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Use Muscadine Wine Nutraceuticals to Improve Brain Health, Cognition, and Mental Health

Not Applicable
Recruiting
Conditions
Cognitive Performance
Anxiety
Memory
Mood
Interventions
Other: Muscadine Wine Polyphenol
Other: Placebo
Registration Number
NCT05541887
Lead Sponsor
University of Florida
Brief Summary

Previous studies have shown that polyphenol-rich foods can positively affect cognitive functions, memory, and mood in humans. We hypothesize that both acute and chronic intake of muscadine wine polyphenols will improve cognitive performance and mood through regulating the HPA axis, alleviating inflammation and oxidative stress, and/or inhibiting monoamine oxidase activities

Detailed Description

Although the exact biological mechanisms for depression and Alzheimer's Disease are not fully understood, it's believed that they are caused by a combination of factors. An increasing amount of scientific research has proposed several possible pathophysiologies linking depression and AD. For example, increased production of pro-inflammatory cytokines in the nervous system, oxidative stress induced by chronic inflammation leads to dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis, and disturbance in the brain-derived neurotrophic factor signal pathway. Polyphenol has been well recognized for its antioxidant and anti-inflammatory properties. Previous studies have shown that polyphenol-rich food such as concord grape juice, blueberries, blackcurrants, and green oats positively affect cognition, memory, and mood in humans. However, no one has examined the effects of muscadine wine polyphenol on cognitive and mental health. In addition, if they do have effects, through what mechanism? This clinical trial will allow us to investigate the questions raised. We hypothesize that intake of muscadine wine polyphenols enhances cognition and memory and improve depression and anxiety in healthy adults over 50 year-old via regulating the HPA axis, alleviating inflammation and oxidative stress, and/or inhibiting monoamine oxidase activities. The research will provide the first clinical evidence of how muscadine wine polyphenols affect the brain and mental health.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
25
Inclusion Criteria
  • Healthy
  • BMI (18.5-29.9)
  • Body weight ≥110 pounds
Exclusion Criteria
  • Pregnancy
  • Breast-feeding
  • Smokers
  • Diabetic
  • Heavy drinkers
  • Subjective but not clinically diagnosed cognitive impairment (Montreal cognitive assessment score <26),
  • Inability to understand the cognitive function tasks
  • Intake of medication that might influence the outcome of the study (e.g. psychostimulant)
  • cannabis product user
  • Clinically diagnosed mental illnesses
  • Cardiovascular and neurological disorders
  • Uncontrolled hypertension

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Placebo-InterventionPlaceboParticipants in this arm will first consume placebo for six weeks and then muscadine wine polyphenol for another six weeks. The two phases are separated by a 21-day washout period
Intervention-PlaceboPlaceboParticipants in this arm will consume muscadine wine polyphenol for six weeks and then placebo for another six weeks. The two phases are separated by a 21-day washout period
Intervention-PlaceboMuscadine Wine PolyphenolParticipants in this arm will consume muscadine wine polyphenol for six weeks and then placebo for another six weeks. The two phases are separated by a 21-day washout period
Placebo-InterventionMuscadine Wine PolyphenolParticipants in this arm will first consume placebo for six weeks and then muscadine wine polyphenol for another six weeks. The two phases are separated by a 21-day washout period
Primary Outcome Measures
NameTimeMethod
Change from baseline neurotransmittersBaseline, acute (4-hour post single dose), chronic (end of six week)

Plasma levels of acetylcholine, dopamine, melatonin, serotonin, epinephrine, and γ-aminobutyric acid (GABA) will be quantified using the targeted metabolomic method on UHPLC-MS/MS

Change from baseline brain-derived neurotrophic factorsBaseline, acute (4-hour post single dose), chronic (end of six week)

plasma BDNF will be measured using ELISA

Change from baseline cortisol, TNF-α, high sensitivity C-reactive protein, and LPS binding proteinBaseline, acute (4-hour post single dose), chronic (end of six week)

Plasma levels will be measured using ELISA

Change from baseline monoamine oxidase (MAOs) activityBaseline, acute (4-hour post single dose), chronic (end of six week)

Blood samples will be drawn immediately after the completion test battery. Blood plasma level of monoamine oxidase (MAOs) activity will be determined using the Amplex Red Monoamine Oxidase Assay Kit to assess the inhibitory effects of muscadine wine/juice on MAOs.

Change from baseline cognitive performance score after intervention/placeboBaseline, acute (4-hour post single dose), chronic (end of six week)

Participants will complete the NIH Toolbox cognitive battery. The test battery incorporates multiple tests that assess various aspects of cognitive performance. The list of tests and the function they measure are the following.1. Flanker inhibitory control and attention test (executive function): scoring is based on a combination of accuracy and reaction time. A 2-vector scoring method is employed that uses accuracy and reaction time, where each of these vectors ranges in value between 0 and 5, and the computed score, combining each vector score, ranges in value 0-10. The higher the score the better the performance. 2. Dimensional Change Card Sort (cognitive flexibility): scoring is the same as Flanker's test.

Change from baseline cognitive performance score after intervention/placebo - continuedBaseline, acute (4-hour post single dose), chronic (end of six week)

6. Rey's Auditory Verbal Learning Test assesses immediate and delayed (30min) recall of a given list of words that is repeated 5 times. The number of correct words recalled and intrusion words (extraneous word offered by the participant that does not appear on the list) are recorded for scoring

Secondary Outcome Measures
NameTimeMethod
Change from baseline mood and anxiety score after intervention/placeboBaseline, acute (4-hour post single dose), chronic (end of six week)

Participants will complete the NIH Toolbox emotion battery. The test battery include two self-report measure,

1. Positive affect survey (assess mood): 5-point scale with options ranging from "not at all" to "very much." higher scores are indicative of more positive affect

2. Fear-Affect Survey (assess anxiety): 5-point scale with options ranging from "never" to "always." higher scores are indicative of more feelings of fear and anxiety

Change from baseline depression score after intervention/placeboBaseline, acute (4-hour post single dose), chronic (end of six week)

Depression score will be assessed with Beck's Depression inventory. The questionnaire consists of 21 items with a four point scale ranges between 0-3. The higher the total score the more severe the depression.

Change from baseline pro-inflammatory cytokinesBaseline, acute (4-hour post single dose), chronic (end of six week)

Inflammatory response will be evaluated by measuring the plasma level of pro-inflammatory cytokines IL-1beta, IL-6, and TNF-alpha using Elisa Kits

Trial Locations

Locations (1)

Food Science and human nutrition department at University of Florida

🇺🇸

Gainesville, Florida, United States

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