Efficacy of synbiotic supplementation in patients with nonalcoholic fatty liver disease: A systematic review and meta-analysis of clinical trials: Synbiotic supplementation and NAFLD

ABSTRACT

Objective: We systematically reviewed available randomized clinical trials (RCTs) to elucidate the overall effects of synbiotic supplementation in patients with nonalcoholic fatty liver disease (NAFLD).

Methods: PubMed, Scopus, ISI Web of science and Google Scholar were searched up to December, 2017. All RCTs using synbiotic supplements to treat NAFLD included in this systematic review and meta-analysis. Mean Difference (MD) was pooled using a random-effects model.

Results: Eleven eligible databases from seven RCTs were identified for the present meta-analysis. Our results showed that synbiotic supplementation can decrease body weight, fasting blood sugar, insulin, low density lipoprotein cholesterol, total cholesterol, triglyceride, high-sensitivity C-reactive protein, tumor necrosis factor alpha, alanine transaminase and aspartate transaminase levels among patients with NAFLD. In contrast, synbiotic did not have favorable effects on body mass index (BMI), waist circumference, homeostasis model assessment for insulin resistance (HOMA-IR), and high density lipoprotein cholesterol (HDL) levels compared with the placebo group.

Conclusion: The current study revealed that synbiotic supplementation has favorable effect on inflammatory factors, liver enzymes and some anthropometric indices, lipid profiles and glucose homeostasis parameters in patients with NAFLD.     

Energy,exergy, economic and environmental (4E) analysis of using city gate station (CGS) heater waste for power and hydrogen production: A comparative study

This paper deals with energy, exergy, economic, and environmental (4E) analysis of two new combined systems for simultaneous power and hydrogen production. The combined systems are integrated from a city gate station (CGS) system, a Rankine cycle (RC), an absorption power cycle (APC), and a proton exchange membrane (PEM) electrolyzer. Since the pressure of natural gas (NG) in transmission pipeline is high, this pressure is reduced at CGS to a lower pressure. However, this NG has also ample potential to be recovered for multiple productions, too. In the proposed systems, the outlet energy of NG is used for power and hydrogen production by employing RC/APC and PEM electrolyzer. The power sub-cycles are driven by waste heat of CGS, while PEM electrolyzer is driven by this waste heat along with a portion of CGS-Turbine output power. A comprehensive thermodynamic modeling and parametric study of the proposed combined systems are conducted from the 4E analysis viewpoint. The results of two proposed systems are compared with each other, considering a fixed value of 1 MW for RC- and APC-Turbines power. Under the same external conditions and using steam as working fluid of RC, the thermal efficiency of the combined CGS/PEM-RC and -APC systems are obtained 32.9% and 33.6%, respectively. The overall exergy efficiency of the combined CGS/PEM-RC and -APC systems are also calculated by 47.9% and 48.9%, respectively. Moreover, the total sum unit cost of product (SUCP) and CO₂ emission penalty cost rate are obtained 36.9 $/GJ and 0.033 $/yr for the combined CGS/PEM-RC and 36 $/GJ and 0.211 $/yr for the combined CGS/PEM-APC systems, respectively. The results of exergy analysis also revealed that the vapor generator (in both systems) has the main contribution in the overall exergy destruction.     

Rosemary (<Emphasis Type="Italic">Rosmarinus officinalis</Emphasis>) oil: composition and functionality of the cold-pressed extract

The aim of this work was to investigate cold-pressed rosemary oil (RO) for its lipid classes, subclasses, fatty acid composition, tocochromanols and total phenolics amount. Antiradical activity against 1,1-diphenyl-2-picrylhydrazyl (DPPH^?) and galvinoxyl radicals, antioxidant activity, as measured by the Rancimat test, as well as antimicrobial activity against food-borne bacteria, and dermatophytic fungi of RO were evaluated. In RO, the amount of neutral lipids was highest (ca. 86%), followed by phospholipids (0.92%) and glycolipids (0.88%). The percentages of monounsaturated, polyunsaturated, and saturated fatty acids were 41.7, 42.3, and 15.8%, respectively. Linoleic acid (41.7%) and oleic acid (41.2%) were the major fatty acids while linolenic acid accounted for 1.3% of total fatty acids. The following tocochromanols were detected: α-, β-, γ- and δ-tocopherols, which accounted for 291, 22, 1145, and 41 mg/100 g oil, respectively, as well as α-, β-, γ- and δ-tocotrienols, which accounted for 18, 12, 29, and 158 mg/100 g oil, respectively. RO also contained high levels of phenolic compounds (7.2 mg GAE/g). After 60 min of reaction with free radicals, 67% of DPPH^? and 55% of galvinoxyl radicals were quenched by RO. Rancimat test showed that blending RO with sunflower oil increased the induction period (IP) for blends. The IP of the RO: sunflower oil blend (1:9, v/v) was 390 min, and RO: sunflower oil blend (2:8, v/v) was longer (540 min). RO exhibited high antimicrobial potential against food-borne pathogenic bacteria (E. coli, S. enteritidis, and L. monocytogenes) and high antifungal potential against dermatophyte fungi (T. mentagrophytes, and T. rubrum). RO had unique high level of γ-tocopherol, which is a scavenger of reactive nitrogen species making it a promising material in the food, cosmetic and pharmaceutical applications.     

An investigation into the effects of fiber architecture on the mechanical behavior of woven preforms

This study attempts to analyze the behavior of different types of woven composite preforms (i.e. plain, twill, and satin) under distinct loading conditions. To this end, fabric elements are modeled using discrete finite element approach. Different loading scenarios such as intra-ply shear, in-plane tension, and simultaneous intra-ply shear and in-plane tension loads are applied to the fabric elements. TexGen software is utilized to develop the geometric model of the fabric elements. Subsequently, the geometric model is exported to ABAQUS FE package and mechanistic analyses are conducted. The FE results reveal that under the same loading conditions, the in-plane tensile stress induced in plain weave elements has the minimum value compared to twill and satin elements. Having said that, the intra-ply shear resistance of the plain element is larger than the other weave types. What’s more, the behavior of the fabric elements under simultaneous intra-ply shear and tension loading scenarios are studied that discloses almost the similar response for all weave types.     

Migration analysis,antioxidant, and mechanical characterization of polypropylene-based active food packaging films loaded with BHA,BHT, and TBHQ

Polypropylene (PP) based active composite films were prepared by adding butylated hydroxy anisole (BHA), butylated hydroxytoluene (BHT), and tertiary butylated hydroquinone (TBHQ) antioxidants using the extrusion molding process. All concentrations of BHT, 2% to 3% BHA, and 3% TBHQ significantly increased the tensile strength (TS) of the composite films compared with control films. Increasing antioxidant concentration decreased TS values for BHT films, whereas an opposite trend was observed for BHA and TBHQ films. BHA at < 2%, BHT at > 2%, and TBHQ at all added concentrations significantly reduced elongation at break (E_b) of the composite films compared to control films. Water vapor permeability (WVP) of 1% BHT film was not significantly different from control. However, other antioxidants especially at increased concentrations significantly increased WVP values. TBHQ films with 300% to 662% increase had the highest WVP and BHT films with 5% to 81% increase had the lowest WVP among composite films. All three antioxidants had a negative effect on the transparency of the films; however the effect of BHA at higher concentrations was greater. The antioxidants did not change the color attributes of the films. Films containing all antioxidants showed 2,2-diphenyl-1-picrylhydrazyl radical-scavenging activity, which increased with increase in their concentration, especially for those containing 3 wt.% BHT and TBHQ. Overall, incorporating BHA and BHT into a PP matrix improved mechanical, barrier, antioxidant properties, and film appearance and consequently were proposed for the development of antioxidant active PP films. TBHQ film is not recommended for food packaging because of its weak mechanical properties (lower E_b and TS values, higher WVP, and greater migration).     

Effect of different levels of fat and inulin on the microbial growth and metabolites in probiotic yogurt containing nonviable bacteria

Effects of different levels of fat and inulin on bacterial cell counts, degree of proteolysis and concentrations of organic acids in the yogurt containing inactivated cells of probiotic strains Bifidobacterium animalis and Lactobacillus acidophilus were investigated. Results showed that both L. acidophilus and B. animalis grew well in the yogurt samples reaching cell counts higher than 10⁶ CFU mL^?1 at the final pH of 4.5. Inulin at the concentration of 1% had no significant effects on the production of organic acids and cell counts of L. acidophilus, but promoted the growth of B. animalis with a reduction in the degree of proteolysis. Generally, different fat levels showed significant effects on the production of organic acids and nonsignificant effects on the cell counts of probiotic bacteria and degree of proteolysis. In case of lactic acid, the ratio of L‐ (+)to D‐ (?) isomer ranged from 50/50 to 80/20 in yogurt samples.     

Determination of Menbutone in Bovine Milk and Meat Using Micellar Liquid Chromatography: Application to Injectable Dosage Forms

A simple, sensitive, and rapid method was developed for the routine identification and quantification of menbutone in different matrices by micellar liquid chromatography. Separation was performed in less than 4 min using a C₁₈ column with UV detection at 234 nm. A micellar solution composed of 0.12 M sodium dodecyl sulfate, 8 % n-butanol, and 0.3 % triethylamine in 0.02 M phosphoric acid at pH 6.0 was used as the mobile phase. The method was fully validated in accordance with International Conference on Harmonization (ICH) guidelines. The limits of detection and quantitation were 0.95 and 2.86 ng mL^?1, respectively. The method showed good repeatability, linearity, and sensitivity according to the evaluation of the validation parameters. The micellar method was successfully applied for the analysis of menbutone in its commercial injections with a mean % recovery value of 99.73?±?1.634 % and in spiked bovine milk and meat samples with a mean % recovery values in the range of 98.00–100.60 %. High extraction efficiency was obtained without matrix interference in the extraction process and in the subsequent chromatographic determination. No organic solvent was used during the pretreatment step. Hence, this method can be considered as an interesting example for green chemistry.     

Simultaneous Voltammetric Determination of Synthetic Colorants in Foods Using a Magnetic Core–Shell Fe<Subscript>3</Subscript>O<Subscript>4</Subscript>@SiO<Subscript>2</Subscript>/MWCNTs Nanocomposite Modified Carbon Paste Electrode

This paper reports the production of a novel magnetic nanocomposite based on multi-walled carbon nanotubes (MWCNTs) decorated with magnetic core–shell Fe₃O₄@SiO₂ nanoparticles which were used to fabricate a modified carbon paste electrode (Fe₃O₄@SiO₂/MWCNT-CPE). The Fe₃O₄@SiO₂/MWCNT-CPE was investigated for the simultaneous determination of sunset yellow (SY) and tartrazine (TT) in 0.1 mol/L phosphate buffer solution (pH 6.0) using square wave voltammetry (SWV). The synthesized nanocomposite was characterized by transmission electron microscopy, scanning electron microscopy, energy dispersive spectroscopy and Fourier transform infrared spectroscopy. The proposed electrode exhibits linear ranges of 0.5–100 μmol/L SY and TT with detection limits of 0.05 and 0.04 μmol/L for SY and TT, respectively. The novel proposed voltammetric method was successfully applied in the simultaneous determination of SY and TT in food products, with results similar to those obtained using a HPLC method at 95 % confidence level.

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Graphical Abstract A magnetic nanocomposite based on MWCNTs decorated with core–shell Fe₃O₄@SiO₂ was prepared and showed good ability to distinguish the response of SY and TT

     

Pharmacological Intervention through Dietary Nutraceuticals in Gastrointestinal Neoplasia

Neoplastic conditions associated with gastrointestinal (GI) tract are common worldwide with colorectal cancer alone accounting for the third leading rate of cancer incidence. Other GI malignancies such as esophageal carcinoma have shown an increasing trend in the last few years. The poor survival statistics of these fatal cancer diseases highlight the need for multiple alternative treatment options along with effective prophylactic strategies. Worldwide geographical variation in cancer incidence indicates a correlation between dietary habits and cancer risk. Epidemiological studies have suggested that populations with high intake of certain dietary agents in their regular meals have lower cancer rates. Thus, an impressive embodiment of evidence supports the concept that dietary factors are key modulators of cancer including those of GI origin. Preclinical studies on animal models of carcinogenesis have reflected the pharmacological significance of certain dietary agents called as nutraceuticals in the chemoprevention of GI neoplasia. These include stilbenes (from red grapes and red wine), isoflavones (from soy), carotenoids (from tomatoes), curcuminoids (from spice turmeric), catechins (from green tea), and various other small plant metabolites (from fruits, vegetables, and cereals). Pleiotropic action mechanisms have been reported for these diet-derived chemopreventive agents to retard, block, or reverse carcinogenesis. This review presents a prophylactic approach to primary prevention of GI cancers by highlighting the translational potential of plant-derived nutraceuticals from epidemiological, laboratory, and clinical studies, for the better management of these cancers through consumption of nutraceutical rich diets and their intervention in cancer therapeutics.