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| Name | Class |
|---|---|
| Top Institute Food and Nutrition | OTHER |
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An altered permeability has been proposed to play an important role in the pathogenesis of several gastrointestinal disorders, such as irritable bowel syndrome and inflammatory bowel disease. Nutrients derived from food are able to influence the permeability of the intestine and can therefore also affect gastrointestinal symptoms. In this study, the investigators will investigate the effects of capsaicine and cinnamaldehyde, which can be found in hot peppers and cinnamon, respectively, on gastrointestinal physiology.
Objective:
To obtain more information about the effects of capsaicin and cinnamaldehyde on the intestine, these substances will be infused directly in the duodenum. Hereafter, the permeability of the intestine, gallbladder motility and the effects on satiety will be assessed.
Hypothesis:
Duodenal capsaicin and cinnamaldehyde infusion induces changes in the intestinal epithelial barrier function by selectively acting on TRPV1 and TRPA1 receptors and releasing serotonin from enterochromaffin cells as determined by the multi sugar permeability test
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Capsaicin | Experimental |
| |
| Cinnamaldehyde | Experimental |
| |
| Placebo | Placebo Comparator | Physiological saline |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Capsaicin | Dietary Supplement | 1.5 mg capsaicin administered intraduodenally |
| |
| Measure | Description | Time Frame |
|---|---|---|
| To assess the effect of capsaicin and cinnamaldehyde (CA) infusion on intestinal permeability | Measurements performed in plasma | Measured at start and end of infusion (30 min), on each of the 3 test days |
| Measure | Description | Time Frame |
|---|---|---|
| To assess the effect of capsaicin and CA infusion on the activation of the TRP receptors as defined by the mucosal concentrations of the neuropeptides SP, CGRP and NKA | Measurements will be performed in mucosal biopsy samples | 1 day |
| To assess the effect capsaicin and CA on parameters that are known to be associated with satiety, measured by satiety hormones in blood plasma and mucosal tissue (CCK) as well as satiety scoring on a visual analogue scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ad Masclee, MD PhD | Maastricht University Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maastricht University Medical Center+ | Maastricht | Limburg | 6202 AZ | Netherlands |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26718419 | Derived | van Avesaat M, Troost FJ, Westerterp-Plantenga MS, Helyes Z, Le Roux CW, Dekker J, Masclee AA, Keszthelyi D. Capsaicin-induced satiety is associated with gastrointestinal distress but not with the release of satiety hormones. Am J Clin Nutr. 2016 Feb;103(2):305-13. doi: 10.3945/ajcn.115.123414. Epub 2015 Dec 30. |
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| ID | Term |
|---|---|
| D002211 | Capsaicin |
| C012843 | cinnamaldehyde |
| ID | Term |
|---|---|
| D053284 | Polyunsaturated Alkamides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000475 | Alkenes |
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| Cinnamaldehyde |
| Dietary Supplement |
70 mg per intervention administered intraduodenally |
|
| Placebo | Dietary Supplement | Physiological saline |
|
Visual analogue scores will be collected from the start of the infusion until 90 minutes thereafter. |
| 1 day |
| To assess the effect of capsaicin and CA on serotonergic function in duodenal biopsy specimens by measuring serotonin and its metabolites by HPLC | Measurements will be performed on biopsy specimens | 1 day |
| To assess the effect of capsaicin and CA on gallbladder motility by ultrasound | Measurements will be performed during the testday starting from 08.00 AM to 11.00AM |
| To assess the effect of capsaicin and CA on the expression of tight junction proteins measured by immunohistochemistry and by quantitative PCR | Measurements will be performed in biopsy specimens of the duodenal mucosa | 1 day |
| D006839 |
| Hydrocarbons, Acyclic |
| D006838 | Hydrocarbons |
| D002396 | Catechols |
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D012991 | Solanaceous Alkaloids |
| D000470 | Alkaloids |
| D006571 | Heterocyclic Compounds |
| D005229 | Fatty Acids, Monounsaturated |
| D005231 | Fatty Acids, Unsaturated |
| D005227 | Fatty Acids |
| D008055 | Lipids |