Kequan Zhou’s research while affiliated with Wayne State University and other places

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Publications (90)


Various pathways and models associated with A. muciniphila [7].
Selection of studies for the meta-analysis.
Analysis of experimental characteristics used in animal models for Akkermansia muciniphila studies. (A): Breakdown of diets used in animal studies. (B): Animal sexes used in mouse animal studies. (C): Evaluation of methodological quality score for animal studies (max score = 12). MQS, Methodological Quality Score.
Quantitative analysis of studies that assessed body weight using a random-effects meta-analysis. (A): Forest plot of studies investigating body weight effects (normalized mean difference ± 95% CI) [31,32,33,34,36,40,41,42,43]. Effect size estimates were heterogenous, likely owing to study design differences. (B): Funnel plot used to assess publication bias. These results suggest that the studies used in the meta-analysis had relatively low publication bias (i.e., the symmetric distribution of closed circles). (C): Baujat plot used to assess the studies that contributed most to heterogeneity. These results suggest that studies Chung et al. 2020 [33] and Wu et al. 2020 [41] likely had moderating variables that contributed the most to the heterogeneity.
Quantitative analysis of studies that assessed glucose tolerance using a random-effects meta-analysis. (A): Forest plot of studies investigating glucose tolerance (normalized mean difference ±95% CI) [31,33,34,36,37,38,39,40,41]. Effect size estimates were heterogenous, likely owing to study design differences. (B): Funnel plot used to assess publication bias. These results suggest that the studies used in the meta-analysis had relatively low publication bias. (C): Baujat plot used to assess the studies that contributed most to heterogeneity. These results suggest that the study Shin et al. 2014 [38] likely had moderating variables that contributed the most to the heterogeneity.

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Akkermansia muciniphila for the Prevention of Type 2 Diabetes and Obesity: A Meta-Analysis of Animal Studies
  • Article
  • Full-text available

October 2024

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60 Reads

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2 Citations

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Xiangming Ji

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Kequan Zhou

Background: More than half of the states in the U.S. report that over 30% of adults are obese. Obesity increases the risk of many chronic diseases, including type 2 diabetes, hypertension, and cardiovascular disease, and can even reduce one's lifespan. Similarly, the prevalence of type 2 diabetes follows a comparable trend. As a result, researchers are striving to find solutions to reduce obesity rates, with a particular focus on gut health, which has been previously linked to both obesity and type 2 diabetes. Recent studies suggest that Akkermansia muciniphila (Akk) may have a positive probiotic effect on preventing the onset of type 2 diabetes and obesity. Methods: We conducted a quantitative meta-analysis of 15 qualified animal studies investigating the effects of Akk administration as a probiotic. Results: The statistical analyses showed that Akk administration significantly reduced body weight gain by 10.4% and fasting blood glucose by 21.2%, while also significantly improving glucose tolerance by 22.1% and increasing blood insulin levels by 26.9%. However, our analysis revealed substantial heterogeneity between the control and experimental groups across all subgroups. Conclusions: Overall, Akk appears to be effective at reducing the onset of type 2 diabetes and diet-induced obesity. Long-term studies with larger sample sizes are needed to confirm these beneficial effects, as the current animal studies were of short duration (less than 20 weeks).

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Figure 1. Various pathways and models associated with A. muciniphila [7].
Figure 2. Selection of studies for meta-analysis.
Figure 3. Analysis of experimental characteristics used in animal models for A. muciniphila studies. (A): Breakdown of diets used in animal studies. (B): Animal sexes used in mouse animal studies. (C): Evaluation of methodological quality score for animal studies (max score = 12). MQS, Methodological Quality Score.
Figure 6. Quantitative analysis of studies that assessed insulin hormone levels using random-effects meta-analysis. (A): Forest plot of studies investigating insulin levels (normalized mean difference ± 95% CI). Effect size estimates were very heterogenous, likely owning to study design differences and differences in probiotic duration. (B): Funnel plot used to assess publication bias. These results suggest that the studies used in the meta-analysis had relatively low publication bias. (C): Baujat plot used to assess the studies that contributed most to heterogeneity. These results suggest that studies Shin et al. (Study 9), Song et al. (study 10), and Wang et al. (study 11) likely had moderating variables that contributed the most to the heterogeneity.
Akkermansia muciniphila for the Prevention of Type 2 Diabetes and Obesity: A Meta-Analysis of Animal Studies

August 2024

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18 Reads

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1 Citation

More than half of the states in the U.S. report that over 30% of adults are obese. Obesity increases the risk of many chronic diseases, including type 2 diabetes, hypertension, cardiovascular disease, and can even reduce one’s lifespan. Similarly, the prevalence of type 2 diabetes follows a comparable trend. As a result, researchers are striving to find solutions to reduce obesity rates, with a particular focus on gut health, which has been previously linked to both obesity and type 2 diabetes. Recent studies suggest that Akkermansia muciniphila(AKK) may have a positive probiotic effect on preventing the onset of type 2 diabetes and obesity. We conducted a quantitative meta-analysis of 15 qualified animal studies investigating the effects of AKK administration as a probiotic. The statistical analyses showed that AKK administration significantly reduced body weight gain by 10.4% and fasting blood glucose by 21.2%, while also significantly improving glucose tolerance by 22.1% and increasing blood insulin levels by 26.9%. However, our analysis revealed substantial heterogeneity between the control and experimental groups across all subgroups. Overall, AKK appears to be effective at reducing the onset of type 2 diabetes and diet-induced obesity. Long-term studies with larger sample sizes are needed to confirm these beneficial effects, as the current animal studies were of short duration (less than 20 weeks).


Characterization of metabolites and biomarkers for the probiotic effects of Clostridium cochlearium on high-fat diet-induced obese C57BL/6 mice

June 2022

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43 Reads

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6 Citations

European Journal of Nutrition

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[...]

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Kequan Zhou

Purpose Probiotic species of butyrate producers have been investigated for the potential in preventing and treating obesity and overweight. However, Clostridium cochlearium has not been linked with any health benefits. We hypothesized that C. cochlearium could be a promising new probiotic with health benefits in improving body weight control and insulin sensitivity. Methods Productions of short-chain fatty acids (SCFAs) were characterized for C. cochlearium by NMR and GC–MS analyses. Probiotic effects of C. cochlearium were evaluated through diet-induced obese (DIO) C57BL/6 mice. The influence of C. cochlearium administration on gut SCFAs was measured using GC–MS. LC–MS-based untargeted metabolomic profiling and multivariate analysis were used to assess the serum metabolic alteration, identify biomarkers and pathways in response to the C. cochlearium administration. Results After 17 weeks of diet intervention, body weight gain of CC group (fed with a high-fat diet supplemented with C. cochlearium) showed a 21.86% reduction from the high-fat diet (HF) control group (P < 0.001), which was specifically reflected on the significantly lowered fat mass (CC vs HF, 17.19 g vs 22.86 g, P < 0.0001) and fat percentage (CC vs HF, 41.25% vs 47.10%, P < 0.0001), and increased lean percentage (CC vs HF, 46.63% vs 43.72%, P < 0.05). C. cochlearium administration significantly reduced fasting blood glucose from week 8 (P < 0.05 or 0.01), and eventually improved insulin sensitivity (HOMA-IR, CC vs HF, 63.77 vs 143.13, P < 0.05). Overall lowered levels of SCFAs were observed in the gut content of CC group. Metabolomic analysis enabled the identification of 53 discriminatory metabolites and 24 altered pathways between CC and HF groups. In particularly, most of the pathway-matched metabolites showed positive correlations with body weight, which included glutamate, phenylalanine, ornithine, PCs, LPCs, AcCas, proline, 5,6-dihydrouracil, pyroglutamic acid, and 1-pyrroline-4-hydroxy-2-carboxylate. Conclusions The beneficial effects of C. cochlearium could be related to its ability to restore certain obesity-driven biomarkers and pathways, especially downregulating pathways related to specific amino acids, PCs, LPCs and AcCas. Further research is warranted to investigate related metabolites and metabolic pathways. C. cochlearium may be developed as a promising new probiotic for the prevention or alleviation of obesity and diabetes in human.



Beneficial effects of a combination of Clostridium cochlearium and Lactobacillus acidophilus on body weight gain, insulin sensitivity and gut microbiota in high-fat diet induced obese mice

August 2021

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23 Reads

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14 Citations

Nutrition

Objectives: Species Lactobacillus acidophilus and butyrate producer Clostridium cochlearium have been shown to have potential antiobesity effects. The aim of this study was to show that the combination of C. cochlearium and L. acidophilus (CC-LA) has beneficial effects on body weight control and glucose homeostasis in high-fat diet-induced obese (DIO) mice. Methods: In this study, thirty-six 6-wk-old male C57BL/6 mice were randomly assigned to three groups of 12 mice each. The experimental group (CC-LA) was administered with CC-LA mixture and fed ad libitum with a high-fat diet. High-fat diet (HF) control and low-fat diet (LF) control groups were treated with the same dose of sterile water as the CC-LA group. Results: After 17 wk of dietary intervention, the CC-LA group showed 17% less body weight gain than the HF group did (P < 0.01). The CC-LA group also showed significantly reduced incremental area under the curve of oral glucose tolerance test and homeostatic model assessment for insulin resistance compared with the HF group. The results from 16S rRNA sequencing analysis of gut microbiota showed that the CC-LA administration led to overall increased α-diversity indices, and a significant microbial separation from the HF group. The ratio of Firmicutes to Bacteroidetes (F/B) was reduced from 3.30 in the HF group to 1.94 in the CC-LA group. The relative abundances of certain obesity-related taxa were also decreased by CC-LA administration. Conclusion: The present study provided evidence that the CC-LA combination reduced obesity and improved glucose metabolism in high-fat diet-treated DIO mice, potentially mediated by the modulation of gut microbiota.


Isolation and Structural Characterization of Specific Bacterial β-Glucuronidase Inhibitors from Noni ( Morinda citrifolia ) Fruits

February 2020

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50 Reads

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16 Citations

Journal of Natural Products

An extract of noni (Morinda citrifolia) fruits has shown potent inhibitory activity on gut bacterial β-glucuronidase, which could help reduce irinotecan-induced diarrhea. In this study, four bacterial β-glucuronidase inhibitors were obtained following bioactive assay-guided isolation, including two sesquineolignans, (7S,8S,7'R,8'R)-isoamericanol B (1) and americanol B (2), and two dineolignans, moricitrins A (3) and B (4). Compounds 2-4 are new, and the absolute configuration of compound 1 was determined for the first time. Their chemical structures were elucidated through HRESIMS and NMR spectra, and their absolute configurations were established via the comparison of the experimental and calculated electronic circular dichroism spectra. These compounds showed potent inhibition against gut bacterial β-glucuronidase with IC50 values in the range 0.62-6.91 μM. The inhibition presented specificity for β-glucuronidase, as all the compounds showed no or weak effects on digestive enzymes such as α-amylase, α-glucosidase, and lipase, suggesting that their gastrointestinal side effects could be minimized. These specific inhibitors as naturally occurring dietary compounds may be developed as promising candidates to alleviate irinotecan-induced diarrhea.


Flavonol Kaempferol Improves Glucose Homeostasis via Suppressing Hepatic Glucose Production and Enhancing Insulin sensitivity in Diabetic Mice

October 2018

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2 Reads

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4 Citations

The FASEB Journal

In type 2 diabetes, the increase in the activity of the key enzymes that control glycogenolysis and gluconeogenesis in the liver causes an increase in hepatic glucose production, which is the main contributor to the development of fasting hyperglycemia. Here, we investigated the anti‐diabetic potential of flavonol kaempferol. Oral administration of kaempferol (50 mg/kg) significantly improved fasting blood glucose levels, glucose intolerance, and insulin sensitivity in high‐fat diet‐induced obese insulin resistant mice. These beneficial effects were associated with improved pyruvate tolerance and reduced hepatic glucose production. Consistently, kaempferol treatment increased Akt and hexokinase activity but decreased pyruvate carboxylase activity in the liver of obese mice. Kaempferol also enhanced whole body insulin sensitivity without altering body weight gain, food consumption, or adiposity of obese mice. These kaempferol actions were also demonstrated in STZ‐induced insulin‐deficient diabetic mice. In vitro, kaempferol increases glucose uptake of primary human skeletal muscle cells while reducing gluconeogenesis in HepG2 cells. These findings suggest that kaempferol may be a naturally occurring anti‐diabetic compound by improving insulin sensitivity and suppressing glucose production. Support or Funding Information The work was supported by grants from NCCIH of NIH (1R01AT007077, 1R01AT007566).


Figure 2. Kaempferol treatment for 12 weeks did not alter BW, calorie intake, or body composition, but restored lipid profiles in STZ-induced diabetic mice. (a) BW of the individual mouse was
Figure 3. Kaempferol treatment for 6 weeks improved hyperglycemia without altering BW or food intake in STZ-induced severely diabetic mice. (a) BW was measured every week. (b) Food intake was measured weekly and are expressed as daily food intake. (c) Non-fasting and (d) fasting blood glucose
Figure 5. Kaempferol had no effect on the concentrations of circulating plasma insulin or glucagon levels. After 12 weeks of treatment with kaempferol, (a) glucagon, and (b) insulin levels in the blood were measured using ELISA kits, and (c) their molar ratio was calculated. Data are shown as Mean ± SEM (n = 8-9). * p < 0.05 vs. Control nondiabetic mice. Control: nondiabetic mice; STZ: STZ-induced diabetic mice; STZ + Kaemp: STZ-induced diabetic mice treated with kaempferol (50 mg/kg BW).
Figure 6. Kaempferol increased GCK activity and glycogen contents in STZ-induced diabetic mice. Diabetic mice were treated with kaempferol for 12 weeks. (a,e) Hepatic GCK, and (b,e) GCKRP protein levels were measured by Western blot and normalized to total protein contents. Hexokinase activity (c) and glycogen content (d) in the liver were measured as described in the Method section. (f) Glucose oxidation was evaluated in fresh mouse liver homogenates using 14 C-labeled glucose as
The Flavonoid Kaempferol Ameliorates Streptozotocin-Induced Diabetes by Suppressing Hepatic Glucose Production

September 2018

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561 Reads

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109 Citations

Molecules

In diabetes mellitus, the excessive rate of glucose production from the liver is considered a primary contributor for the development of hyperglycemia, in particular, fasting hyperglycemia. In this study, we investigated whether kaempferol, a flavonol present in several medicinal herbs and foods, can be used to ameliorate diabetes in an animal model of insulin deficiency and further explored the mechanism underlying the anti-diabetic effect of this flavonol. We demonstrate that oral administration of kaempferol (50 mg/kg/day) to streptozotocin-induced diabetic mice significantly improved hyperglycemia and reduced the incidence of overt diabetes from 100% to 77.8%. This outcome was accompanied by a reduction in hepatic glucose production and an increase in glucose oxidation in the muscle of the diabetic mice, whereas body weight, calorie intake, body composition, and plasma insulin and glucagon levels were not altered. Consistently, treatment with kaempferol restored hexokinase activity in the liver and skeletal muscle of diabetic mice while suppressed hepatic pyruvate carboxylase activity and gluconeogenesis. These results suggest that kaempferol may exert antidiabetic action via promoting glucose metabolism in skeletal muscle and inhibiting gluconeogenesis in the liver.


A Case Study on Soil Antibiotic Resistome in an Urban Community Garden

May 2018

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111 Reads

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21 Citations

International Journal of Antimicrobial Agents

Urban agricultural soils can be an important reservoir of antibiotic resistance and have great food safety and public health indications. This study was to investigate antibiotic-resistant bacteria and antibiotic resistance genes in urban agricultural soils using phenotypic and metagenomic tools. A total of 207 soil bacteria were recovered from 41 soil samples collected from an urban agricultural garden in Detroit, USA. The most prevalent antibiotic resistance phenotypes demonstrated by Gram-negative bacteria was the resistance to ampicillin (94.2%), followed by chloramphenicol (80.0%), cefoxitin (79.5%), gentamicin (78.4%), and ceftriaxone (71.1%). Gram-positive bacteria were all resistant to gentamicin, kanamycin, and penicillin. Genes encoding resistance to quinolone, β-lactam, and tetracycline were the most prevalent and abundant in the soil. qepA and tetA, both encoding efflux pumps, predominated in quinolone and tetracycline resistance genes tested, respectively. Positive correlation (p < 0.05) was identified among groups of antibiotic resistance genes and between antibiotic resistance genes and metal resistance genes. The data demonstrated a diverse population of antibiotic resistance in urban agricultural soils. Phenotypic determination together with soil metagenomics proved to be a valuable tool to study the nature and extent of antibiotic resistance in the environment.


UHPLC/MS Identifying Potent α-glucosidase Inhibitors of Grape Pomace via Enzyme Immobilized Method: α-Glucosidase inhibitors of grape pomace…

March 2018

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247 Reads

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8 Citations

α‐Glucosidases have been a major target in controlling and managing postprandial blood glucose and therefore diabetes treatment. This study aims to further identify and purify active compounds from the most active ethyl acetate fraction collected previously in Tinta Cão grape pomace extract (TCEE) using a newly developed and highly effective immobilization method, including obtaining compounds previously shown to inhibit the enzyme. Purification used crosslinked chitosan beads with α‐glucosidases bound to polymer, which acted as immobilized enzyme vehicle to collect inhibitors. Compounds absorbed into the beads were eluded using methanol, where collected fraction was subjected to UHPLC‐MS analysis to identify active compounds. Results presented 5 major compounds: viniferifuran (amurensin H), p‐coumaroyl‐6‐O‐D‐glucopyranoside, p‐coumaroyl‐6‐O‐hexoside, (epi)catechin‐hexoside, 10‐carboxyl‐pyranopeonidin 3‐O‐(6′′‐O‐p‐coumaroyl)‐glucoside. These findings indicated the particular molecules can be utilized as potent α‐glucosidases inhibitors, and may be further tested for postprandial glucose control. Practical Application A potential approach enriched and identified α‐glucosidase inhibitors of grape pomace. Set‐up of UHPLC/MS detection and identification of active compounds provide qualify assessment in developing grape pomace extract into potent dietary supplement and new drug for diabetes.


Citations (73)


... Meitei community of Manipur, India believes that it can cure diabetes and reduce obesity although these traditional uses have not been published so far in folklore medicine literature. Evidence shows that this plant has been reported to have several biologically active compounds like kaempferol, astragalin, quercetin, spinasterol, and stigmasterol (12,13) with biological activities such as anti-diabetic, anti-inflammatory and anti-obesity (14)(15)(16)(17)(18)(19)(20)(21)(22). Previously, we have looked therapeutic effect of the Lysimachia candida extract in high-fat high-fructose diet-induced fatty liver disease, where the Lysimachia candida extract was administered to the disease rats after developing the phenotype (23). ...

Reference:

Untargeted metabolomics and phenotype data indicate the therapeutic and prophylactic potential of Lysimachia candida Lindl. on high-fat high-fructose-induced metabolic syndrome in rats.
Flavonol Kaempferol Improves Glucose Homeostasis via Suppressing Hepatic Glucose Production and Enhancing Insulin sensitivity in Diabetic Mice
  • Citing Article
  • October 2018

The FASEB Journal

... Thereby, Table 3 presents the effects of probiotics found in these studies. Even though Bifidobacterium and Clostridium species are considered SCFA-producing bacteria [176], interestingly, their administration has not consistently produced increases in fSCFA [61,69], and in the case of Clostridium, actually decreased fSCFA [40]. Due to the complex and ever-changing nature of the gut microbiota and the numerous factors that influence its composition, it is difficult to correctly assess the ideal gut composition in any given host. ...

Characterization of metabolites and biomarkers for the probiotic effects of Clostridium cochlearium on high-fat diet-induced obese C57BL/6 mice

European Journal of Nutrition

... Some Clostridium spp. are regarded as probiotics [45], and genus Clostridium is positively correlated with INS sensitivity [46], suggesting its function in reducing insulin resistance. The relative abundance of Anaerotruncus increased after HFD treatment [42] and was positively correlated with both obesity-related indices and pro-inflammatory responses [47,48]. ...

Beneficial effects of a combination of Clostridium cochlearium and Lactobacillus acidophilus on body weight gain, insulin sensitivity and gut microbiota in high-fat diet induced obese mice
  • Citing Article
  • August 2021

Nutrition

... The microbial populations could act as an indicator of the individual responses to food ingredients (Qu et al., 2018). The fermentation of different dietary flavonoids and other substances in the intestine produce different metabolites that affect the intestinal environment and regulate gut microbiota (Rowland et al., 2018;Yang, Zhu, Sun, Ai, Edirisuriya, & Zhou, 2020). ...

Isolation and Structural Characterization of Specific Bacterial β-Glucuronidase Inhibitors from Noni ( Morinda citrifolia ) Fruits
  • Citing Article
  • February 2020

Journal of Natural Products

... T1DM is characterized by hyperglycemia, β-cell dysfunction, and metabolic disturbances, for which current treatments are insufficient to halt disease progression. Recent studies have highlighted KPF's role in modulating key metabolic pathways, improving glucose metabolism in the liver and muscle, and reducing gluconeogenesis [13,14]. Additionally, KPF has shown potential in promoting insulin and GLP-1 release, offering renoprotective and antifibrotic benefits in diabetic nephropathy [15]. ...

The Flavonoid Kaempferol Ameliorates Streptozotocin-Induced Diabetes by Suppressing Hepatic Glucose Production

Molecules

... NO 3 --N: R 2 = 0.51; NH 4 + -N: R 2 = 0.34). Network analysis was adopted to further visualize the correlation among individual high-risk ARGs, MGEs, MRGs, and the bacterial community in soil (P < 0.05, R > 0.55). There were 66, 81 and 84 edges in the CO(NH 2 ) 2 , NO 3 --N and NH 4 + -N treatments, respectively (Fig. 3). Similarly to this study, Mafiz. (2018) also reported that MRGs in soil (e. g., Cu resistance genes, Zn resistance genes) were significantly correlated with β-lactam, quinolone and tetracycline resistance genes. Moreover, Cu resistance genes were better correlated with these ARGs than Zn resistance genes, which may be due to the higher bio-toxicity of Cu (Qian et al., 2018). ...

A Case Study on Soil Antibiotic Resistome in an Urban Community Garden
  • Citing Article
  • May 2018

International Journal of Antimicrobial Agents

... CQA was detected in the extract, as well, as quinic acid. Maceration with ethanol, the methodology used in the extraction, may also have contributed to this result.However, caffeic acid-O-hexoside was tentatively identified in EE-CaL,32 as well as (epi)catechin monoglucoside40,41,46 and procyanidin trimer.34,35,37,39 An extensive search in the literature indicate that this is the first time that caffeic acid-O-hexoside, (epi)catechin monoglucoside and procyanidin trimer have been detected in coffee leaves. ...

UHPLC/MS Identifying Potent α-glucosidase Inhibitors of Grape Pomace via Enzyme Immobilized Method: α-Glucosidase inhibitors of grape pomace…

... According to Sun et al. (2015), 2-(2 0 ,4 0 -dibromophenoxy)-3, 5-dibromophenol perhaps BE employed as a possible principal germicidal molecule against E. coli, MRSA, and Salmonella for the development of drug. A chief active antimicrobial compound identified from the methanol extract of Phyllospongia papyracea, a marine sponge of the Dictyoceratida order, was identified to be 2-(3 0 ,5-0 -dibromo-2 0 -methoxyphenoxy)-3, 5-dibromophenol that was found to be extremely active against Bacillus subtilis, Staphylococcus aureus, Campylobacter jejuni, Pseudomonas aeruginosa, Streptococcus pneumoniae, and Listeria (Sun et al., 2017). ...

Antibacterial Activity of 2-(3',5'-Dibromo-2'-methoxyphenoxy)-3,5- dibromophenol Isolated from Phyllospongia papyracea

... The thermal treatment improved the antioxidant activity of the hydrolysates according to the FRAP assay. Zhu et al. (2017) evaluated the antioxidant activity of pea protein isolate hydrolyzed for 6 h at 55 °C using validase (pH 7), neutral protease (pH 7) and alkaline protease (pH 10). The hydrolysates were fractionated and the peroxyl radical scavenging activities ranged from 24.5 to 81.6 µmol TE/g. ...

Purification and Characterization of Antioxidative Peptides Prepared from Pea Protein with Strong Inhibitory Activity on Lipid Oxidation

Reactive Oxygen Species

... Currently, nisin is considered to be a promising bacteriocin as a therapeutic agent for several key Gram-negative pathogens of humans and animals, including CJ [169]. The lipid component II of CJ's bacterial cell wall is a receptor for nisin [170,171]. It forms a complex with a lipid II precursor, which is involved in the construction of PG around the cell and disrupts the formation of the cell wall. ...

Strategies to promote abundance of Akkermansia muciniphila , an emerging probiotics in the gut, evidence from dietary intervention studies
  • Citing Article
  • June 2017

Journal of Functional Foods