Effect of SNPs in the BCMO1 Enzyme

NCT ID: NCT02276014

Last Updated: 2015-10-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

85 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-30

Study Completion Date

2014-09-30

Brief Summary

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Summary:

Chronic intake of foods low in vitamin A (retinol) and provitamin A forming an unbalanced diet with little variety is common in young individuals in the United Kingdom (UK) population and can lead to subclinical micronutrient deficiency. Provitamin A sources such as β-carotene are cleaved centrally by the β-carotene 15,15'-monooxygenase (BCMO1) into retinal, the precursor of retinol. However, the amount of β-carotene and retinol produced after ingestion of β-carotene is highly variable between healthy individuals, with approximately 40% of the subjects being classified as low responders. Several stable isotope studies have shown a large disparity between the most efficient converters and the most inefficient converters of β-carotene with variations of up to 8-fold. It is possible that differences in β-carotene response may be due to single nucleotide polymorphisms (SNPs) in genes involved in aspects of β-carotene conversion. Previous work has shown that carriers of both, the 379V and 267S+379V BCMO1 variant alleles had a reduced ability to convert β-carotene. More importantly, 44% of the western population have the 379V haplotype. A high percentage of the Western population may therefore not be able to achieve adequate vitamin A intake if dietary β-carotene is a major source of their vitamin A intake. This is of particular relevance to vegetarians, to young individuals aged 19-24 years who have lower intakes of preformed retinol than any other age group, and to pregnant women. The aim of this study is to establish whether the maximum recommended dose for β-carotene of 7mg/day by the British Expert Committee on Vitamins and Minerals (EVM) can overcome the SNP effect in the BCMO1 enzyme.

Hypothesis:

The investigators hypothesize that the current maximum recommended intake of 7 mg of β-carotene per day cannot overcome the low convertor phenotype in BCMO1 to fulfill vitamin A requirements in these people.

Detailed Description

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Conditions

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Beta-carotene Bioavailability Vitamin A Deficiency

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

SINGLE

Participants

Study Groups

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Supplement A

Beta-carotene 7mg formulation A

Group Type OTHER

Beta-carotene

Intervention Type DIETARY_SUPPLEMENT

Supplement B

Beta-carotene 7mg formulation B

Group Type OTHER

Beta-carotene

Intervention Type DIETARY_SUPPLEMENT

Supplement C

Beta-carotene 7mg formulation C

Group Type OTHER

Beta-carotene

Intervention Type DIETARY_SUPPLEMENT

Interventions

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Beta-carotene

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Healthy individual.
* Female.
* Between 18 and 45 years of age.
* Caucasian.
* BMI between 18 and 30 kg/m2.
* Subject willing and able to give written informed consent.

Exclusion Criteria

* Smoking.
* Diabetes.
* Gastrointestinal diseases.
* Renal and hepatic diseases.
* Hyperlipidaemia.
* Preformed dietary retinol intake above 60% of reference nutrient intake (RNI) values.
* Recreational drug use.
* Multi-vitamin consumption.
* Pregnancy.
* Menopause.
* Allergy or sensitivity to study products or ingredients.
* Blood donation 3 months prior to screening.
* Participation in other clinical study 4 weeks prior to study start.
* Suspected inability or unwillingness to comply with study procedures.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Newcastle University

OTHER

Sponsor Role collaborator

DSM Nutritional Products, Inc.

INDUSTRY

Sponsor Role collaborator

Newcastle-upon-Tyne Hospitals NHS Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Georg Lietz, PhD

Role: PRINCIPAL_INVESTIGATOR

Newcastle University

Locations

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Newcastle NIHR Clinical Research Facility, Royal Victoria Infirmary

Newcastle upon Tyne, Tyne & Wear, United Kingdom

Site Status

Countries

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United Kingdom

References

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Oxley A, Berry P, Taylor GA, Cowell J, Hall MJ, Hesketh J, Lietz G, Boddy AV. An LC/MS/MS method for stable isotope dilution studies of beta-carotene bioavailability, bioconversion, and vitamin A status in humans. J Lipid Res. 2014 Feb;55(2):319-28. doi: 10.1194/jlr.D040204. Epub 2013 Oct 24.

Reference Type BACKGROUND
PMID: 24158962 (View on PubMed)

Lietz G, Oxley A, Leung W, Hesketh J. Single nucleotide polymorphisms upstream from the beta-carotene 15,15'-monoxygenase gene influence provitamin A conversion efficiency in female volunteers. J Nutr. 2012 Jan;142(1):161S-5S. doi: 10.3945/jn.111.140756. Epub 2011 Nov 23.

Reference Type BACKGROUND
PMID: 22113863 (View on PubMed)

Grune T, Lietz G, Palou A, Ross AC, Stahl W, Tang G, Thurnham D, Yin SA, Biesalski HK. Beta-carotene is an important vitamin A source for humans. J Nutr. 2010 Dec;140(12):2268S-2285S. doi: 10.3945/jn.109.119024. Epub 2010 Oct 27.

Reference Type BACKGROUND
PMID: 20980645 (View on PubMed)

Leung WC, Hessel S, Meplan C, Flint J, Oberhauser V, Tourniaire F, Hesketh JE, von Lintig J, Lietz G. Two common single nucleotide polymorphisms in the gene encoding beta-carotene 15,15'-monoxygenase alter beta-carotene metabolism in female volunteers. FASEB J. 2009 Apr;23(4):1041-53. doi: 10.1096/fj.08-121962. Epub 2008 Dec 22.

Reference Type BACKGROUND
PMID: 19103647 (View on PubMed)

Furr HC, Green MH, Haskell M, Mokhtar N, Nestel P, Newton S, Ribaya-Mercado JD, Tang G, Tanumihardjo S, Wasantwisut E. Stable isotope dilution techniques for assessing vitamin A status and bioefficacy of provitamin A carotenoids in humans. Public Health Nutr. 2005 Sep;8(6):596-607. doi: 10.1079/phn2004715.

Reference Type BACKGROUND
PMID: 16236189 (View on PubMed)

Other Identifiers

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REC 11/NE/0211

Identifier Type: OTHER

Identifier Source: secondary_id

2011-01-18-BETASNP2

Identifier Type: -

Identifier Source: org_study_id

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