp.135389-18">
      [18]
     </xref>.</p>
   </sec>
   <sec id="s2_4">
    <title>2.4. Data Analysis</title>
    <p>Data from Groups C, A, M, and AM were analyzed using a two-way analysis of variance (ANOVA). If the ANOVA results revealed significant interactions, multiple comparisons of the results of all groups were performed using the Tukey−Kramer test. Statistical significance was set at p &lt; 0.05. Excel Statistics (Social Survey Research Information Co., Ltd., Tokyo, Japan) was used for data analyses.</p>
   </sec>
  </sec><sec id="s3">
   <title>3. Results and Discussion</title>
   <sec id="s3_1">
    <title>3.1. Body Weight, Food Intake, Tissue Weight, and Body Fat</title>
    <p>The mean body weight of rats in each group increased throughout the experimental period and was highest in Group C and lowest in Group A (<xref ref-type="fig" rid="fig1">
      Figure 1
     </xref>). Dietary d-allulose significantly reduced the final body weight, weight gain, and food efficiency (<xref ref-type="table" rid="table2">
      Table 2
     </xref>). Two-way ANOVA confirmed the interaction between d-allulose and MCT and their effects on final body weight, weight gain, and food intake, leading to multiple comparisons (<xref ref-type="table" rid="table2">
      Table 2
     </xref>). The final body weight and weight gain were significantly lower in Group A than that in Group C, but no differences were observed between results of MCT-supplemented groups, Groups M and AM (<xref ref-type="table" rid="table2">
      Table 2
     </xref>). Food intake did not differ among the groups. Heart and spleen weights were not affected by either dietary d-allulose or MCT; however, dietary d-allulose significantly increased the liver and kidney weights (<xref ref-type="table" rid="table2">
      Table 2
     </xref>). Liver weight was significantly higher in Groups C and AM than that in Group M (<xref ref-type="table" rid="table2">
      Table 2
     </xref>). Dietary d-allulose significantly reduced the epididymal, mesenteric, and total adipose tissue weights (<xref ref-type="table" rid="table2">
      Table 2
     </xref>). Two-way ANOVA confirmed the interaction between two factors affecting all intra-abdominal adipose tissue weights, leading to multiple comparisons. The epididymal, mesenteric, and total adipose tissue weights were significantly lower in Group A than that in Group C, whereas no differences were observed between results of MCT-supplemented groups, Groups M and AM (<xref ref-type="table" rid="table2">
      Table 2
     </xref>). Dietary d-allulose reduced the carcass fat and total body fat weights; however, these differences were not statistically significant. Two-way ANOVA confirmed the interaction between two factors affecting the weights and percentages of carcass and total body fat leading to multiple comparisons. The carcass and total body fat weights were significantly lower in Groups A and M than those in Group C, but no differences were observed between the MCT-supplemented groups, Groups M and AM (<xref ref-type="table" rid="table2">
      Table 2
     </xref>). We confirmed that dietary d-allulose inhibited body fat accumulation. d-allulose reduced almost all indicators of body fat accumulation, with and without MCT supplementation (<xref ref-type="table" rid="table2">
      Table 2
     </xref>). This result is consistent with our previous reports <xref ref-type="bibr" rid="scirp.135389-14">
      [14]
     </xref> <xref ref-type="bibr" rid="scirp.135389-15">
      [15]
     </xref>. Although weaker than those of d-allulose, the anti-obesity effects of MCT were observed on carcass and total body fat mass (<xref ref-type="table" rid="table2">
      Table 2
     </xref>). In our previous studies <xref ref-type="bibr" rid="scirp.135389-14">
      [14]
     </xref> <xref ref-type="bibr" rid="scirp.135389-15">
      [15]
     </xref>, we could not confirm the anti-obesity effects of MCT (5% - 13% in diets). Therefore, the observed anti-obesity effects observed in this study may be due to the reduction in MCT content to 2%. Previously, we also showed that the dietary intake of 15% - 20% structured medium- and long-chain triglycerides (MLCTs; equivalent to 1.7% - 2.3% MCFAs) for eight weeks suppresses the intra-abdominal and carcass fat weights of rats <xref ref-type="bibr" rid="scirp.135389-19">
      [19]
     </xref>. The results of this study support our previous findings.</p>
    <fig id="fig1" position="float">
     <label>Figure 1</label>
     <caption>
      <title>Figure 1. Weekly mean body weight of rats in each group. C, A, M, and AM are the control, d-allulose, MCT and d-allulose + MCT groups, respectively.</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/2703932-rId12.jpeg?20240821030919" />
    </fig>
    <table-wrap id="table2">
     <label>
      <xref ref-type="table" rid="table2">
       Table 2
      </xref></label>
     <caption>
      <title>
       <xref ref-type="bibr" rid="scirp.135389-"></xref>Table 2. Body and tissue weights, food intake, and body fat.</title>
     </caption>
     <table class="MsoTableGrid custom-table" border="0" cellspacing="0" cellpadding="0"> 
      <tr> 
       <td rowspan="2" class="acenter" width="24.27%"><p style="text-align:center"></p></td> 
       <td rowspan="2" class="acenter" width="7.90%"><p style="text-align:center"></p></td> 
       <td rowspan="2" class="acenter" width="11.46%">C<p style="text-align:center"></p></td> 
       <td rowspan="2" class="acenter" width="11.46%">A<p style="text-align:center"></p></td> 
       <td rowspan="2" class="acenter" width="11.46%">M<p style="text-align:center"></p></td> 
       <td rowspan="2" class="acenter" width="11.64%">AM<p style="text-align:center"></p></td> 
       <td class="acenter" width="21.81%" colspan="3">2 × 2 ANOVA<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="custom-bottom-td custom-top-td acenter" width="8.38%">A<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td custom-top-td acenter" width="5.04%">M<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td custom-top-td acenter" width="8.38%">AxM<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="custom-top-td aleft" width="100.00%" colspan="9">Body weight<p style="text-align:left"></p></td> 
      </tr> 
      <tr> 
       <td class="aleft" width="24.27%">Initial<p style="text-align:left"></p></td> 
       <td class="acenter" width="7.90%">(g)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">56.0 ± 2.9<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">55.0 ± 3.1<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">56.8 ± 2.2<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.64%">57.2 ± 2.1<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="5.04%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">n.s.<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="aleft" width="24.27%">Final<p style="text-align:left"></p></td> 
       <td class="acenter" width="7.90%">(g)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">414.5 ± 11.1<sup>a</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">364.2 ± 5.6<sup>b</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">381.6 ± 4.7<sup>ab</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.64%">387.3 ± 9.9<sup>ab</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p &lt; 0.05<p style="text-align:center"></p></td> 
       <td class="acenter" width="5.04%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p &lt; 0.01<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="aleft" width="24.27%">Gain<p style="text-align:left"></p></td> 
       <td class="acenter" width="7.90%">(g)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">385.5 ± 11.8<sup>a</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">309.2 ± 5.6<sup>b</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">324.8 ± 5.7<sup>ab</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.64%">330.1 ± 10.2<sup>ab</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p &lt; 0.05<p style="text-align:center"></p></td> 
       <td class="acenter" width="5.04%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p &lt; 0.01<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="aleft" width="24.27%">Food intake<p style="text-align:left"></p></td> 
       <td class="acenter" width="7.90%">(g/day)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">15.0 ± 0.3<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">13.8 ± 0.3<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">14.2 ± 0.2<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.64%">14.6 ± 0.4<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="5.04%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p &lt; 0.05<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="custom-bottom-td aleft" width="24.27%">Food efficiency<p style="text-align:left"></p></td> 
       <td class="custom-bottom-td acenter" width="7.90%">(g/g)<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td acenter" width="11.46%">0.215 ± 0.003<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td acenter" width="11.46%">0.200 ± 0.000<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td acenter" width="11.46%">0.207 ± 0.004<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td acenter" width="11.64%">0.203 ± 0.003<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td acenter" width="8.38%">p &lt; 0.05<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td acenter" width="5.04%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">n.s.<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="custom-top-td aleft" width="100.00%" colspan="9">Visceral tissue weights<p style="text-align:left"></p></td> 
      </tr> 
      <tr> 
       <td class="aleft" width="24.27%">Heart<p style="text-align:left"></p></td> 
       <td class="acenter" width="7.90%">(g)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">0.913 ± 0.073<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">0.862 ± 0.060<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">0.878 ± 0.027<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.64%">0.919 ± 0.095<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="5.04%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">n.s.<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="aleft" width="24.27%">Liver<p style="text-align:left"></p></td> 
       <td class="acenter" width="7.90%">(g)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">11.2 ± 1.1<sup>a</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">10.9 ± 1.0<sup>ab</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">9.6 ± 0.4<sup>b</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.64%">11.7 ± 0.9<sup>a</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p &lt; 0.05<p style="text-align:center"></p></td> 
       <td class="acenter" width="5.04%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p &lt; 0.01<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="aleft" width="24.27%">Kidneys<p style="text-align:left"></p></td> 
       <td class="acenter" width="7.90%">(g)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">2.32 ± 0.33<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">2.64 ± 0.42<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">2.29 ± 0.37<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.64%">2.73 ± 0.41<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p &lt; 0.05<p style="text-align:center"></p></td> 
       <td class="acenter" width="5.04%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">n.s.<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="custom-bottom-td aleft" width="24.27%">Spleen<p style="text-align:left"></p></td> 
       <td class="custom-bottom-td acenter" width="7.90%">(g)<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td acenter" width="11.46%">0.752 ± 0.073<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td acenter" width="11.46%">0.683 ± 0.038<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td acenter" width="11.46%">0.681 ± 0.049<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td acenter" width="11.64%">0.675 ± 0.098<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td acenter" width="8.38%">n.s.<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td acenter" width="5.04%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">n.s.<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="custom-top-td aleft" width="100.00%" colspan="9">Intra-abdominal adipose tissue weights<p style="text-align:left"></p></td> 
      </tr> 
      <tr> 
       <td class="aleft" width="24.27%">Epididymal<p style="text-align:left"></p></td> 
       <td class="acenter" width="7.90%">(g)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">15.9 ± 2.1<sup>a</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">12.3 ± 2.1<sup>b</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">13.8 ± 1.3<sup>ab</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.64%">13.5 ± 2.0<sup>ab</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p &lt; 0.01<p style="text-align:center"></p></td> 
       <td class="acenter" width="5.04%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p &lt; 0.05<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="aleft" width="24.27%">Perirenal<p style="text-align:left"></p></td> 
       <td class="acenter" width="7.90%">(g)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">15.2 ± 2.7<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">12.5 ± 0.8<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">13.2 ± 1.7<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.64%">15.2 ± 3.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="5.04%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p &lt; 0.05<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="aleft" width="24.27%">Mesenteric<p style="text-align:left"></p></td> 
       <td class="acenter" width="7.90%">(g)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">11.7 ± 2.9<sup>a</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">7.0 ± 0.9<sup>b</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">8.4 ± 1.1<sup>b</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.64%">8.8 ± 1.8<sup>b</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p &lt; 0.01<p style="text-align:center"></p></td> 
       <td class="acenter" width="5.04%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p &lt; 0.01<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="aleft" width="24.27%">Total<p style="text-align:left"></p></td> 
       <td class="acenter" width="7.90%">(g)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">42.8 ± 6.6<sup>a</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">27.8 ± 11.0<sup>b</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">35.4 ± 4.0<sup>ab</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.64%">37.5 ± 6.0<sup>ab</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p &lt; 0.05<p style="text-align:center"></p></td> 
       <td class="acenter" width="5.04%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p &lt; 0.01<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td rowspan="2" class="aleft" width="24.27%">Carcass fat<p style="text-align:left"></p></td> 
       <td class="acenter" width="7.90%">(g)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">46.6 ± 2.7<sup>a</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">32.0 ± 2.6<sup>b</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">35.6 ± 2.5<sup>b</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.64%">43.0 ± 2.9<sup>ab</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p = 0.20<p style="text-align:center"></p></td> 
       <td class="acenter" width="5.04%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p &lt; 0.01<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="7.90%">(%)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">18.0 ± 0.9<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">14.3 ± 1.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">15.3 ± 0.9<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.64%">18.2 ± 1.1<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="5.04%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p &lt; 0.01<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td rowspan="2" class="aleft" width="24.27%">Total body fat<p style="text-align:left"></p></td> 
       <td class="acenter" width="7.90%">(g)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">83.0 ± 4.4<sup>a</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">59.0 ± 3.4<sup>b</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">64.2 ± 4.1<sup>b</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="11.64%">74.8 ± 4.4<sup>ab</sup><p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p = 0.08<p style="text-align:center"></p></td> 
       <td class="acenter" width="5.04%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p &lt; 0.01<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="7.90%">(%)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">19.9 ± 0.7<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">16.2 ± 0.9<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.46%">17.2 ± 0.8<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.64%">19.3 ± 0.8<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="5.04%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="8.38%">p &lt; 0.01<p style="text-align:center"></p></td> 
      </tr> 
     </table>
    </table-wrap>
    <p>Values are the mean ± SE for eight rats. n.s., not significant. Within a row, values with different superscripts are significantly different (p &lt; 0.05). C, A, M, and AM are the control, d-allulose, MCT and d-allulose + MCT groups, respectively.</p>
    <p>In this study, we demonstrated the interaction between dietary d-allulose and MCT, which are indicators of obesity, body weight gain, intra-abdominal adipose tissue weights, weights and percentages of carcass and total body fat. However, their effects were not synergistic, as MCT supplementation offset the anti-obesity effects of dietary d-allulose. The mechanisms responsible for these effects remain unknown. However, the following points may provide some insights. In hepatocytes, MCFAs are more prone to oxidation and behave more like glucose than fat <xref ref-type="bibr" rid="scirp.135389-20">
      [20]
     </xref>. In contrast to LCFAs, MCFAs do not require CPT for mitochondrial transport and readily cross the mitochondrial membrane <xref ref-type="bibr" rid="scirp.135389-21">
      [21]
     </xref>. Consequently, the oxidation of MCFA is higher than that of LCFA <xref ref-type="bibr" rid="scirp.135389-9">
      [9]
     </xref>, which increases the influx of acetyl-CoA into the tricarboxylic acid cycle. Hence, MCFA oxidations result in increased levels of acetyl-CoA, leading to increased ketone body production or lipogenesis <xref ref-type="bibr" rid="scirp.135389-22">
      [22]
     </xref>. In contrast, d-allulose increases CPT activity and β-oxidation <xref ref-type="bibr" rid="scirp.135389-23">
      [23]
     </xref> <xref ref-type="bibr" rid="scirp.135389-24">
      [24]
     </xref>, increasing the transport of LCFAs to mitochondria. The combination of d-allulose and MCT greatly increases the influx of fatty acids into the liver mitochondria. This may be supported by the results on d-allulose-induced increase in the serum β-hydroxybutyrate concentration and hepatic activity of MDH, a tricarboxylic acid cycle enzyme. However, because of their limited capacity for ATP production and ketone body synthesis <xref ref-type="bibr" rid="scirp.135389-25">
      [25]
     </xref>, excess fatty acids are used for lipogenesis via acetyl-CoA and citric acid, thus contributing to fat accumulation in peripheral adipose tissues. Notably, liver G6PD, an enzyme involved in lipogenesis, was not suppressed by dietary d-allulose. In addition to our previous reports <xref ref-type="bibr" rid="scirp.135389-14">
      [14]
     </xref> <xref ref-type="bibr" rid="scirp.135389-15">
      [15]
     </xref>, this study confirmed that the anti-obesity effect of dietary d-allulose is weakened by MCT.</p>
   </sec>
   <sec id="s3_2">
    <title>3.2. Liver and Serum Biochemical Test Results</title>
    <p>
     <xref ref-type="bibr" rid="scirp.135389-"></xref>Dietary MCT significantly reduced the liver triglyceride content, whereas dietary d-allulose significantly increased the liver cholesterol content (<xref ref-type="table" rid="table3">
      Table 3
     </xref>). Dietary d-allulose significantly increased liver MDH activity, whereas the liver G6PD activity was not affected by both dietary dietary d-allulose and MCT (<xref ref-type="table" rid="table3">
      Table 3
     </xref>). Dietary d-allulose significantly increased the serum concentrations of free fatty acids, triglycerides, and β-hydroxybutyric acid; however, serum glucose, insulin, and total cholesterol levels were not affected by both dietary dietary d-allulose and MCT (<xref ref-type="table" rid="table3">
      Table 3
     </xref>). Furthermore, no interaction was observed between d-allulose and MCT in the liver and serum indicators (<xref ref-type="table" rid="table3">
      Table 3
     </xref>).</p>
    <table-wrap id="table3">
     <label>
      <xref ref-type="table" rid="table3">
       Table 3
      </xref></label>
     <caption>
      <title>
       <xref ref-type="bibr" rid="scirp.135389-"></xref>Table 3. Liver and serum biochemical test results.</title>
     </caption>
     <table class="MsoTableGrid custom-table" border="0" cellspacing="0" cellpadding="0"> 
      <tr> 
       <td rowspan="2" class="acenter" width="20.45%"><p style="text-align:center"></p></td> 
       <td rowspan="2" class="acenter" width="10.52%"><p style="text-align:center"></p></td> 
       <td rowspan="2" class="acenter" width="11.79%">C<p style="text-align:center"></p></td> 
       <td rowspan="2" class="acenter" width="11.78%">A<p style="text-align:center"></p></td> 
       <td rowspan="2" class="acenter" width="11.78%">M<p style="text-align:center"></p></td> 
       <td rowspan="2" class="acenter" width="11.78%">AM<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td acenter" width="21.92%" colspan="3">2 × 2 ANOVA<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="custom-bottom-td custom-top-td acenter" width="7.94%">A<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td custom-top-td acenter" width="7.94%">M<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td custom-top-td acenter" width="6.05%">AxM<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="custom-top-td aleft" width="20.45%">Liver<p style="text-align:left"></p></td> 
       <td class="custom-top-td acenter" width="10.52%"><p style="text-align:center"></p></td> 
       <td class="custom-top-td acenter" width="11.79%"><p style="text-align:center"></p></td> 
       <td class="custom-top-td acenter" width="11.78%"><p style="text-align:center"></p></td> 
       <td class="custom-top-td acenter" width="11.78%"><p style="text-align:center"></p></td> 
       <td class="custom-top-td acenter" width="11.78%"><p style="text-align:center"></p></td> 
       <td class="custom-top-td acenter" width="7.94%"><p style="text-align:center"></p></td> 
       <td class="custom-top-td acenter" width="7.94%"><p style="text-align:center"></p></td> 
       <td class="custom-top-td acenter" width="6.05%"><p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="aleft" width="20.45%">Triglyceride<p style="text-align:left"></p></td> 
       <td class="acenter" width="10.52%">(mg/g)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.79%">38.0 ± 5.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">36.8 ± 6.5<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">17.7 ± 2.5<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">27.2 ± 5.8<p style="text-align:center"></p></td> 
       <td class="acenter" width="7.94%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="7.94%">p &lt; 0.01<p style="text-align:center"></p></td> 
       <td class="acenter" width="6.05%">n.s.<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="aleft" width="20.45%">Cholesterol<p style="text-align:left"></p></td> 
       <td class="acenter" width="10.52%">(mg/g)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.79%">5.26 ± 0.93<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">6.23 ± 1.06<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">3.36 ± 0.33<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">5.97 ± 0.67<p style="text-align:center"></p></td> 
       <td class="acenter" width="7.94%">p &lt; 0.01<p style="text-align:center"></p></td> 
       <td class="acenter" width="7.94%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="6.05%">n.s.<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="aleft" width="20.45%">G6PD activity<p style="text-align:left"></p></td> 
       <td class="acenter" width="10.52%">(U/g tissue)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.79%">3.87 ± 0.18<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">3.58 ± 0.27<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">3.61 ± 0.33<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">3.82 ± 0.33<p style="text-align:center"></p></td> 
       <td class="acenter" width="7.94%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="7.94%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="6.05%">n.s.<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="custom-bottom-td aleft" width="20.45%">MDH activity<p style="text-align:left"></p></td> 
       <td class="custom-bottom-td acenter" width="10.52%">(U/g tissue)<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td acenter" width="11.79%">8.31 ± 0.22<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td acenter" width="11.78%">9.22 ± 0.26<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td acenter" width="11.78%">9.06 ± 0.27<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td acenter" width="11.78%">9.27 ± 0.11<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td acenter" width="7.94%">p &lt; 0.05<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td acenter" width="7.94%">n.s.<p style="text-align:center"></p></td> 
       <td class="custom-bottom-td acenter" width="6.05%">n.s.<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="custom-top-td aleft" width="20.45%">Serum<p style="text-align:left"></p></td> 
       <td class="custom-top-td acenter" width="10.52%"><p style="text-align:center"></p></td> 
       <td class="custom-top-td acenter" width="11.79%"><p style="text-align:center"></p></td> 
       <td class="custom-top-td acenter" width="11.78%"><p style="text-align:center"></p></td> 
       <td class="custom-top-td acenter" width="11.78%"><p style="text-align:center"></p></td> 
       <td class="custom-top-td acenter" width="11.78%"><p style="text-align:center"></p></td> 
       <td class="custom-top-td acenter" width="7.94%"><p style="text-align:center"></p></td> 
       <td class="custom-top-td acenter" width="7.94%"><p style="text-align:center"></p></td> 
       <td class="custom-top-td acenter" width="6.05%"><p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="aleft" width="20.45%">Glucose<p style="text-align:left"></p></td> 
       <td class="acenter" width="10.52%">(mg/dL)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.79%">150.0 ± 6.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">161.7 ± 7.7<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">141.3 ± 5.3<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">152.4 ± 3.7<p style="text-align:center"></p></td> 
       <td class="acenter" width="7.94%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="7.94%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="6.05%">n.s.<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="aleft" width="20.45%">Insulin<p style="text-align:left"></p></td> 
       <td class="acenter" width="10.52%">(ng/mL)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.79%">8.25 ± 1.97<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">5.73 ± 0.83<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">5.80 ± 0.83<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">4.74 ± 0.44<p style="text-align:center"></p></td> 
       <td class="acenter" width="7.94%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="7.94%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="6.05%">n.s.<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="aleft" width="20.45%">Total cholesterol<p style="text-align:left"></p></td> 
       <td class="acenter" width="10.52%">(mg/dL)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.79%">134.0 ± 8.3<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">126.0 ± 17.4<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">100.0 ± 9.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">133.2 ± 10.3<p style="text-align:center"></p></td> 
       <td class="acenter" width="7.94%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="7.94%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="6.05%">n.s.<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="aleft" width="20.45%">Free fatty acids<p style="text-align:left"></p></td> 
       <td class="acenter" width="10.52%">(mEq/L)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.79%">0.86 ± 0.06<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">1.11 ± 0.12<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">0.89 ± 0.07<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">1.05 ± 0.07<p style="text-align:center"></p></td> 
       <td class="acenter" width="7.94%">p &lt; 0.05<p style="text-align:center"></p></td> 
       <td class="acenter" width="7.94%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="6.05%">n.s.<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="aleft" width="20.45%">Triglycerides<p style="text-align:left"></p></td> 
       <td class="acenter" width="10.52%">(mg/dL)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.79%">132.3 ± 13.9<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">170.2 ± 30.5<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">103.0 ± 16.2<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">165.5 ± 14.7<p style="text-align:center"></p></td> 
       <td class="acenter" width="7.94%">p &lt; 0.05<p style="text-align:center"></p></td> 
       <td class="acenter" width="7.94%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="6.05%">n.s.<p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="aleft" width="20.45%">β-hydroxybutyric acid<p style="text-align:left"></p></td> 
       <td class="acenter" width="10.52%">(μmol/L)<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.79%">297.5 ± 73.3<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">882.1 ± 481.8<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">348.3 ± 54.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="11.78%">1913.6 ± 563.0<p style="text-align:center"></p></td> 
       <td class="acenter" width="7.94%">p &lt; 0.01<p style="text-align:center"></p></td> 
       <td class="acenter" width="7.94%">n.s.<p style="text-align:center"></p></td> 
       <td class="acenter" width="6.05%">n.s.<p style="text-align:center"></p></td> 
      </tr> 
     </table>
    </table-wrap>
    <p>Values are the mean ± SE for eight rats. n.s., not significant. Within a row, values with different superscripts are significantly different (p &lt; 0.05). C, A, M, and AM are the control, d-allulose, MCT and d-allulose + MCT groups, respectively. G6PD, glucose-6-phosphate dehydrogenase; MDH, malate dehydrogenase.</p>
    <p>Here, dietary d-allulose significantly increased the serum triglyceride and free fatty acid levels. However, these results may have been temporary due to increased lipid metabolism. We previously found that serum triglyceride levels are significantly higher in rats fed a 5% d-allulose diet than in the control rats <xref ref-type="bibr" rid="scirp.135389-7">
      [7]
     </xref>. Several studies have investigated the effects of d-allulose on lipid metabolism. Kim et al. <xref ref-type="bibr" rid="scirp.135389-26">
      [26]
     </xref> reported that dietary d-allulose supplementation decreases the expression of lipoprotein lipase, triglyceride-hydrolyzing enzyme. Increase in serum triglyceride levels with d-allulose supplementation may decrease the fatty acid uptake from serum lipoproteins into adipose tissues by suppressing the lipoprotein lipase activity.</p>
    <p>In this study, dietary MCT significantly reduced the liver triglyceride level. Several studies have reported the inhibitory effects of dietary MCT on liver triglyceride accumulation. Ronis et al. <xref ref-type="bibr" rid="scirp.135389-27">
      [27]
     </xref> administered rats isocaloric diets containing 10% - 70% total energy of corn oil or diets in which corn oil was replaced with saturated fats (beef tallow and MCT) for 21 days via total enteral nutrition. They reported that increasing MCT in the diet reduced hepatic steatosis. In addition, Mourad et al. <xref ref-type="bibr" rid="scirp.135389-28">
      [28]
     </xref> explored the potential MCT supplementation alleviate high-fat diet-induced hepatic steatosis in mice. In contrast to obese mice that remained on a high-fat diet, those that were transitioned to MCT diet showed a remarkable decline in hepatic lipid accumulation to levels similar to those observed in obese mice transitioned to a low-fat diet. The findings of this study partially support these reports.</p>
   </sec>
  </sec><sec id="s4">
   <title>4. Conclusion</title>
   <p>Here, we demonstrated the anti-obesity effects of dietary d-allulose. We found that the anti-obesity effects of dietary MCT were weaker than those of d-allulose. We also confirmed the interaction between dietary d-allulose and MCT on indicators of obesity, body weight gain, intra-abdominal adipose tissue weight, weight, percentage of carcass, and total body fat. However, these effects were not synergistic, as MCT supplementation offset the anti-obesity effects of dietary d-allulose. Further studies are necessary to elucidate the exact mechanisms underlying these effects.</p>
  </sec><sec id="s5">
   <title>Acknowledgements</title>
   <p>We would like to thank Ms. Mei Tsujihara for animal care and technical assistance.</p>
  </sec>
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