Blouet, Clémence (2006) Dietary protein and the prevention of glycemic dysregulation: effects of glutathione and cysteine intake. PhD thesis Nutrition humaine, UMR Physiologie de la nutrition et du comportement alimentaire, INAPG 2006INAP0020.
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Abstract
ABSTRACT: Although it has been repeatedly demonstrated that amino acids alter several mechanisms involved in glycemic control, the impact of dietary protein quantity and quality on glucose homeostasis is still a matter of debate. Oxidative stress is acknowledged as an initiating factor in the pathogenesis of insulin resistance, but the effects of cysteine intake, the rate-limiting substrate for glutathione synthesis, on glycemic control has been overlooked.
Following a review of the literature concerning the interactions between protein intake and glycemic control, with a special focus on sulfur amino acids intake, we present the results of our experimental studies conducted in rats. We investigated the effects of high-protein diets on body composition and glycemic control and evaluated the respective contribution of spontaneous decreased energy intake and increased protein intake in these effects. Thereafter, we focused on the effects of an increase in cysteine intake, using a cysteine-rich protein (whey protein enriched with α-lactalbumine) or a cysteine donor (N-acetylcysteine), on glutathione status and glycemic control in rats fed a high-sucrose diet, a model of diet-induced oxidative stress and insulin resistance. Glucose homeostasis was investigated both in the basal state and after several stimulations (meal, oral glucose load or i.v. insulin bolus) and in parallel, several markers of glutathione status, body redox status, nitric oxide production and bioavailability were assessed.
Increasing protein intake reduced adipose tissue deposition and improved glycemic control in healthy rats. In rats fed a high-sucrose diet, a specific increase in cysteine intake improved glutathione status and prevented oxidative stress, alterations in glycemic control and decreased nitric oxide bioavailability. These results suggest that diet-induced mild oxidative stress leads to an increase in sulfur amino acid requirements and that the noncompletion of these extra requirements could favor the onset of metabolic dysregulations.
| Item Type: | PhD Thesis (PhD) |
|---|---|
| Thesis Supervisor: | Huneau, Jean-François |
| Date: | December 2006 |
| Board of examiners: | Tomé, Daniel and Bonnefont-Rousselot, Dominique and Darmaun, Dominique and Valensi, Paul and Poullain, Bernard |
| Ecole Doctorale: | ED 435 AGRICULTURE, ALIMENTATION, BIOLOGIE, ENVIRONNEMENTS ET SANTE |
| Discipline: | Nutrition humaine |
| Collection (Fonds): | INAPG INAPG |
| Institution: | INAPG |
| Department: | UMR Physiologie de la nutrition et du comportement alimentaire |
| Subjects: | 7. Life Sciences and Engineering |
| Uncontrolled Keywords: | Dietary protein, High-protein diets, Whey protein enriched with α-lactalbumin, Sulfur amino acids, Cysteine, N-acetylcysteine, Glycemic control, Insulin sensitivity., Protéines alimentaires, Régimes hyperprotéiques, Protéines de lactosérum enrichies en α-lactalbumine, Cystéine, N-acétylcystéine, Régulation de la glycémie. |
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Table of content
TABLE DES MATIERES
LISTE DES FIGURES - 7
LISTE DES TABLEAUX - 10
LISTE DES ABREVIATIONS - 11
LISTE DES PUBLICATIONS - 13
INTRODUCTION BIBLIOGRAPHIQUE - 14
INTRODUCTION GENERALE - 15
A. APPORT EN ACIDES AMINES SOUFRES ET MODULATION DU STATUT EN
GLUTATHION - 18
1. LE GLUTATHION ET LE STATUT REDOX - 18
1.1. Le glutathion dans l'organisme - 18
1.1.1. La synthèse de glutathion - 18
1.1.2. La régulation de la synthèse de glutathion - 19
1.1.3. Les pools de glutathion et son turnover - 21
1.2. Les rôles du glutathion dans la cellule - 23
1.2.1. Le glutathion et le statut redox intracellulaire - 24
1.2.2. Participation aux défenses antioxydantes et à la détoxification - 26
1.2.3. La glutathionylation et l'équilibre thiol/disulfure - 26
2. APPORT EN ACIDES AMINES SOUFRES ET STATUT EN GLUTATHION - 29
2.1. Rappels sur le métabolisme des acides aminés soufrés - 29
2.1.1. Les voies de transméthylation et transsulfuration - 29
2.1.2. Les voies d'utilisation de la cystéine - 30
2.2. Apport protéique et modulation de la synthèse et du turnover du glutathion : conséquences sur le statut en glutathion - 32
2.2.1. Apport protéique et modulation de la synthèse de glutathion - 32
2.2.2. Les mécanismes de l'effet des acides aminés sur la synthèse de glutathion - 35
B. INFLUENCE DU STATUT EN GLUTATHION SUR LA REGULATION
GLYCEMIQUE - 36
1. RAPPELS SUR LA VOIE DE SIGNALISATION DE L'INSULINE ET LES MECANISMES DE LA
CAPTATION PERIPHERIQUE DE GLUCOSE - 36
52. STATUT REDOX, REGULATION GLYCEMIQUE ET INSULINO-RESISTANCE - 38
2.1. La voie de signalisation de l'insuline et le statut redox intracellulaire - 38
2.2. Rôle du stress oxydant dans la physiopathologie de l'insulino-résistance - 40
2.3. Le stress oxydant au cours de la période postprandiale - 41
2.4. Stress oxydant, hyperglycémie et altération de la fonction sécrétoire des cellules β pancréatiques et de la fonction endothéliale - 43
3. LE STATUT EN GLUTATHION ET LA REGULATION GLYCEMIQUE - 44
4. APPORT EN ACIDES AMINES SOUFRES ET REGULATION GLYCEMIQUE - 46
C. AUTRES MECANISMES D'ACTION DES ACIDES AMINES ET DES PROTEINES
ALIMENTAIRES SUR LA REGULATION GLYCEMIQUE - 50
1. ACIDES AMINES, PROTEINES ALIMENTAIRES ET PRODUCTION ENDOGENE DE GLUCOSE - 50
1.1. Rappels sur la production endogène de glucose et sa régulation - 50
1.2. Rôle des acides aminés comme précurseur dans la néoglucogenèse - 51
1.3. Effet aigu de l'ingestion d'un repas protéique sur la production endogène de glucose - 52
1.4. Effet de l'adaptation à une alimentation hyperprotéique sur la production endogène de glucose - 53
2. ACIDES AMINES, PROTEINES ALIMENTAIRES ET FONCTION ENDOCRINE PANCREATIQUE - 55
2.1. Mise en évidence d'un effet insulino-sécréteur des acides aminés - 55
2.2. Rappels sur les mécanismes de sécrétion d'insuline - 56
2.3. Modes d'actions des acides aminés sur la sécrétion d'insuline - 56
2.3.1. Le transport électrogénique des acides aminés - 57
2.3.2. Le métabolisme intracellulaire des acides aminés - 58
2.3.3. Effets indirects des protéines alimentaires sur la sécrétion d'insuline et de glucagon par l'intermédiaire des hormones incrétines - 59
2.4. Effet des protéines alimentaires sur la sécrétion d'insuline - 60
2.4.1. Effets aigus de l'ingestion d'un repas protéique sur la sécrétion d'insuline - 60
2.4.2. Effets d'une alimentation hyperprotéique sur la sécrétion d'insuline - 60
3. ACIDES AMINES, PROTEINES ALIMENTAIRES, CAPTATION PERIPHERIQUE DE GLUCOSE ET
SENSIBILITE A L'INSULINE - 62
63.1. Mise en évidence d'un effet des acides aminés sur la sensibilité à l'insuline in vivo
623.2. Mécanismes de la modulation du transport de glucose par les acides aminés - 63
3.2.1. Acides aminés et voie de signalisation de l'insuline - 63
3.2.2. Acides aminés et utilisation métabolique du glucose - 65
3.2.3. Acides aminés et microcirculation périphérique - 67
3.3. Régimes hyperprotéiques et sensibilité à l'insuline - 68
3.3.1. Effet d'une alimentation HP normo-énergétique sur la sensibilité à l'insuline - 68
3.3.2. Effet d'une alimentation HP hypoénergétique sur la sensibilité à l'insuline - 70
3.3.3. Effet de la qualité des protéines alimentaires sur l'insulino-sensibilité - 71
CONCLUSIONS ET JUSTIFICATION DES TRAVAUX EXPERIMENTAUX - 74
TRAVAUX PERSONNELS - 78
ARTICLE 1 - 79
RESULTATS COMPLEMENTAIRES DES EXPERIENCES DE L'ARTICLE 1 - 83
ARTICLE 2 - 88
ARTICLE 3 - 91
RESULTATS COMPLEMENTAIRES DES EXPERIENCES DE L'ARTICLE 3 - 94
ARTICLE 4 - 98
DISCUSSION GENERALE - 101
ANNEXES - 123
ARTICLE 5 - 124
ARTICLE 6 - 127
RÉFÉRENCES BIBLIOGRAPHIQUES - 130
| ID Code: | 2270 |
|---|---|
| Deposited By: | Nadine Pontal |
| Deposited On: | 22 March 2007 |
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