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Impact of Fructose Consumption on Intestinal Permeability in Non-alcoholic Fatty Liver Disease (NAFLD) - a Pilot Study.

Not Applicable
Completed
Conditions
Non-alcoholic Fatty Liver Disease
Non-alcoholic Steatohepatitis
Interventions
Dietary Supplement: High oral Fructose challenge (150g per day for 28 days)
Registration Number
NCT01696487
Lead Sponsor
Medical University of Vienna
Brief Summary

The spectrum of NAFLD as emerging epidemic ranges from steatosis to steatohepatitis (NASH), cirrhosis and hepatocellular carcinoma (HCC). Disease progression is poorly understood and treatment options are limited. Fructose overconsumption has been associated with gut permeability and progression of NAFLD. To unravel the mechanisms of fructose-induced intestinal changes, volunteers will receive a 4-week fructose challenge prior to assessment of intestinal permeability/translocation using endomicroscopy, sugar probes, serum markers of intestinal damage, inflammation, iron/copper homeostasis and histological/molecular analysis of intestinal biopsies. Findings in volunteers will be compared with liver patients undergoing study procedures without fructose challenge. Translational in vitro experiments will explore cellular responses to fructose and endotoxin. This project should provide novel insights into dietary induced alterations of the gut integrity in progression of NAFLD to NASH.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
10
Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Healthy VolunteersHigh oral Fructose challenge (150g per day for 28 days)Volunteers will be challenged with oral 150g Fructose per day for 28 days.
Primary Outcome Measures
NameTimeMethod
Gaps per 1000 intestinal epithelial cells assessed by confocal laser endomicroscopypoint 2 (week4/day28 - after fructose challange; healthy volunteers only)

Gaps per 1000 intestinal cells will be assesed during gastroscopy by confocal laser endomicroscopy at time point 1 in all study groups and after the 4 week fructose challange in healthy volunteers only

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Medical University of Vienna, General Hospital of Vienna

🇦🇹

Vienna, Austria

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