Two randomized crossover multicenter studies investigating gastrointestinal symptoms after bread consumption in individuals with noncoeliac wheat sensitivity: do wheat species and fermentation type matter?

BACKGROUND: Many individuals reduce their bread intake because they believe wheat causes their gastrointestinal (GI) symptoms. Different wheat species and processing methods may affect these responses. OBJECTIVES: We investigated the effects of 6 different bread types (prepared from 3 wheat species and 2 fermentation conditions) on GI symptoms in individuals with self-reported noncoeliac wheat sensitivity (NCWS). METHODS: Two parallel, randomized, double-blind, crossover, multicenter studies were conducted. NCWS individuals, in whom coeliac disease and wheat allergy were ruled out, received 5 slices of yeast fermented (YF) (study A, n = 20) or sourdough fermented (SF) (study B, n = 20) bread made of bread wheat, spelt, or emmer in a randomized order on 3 separate test days. Each test day was preceded by a run-in period of 3 d of a symptom-free diet and separated by a wash-out period of ≥7 d. GI symptoms were evaluated by change in symptom score (test day minus average of the 3-d run-in period) on a 0-100 mm visual analogue scale (ΔVAS), comparing medians using the Friedman test. Responders were defined as an increase in ΔVAS of ≥15 mm for overall GI symptoms, abdominal discomfort, abdominal pain, bloating, and/or flatulence. RESULTS: GI symptoms did not differ significantly between breads of different grains [YF bread wheat median ΔVAS 10.4 mm (IQR 0.0-17.8 mm), spelt 4.9 mm (-7.6 to 9.4 mm), emmer 11.0 mm (0.0-21.3 mm), P = 0.267; SF bread wheat 10.5 mm (-3.1 to 31.5 mm), spelt 11.3 mm (0.0-15.3 mm), emmer 4.0 mm (-2.9 to 9.3 mm), P = 0.144]. The number of responders was also comparable for both YF (6 to wheat, 5 to spelt, and 7 to emmer, P = 0.761) and SF breads (9 to wheat, 7 to spelt, and 8 to emmer, P = 0.761). CONCLUSIONS: The majority of NCWS individuals experienced some GI symptoms for ≥1 of the breads, but on a group level, no differences were found between different grains for either YF or SF breads. CLINICAL TRIAL REGISTRY: clinicaltrials.gov, NCT04084470 (https://classic. CLINICALTRIALS: gov/ct2/show/NCT04084470).

Influence of pre-harvest calcium, potassium and triazole application on the proteome of apple at harvest.

BACKGROUND: Braeburn browning disorder is a storage disease characterised by flesh browning and lens-shaped cavities. The incidence of this postharvest disorder is known to be affected by pre-harvest application of fertilisers and triazole-based fungicides. Recent work has shown that calcium and potassium reduced the incidence of Braeburn browning disorder, while triazoles had the opposite effect. This study addresses the hypothesis of an early proteomic imprint in the apple fruit at harvest induced by the pre-harvest factors applied. If so, this could be used for an early screening of apple fruit at harvest for their postharvest susceptibility to flesh browning. RESULTS: Calcium and triazole had significant effects, while potassium did not. One hundred and thirty protein families were identified, of which 29 were significantly altered after calcium and 63 after triazole treatment. Up-regulation of important antioxidant enzymes was correlated with calcium fertilisation, while triazole induced alterations in the levels of respiration and ethylene biosynthesis related proteins. CONCLUSION: Pre-harvest fertiliser and fungicide application had considerable effects on the apple proteome at harvest. These changes, together with the applied storage conditions will determine whether or not BBD develops. © 2016 Society of Chemical Industry.