Dietary inflammatory index and its relation to the pathophysiological aspects of obesity: a narrative review

ABSTRACT Obesity, a complex disease that involves energy imbalance and chronic low-grade inflammation, is implicated in the pathogenesis of several chronic non-communicable diseases. As dietary components modulate the human body's inflammatory status, the Dietary Inflammatory Index (DII®), a literature-derived dietary index, was developed in 2009 to characterize the inflammatory potential of a habitual diet. Abundant research has been conducted to investigate the associations between DII and obesity. In this narrative review, we examined the current state of the science regarding the relationships between DII and the inflammatory pathophysiological aspects related to obesity. DII is associated with inflammation in obesity. The most pro-inflammatory diet was directly related to higher levels of pro-inflammatory markers, which included C-reactive protein (CRP), interleukin-6 (IL-6), IL-1β, and tumor necrosis factor-α (TNF-α). Therefore, evidence suggests that the use of the DII may be useful for understanding the relationship between diet and the inflammatory process related to obesity.

Polymorphisms in PPARG and APOE: relationships with lipid profile of adolescents with cardiovascular risk factors

BACKGROUND: Cardiovascular diseases constitute the main death cause worldwide resulting from a combination of genetic and lifestyle factors, and the prevalence among younger individuals has increased. It is important to early identify changes in lipid profile and the influence of genetic variations in specific genes on the individual patterns of lipid profile. Thus, the aim of this study was to verify the relationship of polymorphisms in PPAR-gamma gene (PPARG−rs1801282−Pro12Ala) and in apolipoprotein E gene (APOE−rs429358 + rs7412, determinants of the APOE2, APOE3, or APOE4 genotypes) with lipid profile of adolescents under cardiovascular risk factors. METHODS: This was a cross-sectional study with 115 adolescents aged 10­19 years, which presented cardiovascular risk factors. The students were evaluated regarding socioeconomic, anthropometric, biochemical, genetic, and dietetic variables. Student'sttest or Mann-Whitney test were applied to the analysis of the genotypes. Multiple linear regression analysis was performed to determine the variables that most influenced the lipid profile. RESULTS: Adolescents carrying PPARG Ala allele showed higher serum triglycerides (p= 0.0423) and very low-density lipoprotein (p= 0.0410) levels when compared to those carrying the wild genotype. For the APOE polymorphism, it was observed a trend of higher triglycerides (p= 0.0712) and very low-density lipoprotein (p= 0.0758) levels in the adolescents carrying the E4 allele when compared to those who did not carry this allele. CONCLUSION: The polymorphisms PPARGrs1801282 andAPOErs429358 + rs7412 seem to be related to the development of lipid profile alterations in adolescents.

Brazilian Society for Food and Nutrition position statement: nutrigenetic tests

Position statement: The Brazilian Society for Food and Nutrition (SBAN) bases the following position statement on acritical analysis of the literature on nutritional genomics and nutrigenetic tests: (1) Nutrigenetic tests are predictive and not diagnostic, should not replace other evaluations required to treatment, and should only be used as an additional tool to nutritional prescription; (2) Nutritionists/registered dietitians and other health professionals must be able to interpret the nutrigenetic tests and properly guide their patients, as well as build their professional practice ongeneral ethical principles and those established by regulatory authorities; (3) It is extremely important to highlight that them is interpretation of nutrigenetic tests can cause psychological and health problems to the patient; (4) Currently, there is insufficient scientific evidence for the recommendation of dietary planning and nutritional supplementation based only on nutrigenetic tests. This position statement has been externally reviewed and approved by the board of SBAN and has not gone through the journal's standard peer review process.

Inibição de danos em DNA e alteração da expressão gênica em ratos Wistar tratados com as hortaliças couve e repolho (Brassica oleracea) e submetidos à hepatocarcinogênese química / Inhibition in DNA damages and differential gene expression in Wistar rats treated with kale and cabbage(Brassica oleracea) and submitted to chemical hepatocarcinogenesis

O câncer é a segunda maior causa de morte no mundo, sendo responsável por aproximadamente 7,6 milhões de óbitos. Entretanto, pesquisadores alertam para uma associação inversa entre o consume de frutas e hortaliças e o desenvolvimento de neoplasias, desta forma a organização mundial da saúde sugere, dentre outras medidas para controle do câncer, o aumento do consumo de frutas e hortaliças. Nesse contexto o objetivo deste trabalho foi avaliar os eventuais efeitos quimiopreventivos das hortaliças Brassicas, couve (C) e repolho (R). Realizaram-se dois experimentos sendo o primeiro, o modelo de hepatocarcinogênese de Ito, onde as hortaliças foram fornecidas durante 8 semanas na água de beber (10% p/v), animais que receberam apenas água foram utilizados como controle. Nesse experimento não houve inibição (P < 0,05) de lesões pré-neoplásicas hepáticas positivas para glutationa S-transferase forma placental e não houve indução (P < 0,05) da apoptose nos grupos tratados com C ou R. Contudo, observou-se redução (P > 0,05) de danos em DNA hepático e aumento (P > 0,05) da concentração hepática de luteína de ratos tratados com C e R, quando comparados a ratos controle. No segundo experimento as hortaliças foram fornecidas durante 8 semanas na água de beber (20% p/v) , e os animais foram submetidos a aplicação do carcinogênico hepático 24h antes da eutanásia. Não houve redução (P > 0,05) de danos em DNA, contudo a concentração do aduto de DNA 8-hidroxi-2-deoxiguanosina (8OHdG) e foi elevada (P < 0,05) em animais tratados com R quando comparados a tratados com C e controles. Com relação à expressão diferencial de genes, 29 genes foram diferencialmente expressos em fígado, dentre eles o gene da 8-oxoguanina-DNA-glicosilase (enzima de reparo do DNA), foi hipoexpressa no grupo tratado com R, o que pode explicar o aumentado valor de adutos no mesmo grupo. O cólon apresentou 31 genes com diferença de expressão, onde 5 genes estão relacionados ao metabolismo de xenobióticos.