Amylases are crucial enzymes for dietary starch hydrolysis and essential to human digestive physiology. To simulate gastrointestinal (GI) digestion in vitro, amylases may be included in a short oral phase to mimic human salivary amylase (HSA) activity. Due to the high procurement cost of HSA, alternate porcine or microbial sources of amylases have been used. The major objective of this study was to evaluate the suitability of porcine pancreatic amylase (PPA) as an alternative to HSA in the INFOGEST 2.0 static simulation of oro-gastric digestion. To start, a comprehensive literature review was conducted to categorize oral phase methodologies. We determined that 14.1 % and 5.2 % of 262 studies used PPA and microbial amylases, respectively, in the oral phase. Amylolytic activity was confirmed by HPLC analysis of free maltose after simulated potato digestion. PPA and HSA exhibited comparable starch hydrolysis, while a fungal amylase showed significantly higher activity (P < 0.0001). To investigate suspected proteolytic "side activity" of PPA, pea protein digestion was simulated with HSA, PPA, or no amylase in the oral phase. Proteolytic activity was evaluated in gastric digestas by measurement of free amino nitrogen (FAN) by UV spectroscopy and free amino acids by HPLC. Relative peptide hydrolysis patterns were evaluated by SDS-PAGE and size exclusion chromatography (SEC). PPA treatment showed significantly higher proteolytic activity based on FAN and free amino acid analysis compared to HSA (Both P < 0.0001, one-way ANOVA), and qualitatively greater protein hydrolysis by SDS-PAGE and SEC analyses. These data unanimously confirm the unintended proteolytic activity of PPA in the oral phase that carries over to the gastric phase, potentially confounding analyses of protein digestibility and nutrient bioavailability. These findings suggest PPA should be avoided in the oral phase and confirm that HSA remains the preferred amylase for simulating human oral digestion.
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http://dx.doi.org/10.1016/j.foodres.2025.115887 | DOI Listing |
J Am Coll Cardiol
March 2025
National Amyloidosis Centre, University College London, Royal Free Hospital, London, United Kingdom.
Background: Transthyretin amyloid cardiomyopathy (ATTR-CM) is an underdiagnosed chronic disease associated with progressive heart failure that results in impaired quality of life, repeated hospitalizations, and premature death. Acoramidis is a selective, oral transthyretin stabilizer recently approved by the U.S.
View Article and Find Full Text PDFZhong Nan Da Xue Xue Bao Yi Xue Ban
October 2024
Xiangya Stomatological Hospital and Xiangya School of Stomatology, Central South University; Hunan Engineering Research Center for Digital Intelligence and Personalized Medicine; Hunan 3D Printing Engineering Research Center of Oral Care, Changsha 410008.
Objectives: Maxillary transverse deficiency is a common malocclusion frequently observed in orthodontic clinics. Miniscrew-assisted rapid palatal expansion (MARPE) not only produces greater skeletal expansion but also offers advantages such as simple miniscrew implantation without flap elevation, enhanced patient comfort, and an expanded age range and indications for palatal expansion. However, the fixed connection between the expander and the miniscrews makes the expander difficult to remove, significantly hindering its clinical application.
View Article and Find Full Text PDFEur J Dent
March 2025
Department of Oral Medicine and Periodontology, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
Objectives: This cross-sectional study aimed to investigate the oral health-related quality of life (OHRQoL), its associated factors, and the prevalence of possible sarcopenia in Thai well-maintained patients with end-stage renal disease (ESRD) undergoing peritoneal dialysis (PD).
Materials And Methods: Data were collected from 63 participants undergoing PD at Banphaeo-Charoenkrung Hemodialysis Center. Dry mouth was evaluated through unstimulated salivary flow rate measurement and self-reported xerostomia questionnaires.
J Immunol
March 2025
Herman B Wells Center for Pediatric Research, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, United States.
Food allergy can be life threatening and often develops early in life, especially in infants and children with atopic dermatitis. Food allergy is induced in neonatal mice with skin barrier mutations (Flaky Tail, FT+/- mice with filaggrin and mattrin gene mutations) by epicutaneous sensitization with co-exposures to the food allergen peanut extract (PNE), the environmental allergen Alternaria alternata (Alt), and detergent (4% SDS); oral PNE-challenge induces anaphylaxis. Sensitization in these neonates also induces eosinophil infiltration into the skin and elevates skin expression of eotaxins (CCL11 and CCL24).
View Article and Find Full Text PDFJ Cutan Med Surg
March 2025
Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Mycosis fungoides (MF) and Sézary syndrome (SS) are subtypes of cutaneous T-cell lymphoma with numerous topical and systemic therapies. Early-stage MF can be managed with topical corticosteroids, mechlorethamine, and phototherapy. However, patients are often non-responsive to topical therapies, thus requiring systemic therapies.
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