<?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">ABB</journal-id><journal-title-group><journal-title>Advances in Bioscience and Biotechnology</journal-title></journal-title-group><issn pub-type="epub">2156-8456</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/abb.2013.43048</article-id><article-id pub-id-type="publisher-id">ABB-28776</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biomedical&amp;Life Sciences</subject></subj-group></article-categories><title-group><article-title>
 
 
  Effect of acute oral chlorogenic acid ingestion on the inhibition of blood glucose excursions following glucose to-lerance testing
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>hinichi</surname><given-names>Demura</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Takayoshi</surname><given-names>Yamada</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Yukio</surname><given-names>Hirose</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Kenji</surname><given-names>Takahashi</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib></contrib-group><aff id="aff1"><addr-line>Graduate School of Natural Science &amp;amp; Technology, Kanazawa University, Kanazawa, Japan</addr-line></aff><aff id="aff3"><addr-line>Faculty of Community Health Care, Teikyo Heisei University, Ichihara, Japan</addr-line></aff><aff id="aff2"><addr-line>General Education Center, Fukui National College of Technology, Fukui, Japan</addr-line></aff><author-notes><corresp id="cor1">* E-mail:<email>demura@ed.kanazawa-u.ac.jp(HD)</email>;<email>takay@fukui-nct.ac.jp(TY)</email>;<email>hirose11@staff.kanazawa-u.ac.jp(YH)</email>;<email>kenji.takahashi@thu.ac.jp(KT)</email>;</corresp></author-notes><pub-date pub-type="epub"><day>11</day><month>03</month><year>2013</year></pub-date><volume>04</volume><issue>03</issue><fpage>364</fpage><lpage>367</lpage><history><date date-type="received"><day>9</day>	<month>January</month>	<year>2013</year></date><date date-type="rev-recd"><day>14</day>	<month>February</month>	<year>2013</year>	</date><date date-type="accepted"><day>28</day>	<month>February</month>	<year>2013</year></date></history><permissions><copyright-statement>&#169; 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><p>
 
 
   The aim of this study was to examine the inhibitory effect of acute oral chlorogenic acid (CGA) ingestion on increases in blood glucose levels following glucose tolerance testing. Ten healthy male adults (age: 25.9 &#177; 5.4 years) participated in the study. Blood samples were collected from the antecubital vein of subjects following overnight fasting. After a 120-min rest, they were administered 75 g glucose and chlorogenic acid or placebo. The amount of chlorogenic acid administered (in the form of capsules) to the subjects was 0.1g per body mass. In addition, only capsules were ingested in placebo ingestion conditions. Blood samples were collected 4 times during the 120-min rest period at intervals of 30 min. Serum insulin and plasma glucose levels were analyzed. Serum insulin levels increased significantly at 30 min after glucose ingestion, and fixed until 120 min in both conditions. Plasma glucose level increased significantly at 30 min after glucose ingestion, followed by a slow decrease. In addition, no significant difference was found between the conditions in each parameter. In conclusion, acute oral chlorogenic acid ingestion may not inhibition blood glucose increase following glucose tolerance. 
 
</p></abstract><kwd-group><kwd>Chlorogenic Acid; Blood Glucose Level; Insulin Resistance; Glucose Tolerance Test</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. INTRODUCTION</title><p>Over 15 million people worldwide contract type 2 diabetes mellitus [<xref ref-type="bibr" rid="scirp.28776-ref1">1</xref>]. Diabetes is associated with a state of increased free radical production induced by chronic inflammation along with hyperglycemia, resulting in an imbalance between radical-generating and radical-scavenging systems [<xref ref-type="bibr" rid="scirp.28776-ref2">2</xref>]. Oxygen free radicals are known to be associated with a variety of cellular functions, but they can be both essential and highly toxic to cellular homeostasis [<xref ref-type="bibr" rid="scirp.28776-ref3">3</xref>]. Due to the damaging effects of increased oxidative stress observed during complications of diabetes mellitus, a countermeasure for relieving symptoms of diabetic complications and preventing the onset of symptoms is important [<xref ref-type="bibr" rid="scirp.28776-ref4">4</xref>].</p><p>Because type 2 diabetes is heterogeneous in nature, current therapies are unable to modify the natural history of this disorder. Therefore, it is necessary to explore new antidiabetic therapies. Polyphenol, an antioxidant found in many plants, fruits, vegetables, coffee, red wine, and tea, has been studied widely to examine its effect in reducing oxidative stress at the cellular level, thereby inhibiting the disease [5-7]. Coffee and wine are known to have a higher polyphenol content than other foods [<xref ref-type="bibr" rid="scirp.28776-ref8">8</xref>]. Until recently, it was reported that chlorogenic acid (CGA) inhibits blood glucose increase after a meal as well as reduces cholesterol and triacylglycerol levels; however, all prior studies examined the effect in vivo in rat models. Therefore, it is not clear if similar effects may be observed in human subjects [9,10].</p><p>This study aimed to examine the effect of acute oral CGA ingestion on the inhibition of blood glucose increase following glucose tolerance.</p></sec><sec id="s2"><title>2. METHODS</title><sec id="s2_1"><title>2.1. Subjects</title><p>Ten healthy young male adults without past type 2 diabetes history participated in this study (age: 25.9 &#177; 5.4 years; height: 171.2 &#177; 6.1 cm; body mass: 70.7 &#177; 8.9 kg). Written informed consent was obtained from all subjects after a full explanation of the experimental purpose and protocol was provided. Moreover, the experimental protocol was approved by the Ethics Committee on Human Experimentation of Faculty of Human Science, Kanazawa University (authorization number: 2012-10).</p></sec><sec id="s2_2"><title>2.2. Experimental Design</title><p>The experimental design was a double-blind, cross-over study. Subjects received both CGA and placebo ingestion over the course of the study, with a 1-week washout period. Moreover, the test condition order was counter balanced to eliminate order effect. In addition, subjects were instructed to refrain from intensive exercise for two days before the experiment and to fast the evening before the experiment. Subjects were also instructed to refrain from consuming beverages or food containing CGA and cold remedies.</p></sec><sec id="s2_3"><title>2.3. Experimental Condition</title><p>CGA was ingested at a ratio of 0.1 g/kg body weight. CGA is one of the polyphenol and their effect looks like tannin. It contains 5% - 10% within coffee beans and its content is greater than caffeine (1% - 2%). Antioxidative effect has been expected by its ability to entrap radical, and it is suggested to include the effect of delay glucose absorption. Both CGA and placebo were administered in capsules. Each capsules were administered with 75 g glucose (Partial hydrolysate of starch), which dissolved with 150 g water.</p></sec><sec id="s2_4"><title>2.4. Experimental Procedure and Protocol</title><p>Subjects reported to the study laboratory twice during the experiment; the standard protocol for glucose tolerance testing was followed (<xref ref-type="fig" rid="fig1">Figure 1</xref>) with administration of glucose along with ingestion of either CGA or placebo at each visit. In addition, height, body weight, and body composition were measured at the first visit before engaging in the experimental protocol. Subjects rose at 7:00 hours following an overnight fast from 20:00 hours, and reported to the study lab. Approximately 30 minutes after reporting to the study lab, a baseline blood sample was obtained. The study subjects then were administered 75 g of glucose, which dissolved with 150 g water and CGA or a placebo capsules. Four blood samples were collected over a 120-minute rest period at 30 min intervals.</p></sec><sec id="s2_5"><title>2.5. Parameters</title><p>Blood samples collected over the 120-min rest period</p><p>were analyzed for blood glucose and insulin. This was accomplished by transferring 3 mL of blood into a blood sampling tube containing sodium fluoride to assess blood glucose concentration and 7 mL of blood into a tube for analysis of insulin. These processes were carried out within 30 s of the blood collection. The samples were immediately centrifuged, and the supernatants were placed in chilled containers and stored at −80˚C until analyzed. Plasma glucose concentrations were analyzed by enzymatically. The inter-assay and intra-assay coefficients of variation (CV) were 0.2% and 0.9%, respectively. The samples for insulin were analyzed by high performance liquid chromatography (HPLC) using the HPLC system (Shimazu and Hitachi, Japan). Sensitivity, inter-assay, and intra-assay coefficients of variation (CV) of this assay were 5.92 nmoL/L, 4.94%, and 0.00%, respectively.</p></sec><sec id="s2_6"><title>2.6. Statistical Analysis</title><p>Two-way repeated measures analysis of variance (ingestion condition &#215; measurement time) was used to examine the mean difference between CGA and placebo ingestion conditions for each parameter. When showing a significant main or interaction effect, Tukey’s honestly significant difference (HSD) was used as post hoc analysis to examine specific mean differences. An alpha concentration of 0.05 was used for all experiments.</p></sec></sec><sec id="s3"><title>3. RESULTS</title><p><xref ref-type="fig" rid="fig2">Figure 2</xref> compares serum insulin concentration before 30, 60, 90, and 120 min after administration of 75 g glucose along with either CGA or placebo. The significant main effect of time (F = 17.6, P &lt; 0.001) was found, and serum insulin concentration on and after 30 min of glucose injection was significantly greater than that before ingestion in both conditions. No significant effect of ingestion and interaction were found (F = 1.3, P = 0.291</p></sec></body><back><ref-list><title>References</title><ref id="scirp.28776-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">King, H., Aubert, R.E. and Herman, W.H. (1998) Global burden of diabetes, 1995-2025: Prevalence, numerical estimates, and projections. Diabetes Care, 21, 1414-1431.  
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