[en] ("[en] BACKGROUND & AIMS: Hyperuricemia is an independent risk factor for the metabolic syndrome and cardiovascular disease. We hypothesized that asymptomatic carriers for hereditary fructose intolerance (OMIM 22960) would have increased uric acid and altered component of the metabolic syndrome when exposed to fructose overfeeding.
METHODS: Six heterozygotes for HFI (hHFI) and 6 controls (Ctrl) were studied in a randomized, controlled, crossover trial. Participants ingested two identical test meals containing 0.7 g kg-1 glucose and 0.7 g kg-1 fructose according to a cross-over design, once after a 7-day on a low fructose diet (LoFruD, <10 g/d) and on another occasion after 7 days on a high fructose diet (HiFruD, 1.4 g kg-1 day-1 fructose + 0.1 g kg-1 day-1 glucose). Uric acid, glucose, and insulin concentrations were monitored in fasting conditions and over 2 h postprandial, and insulin resistance indexes were calculated.
RESULTS: HiFruD increased fasting uric acid (p < 0.05) and reduced fasting insulin sensitivity estimated by the homeostasis model assessment (HOMA) for insulin resistance (p < 0.05), in both groups. Postprandial glucose concentrations were not different between hHFI and Ctrl. However HiFruD increased postprandial plasma uric acid, insulin and hepatic insulin resistance index (HIRI) in hHFI only (all p < 0.05).
CONCLUSIONS: Seven days of HiFruD increased fasting uric acid and slightly reduced fasting HOMA index in both groups. In contrast, HiFruD increased postprandial uric acid, insulin concentration and HIRI in hHFI only, suggesting that heterozygosity for pathogenic Aldolase B variants may confer an increased susceptibility to the effects of dietary fructose on uric acid and hepatic insulin sensitivity. This trial was registered at the U.S. Clinical Trials Registry as NCT03545581.","[en] ","")
Seyssel, Kevin ; Department of Biomedical Sciences, University of Lausanne, 1005 Lausanne, Switzerland
FADEUR, Marjorie ; Centre Hospitalier Universitaire de Liège - CHU > > Service de diabétologie, nutrition, maladies métaboliques
Tappy, Luc ; Department of Biomedical Sciences, University of Lausanne, 1005 Lausanne, Switzerland
Paquot, Nicolas ; Centre Hospitalier Universitaire de Liège - CHU > > Service de diabétologie, nutrition, maladies métaboliques
Tran, Christel ; Center for Molecular Diseases, Division of Genetic Medicine, University of Lausanne, Lausanne, Switzerland. Electronic address: christel.tran@chuv.ch
Language :
English
Title :
Effect of a high fructose diet on metabolic parameters in carriers for hereditary fructose intolerance.
ULiège - Université de Liège UNIL - Université de Lausanne
Funding text :
We thank Valentine Rey and Nathalie Stefanoni (Department of Biomedical Sciences, University of Lausanne) for laboratory analysis. We sincerely thank Ariane Caris (dietician at the department of Medical Genetics, Metabolic Unit at the University Hospital of Liège) for having calculated dietary intake from dietary records. We also thank Andrea Superti-Furga for his critical and constructive review of the manuscript. Additionally, this is a study that was supported by the Fondation Raymond Berger , Switzerland and CT was supported by a "Pépinière" Grant form the University of Lausanne Faculty of Biology and Medicine , Switzerland. NP and MF were supported by a “ Fonds d'investissement de recherche scientifique ” Grant from the CHU of Liège.We thank Valentine Rey and Nathalie Stefanoni (Department of Biomedical Sciences, University of Lausanne) for laboratory analysis. We sincerely thank Ariane Caris (dietician at the department of Medical Genetics, Metabolic Unit at the University Hospital of Li?ge) for having calculated dietary intake from dietary records. We also thank Andrea Superti-Furga for his critical and constructive review of the manuscript. Additionally, this is a study that was supported by the Fondation Raymond Berger, Switzerland and CT was supported by a ?P?pini?re? Grant form the University of Lausanne Faculty of Biology and Medicine, Switzerland. NP and MF were supported by a ?Fonds d'investissement de recherche scientifique? Grant from the CHU of Li?ge.
Ng, M., Fleming, T., Robinson, M., Thomson, B., Graetz, N., Margono, C., et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 384:9945 (2014), 766–781.
Soltani, Z., Rasheed, K., Kapusta, D.R., Reisin, E., Potential role of uric acid in metabolic syndrome, hypertension, kidney injury, and cardiovascular diseases: is it time for reappraisal?. Curr Hypertens Rep 15:3 (2013), 175–181.
Tappy, L., Le, K.A., Metabolic effects of fructose and the worldwide increase in obesity. Physiol Rev 90:1 (2010), 23–46.
Taskinen, M.R., Packard, C.J., Boren, J., Dietary fructose and the metabolic syndrome. Nutrients, 11(9), 2019.
Mai, B.H., Yan, L.J., The negative and detrimental effects of high fructose on the liver, with special reference to metabolic disorders. Diabetes Metab Syndr Obes 12 (2019), 821–826.
Tappy, L., Lê, K.A., Metabolic effects of fructose and the worldwide increase in obesity. Physiol Rev 90:1 (2010), 23–46.
Caliceti, C., Calabria, D., Roda, A., Cicero, A.F.G., Fructose intake, serum uric acid, and cardiometabolic disorders: a critical review. Nutrients, 9(4), 2017.
Viazzi, F., Garneri, D., Leoncini, G., Gonnella, A., Muiesan, M.L., Ambrosioni, E., et al. Serum uric acid and its relationship with metabolic syndrome and cardiovascular risk profile in patients with hypertension: insights from the I-DEMAND study. Nutr Metab Cardiovasc Dis 24:8 (2014), 921–927.
Hollak, C.E.M., Lachmann, R.H., Disorders of fructose metabolism. Inherited metabolic disease in adults. 2016, Oxford, New York, 25.
Steinmann, B., Gitzelmann, R., The diagnosis of hereditary fructose intolerance. Helv Paediatr Acta 36:4 (1981), 297–316.
Bouteldja, N., Timson, D.J., The biochemical basis of hereditary fructose intolerance. J Inherit Metab Dis 33:2 (2010), 105–112.
Steinmann, B., Gitzelmann, R., Van Den Berghe, D., Disorders of fructose metabolism. Scriver, C., (eds.) The metabolic and molecular basis of inherited disease, 2001, McGraw-Hill, New-York, 1489–1520.
Buziau, A.M., Schalkwijk, C.G., Stehouwer, C.D.A., Tolan, D.R., Brouwers, M., Recent advances in the pathogenesis of hereditary fructose intolerance: implications for its treatment and the understanding of fructose-induced non-alcoholic fatty liver disease. Cell Mol Life Sci 77 (2019), 1709–1719.
Aldamiz-Echevarria, L., de Las Heras, J., Couce, M.L., Alcalde, C., Vitoria, I., Bueno, M., et al. Non-alcoholic fatty liver in hereditary fructose intolerance. Clin Nutr 39:2 (2019), 455–459.
Simons, N., Debray, F.G., Schaper, N.C., Kooi, M.E., Feskens, E.J.M., Hollak, C.E.M., et al. Patients with aldolase B deficiency are characterized by an increased intrahepatic triglyceride content. J Clin Endocrinol Metab 63:2 (2019), 253–260.
Aldamiz-Echevarria, L., de Las Heras, J., Couce, M.L., Alcalde, C., Vitoria, I., Bueno, M., et al. Non-alcoholic fatty liver in hereditary fructose intolerance. Clin Nutr 39:2 (2020), 455–459.
Santer, R., Rischewski, J., von Weihe, M., Niederhaus, M., Schneppenheim, S., Baerlocher, K., et al. The spectrum of aldolase B (ALDOB) mutations and the prevalence of hereditary fructose intolerance in Central Europe. Hum Mutat, 25(6), 2005, 594.
James, C.L., Rellos, P., Ali, M., Heeley, A.F., Cox, T.M., Neonatal screening for hereditary fructose intolerance: frequency of the most common mutant aldolase B allele (A149P) in the British population. J Med Genet 33:10 (1996), 837–841.
Gruchota, J., Pronicka, E., Korniszewski, L., Stolarski, B., Pollak, A., Rogaszewska, M., et al. Aldolase B mutations and prevalence of hereditary fructose intolerance in a Polish population. Mol Genet Metabol 87:4 (2006), 376–378.
Lazarin, G.A., Haque, I.S., Nazareth, S., Iori, K., Patterson, A.S., Jacobson, J.L., et al. An empirical estimate of carrier frequencies for 400+ causal Mendelian variants: results from an ethnically diverse clinical sample of 23,453 individuals. Genet Med 15:3 (2013), 178–186.
Coffee, E.M., Yerkes, L., Ewen, E.P., Zee, T., Tolan, D.R., Increased prevalence of mutant null alleles that cause hereditary fructose intolerance in the American population. J Inherit Metab Dis 33:1 (2010), 33–42.
Baker, P., Ayres, L., Gaughan, S., Weisfeld-Adams, J., Hereditary fructose intolerance. 2015, University of Washington, Seattle Available from: https://www.ncbi.nlm.nih.gov/books/NBK333439/.
Oberhaensli, R.D., Rajagopalan, B., Taylor, D.J., Radda, G.K., Collins, J.E., Leonard, J.V., et al. Study of hereditary fructose intolerance by use of 31P magnetic resonance spectroscopy. Lancet 2:8565 (1987), 931–934.
Seegmiller, J.E., Dixon, R.M., Kemp, G.J., Angus, P.W., McAlindon, T.E., Dieppe, P., et al. Fructose-induced aberration of metabolism in familial gout identified by 31P magnetic resonance spectroscopy. Proc Natl Acad Sci U S A 87:21 (1990), 8326–8330.
Gitzelmann, R., Baerlocher, K., Prader, A., Hereditary defects of fructose and galactose metabolism. Monatsschr Kinderheilkd 121:5 (1973), 174–180.
Debray, F.G., Damjanovic, K., Rosset, R., Mittaz-Crettol, L., Roux, C., Braissant, O., et al. Are heterozygous carriers for hereditary fructose intolerance predisposed to metabolic disturbances when exposed to fructose?. Am J Clin Nutr 108:2 (2018), 292–299.
Livesey, G., Fructose ingestion: dose-dependent responses in health research. J Nutr 139:6 (2009), 1246S–1252S.
Macdonald, I.A., A review of recent evidence relating to sugars, insulin resistance and diabetes. Eur J Nutr 55:Suppl. 2 (2016), 17–23.
Latulippe, M.E., Skoog, S.M., Fructose malabsorption and intolerance: effects of fructose with and without simultaneous glucose ingestion. Crit Rev Food Sci Nutr 51:7 (2011), 583–592.
Egli, L., Lecoultre, V., Theytaz, F., Campos, V., Hodson, L., Schneiter, P., et al. Exercise prevents fructose-induced hypertriglyceridemia in healthy young subjects. Diabetes 62:7 (2013), 2259–2265.
Petersen, K.F., Laurent, D., Yu, C., Cline, G.W., Shulman, G.I., Stimulating effects of low-dose fructose on insulin-stimulated hepatic glycogen synthesis in humans. Diabetes 50:6 (2001), 1263–1268.
Bingham, C., Ellard, S., Nicholls, A.J., Pennock, C.A., Allen, J., James, A.J., et al. The generalized aminoaciduria seen in patients with hepatocyte nuclear factor-1alpha mutations is a feature of all patients with diabetes and is associated with glucosuria. Diabetes 50:9 (2001), 2047–2052.
The Oxford Center for Diabetes, Endocrinology and Metabolism [Oxford University]. Available from: http://www.dtu.ox.ac.uk/homacalculator/.
Muniyappa, R., Tella, S.H., Sortur, S., Mszar, R., Grewal, S., Abel, B.S., et al. Predictive accuracy of surrogate indices for hepatic and skeletal muscle insulin sensitivity. J Endocr Soc 3:1 (2019), 108–118.
Woods, H.F., Eggleston, L.V., Krebs, H.A., The cause of hepatic accumulation of fructose 1-phosphate on fructose loading. Biochem J 119:3 (1970), 501–510.
Kogut, M.D., Roe, T.F., Ng, W., Nonnel, G.N., Fructose-induced hyperuricemia: observations in normal children and in patients with hereditary fructose intolerance and galactosemia. Pediatr Res 9:10 (1975), 774–778.
Lanaspa, M.A., Andres-Hernando, A., Orlicky, D.J., Cicerchi, C., Jang, C., Li, N., et al. Ketohexokinase C blockade ameliorates fructose-induced metabolic dysfunction in fructose-sensitive mice. J Clin Investig 128:6 (2018), 2226–2238.
de Oliveira, E.P., Burini, R.C., High plasma uric acid concentration: causes and consequences. Diabetol Metab Syndr, 4, 2012, 12.
Boesiger, P., Buchli, R., Meier, D., Steinmann, B., Gitzelmann, R., Changes of liver metabolite concentrations in adults with disorders of fructose metabolism after intravenous fructose by 31P magnetic resonance spectroscopy. Pediatr Res 36:4 (1994), 436–440.
Greene, H.L., Wilson, F.A., Hefferan, P., Terry, A.B., Moran, J.R., Slonim, A.E., et al. ATP depletion, a possible role in the pathogenesis of hyperuricemia in glycogen storage disease type I. J Clin Investig 62:2 (1978), 321–328.
Howell, R.R., Ashton, D.M., Wyngaarden, J.B., Glucose-6-phosphatase deficiency glycogen storage disease. Studies on the interrelationships of carbohydrate, lipid, and purine abnormalities. Pediatrics 29 (1962), 553–565.
Fine, R.N., Strauss, J., Donnell, G.N., Hyperuricemia in glycogen-storage disease type 1. Am J Dis Child 112:6 (1966), 572–576.
Howell, R.R., The interrelationship of glycogen storage disease and gout. Arthritis Rheum 8:5 (1965), 780–785.
Howell, R.R., Hyperuricemia in childhood. Fed Proc 27:4 (1968), 1078–1082.
Cohen, J.L., Vinik, A., Faller, J., Fox, I.H., Hyperuricemia in glycogen storage disease type I. Contributions by hypoglycemia and hyperglucagonemia to increased urate production. J Clin Investig 75:1 (1985), 251–257.
Bode, J.C., Zelder, O., Rumpelt, H.J., Wittkamp, U., Depletion of liver adenosine phosphates and metabolic effects of intravenous infusion of fructose or sorbitol in man and in the rat. Eur J Clin Investig 3:5 (1973), 436–441.
Raivio, K.O., Kekomaki, M.P., Maenpaa, P.H., Depletion of liver adenine nucleotides induced by D-fructose. Dose-dependence and specificity of the fructose effect. Biochem Pharmacol 18:10 (1969), 2615–2624.
Kelley, W.N., Holmes, E.W., Van der Weyden, M.B., Current concepts on the regulation of purine biosynthesis de novo in man. Arthritis Rheum 18:6 Suppl. (1975), 673–680.
Alepa, F.P., Howell, R.R., Klinenberg, J.R., Seegmiller, J.E., Relationships between glycogen storage disease and tophaceous gout. Am J Med 42:1 (1967), 58–66.
Jakovcic, S., Sorensen, L.B., Studies of uric acid metabolism in glycogen storage disease associated with gouty arthritis. Arthritis Rheum 10:2 (1967), 129–134.
van Schaftingen, E., Vandercammen, A., Detheux, M., Davies, D.R., The regulatory protein of liver glucokinase. Adv Enzym Regul 32 (1992), 133–148.
Johnson, R.J., Nakagawa, T., Sanchez-Lozada, L.G., Shafiu, M., Sundaram, S., Le, M., et al. Sugar, uric acid, and the etiology of diabetes and obesity. Diabetes 62:10 (2013), 3307–3315.
Facchini, F., Chen, Y.D., Hollenbeck, C.B., Reaven, G.M., Relationship between resistance to insulin-mediated glucose uptake, urinary uric acid clearance, and plasma uric acid concentration. J Am Med Assoc 266:21 (1991), 3008–3011.
Dawson, J., Wyss, A., Chicken or the egg? Hyperuricemia, insulin resistance, and hypertension. Hypertension 70:4 (2017), 698–699.
Abdel-Sayed, A., Binnert, C., Le, K.A., Bortolotti, M., Schneiter, P., Tappy, L., A high-fructose diet impairs basal and stress-mediated lipid metabolism in healthy male subjects. Br J Nutr 100:2 (2008), 393–399.
Jang, C., Hui, S., Lu, W., Cowan, A.J., Morscher, R.J., Lee, G., et al. The small intestine converts dietary fructose into glucose and organic acids. Cell Metab 27:2 (2018), 351–361 e3.
Zhao, S., Jang, C., Liu, J., Uehara, K., Gilbert, M., Izzo, L., et al. Dietary fructose feeds hepatic lipogenesis via microbiota-derived acetate. Nature 579:7800 (2020), 586–591.
Sarafidis, P.A., Lasaridis, A.N., Nilsson, P.M., Pikilidou, M.I., Stafilas, P.C., Kanaki, A., et al. Validity and reproducibility of HOMA-IR, 1/HOMA-IR, QUICKI and McAuley's indices in patients with hypertension and type II diabetes. J Hum Hypertens 21:9 (2007), 709–716.
Ter Horst, K.W., Schene, M.R., Holman, R., Romijn, J.A., Serlie, M.J., Effect of fructose consumption on insulin sensitivity in nondiabetic subjects: a systematic review and meta-analysis of diet-intervention trials. Am J Clin Nutr 104:6 (2016), 1562–1576.