Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-23T11:38:47.992Z Has data issue: false hasContentIssue false

Aleurone flour increases red-cell folate and lowers plasma homocyst(e)ine substantially in man

Published online by Cambridge University Press:  08 March 2007

Michael Fenech*
Affiliation:
CSIRO Health Sciences and Nutrition, PO Box 10041, Gouger Street, Adelaide, BC, SA 5000, Australia
Manny Noakes
Affiliation:
CSIRO Health Sciences and Nutrition, PO Box 10041, Gouger Street, Adelaide, BC, SA 5000, Australia
Peter Clifton
Affiliation:
CSIRO Health Sciences and Nutrition, PO Box 10041, Gouger Street, Adelaide, BC, SA 5000, Australia
David Topping
Affiliation:
CSIRO Health Sciences and Nutrition, PO Box 10041, Gouger Street, Adelaide, BC, SA 5000, Australia
*
*Corresponding author: Dr Michael Fenech, fax +61 (08) 8303 8899, email, [email protected]
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Aleurone flour (ALF) is a rich source of natural folate (>500 μg/100 g wet weight). Our objective was to establish whether intake of ALF in man can significantly improve folate status and reduce plasma homocyst(e)ine. We performed a randomised, controlled intervention, of 16 weeks duration, in free-living healthy individuals (mean age 46–52 years). Participants were assigned to one of three groups: ALF, 175 g bread made with ALF and placebo tablet each day; PCS, 175 g bread made with pericarp seed coat (PCS) flour and placebo tablet each day (low-folate control); or FA, 175 g bread made with PCS flour and tablet containing 640 μg folic acid each day (high-folate control). The daily folate intake contributed by the bread and tablet was 233 μg in the PCS group, 615 μg in the ALF group and 819 μg in the FA group. The number of participants completing all phases of the PCS, ALF and FA interventions was twenty-five, twenty-five and eighteen, respectively. Plasma and red-cell folate increased significantly (P<0·0001) and plasma homocyst(e)ine decreased significantly (P<0·0001) in the ALF and FA groups only. Plasma folate and red-cell folate in the ALF group (mean, 95 % CI) increased from baseline values of 12·9 (9·9, 15·7) nmol/l and 509 (434, 584) nmol/l to 27·1 (22·5, 31·7) nmol/l and 768 (676, 860) nmol/l, respectively. Plasma homocyst(e)ine in the ALF group decreased from 9·1 (8·2, 10·0) μmol/l at baseline to 6·8 (6·2, 7·5) μmol/l after 16 weeks. In conclusion, moderate dietary intake of ALF can increase red-cell folate and decrease plasma homocyst(e)ine substantially.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2005

References

Association of Official Analytical ChemistsAssociation of Official Analytical Chemists (1996) Official Methods of Analysis of AOAC International, Vol. II, pp. 4146 [Cunniff, P, editors]. Gaithersburg, MD: AOAC International.Google Scholar
Bailey, LB (1995) Folate requirements and dietary recommendations Folate in Health and Disease, pp. 123151 [Bailey, LB, editor]. New York: Marcel Dekker Inc.Google Scholar
Blount, BC, Mack, MM, Wehr, CM, MacGregor, JT, Hiatt, RA, Wang, G, Wickramasinghe, SN, Everson, RB & Ames, BN (1997) Folate deficiency causes uracil misincorporation into human DNA and chromosome breakage: implications for cancer and neuronal damage. Proc Natl Acad Sci USA 94, 32903295.CrossRefGoogle ScholarPubMed
Bonassi, S, Hagmar, L & Strombery, U (2000) Chromosomal aberrations in lymphocytes predict human cancer independently of exposure to carcinogens. Cancer Res 60, 16191625.Google ScholarPubMed
Boushey, CJ, Beresford, SA, Omenn, GS & Motulsky, AG (1995) A quantitative assessment of plasma homocyst(e)ine as a risk factor for vascular disease: probable benefits of increasing folic acid intakes. J Am Med Assoc 274, 10491057.CrossRefGoogle Scholar
Brouwer, IA, van Dusseldorp, M, West, CE, Meyboorn, S, Thomas, CMG, Duran, M, van het Hof, KH, Eskes, TK, Hautvast, J & Steegers-Theunissen RPM (1999) Dietary folate from vegetables and citrus fruit decreases plasma homocyst(e)ine concentrations in humans in a dietary controlled trial. J Nutr 129, 11351139.CrossRefGoogle Scholar
Chambers, JC, Ueland, PM, Obeid, OA, Wrigley, J, Refsum, H & Kooner, S (2000) Improved vascular endothelial function after oral B vitamins – an effect mediated through reduced concentrations of free plasma homocyst(e)ine. Circulation 102, 24792483.CrossRefGoogle Scholar
Clysedale, FM (1994) Optimising the diet with whole grains. Crit Rev Food Sci Nutr 34, 453471.CrossRefGoogle Scholar
Cooper, RA & Jandl, JH (1972) Destruction of erythrocytes. In Hematology, pp. 178191 [Williams, WJ, Beutler, E and Erslev, AJ, Rundles, RW, editors]. New York: McGraw-Hill.Google Scholar
Crane, CT, Wilson, DB, Cook, DA, Lewis, CJ, Yetley, EA & Rader, JI (1995) Evaluating food fortification options: general principles revisited with folic acid. Am J Public Health 85, 660666.CrossRefGoogle ScholarPubMed
Cuskelly, GJ, McNulty, H & Scott, JM (1996) Effect of increasing dietary folate on red cell folate: implications for prevention of neural tube defects. Lancet 347, 657659.CrossRefGoogle ScholarPubMed
Czeizel, AE & Dudas, I (1992) Prevention of first occurrence of neural tube defects by periconceptional vitamin supplementation. N Engl J Med 327, 3235.CrossRefGoogle ScholarPubMed
Daly, S, Mills, JL, Molloy, AM, Conley, M, Lee, YJ, Kirke, PN, Weir, DG & Scott, JM (1997) Minimum effective dose of folic acid for food fortification to prevent neural tube defects. Lancet 350, 16661669.CrossRefGoogle ScholarPubMed
Daugherty, CE & Lento, HG (1983) Chloroform-methanol extraction method for determination of fat in foods: collaborative study. J Assoc Off Anal Chem 66, 927932.Google ScholarPubMed
Fenech, M (2001) The role of folic acid and vitamin B 12 in genomic stability of human cells. Mutation Res 475, 5667.Google ScholarPubMed
Fenech, M, Aitken, C & Rinaldi, J (1998) Folate, vitamin B 12, homocysteine status and DNA damage in young Australian adults. Carcinogenesis 19, 11631171.CrossRefGoogle ScholarPubMed
Fenech, M, Dreosti, IE & Rinaldi, JR (1997) Folate, vitamin B 12, homocyst(e)ine status and chromosome damage rate in lymphocytes of older men. Carcinogenesis 18, 13291336.CrossRefGoogle Scholar
Fenech, M, Noakes, M, Clifton, P & Topping, D (1999) Aleurone flour is a rich source of bioavailable folate in humans. J Nutr 129, 11141119.CrossRefGoogle ScholarPubMed
Gregory, JF (1995) The bioavailability of folate. In Folate in Health and Disease, pp. 195235 [Bailey, LB, editor]. New York: Marcel Dekker Inc.Google Scholar
Helsinki Declaration (1996) Nuremberg doctor's trial. Declaration of Helsinki. Br Med J 313, 14481449.Google Scholar
Hinton, JJ, Peers, FG & Shaw, B (1953) The B vitamins in wheat – the unique aleurone layer. Nature 172, 993995.CrossRefGoogle Scholar
Holland, B, Welch, AA, Unwin, ID, Buss, DH, Paul, AA & Southgate, DAT (1995) McCance and Widdowson's: The Composition of Foods, 5th ed., LondonHMSO.Google Scholar
Homocyst(e)ine Lowering Trialists' Collaboration (1998) Lowering blood homocyst(e)ine with folic acid based supplements: meta-analysis of randomised trials. Br Med J 316, 894898.CrossRefGoogle Scholar
Honein, MA, Paulozzi, LJ, Mathews, TJ, Erickson, JD & Wong, LY (2001) Impact of folic acid fortification of the US food supply on the occurrence of neural tube defects. J Am Med Assoc 285, 29812986.CrossRefGoogle ScholarPubMed
Kang, SS, Wong, PWK & Malinow, MR (1992) Hyperhomocyst(e)inemia as a risk factor for occlusive vascular disease. Annu Rev Nutr 12, 279298.CrossRefGoogle ScholarPubMed
Kirsten, WJ & Hesselius, GU (1983) Rapid, automatic, high capacity Dumas detection of nitrogen. Microchem J 28, 529547.CrossRefGoogle Scholar
Law, M (2000) Fortifying food with folic acid. Semin Thromb Hemost 26, 349352.CrossRefGoogle ScholarPubMed
McCleary, BV, Solah, V & Gibson, TS (1994) Quantitative measurement of total starch in cereal flours and products. J Cereal Sci 20, 5158.CrossRefGoogle Scholar
Melse-Boonstra, A, West, CE, Katan, MB, Kok, FJ & Verhoef, P (2004) Bioavailability of heptaglutamyl relative to monoglutamyl folic acid in healthy adults. Am J Clin Nutr 79, 424429.CrossRefGoogle ScholarPubMed
Molloy, AM, Daly, S, Mills, JL, Kirke, PN, Whitehead, AS, Ramsbottom, D, Conley, MR, Weir, DG & Scott, JM (1997) Thermolabile variant of 5,10-methylenetetrahydrofolate reductase associated with low red cell folates: implications for folate intake recommendations. Lancet 349, 15911593.CrossRefGoogle Scholar
MRC Vitamin Study Research Group (1991) Prevention of neural tube defects: results from the Medical Research Council Vitamin Study. Lancet 338, 313317.Google Scholar
Prosky, L, Asp, NG, Furda, I, DeVries, JW, Schweizer, TF & Harland, BF (1985) Determination of total dietary fibre in foods and food products: collaborative study. J Assoc Off Anal Chem 68, 677679.Google ScholarPubMed
Rader, JI, Weaver, CM & Angyal, G (1998) Use of microbiological assay with tri-enzyme extraction for measurement of pre-fortification levels of folates in enriched cereal-grain products. Food Chem 62, 451465.CrossRefGoogle Scholar
Rasmussen, LB, Ovesen, L, Bulow, I, Knudsen, N, Laurberg, P & Perrild, H (2000) Folate intake, lifestyle factors and homocyst(e)ine concentrations in younger and older women. Am J Clin Nutr 72, 11561163.CrossRefGoogle Scholar
Rong, N, Selhub, J, Goldin, BR & Rosenberg, IH (1991) Bacterially synthesized folate in rat large intestine is incorporated into host tissue folyl polyglutamates. J Nutr 121, 19551959.CrossRefGoogle ScholarPubMed
Rosenberg, IH & Rosenberg, LE (1998) The implications of genetic diversity for nutrient requirements: the case of folate. Nutr Rev 56, S47S53.CrossRefGoogle ScholarPubMed
Rydlewicz, A, Simpson, JA, Taylor, RJ, Bond, CM & Golden, MHM (2002) The effect of folic acid supplementation on plasma homocysteine in an elderly population. Q J Med 95, 2735.CrossRefGoogle Scholar
Saxelby, C, Venn-Brown, U (1980) The structure and composition of the wheat grain. In The Role of Australian Flour and Bread in Health and Nutrition, pp. 3741Chatswood, NSW: Glenburn Pty Ltd.Google Scholar
Scheelings, P (1996) Prospects for measuring folates in Australian foods. Aust J Nutr Diet 53, S23S28.Google Scholar
Shrestha, AK, Arcot, J & Paterson, J (2000) Folate assay by traditional and tri-enzyme treatments using cryoprotected Lactobacillus casei. Food Chem 71, 545552.CrossRefGoogle Scholar
Stenvert, N (1995) New high fibre bread – Farrer's Gold. Food Aust 47, 462463.Google Scholar
Stenvert, N (1997) Novel natural products from grain fractionation. In Cereals – Novel Uses and Processes, pp. 241245 [Cambell, GM, Webb, C and McKee, SL, editors]. New York: Plenum Press.Google Scholar
Stevenson, RE, Allen, WP, Pai, GS, Best, R, Seaver, RH, Dean, J & Thompson, S (2000) Decline in prevalence of neural tube defects in a high-risk region of the United States. Pediatrics 106, 677683.CrossRefGoogle Scholar
Subar, AF, Block, G & James, LD (1989) Folate intake and food sources in the US population. Am J Clin Nutr 50, 508516.CrossRefGoogle ScholarPubMed
Tamura, T, Mizuno, Y, Jhonson, KE & Jacob, RA (1997) Food folate assay with protease, α-amylase, and folate conjugase treatments. J Agric Food Chem 45, 135139.CrossRefGoogle Scholar
Theander, O & Westerlund, E (1986) Improved procedures for the analysis of dietary fibre. J Agric Food Chem 34, 330336.CrossRefGoogle Scholar
van Oort, FVA, Melse-Boonstra, A & Brouwer, IA (2003) Folic acid and plasma homocysteine reduction in older adults: a dose-finding study. Am J Clin Nutr 77, 13181323.CrossRefGoogle Scholar
Vester, B & Rasmussen, K (1991) High performance liquid chromatography method for rapid and accurate determination of homocyst(e)ine in plasma and serum. Eur J Clin Chem Clin Biochem 29, 549554.Google Scholar
Vickers, AJ & Altman, DG (2001) Analysing controlled trials with base-line and follow-up measurements. Br Med J 323, 11231124.CrossRefGoogle Scholar
Wagner, C (1995) Biochemical role of folate in cellular metabolism. In Folate in Health and Disease, pp. 2342 [Bailey, LB, editor]. New York: Marcel Dekker Inc.Google Scholar