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CSIRO Health Sciences and Nutrition, Adelaide 5000, Australia
2To whom correspondence should be addressed. E-mail: tony.bird{at}csiro.au.
| ABSTRACT |
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KEY WORDS: barley cereal dietary fiber resistant starch starch
The concept that greater dietary fiber consumption is beneficial for human health is well established. It was postulated first by Burkitt (1) from observations with native East Africans who consumed a diet high in unrefined cereals and had lower rates of noninfectious diseases than Europeans living in the same environment. These illnesses included problems of laxation, coronary heart disease, and certain cancers (especially of the large bowel). Since then, a substantial body of work has accumulated, confirming many of these actions, especially in the large bowel. Nonstarch polysaccharides (NSP) are major components of dietary fiber, and consumption of NSP-rich foods or isolates promotes laxation, relieves constipation, and protects against diverticular disease in the long term [for reviews see (2,3)]. However, population [e.g., (4)] and intervention [e.g., (5)] studies have yet to show a convincing protective effect in colorectal cancer. Indeed, it appears that some groups (such as the native Africans) have lower intakes of dietary fiber than higher risk populations but consume more starch and less animal products (6). From these and other data, it is becoming apparent that starch, as resistant starch (RS), makes an important contribution to large bowel health (3). RS is that fraction of starch and the products of starch digestion that enter the large bowel of healthy humans (7) where it (plus a variable component of NSP) is fermented by the microflora to yield SCFA, which play a pivotal role in promoting the normal function of the large bowel (3). Butyrate has attracted particular attention because it appears to play a major role in promoting a normal cell phenotype in colonocytes. As yet, there is no definitive link between butyrate and human colorectal cancer risk but it could provide a mechanism for the protective effect of RS. Human studies suggest that fermentation of some forms of RS promotes large bowel butyrate formation (8,9).
Consumption of starch and RS is very low in countries such as Australia and the United Sates where colorectal cancer risk is high (10). Large bowel health could be improved through greater consumption of starchy foods. However, given that there are likely to be barriers to the substantial individual dietary change required, enrichment of foods with RS as an ingredient is an option. This approach is being used with a high-amylose starch in the manufacture of a number of food products, thus raising their RS content (11). Extension of the range of foods seems desirable; as part of a program of screening potential new barley cultivars, one was identified with a single point mutation in the gene encoding for starch synthase IIa (EC 2.4.1.21) (12). This defect was induced by chemical mutation of the Himalaya strain; the grain from the novel cultivar (Hordeum vulgare, var. Himalaya 292) has a lower starch content and a substantial increase in the relative proportion of amylose together with other, potentially favorable, compositional changes. In this paper, we report the effects of consumption of a diet containing Himalaya 292 compared with wheat, oat, or barley products available currently, on large bowel starch and SCFA in rats.
| MATERIALS AND METHODS |
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Diets and feeding.
After arrival, the rats were adapted to a nonpurified commercial diet for 13 d. They were then weighed and allocated to 5 treatment groups of 6 rats each of equal mean live weight and switched to a purified diet. The composition of the basal diet, which was based on AIN 93G specifications (14) and prepared from standard ingredients, is shown in Table 1. The diets were balanced for macronutrients and comprised 180 g of protein/kg, 630 g of carbohydrate/kg (as 530 g of starch and 100 g of sucrose), 70 g of fat/kg and 50 g of NSP/kg. The following heat stabilized cereals were used: Himalaya 292, one of two hull-less standard Australian barleys (var Namoi or Waxiro) or oat bran (Oat Gold, The Uncle Tobys Company). Wheat bran was an unprocessed product suitable for human consumption with a particle size of
23 mm (Bartlett Grains). Macronutrient composition of the cereals was determined as described previously (15,16) using Official Methods of Analysis of AOAC International (17) (Table 2). For neutral NSP, a modified version of the GC method of Theander et al. (18) (AOAC method 994.13) was used; the method employed a scaled-down procedure using a 2-h hydrolysis with dilute (1 mol/L) sulfuric acid followed by centrifugation (2000 x g, 15 min) to obtain the insoluble neutral NSP, and a further hydrolysis using 2 mol/L trifluoroacetic acid for the soluble neutral NSP. The diets were formulated so that each cereal product provided the full complement of NSP with allowance being made for its macronutrient content in the addition of the other components. Each of the cereal products was milled and passed through a 2-mm sieve before incorporation into diets, which were prepared by blending the various ingredients with a small quantity of water using a planetary mixer. The mixture was then pelleted (to a diameter of 8 mm and a length of 12 cm) by passage through a mincing machine operated at room temperature and atmospheric pressure (Zerco Nolex E55), dried for 16 h at 40°C, and then placed in sealed containers and stored at 4°C.
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Sampling and analytical procedures.
Sampling procedures were described in detail previously (19). Briefly, rats were anesthetized with halothane in O2; the cecum and colon were opened and their entire contents removed, weighed, and stored at -20°C until analysis. The moisture content of cecal digesta was determined by freeze-drying a portion to constant weight. Digesta and fecal samples were diluted with a specified volume of internal standard (heptanoic acid) for analysis of SCFA and mixed thoroughly for determination of pH using a glass electrode. The slurries were then stored frozen to await further analyses. For analysis of total and major individual SCFA, slurries were thawed, centrifuged (2000 x g, 10 min), and concentrated by low temperature vacuum microdistillation for quantification by GLC (19). A portion of cecal digesta was freeze-dried overnight, ground, and then analyzed for starch using a commercial kit (AA/AMG 11/01; Megazyme International) based on enzymatic (
-amylose/amyloglucosidase) digestion of starch and spectrophotometric quantitation of liberated glucose.
Statistical methods. The data are presented as means and pooled SEM of 6 observations, unless stated otherwise. For biochemical determinations, means of duplicate determinations were used in statistical analyses. A 1-way ANOVA was performed using the General Linear Models feature of SAS software (version 8.02, Statistical Analytical Systems Institute). The primary aim of the study was to compare Himalaya 292 with current cereals; therefore, differences between this group and other treatment groups were assessed using the protected difference option of SAS. Differences were considered significant at P < 0.05.
| RESULTS |
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21 g) did not differ among groups. Initial and final body weights did not differ among the groups nor was there an overall effect of diet on body weight gain (data not shown). Large bowel digesta and fecal mass and cecal moisture. Fecal output during the 4-d collection period was higher in rats fed Himalaya 292 (3.8 ± 0.3 g/d) than in those fed Namoi (2.5 ± 0.2 g/d, P < 0.05) or oat bran (2.3 ± 0.3 g/d, P < 0.01). There were no group differences in cecal digesta mass and although colonic digesta mass was highest in rats fed Himalaya 292, it was significantly greater only compared with rats fed Waxiro (Table 3). The digesta mass was greater in rats fed Himalaya 292 compared with those fed wheat bran or Waxiro. Cecal digesta moisture did not differ among groups, ranging from 78 to 82% (data not shown).
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| DISCUSSION |
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Starch was recovered in the cecal contents of rats fed all diets and we believe that this is likely to be physically inaccessible starch, i.e., RS1 of the 4 major types (11). Two of the other forms of RS (RS2, granular; RS3, retrograded) may also have made a contribution, whereas chemical modification (RS4) can be excluded in this case. The probability that the RS was RS1 is supported by the observation of Steinhart et al. (27) that the dietary fiber content of foods was a key determinant of nutrient loss (including starch) into the large bowel. In rats, wheat NSP appeared to inhibit small intestinal starch digestion (16), which agrees with the current data. However, it is possible that there may be other factors involved such as transit time (3). The effect of fat is also a potential contributor to RS. For example, Himalaya 292 contains substantial levels of a "V-form" starch-lipid complex (12), which slows small intestinal amylolysis.
The feces of humans and other nonrodent omnivores, such as pigs and dogs, comprise an unsegregated mixture of undigested components (especially NSP) and bacteria with the relative proportions depending on diet (28). In contrast, rats excrete two discrete types of stool. One is composed largely of indigestible matter and the other of bacteria formed through the cecal fermentation of undigested matter (NSP, RS, protein etc.). The latter stool is eaten selectively by rats to recover nutrients and differs from the former in SCFA content (29). This is known as coprophagy or fecal refection and is not carried out by humans or other large omnivores such as pigs (30). Nevertheless, despite this limitation (26), rats remain a useful primary model for large bowel fermentation especially when the quantities of experimental diet were limited, as in this case.
We chose to represent SCFA values in large bowel contents and feces as pools (i.e., concentrations x weight or fluid volume) and daily excretion, respectively. This is because they are an approximation of total production and, hence, of substrate supply for the microflora. The lack of difference between groups in cecal total and individual SCFA pools is not unexpected, given the relatively low level of NSP inclusion. However, the higher fecal and colonic total SCFA in rats fed Himalaya 292 are consistent with more fermentative substrate (as RS) in this group compared with the others. This is supported also by the lower cecal (and colonic and fecal) pH values in this group. Greater SCFA production leads to a lower pH of large bowel contents through acidification and consumption of NH4+ through bacterial proliferation (3). To some degree, the differences in pH between the cecum, and the colon and feces, may also represent differences in transit. Studies in pigs showed that the distribution of SCFA along the large bowel varies with diet (15,31), and human data indicate that transit is an important determinant of fecal SCFA, independent of the rate of fermentation (32). Govers et al. (33) suggested that dietary fiber is an important contributor in ensuring that the SCFA produced in the proximal hind gut bowel are transported to the distal colon, the site of most organic large bowel disease. It has been confirmed in pigs (33) and rats (20,34) that combinations of NSP and RS are effective in raising colonic SCFA, which may help to explain the current data.
There have been a number of genetic modifications in cereals to alter the carbohydrate composition of the grain for health and processing purposes. The amylose extender variant of maize has been exploited to raise the proportion of amylose in the grain and then to increase the RS content of processed foods into which it was incorporated (11). A high ß-glucan cultivar of barley has also been developed and has the potential to improve human health (35). Recently, Dongowski et al. (36) reported the beneficial effects of consumption of combinations of barley NSP and RS in rats produced by extrusion of barley and high-amylose starch. The present study shows that Himalaya 292 has similar positive attributes of high-amylose maize for large bowel health, and the presence of high soluble NSP offers further potential in terms of plasma cholesterol reduction. Work is in progress to develop a range of foods containing the cultivar, and further studies in pigs and humans are planned to determine whether these foods retain the expected health benefits.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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Manuscript received 3 June 2003. Initial review completed 23 July 2003. Revision accepted 15 December 2003.
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