Publications by authors named "Koulman A"

Vitamin D is required for healthy growth and development, but data on human milk vitamin D content is limited. We describe a liquid chromatography tandem mass spectrometry (LC-MS/MS) method for the analysis of vitamin D metabolites in human milk, and its application in samples collected on two consecutive days from women in rural Gambia. Vitamin D compounds were extracted from 1 mL of milk by liquid-liquid extraction and derivatised with 4-phenyl-1,2,4-triazoline-3,5-dione (PTAD) prior to analysis by LC-MS/MS.

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Environmental exposure to cold is increasingly being associated with changes in metabolism. We developed and tested the hypothesis that exposure to cold drives systemic effects in lipid metabolism. Specifically, (i) that energy storage and provision adapts to the cold by altering triglyceride distribution and (ii) that membranes adapt to cold conditions by becoming more unsaturated.

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There is limited evidence on the effects of different dietary sources of fats on detailed blood fatty acids (FAs). We aimed to evaluate the effects of coconut oil, olive oil and butter on circulating FA concentrations, and examine the associations between changes in plasma FAs and changes in metabolic markers. We conducted secondary analyses in the COB (coconut oil, olive oil and butter) Trial that evaluated 96 healthy adults in a 4-week parallel randomized clinical trial of three dietary interventions: 50 g/d of extra-virgin coconut oil (n = 30), extra-virgin olive oil (n = 33), or unsalted butter (n = 33).

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Understanding the cause of coronary heart diseases relies on the analysis of data from a range of techniques on an epidemiological scale. Lipidomics, the identification and quantification of lipid species in a system, is an omic approach increasingly used in epidemiology. The altered concentration of lipids in plasma is one of the recognised risk factors for these diseases.

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  • The study investigated the links between saturated and unsaturated fatty acids and cardiovascular disease (CVD), focusing on conditions like coronary heart disease (CHD) and stroke in a large group of participants.
  • Results showed that higher levels of saturated fatty acids were linked to increased CVD risks, with specific subtypes having varying effects on CHD and stroke.
  • Conversely, higher concentrations of certain polyunsaturated fatty acids (both n-3 and n-6 types) were associated with lower risks of CHD and stroke, suggesting dietary fats play a significant role in cardiovascular health.
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Prenatal adversity affects cognitive and brain aging. Both lipid and leptin concentrations may be involved. We investigated if prenatal undernutrition is associated with a specific blood lipid profile and/or leptin concentrations, and if these relate to cognitive function and brain aging.

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Liver X receptor-α (LXRα) regulates cellular cholesterol abundance and potently activates hepatic lipogenesis. Here we show that at least 1 in 450 people in the UK Biobank carry functionally impaired mutations in LXRα, which is associated with biochemical evidence of hepatic dysfunction. On a western diet, male and female mice homozygous for a dominant negative mutation in LXRα have elevated liver cholesterol, diffuse cholesterol crystal accumulation and develop severe hepatitis and fibrosis, despite reduced liver triglyceride and no steatosis.

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  • Globally, while people are living longer, many experience a decline in health due to age-related diseases, highlighting the need for better classification systems to address these issues.
  • A consensus meeting with 150 experts established criteria for identifying ageing-related pathologies, requiring a 70% agreement for approval among participants.
  • The agreed criteria focus on conditions that progress with age, contribute to functional decline, and are backed by human studies, setting a foundation for future classification and staging efforts.
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Lipid metabolism is recognised as being central to growth, disease and health. Lipids, therefore, have an important place in current research on globally significant topics such as food security and biodiversity loss. However, answering questions in these important fields of research requires not only identification and measurement of lipids in a wider variety of sample types than ever before, but also hypothesis-driven analysis of the resulting 'big data'.

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The long and very long chain polyunsaturated fatty acids (LC-PUFAs) are preferentially transported by the mother to the fetus. Failure to supply LC-PUFAs is strongly linked with stillbirth, fetal growth restriction, and impaired neurodevelopmental outcomes. However, dietary supplementation during pregnancy is unable to simply reverse these outcomes, suggesting imperfectly understood interactions between dietary fatty acid intake and the molecular mechanisms of maternal supply.

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The effect of acute exercise on circulating concentrations of vitamin D metabolites is unclear. To address this knowledge gap, we examined the effect of a bout of treadmill-based exercise versus rest on circulating concentrations of 25(OH)D, 25(OH)D, 3-epi-25(OH)D, 24,25(OH)D, 1,25(OH)D, and vitamin D and D in healthy men and women. Thirty-three healthy adults (14 females, 41 (15) years, body mass index 26.

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Background: The logistics of timely processing of blood specimens remains a barrier in population health studies to the generation of micronutrient status data.

Objectives: To test a blood specimen processing protocol that includes overnight postage with cooling and its effect on nutritional biomarker concentrations.

Methods: This study was embedded within the United Kingdom National Diet and Nutrition Survey.

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Background: There is limited information on relationships among biomarkers of thiamine status (whole blood thiamine diphosphate [ThDP], erythrocyte transketolase activity coefficient [ETKac], and human milk thiamine [MTh]) and clinical manifestations of thiamine deficiency.

Objectives: This study aimed to explore correlations among these biomarkers and thiamine responsive disorders (TRDs), a diagnosis based on favorable clinical response to thiamine.

Methods: Hospitalized infants and young children (aged 21 d to <18 mo) with respiratory, cardiac, and/or neurological symptoms suggestive of thiamine deficiency were treated with parenteral thiamine (100 mg daily) for ≥3 d alongside other treatments and re-examined systematically.

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Alcohol dehydrogenase 1B (ADH1B) is a primate-specific enzyme which, uniquely among the ADH class 1 family, is highly expressed both in adipose tissue and liver. Its expression in adipose tissue is reduced in obesity and increased by insulin stimulation. Interference with expression has also been reported to impair adipocyte function.

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  • Benfotiamine is being tested as a new oral treatment option for early Alzheimer's disease (AD), potentially enhancing the effects of existing therapies targeting amyloid.
  • A 72-week randomized, double-blind, placebo-controlled trial will investigate its safety, tolerability, and efficacy in 406 participants, starting with a phase 2A to find the optimal dose before moving to phase 2B.
  • The trial's innovative design allows for a smooth transition between phases, aiming to confirm benefits through specific cognitive and safety assessments.
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  • The study aimed to identify how energy balance components contribute to weight loss from cotadutide, a dual receptor agonist used by overweight and obese adults with type 2 diabetes.
  • The trial involved 42 days of treatment with cotadutide or placebo after a 16-day run-in period, measuring primary weight change and secondary energy intake and expenditure.
  • Results showed that the cotadutide group lost an average of 4.0% of their weight, primarily due to reduced energy intake by 41.3%, while energy expenditure changes were minimal.
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  • Despite advances in understanding kidney injury through lipids and metabolites, there's a lack of comprehensive data on the metabolic pathways involved in kidney impairment, partly due to limited kidney biopsy samples from living donors.
  • This study utilized kidneys from deceased transplant donors to investigate acute kidney injury, revealing common changes in injury and inflammation markers in those with reduced kidney function, along with various cellular interactions.
  • The research highlighted the role of arachidonic acid metabolism and other pathways linked to inflammation, showing that inhibiting certain lipid mediators can mitigate injury in kidney cells, suggesting potential therapeutic targets for kidney function recovery.
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  • Researchers successfully induced nonalcoholic steatohepatitis (NASH) in pigs using a high-fat, low-choline diet, demonstrating that just one month on this diet can lead to NASH development.
  • The study utilized advanced lipidomic analysis to identify 467 lipid species, revealing specific phospholipids and fatty acids that change in response to the dietary shifts and serve as biomarkers for NASH progression and regression.
  • Key lipid species, including hepatic phospholipids and plasma fatty acids, were highlighted as sensitive indicators for detecting the variations in NASH, suggesting their potential as liquid biopsy markers for metabolic changes.
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Backgrounds & Aims: Childhood malnutrition is a major global health problem with long-term sequelae, including non-communicable diseases (NCDs). Mechanisms are unknown but may involve metabolic programming, resulting from "short-term" solutions to optimise survival by compromising non-priority organs. As key players in lipid metabolism, desaturases have been shown to be predictive of NCDs.

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Nutritional rehabilitation during severe acute malnutrition (SAM) aims to quickly restore body size and minimize poor short-term outcomes. We hypothesized that faster weight gain during treatment is associated with greater cardiometabolic risk in adult life. Anthropometry, body composition (DEXA), blood pressure, blood glucose, insulin and lipids were measured in a cohort of adults who were hospitalized as children for SAM between 1963 and 1993.

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  • The study aimed to find metabolites linked to regular dairy intake and their potential impact on type 2 diabetes (T2D) risk.* -
  • Researchers analyzed data from two large studies, utilizing metabolomics to create scores representing dairy consumption and evaluate their link to T2D incidence.* -
  • Results indicated that higher consumption of milk and butter, as well as overall dairy, was associated with a lower risk of developing T2D, suggesting a possible objective way to assess dairy's health effects.*
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Vitamin D is essential for optimal bone health, and vitamin D deficiency has been associated with an increased risk of adverse pregnancy, growth and developmental outcomes. In early life, and in the absence of endogenous vitamin D production from UVB light, infants are reliant on vitamin D stores established and the vitamin D supply from human milk (HM). However, comprehensive data on vitamin D in HM is lacking.

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Riboflavin (vitamin B2) is a component of the co-enzyme flavin adenine dinucleotide (FAD). The activity coefficient of erythrocyte glutathione reductase (EGRAC), a FAD-dependent enzyme, is a biomarker of riboflavin status. Here, we describe a protocol for measuring unstimulated (basal) and FAD-stimulated (activated) erythrocyte glutathione reductase activity to calculate EGRAC.

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  • Folate is crucial for growth and preventing neural tube defects, prompting the UK to plan mandatory folic acid fortification in 2021 due to concerns over folate levels.
  • A study using data from the UK National Diet and Nutrition Survey (2008-2019) assessed folate status, finding a significant annual decline in RBC and serum folate levels across all demographics, especially among children.
  • The research highlighted that by 2019, 89% of females of reproductive age had RBC folate levels below the threshold needed to lower neural tube defect risk, pointing to serious deficiencies influenced by factors like ethnicity, smoking, and income.
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  • Metformin is commonly used during pregnancy to treat gestational diabetes, but its effects on placental metabolism are not well understood, prompting the need for research into its impact on placental functions.
  • Studies conducted on trophoblasts (cells from the placenta) showed that metformin treatment reduced oxidative phosphorylation, indicating altered energy production in the placenta.
  • Additionally, metformin increased glycolysis and triglyceride concentrations while significantly decreasing fatty acid oxidation in trophoblasts, suggesting profound metabolic changes due to the drug.
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