Investigating the effects of an oral fructose challenge on hepatic ATP reserves in healthy volunteers: a 31P MRS study

Background: Impaired homeostasis of hepatic ATP has been associated with NAFLD. An intravenous fructose infusion has been shown to be an effective challenge to monitor the depletion and subsequent recovery of hepatic ATP reserves using 31P MRS. Aims: The purpose of this study was to evaluate the ef...

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Main Authors: Bawden, Stephen, Stephenson, M.C., Ciampi, Elisabetta, Hunter, K., Marciani, Luca, MacDonald, Ian A., Aithal, Guruprasad P., Morris, P.G., Gowland, Penny A.
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Published: Elsevier 2015
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Online Access:https://eprints.nottingham.ac.uk/37369/
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author Bawden, Stephen
Stephenson, M.C.
Ciampi, Elisabetta
Hunter, K.
Marciani, Luca
MacDonald, Ian A.
Aithal, Guruprasad P.
Morris, P.G.
Gowland, Penny A.
author_facet Bawden, Stephen
Stephenson, M.C.
Ciampi, Elisabetta
Hunter, K.
Marciani, Luca
MacDonald, Ian A.
Aithal, Guruprasad P.
Morris, P.G.
Gowland, Penny A.
author_sort Bawden, Stephen
building Nottingham Research Data Repository
collection Online Access
description Background: Impaired homeostasis of hepatic ATP has been associated with NAFLD. An intravenous fructose infusion has been shown to be an effective challenge to monitor the depletion and subsequent recovery of hepatic ATP reserves using 31P MRS. Aims: The purpose of this study was to evaluate the effects of an oral rather than intravenous fructose challenge on hepatic ATP reserves in healthy subjects. Methods: Self-reported healthy males were recruited. Following an overnight fast, baseline liver glycogen and lipid levels were measured using Magnetic Resonance Spectroscopy (MRS). Immediately after consuming a 500 ml 75 g fructose drink (1275 kJ) subjects were scanned continuously for 90 min to acquire dynamic 31P MRS measurements of liver ATP reserves. Results: A significant effect on ATP reserves was observed across the time course (P < 0.05). Mean ATP levels reached a minimum at 50 min which was markedly lower than baseline (80 ± 17% baseline, P < 0.05). Subsequently, mean values tended to rise but did not reach statistical significance above minimum. The time to minimum ATP levels across subjects was negatively correlated with BMI (R2 ¼ 0.74, P < 0.005). Rates of ATP recovery were not significantly correlated with BMI or liver fat levels, but were negatively correlated with baseline glycogen levels (R2 ¼ 0.7, P < 0.05). Conclusions: Depletion of ATP reserves can be measured non-invasively following an oral fructose challenge using 31P.
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spelling nottingham-373692020-05-04T17:06:53Z https://eprints.nottingham.ac.uk/37369/ Investigating the effects of an oral fructose challenge on hepatic ATP reserves in healthy volunteers: a 31P MRS study Bawden, Stephen Stephenson, M.C. Ciampi, Elisabetta Hunter, K. Marciani, Luca MacDonald, Ian A. Aithal, Guruprasad P. Morris, P.G. Gowland, Penny A. Background: Impaired homeostasis of hepatic ATP has been associated with NAFLD. An intravenous fructose infusion has been shown to be an effective challenge to monitor the depletion and subsequent recovery of hepatic ATP reserves using 31P MRS. Aims: The purpose of this study was to evaluate the effects of an oral rather than intravenous fructose challenge on hepatic ATP reserves in healthy subjects. Methods: Self-reported healthy males were recruited. Following an overnight fast, baseline liver glycogen and lipid levels were measured using Magnetic Resonance Spectroscopy (MRS). Immediately after consuming a 500 ml 75 g fructose drink (1275 kJ) subjects were scanned continuously for 90 min to acquire dynamic 31P MRS measurements of liver ATP reserves. Results: A significant effect on ATP reserves was observed across the time course (P < 0.05). Mean ATP levels reached a minimum at 50 min which was markedly lower than baseline (80 ± 17% baseline, P < 0.05). Subsequently, mean values tended to rise but did not reach statistical significance above minimum. The time to minimum ATP levels across subjects was negatively correlated with BMI (R2 ¼ 0.74, P < 0.005). Rates of ATP recovery were not significantly correlated with BMI or liver fat levels, but were negatively correlated with baseline glycogen levels (R2 ¼ 0.7, P < 0.05). Conclusions: Depletion of ATP reserves can be measured non-invasively following an oral fructose challenge using 31P. Elsevier 2015-04-14 Article PeerReviewed Bawden, Stephen, Stephenson, M.C., Ciampi, Elisabetta, Hunter, K., Marciani, Luca, MacDonald, Ian A., Aithal, Guruprasad P., Morris, P.G. and Gowland, Penny A. (2015) Investigating the effects of an oral fructose challenge on hepatic ATP reserves in healthy volunteers: a 31P MRS study. Clinical Nutrition, 35 (3). pp. 645-649. ISSN 1532-1983 ATP fructose infusion oral challenge NAFLD liver 31P MRS http://www.sciencedirect.com/science/article/pii/S0261561415000990 doi:10.1016/j.clnu.2015.04.001 doi:10.1016/j.clnu.2015.04.001
spellingShingle ATP
fructose infusion
oral challenge
NAFLD
liver
31P MRS
Bawden, Stephen
Stephenson, M.C.
Ciampi, Elisabetta
Hunter, K.
Marciani, Luca
MacDonald, Ian A.
Aithal, Guruprasad P.
Morris, P.G.
Gowland, Penny A.
Investigating the effects of an oral fructose challenge on hepatic ATP reserves in healthy volunteers: a 31P MRS study
title Investigating the effects of an oral fructose challenge on hepatic ATP reserves in healthy volunteers: a 31P MRS study
title_full Investigating the effects of an oral fructose challenge on hepatic ATP reserves in healthy volunteers: a 31P MRS study
title_fullStr Investigating the effects of an oral fructose challenge on hepatic ATP reserves in healthy volunteers: a 31P MRS study
title_full_unstemmed Investigating the effects of an oral fructose challenge on hepatic ATP reserves in healthy volunteers: a 31P MRS study
title_short Investigating the effects of an oral fructose challenge on hepatic ATP reserves in healthy volunteers: a 31P MRS study
title_sort investigating the effects of an oral fructose challenge on hepatic atp reserves in healthy volunteers: a 31p mrs study
topic ATP
fructose infusion
oral challenge
NAFLD
liver
31P MRS
url https://eprints.nottingham.ac.uk/37369/
https://eprints.nottingham.ac.uk/37369/
https://eprints.nottingham.ac.uk/37369/