The objective is to evaluate whether the medication in polymedicated metabolic syndrome patients could determine the effects of a pomegranate extract on i) metabolic markers, ii) inflammatory markers, and iii) the modulation of the gut microbiota.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
60
Pomegranate extract consumption (900 mg/day) for 4 weeks
Placebo (microcrystalline cellulose) consumption (900 mg/day) for 4 weeks
Spanish National Research Council (CSIC)
Murcia, Spain
Change (1 log units) of Bacteroidetes per gram of feces
Modulation of gut microbiota (decrease Firmicutes to Bacteroidetes ratio)
Time frame: Change from baseline at 30 days vs placebo
Change (10%) of circulating levels of lipopolysaccharide binding protein (LBP)
Evaluation of metabolic endotoxemia
Time frame: Changes from baseline at 30 days vs placebo
Change (10%) of ghrelin, TNF-α, GLP-1, IL-6, PYY, resistin, HGF, MCP-1, C-Peptide, and BDNF (pg/mL).
Determination of metabolic and inflammatory markers in serum samples.
Time frame: Changes from baseline at 30 days vs placebo
Change (10%) of PAI-1, adiponectin, RBP4, and leptin (ug/mL).
Determination of fibrinolytic, inflammatory and metabolic markers in serum samples
Time frame: Changes from baseline at 30 days vs placebo
Change (10%) of ICAM-1, VCAM-1, and P-selectin (ng/mL)
Measurement of cell adhesion molecules in serum samples
Time frame: Changes from baseline at 30 days vs placebo
Change (10%) of blood glucose, total cholesterol, LDLc and HDLc concentrations (mg/dL)
Measurement of serobiochemical variables (blood glucose and lipids levels) in serum samples
Time frame: Changes from baseline at 30 days vs placebo
Evaluation of genotype frequencies for 60 single nucleotide polymorphisms (SNPs) related to the incidence of obesity, metabolism, diabetes and cardiovascular diseases
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SNP genotyping of patients (DNA extracted from whole blood)
Time frame: Baseline values at inclusion