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Roasted barley extract affects blood flow in the rat tail and increases cutaneous blood flow and skin temperature in humans Hiroshi Ashigai, Yoshimasa Taniguchi, Yasuko Matsukura, Emiko Ikeshima, Keiko Nakashima, Mai Mizutani, and Hiroaki Yajima J. Agric. Food Chem., Just Accepted Manuscript • DOI: 10.1021/acs.jafc.7b04930 • Publication Date (Web): 17 Jan 2018 Downloaded from http://pubs.acs.org on January 17, 2018
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Journal of Agricultural and Food Chemistry
Title Roasted barley extract affects blood flow in the rat tail and increases cutaneous blood flow and skin temperature in humans
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Hiroshi Ashigai,†* Yoshimasa Taniguchi,‡ Yasuko Matsukura,‡ Emiko Ikeshima,† Keiko
2
Nakashima,† Mai Mizutani,† and Hiroaki Yajima§
†
Research Laboratories for Health Science & Food Technologies, Kirin Co. Ltd. 1-17-5,
Namamugi, Tsurumi-ku, Yokohama 230-8628, Japan ‡ Research
Laboratories for Key Technologies, Kirin Co. Ltd. 1-13-5 Fukuura, Kanazawa-ku,
Yokohama 236-0004, Japan § Research
& Development Planning Department, Research & Development Division, Kirin
Co., Ltd. 4-10-2 Nakano, Nakano-ku 164-0001, Japan
*
Corresponding author: Hiroshi Ashigai
Tel: +81-90-1930-9950, Fax: +81-45-500-8311, E-mail:
[email protected] 1
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Abstract
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Roasted barley extract (RBE, “Mugicha”) is a traditional Japanese beverage reported to
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improve blood viscosity and affect food functionality. RBE is suggested to contain
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2,5-diketopiperazines, which are the functional component with neuroprotective and
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immunostimulatory effects that are produced in food through roasting. In this study, we
8
investigated the effects of RBE on blood circulation, both clinically and in rats. At first, we
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confirmed five 2,5-diketopiperazine derivatives in RBE by LC-MS analysis. Secondary, we
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revealed that RBE affects blood flow in the rat tail, and compared the efficacy on rat tail
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blood flow among five 2,5-diketopiperazine in RBE. Especially, cyclo (D-Phe-L-Pro) was
12
the most effective in increasing blood flow in the rat tail. We also researched the mechanism
13
of cyclo (D-Phe-L-Pro) with rat aorta study. As results, we confirmed that cyclo
14
(D-Phe-L-Pro) has effect on vasodilatation through the release of nitric oxide in the vascular
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endothelium. Finally, we also confirmed that RBE affects cutaneous blood flow and increases
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skin temperature in humans.
17 18
Keywords
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Cyclo (D-Phe-L-Pro); roasted barley extract; vasodilatation; nitric oxide; clinical study
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Introduction
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The traditional Japanese beverage “Mugicha” is a roasted barley extract (RBE) and is
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suggested to contain the cyclic peptide, 2,5-diketopiperazine, which is a bitter compound
25
found in food ingredients, in particular roasted food ingredients1-3. For example, roasted
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coffee beans, cocoa beans, and beef contain various 2,5-diketopiperazines4–6.
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2,5-Diketopiperazine is usually produced during protein decomposition in food via roasting.
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It has a lactam structure and is formed from the intramolecular cyclization of dipeptides7.
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Previously, 2,5-diketopiperazine was reported to be a feedback signal molecule of hormone
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degradation8. Furthermore, cyclo (His-Pro) is reported to be a degradation signal molecule
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for thyrotropin releasing hormone. Cyclo (His-Pro) has neuroprotective9, anti-tumor10,
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anti-inflammatory11, anti-obesity12, and immunomodulatory13 effects. Moreover, cyclo
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(Pro-Phe) has been reported to have a beneficial effect in Alzheimer’s disease14. There have
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been no reports on whether 2,5-diketopiperazines can affect on blood flow or circulation.
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Blood flow has two important roles in the human body: delivery of bioactive compounds,
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such as oxygen, carbon dioxide, and various hormones15, around the body, and maintaining
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homeostasis by regulating osmotic pressure and body temperature16. Blood also serves to
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remove CO2 and other waste products from the body.
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In some pathological situations involving blood circulation such as hypertension and
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arteriosclerosis, vasoconstriction occurs, and blood flow is lower than that in the normal
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situation17. Furthermore, many people with nervous conditions develop vasoconstriction.
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In this study, we investigated whether RBE has effect on blood flow in the rat tail and
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investigated the underlying mechanism in an ex vivo study. Additionally, we compared the
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efficacies of five 2,5-diketopiperazine compounds derived from RBE. Furthermore, we
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conducted a randomized, double-blind, placebo-controlled, parallel-group comparison study
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to investigate the effects of RBE on blood flow in the skin. In addition, the effects of RBE on
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the temperature of skin under cold water stress were evaluated.
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Materials and Methods
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Preparation of RBE
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Roasted barley was purchased from MC FOODS Ltd. (Tokyo, Japan). “Mugicha” was
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prepared by adding 1 L of boiling water to 100 g of roasted barley for 30 min. Unroasted
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barley extract (URBE) was similarly prepared with unroasted barley.
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Chemicals
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Cyclo (L-Pro-L-Phe) was purchased from Bachem AG (Bubendorf, Switzerland).
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2,5-Diketopiperazine derivatives were purchased from Peptide Institute, Inc. (Osaka, Japan).
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Norepinephrine (NE) was purchased from Wako Pure Chemical Industries (Osaka, Japan).
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NG-nitro-L-arginine methyl ester (L-NAME) was purchased from Dojindo Laboratories
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(Kumamoto, Japan).
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Measurement of 2,5-diketopiperazine levels
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Aliquots (1 µL) of the extracts were analyzed by liquid chromatography-mass spectrometry
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(LC-MS) using a Develosil column (C30-UG-3; 2.0 × 250 mm; Phenomenex, Torrance, CA,
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USA) coupled to a 4000 QTRAP LC-MS system (AB Sciex, Tokyo, Japan) in selected-ion
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monitoring (SIM) mode. The mobile phase consisted of formic acid (0.1% in water) and
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acetonitrile, and was set at a flow rate of 0.2 mL/min. The analysis was started with 10%
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acetonitrile for 10 min. Next, the acetonitrile content was increased to 30% within 30 min,
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increased to 100% within 10 min, and then held at 100% for 10 min. The mass spectrometer
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was carried out with the positive electrospray ionization mode. Scan type was a quadrupole
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mass spectrometer with a capillary voltage of 3kV. The desolvation temperature was 650°C.
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Collision gas was argon gas. 2,5-Diketopiperazines were detected by measuring the
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corresponding mass traces in SIM mode by setting [M+1]+. Cyclo (L-Pro-D-Phe) and cyclo
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(L-Pro-L-Phe) were detected by 245 (m/z). Cyclo (L-Pro-D-Leu) and cyclo (L-Pro-L-Leu)
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were detected by 211 (m/z). Cyclo (L-Pro-L-Pro) was detected by 195 (m/z).
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Animals
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Specific pathogen-free male Wistar rats were purchased from Charles River Laboratories
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(Yokohama, Japan) and used in this study. The rats were housed under a 12/12-h light/dark
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cycle in a thermoregulated room maintained at a temperature of 24 ± 2.0°C and a relative
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humidity of 55 ± 10%. Food (CE-2; Clea, Tokyo, Japan) and water were provided ad libitum.
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Blood flow measurement was performed at the age of 9–10 weeks, and weigh or 300-350
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g/rat. The animals were treated in accordance with Kirin Pharmaceutical’s ethical guidelines
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for animal care, handling, and termination.
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Measurement of blood flow in the tails of the rats
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On the day of the experiment, the animals were not allowed access to food for 16 h prior to
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the induction of anesthesia. The rats were anesthetized with 1 g/kg urethane by
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intraperitoneal injection, after which they were cannulated intratracheally. A laser Doppler
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blood flow meter (ALF-21; Advance Co. Ltd., Tokyo, Japan) was fixed to the tail of each
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animal for the measurement of blood flow. Analog signals were converted to digital signals
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using an A/D converter (Power-Lab; AD Instruments, Dunedin, New Zealand). Before the
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rats were administered any sample, they were stabilized for 15 min to minimize signal
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fluctuation. After stabilization, water (3.3 ml water/kg) or 2,5-diketopiperazine sample (30
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µg 2,5-diketopiperazine/3.3 ml water/kg) was injected by intragastric adiministration into the
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rats, after which blood flow measurement was started20. Data have been expressed as mean ±
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standard error.
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Measurement of vasodilatation of rat aorta rings
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The rats were adapted to the study environment for at least one week prior to the experiment.
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Anesthesia was induced with diethyl ether by inhalation, after which the animals were
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exsanguinated by abdominal aorta dissection. The thoracic aorta was removed and cut into
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rings (2 mm in length). The rings were set in a 5-mL organ bath filled with Krebs buffer
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solution (120 mM NaCl, 4.7 mM KCl, 2.5 mM CaCl2, 1.2 mM MgSO4, 1.2 mM NaH2PO4,
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25.0 mM NaHCO3, and 10 mM glucose; pH 7.35) that was continuously bubbled with 95%
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O2/5% CO2. Tension was measured with an isometric force transducer (micro easy Magnus
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UC-2TD; Iwashiya Kishimoto Ika Sangyo, Kyoto, Japan). The rings were equilibrated for 10
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min before the experiment was started. After equilibration, vessels were contracted by
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treatment with 0.1 µM NE19,02.
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Vasodilatation ratio was calculated as follows: We evaluated 1 µM acetyl choline
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vasodilatation tension as 100% vasodilatation tension19,20. We standardized vasodilatation
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ratio with 1 µM acetyl choline. After acetyl choline evaluation, we reset the a 5-mL organ
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bath filled with Krebs buffer solution. Then, we added test chemical (2,5-diketopiperazine
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derivative) in organ bath, evaluating vasodilatation tension and calculating vasodilation
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tension.
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For evaluating that vasodilatation was depended on endothelium, we did the vasodilatation
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experiment with endothelium denuded aorta rings (denuded vessel) 21.
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For evaluating that vasodilatation was depended on NO synthesis pathway, we did the same
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vasodilatation experiment with 100 µM L-NAME, which is an inhibitor of NO synthetase22.
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Measurement of NO concentration in rat aorta
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We evaluated total amount of NO2 and NO3 for NO substitution, because NO is oxidized to
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NO2 or NO3 immediately. The rats were anesthetized with diethyl ether by inhalation and
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then exsanguinated by abdominal aorta dissection. The thoracic aorta was removed, cut into
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rings (2 mm in length), and incubated in the presence of 100 µM cyclo (D-Phe-L-Pro), 1 mM
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(D-Phe-L-Pro), or 100 µM acetylcholine for 15 min. After incubation, the rings were
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homogenized in 0.1 mM HCl using a multi-bead shocker (Yasui Kikai Corporation, Osaka,
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Japan). The homogenates were centrifuged at 15,000 rpm for 10 min, after which the amount
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of NO2 and NO3 was measured using NO2/NO3 Assay kit (Dojindo Laboratories,, Kumamoto,
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Japan) according to manufactures’ instruction.
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Ethical considerations for the clinical study
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This clinical study was performed in accordance with the ethical standards stated in the 9
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Helsinki Declaration (1964) (revised version) and the ethical guidelines for epidemiological
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research of the Ministry of Education, Culture, Science, and Technology (Japan), and the
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Ministry of Health, Labour, and Welfare (Japan). The study protocol (no. 22674) was
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approved by “The Board of Evaluation for Research Studies involving Human Subjects.”
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(Osaka, Japan). The clinical trial was performed from September to November 2010.
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Participants
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All the subjects (n = 48) were healthy Japanese women. They provided informed consent
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complying with the Helsinki Declaration. Healthy non-smoking women aged 20–40 years
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and who felt cold sensations were enrolled in the study. The inclusion criteria were as
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follows: females who were aged 20 to 40 years old, feel cold sensation as subjective
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symptom, not smoking provided informed consent complying with the Helsinki
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Declaration. The exclusion criteria were as follows: using oral medications that affect blood
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circulation, excessive alcohol-drinking behavior, unstable menstrual cycle, undergoing some
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form of treatment, possible onset of allergic symptoms, history of a serious disease (e.g.,
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heart disease, diabetes, kidney disease, liver disease), severe anemia, possibility of pregnancy,
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pregnancy, lactation, judged as unsuitable for the study following analysis of a filled
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questionnaire, planned participation in another clinical study, and judged as unsuitable for the
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study by the investigator for any other reason.
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Beverages used in the clinical study
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RBE was prepared as previously indicated. The beverage was diluted with 4000 g water and
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each subject was administered an aliquot of 250 g. A suitable food color was used to prepare
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the placebo beverage so that it did not differ in appearance or taste from the test beverage.
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Other measures were taken to ensure that the two beverages had a similar taste. Before the
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experiment, the site investigator checked that they were not distinguishable in appearance or
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taste. Table 1 shows macronutrients of RBE beverage and placebo beverage. The RBE
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beverage contained 258 µg cyclo (D-Phe-L-Pro)/250 mL bottle.
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Clinical study design
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The study was a randomized, double-blind, placebo-controlled, parallel-group comparison
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study. The site investigator enrolled the participants in the study. The participants were
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divided into two groups, RBE or placebo, through stratified randomization by the assigning
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controller, who kept the assignment list in a sealed container until the trial was completed.
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Participants, investigators, and other persons concerned with the study, excluding the
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assigning controller, were blinded to the study. The participants had to drink RBE or the
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placebo beverage.
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During the test period, participants were forbidden to consume any pharmaceutical product
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containing caffeine or vitamin K. Furthermore, on the day before the experiment, participants
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were forbidden to drink excessively, exercise vigorously, or consume any beverage/food
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containing an ingredient that has an effect on blood flow. Smoking was forbidden on the
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experiment day.
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Participants
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Forty-eight individuals were evaluated to participate in the study. All of them were found to
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be eligible and were enrolled in the study. No participant dropped out of the study. Each
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subject underwent a full analysis as a safety evaluation procedure. Supplemental information
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1 shows the background data of the subjects.
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Measurement of skin temperature and blood flow in the skin
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All subjects were restricted to wear light clothes such as cotton short-sleeved T-shirt on the
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experiment day. In addition, they had to wear the same clothes on alternate days during the
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study. The test room conditions were as follows: temperature, 25.5 ± 0.5°C; humidity, 52.5 ±
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7.5%; and air flow, < 0.1 m/sec. Subjects were allowed to acclimatize to the test room
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conditions for 45 min before the experiment was started. Subject drank the test beverage 250
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mL/bottle before cold stress (-10 min). Next, the subjects were asked to put their left hand in
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cold water (15°C) for 1 min. Cold water set by thermos-stated water bath. Subjects remained
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seated and did not move during this period. The second finger of the left hand was used as the
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skin site in the measurements. Blood flow and temperature at this site were measured at
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intervals of 5, 10, 15, 20, and 30 min. A laser Doppler blood perfusion imager (Periscan PIM
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3 system; Perimed AB, Datavägen, Sweden) was used for blood flow measurement. Skin
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temperature was estimated by infrared thermography (H2640; Nippon Avionics Company,
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Tokyo, Japan). Fig. 1 is a schematic representation of the present study.
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Statistical analysis
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Results have been expressed as mean ± standard deviation of the mean. Ekuseru-Toukei 2010
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(Social Survey Research Information Co. Ltd., Tokyo, Japan) was used for the statistical
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analysis. Data obtained from the animal experiments were analyzed by Dunnett’s test or
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unpaired t-test. Significant differences in data between RBE- and placebo-treated groups in
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the clinical study were estimated using unpaired t-test. Statistical significance was considered
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at p < 0.05.
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Results
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Measurement of the amounts of 2,5-diketopiperazine derivatives in RBE
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The LC-MS analysis showed that RBE contained five 2,5-diketopiperazine derivatives (Table
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2). Cyclo (D-Phe-L-Pro) was 2.71 ppm, it was the largest amount 2,5-diketopiperazine in
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RBE. URBE contained almost no 2,5-diketopiperazine (Table 2).
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RBE increased blood flow in the rat tails
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The effect of RBE on cutaneous blood flow was examined in the animal study. Fig. 2 shows
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the changes in blood flow at the proximal site of the dorsal tail skin after treatment with RBE.
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Treatment with water (control) led to a decline in blood flow of the rat tail. Rat tails’ blood
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flow of RBE administration group was higher than control group in 10, 20, 30 min (Fig. 2).
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We confirmed that RBE administration didn’t lower rat tail blood flow rather than water
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administration.
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Comparing the efficacies of 2,5-diketopiperazine derivatives on blood flow in the rat tail
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Fig. 3 shows the changes in blood flow at the proximal site of the dorsal tail skin after
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treatment with 2,5-diketopiperazines in the rats. Cyclo (D-Phe-L-Pro) caused the most
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effective increase in blood flow in the tails of the animals (Fig. 3). Additionally, it was
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observed that cyclo (D-Phe-L-Pro) increased blood flow in a concentration-dependent
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manner (Fig. 4).
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Vasodilatation experiment with rat aorta rings
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Cyclo (D-Phe-L-Pro) induced vasodilatation in NE-treated rat aorta rings (Fig. 5). However,
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this effect was suppressed by the removal of the endothelium (Fig. 5). L-NAME inhibited
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cyclo (D-Phe-L-Pro) vasodilatation (Fig. 5). These results show that Cyclo (D-Phe-L-Pro)
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has effect on vasodilatation depending on endothelium and related to NO synthetase.
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NO measurement in rat aorta rings
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Cyclo (D-Phe-L-Pro) raised total NO2 and NO3 production in concentration depending
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manner (Fig. 6). Acetyl choline (Ach) was used as positive control, Ach also raised total NO2
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and NO3 production (Fig. 6). This result shows that cyclo (D-Phe-L-Pro) induces NO
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production in rat aorta (blood vessel).
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Effects of RBE on blood flow in the human skin
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Blood flow in the skin was higher in the RBE-treated subjects (p < 0.05 at 10, 15, 20, and 30
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min) than it was in the placebo-treated subjects (Fig. 7(a)). Additionally, RBE induced
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significantly higher changes in blood flow at 15, 20, and 30 min (Fig. 7(b)). We confirmed
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that RBE administraion causes rapidly elevation of skin blood frow rather than placebo.
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Effects of RBE on human skin temperature
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Skin temperature was higher in the RBE-treated group (p < 0.05 at 5, 10, 15, 20, and 30 min)
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than it was in the placebo-treated group (Fig. 8(a)). Furthermore, RBE induced a higher
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change in skin temperature from 0 min than the placebo did (Fig. 8(b)). We confirmed that
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RBE administraion causes rapidly elevation of skin temperature rather than placebo.
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Safety endpoints
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No adverse events occurred during the study.
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Discussion
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Blood flow is mainly regulated by endothelium-derived relaxing factors, such as nitric oxide
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(NO)23 and prostacyclin24, and the autonomic nervous system. NO plays important roles in
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vasodilatation and the control of physiological conditions23. It activates guanylate cyclase in
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smooth muscles and causes vessel relaxation24. Cutaneous arterial sympathetic nerve activity
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(CASNA), one of the functions of the autonomic nervous system, is involved in the control of
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blood flow in the skin18.
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The results revealed that RBE contains five 2,5-diketopiperazine derivatives, whereas URBE
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barely contains any 2,5-diketopiperazines. Roasting food ingredient is one of the major
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synthetic methods to generate 2,5-diketopiperazines25. In the present study, it was assumed
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that the 2,5-diketopiperazine derivatives in RBE were generated during roasting of the barley.
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The results also showed that RBE increases blood flow in the rat tail (Fig. 2). In the present
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study, cyclo (D-Phe-L-Pro) and cyclo (L-Pro-D-Leu) significantly increased blood flow in
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the tails of the rats when their effects were compared to those of the control treatment (Fig. 3).
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It was noted that cyclo (D-Phe-L-Pro) showed the highest efficacy among the five
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2,5-diketopiperazines detected in RBE (Fig. 3). Moreover, it was the most abundant
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2,5-diketopiperazine in RBE (Table 1). Therefore, we believe that cyclo (D-Phe-L-Pro) is the
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key chemical responsible for the effect of RBE on blood circulation. We also found that
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cyclo (D-Phe-L-Pro) increased blood flow in a concentration-dependent manner (Fig. 4)
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Blood flow in the tails of the control rats slightly declined after the treatment was
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administered. In the present study, we induced anesthesia with urethane, which activates the
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sympathetic nervous system by causing the release of adrenaline26. Adrenalin induced by
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urethane caused vasoconstriction and a decline in peripheral blood flow27.
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Furthermore, the results indicated that cyclo (D-Phe-L-Pro) has an effect on vasodilatation
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(Fig. 5). We also observed that the vasodilatory effect of cyclo (D-Phe-L-Pro) was
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diminished
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cyclo-(D-Phe-L-Pro)-induced vasodilatation is dependent on the vascular endothelium (Fig.
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5). There are two mechanisms that underlie vasodilatation in the endothelium: the NO-cyclic
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guanosine monophosphate (cGMP) pathway23 and the prostanoid-cyclic adenosine
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monophosphate pathway24. We found that cyclo-(D-Phe-L-Pro)-induced vasodilatation
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occurs via the NO-cGMP pathway. This is because L-NAME, which is an inhibitor of
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endothelial NO synthase (eNOS), inhibited cyclo-(D-Phe-L-Pro)-induced vasodilatation (Fig.
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5). We also confirmed that cyclo-(D-Phe-L-Pro) caused NO production in rat aorta (Fig. 6).
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NO activates guanylate cyclase in vascular smooth muscle cells, which results in an increase
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in cGMP levels. Consequently, Ca2+ ions are released from vascular smooth muscle cells, and
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this result in vasodilatation. The results of the study show that cyclo-(D-Phe-L-Pro)-induced
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vasodilatation occurs via NO production resulting from eNOS activation in the endothelium.
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Blood flow is controlled by the autonomic nervous system18. In the present study, we focused
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on vasodilatation mechanisms that occur through effects on the endothelium. In future studies,
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we hope to investigate whether cyclo (D-Phe-L-Pro) has an effect on the autonomic nervous
in
denuded
aorta
rings
(Fig.
5).
Therefore,
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appears
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system.
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In previous study, 2,5-diketopiperazine derivatives were reported to be metabolized like
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dipeptide, Mizuma reported that cyclo (Gly-Phe) or cyclo (Ser-Tyr) are imported via peptide
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transporter: PEPT1, and metabolized to amino acids by peptidase28-31. 2,5-diketopiperazine
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derivatives are immediatly introduced in circulation after orally administration25. We assume
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that cyclo-(D-Phe-L-Pro) is also absorbed through PEPT1 and absorbed in circulation
300
immediately.
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In the present study, we were unable to clarify what the receptor for cyclo (D-Phe-L-Pro) is.
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In a previous study, 2,5-diketopiperazine derivatives were shown to have an effect on
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transient receptor potential melastatin 8 (TRPM8) channel32, which is involved in
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vasodilatation33. Therefore, we assumed that cyclo (D-Phe-L-Pro) is also a TRPM8 channel
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agonist. Menthol is a known TRPM8 channel agonist33. L-NAME inhibits TRPM8 channel
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activity of TRPM833. These results support our hypothesis that cyclo (D-Phe-L-Pro) and
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menthol have a similar mechanism of action.
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Generally, dysfunctions in blood flow circulation cause a cold sensation34. We observed that
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RBE induced higher changes in blood flow in the skin than the placebo did (Fig. 7). Similar
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results were obtained in the animal study (Fig. 2).
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We also observed that changes in skin temperature were higher in the RBE-treated group than
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they were in the placebo-treated group (Fig. 8). These results strongly indicate that RBE has
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an effect on the control of skin temperature in humans. The changes in skin temperature were
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similar to the changes in blood flow in the skin (Fig. 8). Regarding the control of body
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temperature, it is reported that blood flow has a thermal effect in homeostasis in humans35.
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However, we assumed that a rapid increase in skin temperature was caused by a thermal
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transfer from the core of the body to peripheral skin tissues though blood circulation.
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In previous study, there were no reports that RBE has effect on blood circulation. We had
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firstly demonstrated that the RBE has effect on blood circulation with animal and clinical
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study. Moreover, we revealed that cyclo-(D-Phe-L-Pro) in RBE also has effect on blood flow
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circulation and vasodilatation via NO production in endothelium.
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Blood flow circulation is related to hypertension36, arteriosclerosis37, and cold sensation38.
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Although RBE might be beneficial in improving the above conditions, blood flow is also
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regulated by the autonomic nervous systems34. RBE may have effects on the autonomic
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nervous system. In a previous study, cold water stress activated CASNA and induced
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vasoconstriction39. In the present study, we confirmed that RBE suppressed CASNA (data not
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shown). However, it was assumed that RBE has an effect on blood flow regulation through
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CASNA.
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One limitation of this study is that only Japanese subjects were enrolled. We hope that
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clinical studies on RBE will be conducted in other countries.
331 332
Abbreviations used: RBE, Roasted barley extract; L-NAME, NG-Nitro-L-arginine methyl
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ester hydrochloride; NE, Norepinephrine; CASNA, Cutaneous arterial sympathetic nerve
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activity; URBE, Unroasted barley extract; NO, nitric oxide; eNOS, endothelial NO synthase;
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TRPM8, transient receptor potential melastatin 8.
336 337
Acknowledgment
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We thank Kyoko Kato for the helpful technical support.
339 340
Conflict of interest
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HA, YT, YM, EI, MM, and HY are employees of Kirin Co. Ltd., the study sponsor.
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Fig. 1 Schematic representation of intervention.
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Subject was acclimatized with test room condition for 45 min. Before intake of test beverage,
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we measured subject skin blood flow and skin temperature. After drinking test beverage,
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subject put their hand into cold water (15ºC) for 1min. Then subject had to sit on the chair
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and keep their body position same (not moving), and we measured their skin blood flow and
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skin temperature every 5 min for 30 min.
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Fig. 2 Rat tail’s blood flow change on administrating roasted barley extract (RBE).
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Control(●), RBE (▲).
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flow of 0min. The differences between control and RBE administration were statistically
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significant by student t-test (p