2018
DOI: 10.1039/c8fo00264a
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Consumption of pomegranate decreases plasma lipopolysaccharide-binding protein levels, a marker of metabolic endotoxemia, in patients with newly diagnosed colorectal cancer: a randomized controlled clinical trial

Abstract: Gut microbiota dysbiosis alters the intestinal barrier function, increases plasma lipopolysaccharide (LPS) levels, which promotes endotoxemia, and contributes to the onset and development of colorectal cancer (CRC). We report here for the first time the reduction of plasma LPS-binding protein (LBP) levels, a marker of endotoxemia, after pomegranate consumption in newly diagnosed CRC patients.

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Cited by 35 publications
(25 citation statements)
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“…Remarkably, these effects were not associated with urolithin concentrations in plasma, urine, or feces. This agrees with other studies that also explored the association between urolithin occurrence in plasma, urine, feces or colonic tissues and cancer‐related markers and metabolic endotoxemia in colorectal cancer patients ( n = 45), [ 173,174 ] metabolic endotoxemia in overweight‐obese individuals ( n = 49), [ 175 ] and blood lipid profile in healthy subjects ( n = 32). [ 176 ] Overall, the lack of clear association is plausible due to the highly variable turnover of these microbial metabolites and their occurrence in the bloodstream and other biological reservoirs, especially in studies with a design of short‐term follow‐up to observe acute effects (hours or few days).…”
Section: Human Polyphenol‐related Metabotypes As Biomarkers Of the Gusupporting
confidence: 90%
“…Remarkably, these effects were not associated with urolithin concentrations in plasma, urine, or feces. This agrees with other studies that also explored the association between urolithin occurrence in plasma, urine, feces or colonic tissues and cancer‐related markers and metabolic endotoxemia in colorectal cancer patients ( n = 45), [ 173,174 ] metabolic endotoxemia in overweight‐obese individuals ( n = 49), [ 175 ] and blood lipid profile in healthy subjects ( n = 32). [ 176 ] Overall, the lack of clear association is plausible due to the highly variable turnover of these microbial metabolites and their occurrence in the bloodstream and other biological reservoirs, especially in studies with a design of short‐term follow‐up to observe acute effects (hours or few days).…”
Section: Human Polyphenol‐related Metabotypes As Biomarkers Of the Gusupporting
confidence: 90%
“…The increase in LPS is associated with bacterial translocation due to the impairment of intestinal epithelial cell [49]. Previous study has found that gut microbiota dysbiosis alters the intestinal barrier function, increases plasma LPS levels, which promotes endotoxemia, and contributes to the onset and development of CRC [50]. Our study also found that the concentration of LPS increased significantly in CRC patients, which was correlated with Lactobacillus, Bifidobacterium, and Clostridium cluster I negatively and with F. nucleatum and Enterobacteriaceae positively.…”
Section: Discussionmentioning
confidence: 99%
“…Gut microbiota dysbiosis impairs the intestinal barrier function and elevates plasma lipopolysaccharide levels, thereby promoting endotoxemia and contributing to the development of CRC. The reduction in plasma LBP levels may be a crucial parameter for patients newly diagnosed with CRC (51). Additionally, LBP may also be useful in renal cancer (52).…”
Section: Discussionmentioning
confidence: 99%