Vegan Diet Clinical Trial
Official title:
Search for the Transfer of Bovine miRNA to Humans by Comparing the Omnivore Group With a Vegan Group After a Dietary Intervention
Background: Foods derived from plants and animals contain miRNAs, and, some reports have
detected diet-derived miRNAs circulating in mammalian serum. It is still unclear if the
miRNAs present in food can be absorbed by the gastrointestinal tract and brought to the
tissues to perform regulatory functions. The transfer of functional exogenous miRNA has been
demonstrated in bacterial and viral infections but it is less well characterized in mammals.
Edible bovine tissues contain unique profiles of human-homologous miRNAs that withstand
cooking. If miRNAs from other species can cross the gastrointestinal barrier, it could have
implications in gene regulation and health.
Objective: Determine whether miRNAs from beef cross the gastrointestinal barrier and are
transferred to human plasma.
Methods: The investigators obtained fasting plasma from 29 healthy subjects divided in two
groups: the omnivore group (6 men, 8 women) and the vegan group (8 men, 7 women; control
group). Each participant was given a standard meal with or without beef depending on their
group, then the plasma was collected at 2, 4 and 6 hours after the meal. The changes in the
levels of of miR-1, miR-10b, miR-22, miR-92 and miR-192 were analysed by quantitative
Polymerase Chain Reaction (qPCR).
Diet plays an important role in both health and disease processes; the study of the influence
of diet on the expression and regulation of genes will allow a greater understanding of the
relationship between diet and health. One of the most studied gene regulation mechanisms at
present is that of microRNAs (miRNAs). miRNAs are small noncoding RNA (approximately ~22
nucleotides) that regulate gene expression at the post-transcriptional level and influence
processes such as development, homeostasis, immune response, metabolism and epigenetic
processes. miRNAs bind to specific sequences in target mRNA transcripts to repress
translation or induce mRNA degradation. miRNAs are stably present in different biofluids and
some can be directly taken up by recipient cells for control of gene expression and cellular
functions.
The transfer of functional exogenous RNA has been demonstrated in bacterial and viral
infections but it is less well characterized in mammals. Foods derived from plants and
animals contain miRNAs, and, some reports have detected diet-derived miRNAs circulating in
mammalian serum. These findings support cross-kingdom transfer of specific miRNAs to
mammalian tissue after food consumption. However, it's still unclear if miRNAs present in
food derived from plants and animals can be absorbed by the gastrointestinal tract and
brought to the tissues to perform regulatory functions for the cross regulation of gene
expression between species. Delivering functional miRNAs from diet-derived sources across the
gastrointestinal barrier could be relevant for nutrition, agriculture, human health and could
have many potential applications in therapeutic targeting. In light of the controversial
findings on diet-derived miRNAs, the question must be examined to determine the transfer of
functional exogenous miRNA in mammals. The investigators studied the possible transfer of
diet-derived miRNAs from animal tissue to human plasma because beef is an important diet
component in Northeastern Mexico, and its consumption has been associated as a potential risk
factor for different pathologies, including colorectal cancer.
Methods Study participants: The protocol was approved by an ethical committee. Thirty
volunteers, fifteen omnivorous and fifteen vegans (control group), were enrolled in the
study. One omnivore subject did not complete the trial. Written informed consent was obtained
from all participants prior to enrollment in the study. To verify the health status of the
participants, anthropometric measures, hematic biometry and serum chemistry were performed.
Inclusion and exclusion criteria: Healthy volunteers ages 18 to 30 years, able to provide
informed consent, with similar anthropometric characteristics were recruited. The
participants were divided in two groups: omnivorous and vegan (control). Inclusion criteria
for omnivorous subjects was that they should consume beef at least three times per week. The
inclusion criteria for vegan subjects was that they should have followed a strict vegan diet
for at least one year. Exclusion criteria for all subjects included pregnancy, menstruation
during study sample collection, use of medicine or food supplements, intestinal malabsorption
and intolerance to ingredients included in the diet intervention.
Study procedure: Baseline blood samples were obtained after 12 hours overnight fast; the
postprandial miRNA state was measured after intake of a meal with beef (test meal) that
consisted of 200 g roast beef with salad (lettuce, tomato, lentils) and a cup of rice. The
control diet consisted of the same intervention, without the roast beef. Each intervention
day the meals were prepared with fresh food. Participants ate meals under control of the
study staff. Postprandial samples were collected at 2, 4 and 6 hours after the diet
intervention. The subjects did not eat or drink again until the end of sample collection.
Human plasma blood samples were collected into vacuum tubes containing EDTA; approximately 5
mL of blood was collected according to standard procedures at each time point (0, 2, 4 and 6
hours). Plasma was separated by centrifugation for 15 minutes at 2,000 × g at room
temperature followed by freezing at -80 °C until analyses were performed.
RNAs isolation: Plasma RNA extraction: thawed plasma samples were centrifuged and plasma
supernatant (200 µL) was used for purifying total RNA including small RNAs; RNA extraction
was carried out using the miRNeasy Serum/Plasma Kit (Qiagen) according to the manufacturer's
instructions.
Beef RNA extraction: Total RNA including small RNAs was extracted from raw and cooked beef
using miRNeasy Mini Kit (Qiagen) following the manufacturer's instructions. Samples of 50 mg
flash-frozen raw or cooked beef were placed into 700µL lysis reagent for disruption and
homogenization immediately using the PRO200 homogenizer (PRO Scientific). The RNA was eluted
in 30 µl RNase-free water. Quantity and purity were determined using a Nanodrop ND-1000.
qRT-PCR assay: The quantification of the miRNAs 1, 10b, 22, 92a and 192 was performed as
shown: 4 µL of total RNA were used as a template for miRNA reverse transcription. Reverse
transcription was performed using the Universal cDNA synthesis kit, (Exiqon): 0.5 µL of
synthetic miRNA SPIKE (UniSp6) was added to each sample for normalization of miRNA plasma
levels. Real-time qPCR was performed by using the ExiLENT SYBR® Green PCR Master Mix and
primers miRCURY LNA Universal RT microRNA PCR, (Exiqon) for hsa-miR-1-3p, hsa-miR-10b-5p,
hsa-miR-22-3p, hsa-miR-192-5p and hsa-miR-92a-3p. The PCR program and the dissociation curve
analysis were carried out in a LightCycler Nano thermal cycler (Roche) under the conditions
described by the manufacturer.
The relative quantification method was validated and the miRNA quantification in the omnivore
group was carried out using the method 2-ΔΔCt, the normalizer used was the Spike in UniSp6
and the calibrator was the average value ΔCt of the control group at each time point (0, 2, 4
and 6 hours). Spike in UniSp6 was used as normalizer because of the lack of endogenous
controls established for normalization in serum and plasma samples. Each sample was analyzed
in triplicate including the Spike in UniSp6 and the negative controls. Data was obtained data
for the quantitative miRNA detection in plasma after a meal with beef compared with the
control group (vegan meal).
Data analysis: The miRNAs normal distribution was determined by the Kolmogorov-Smirnov test.
Descriptive statistics were performed with the 2-ΔΔCt values of both study groups at each
collection times (0, 2, 4 and 6 h). miRNAs differential detection between the omnivore and
the control group was evaluated by t-student test at different postprandial time points was
compared to fasting detection using the ANOVA test. Pearson correlations were performed to
associate the miRNAs levels with a control or omnivorous diet. The analysis was done with the
use of IBM SPSS Statistics 20 and differences were considered significant if p <0.05.
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