Navy Bean and Rice Bran Intake Alters the Plasma Metabolome of Children at Risk for Cardiovascular Disease
Nutrition and Toxicology Laboratory, Department of Environmental and Radiological Health Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, United States
Medical Center of the Rockies, University of Colorado Health Research – Northern Region, Loveland, CO, United States
Abstract
Abnormal cholesterol in childhood predicts cardiovascular disease (CVD) risk in adulthood. Navy beans and rice bran have demonstrated efficacy in regulating blood lipids in adults and children; however, their effects on modulating the child plasma metabolome has not been investigated and warrants investigation. A pilot, randomized-controlled, clinical trial was conducted in 38 children (10 ± 0.8 years old) with abnormal cholesterol. Participants consumed a snack for 4 weeks containing either: no navy bean or rice bran (control); 17.5 g/day cooked navy bean powder; 15 g/day heat-stabilized rice bran; or 9 g/day navy beans and 8 g/day rice bran. Plasma metabolites were extracted using 80% methanol for global, non-targeted metabolic profiling via ultra-high performance liquid-chromatography tandem mass spectrometry. Differences in plasma metabolite levels after 4 weeks of dietary intervention compared to control and baseline were analyzed using analysis of variance and Welch’s t-tests (p ≤ 0.05). Navy bean and/or rice bran consumption influenced 71 plasma compounds compared to control (p ≤ 0.05), with lipids representing 46% of the total plasma metabolome. Significant changes were determined for 18 plasma lipids in the navy bean group and 10 plasma lipids for the rice bran group compared to control, and 48 lipids in the navy bean group and 40 in the rice bran group compared to baseline. These results support the hypothesis that consumption of these foods impact blood lipid metabolism with implications for reducing CVD risk in children. Complementary and distinct lipid pathways were affected by the diet groups, including acylcarnitines and lysolipids (navy bean), sphingolipids (rice bran), and phospholipids (navy bean + rice bran). Navy bean consumption decreased free fatty acids associated with metabolic diseases (palmitate and arachidonate) and increased the relative abundance of endogenous anti-inflammatory lipids (endocannabinoids, N-linoleoylglycine, 12,13-diHOME). Several diet-derived amino acids, phytochemicals, and cofactors/vitamins with cardioprotective properties were increased compared to control and/or baseline, including 6-oxopiperidine-2-carboxylate (1.87-fold), N-methylpipecolate (1.89-fold), trigonelline (4.44- to 7.75-fold), S-methylcysteine (2.12-fold) (navy bean), salicylate (2.74-fold), and pyridoxal (3.35- to 3.96-fold) (rice bran). Findings from this pilot study support the need for investigating the effects of these foods for longer durations to reduce CVD risk. Trial registration: clinicaltrials.gov (identifier NCT01911390).
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Keywords: navy bean, rice bran, metabolomics, children, cholesterol, cardiovascular disease
Article notes
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Received 2017 Nov 8; Accepted 2017 Dec 20; Collection date 2017.
Introduction
Cardiovascular disease (CVD) is the leading cause of death in the United States and globally (1). Childhood and adolescence marks a critical period for the emergence of CVD risk factors, and several epidemiological studies have indicated that abnormal cholesterol levels early in life predicts atherosclerosis and CVD later in life (2–7). Data from the National Health and Nutrition Examination Survey 2011–2014 reveal that approximately 21% of children and adolescents in the US have at least one abnormal serum cholesterol measure (8, 9). In addition, histopathological evidence for atherosclerosis has also been found in the arterial walls of children as young as 3 years old (10). A compelling rationale exists to sustainably control blood lipids during childhood to prevent or delay the development of life-threatening cardiovascular events later in life.
Lifestyle modifications in diet and physical activity can protect against CVD across the lifespan, and plant-based diets high in stanols/sterols and soluble fiber have been recognized by the National Cholesterol Education Program as an important strategy to reduce or control cholesterol (9, 11). Proper nutrition in childhood can lend long-term protection against multiple risk factors for CVD not only via controlling blood lipids, but also by regulating the underlying cellular processes that drive metabolic diseases. Metabolomics is an emerging tool for dietary intervention trials and pediatric research that provides insight into the complex relationships between dietary exposures, host digestion and gut microbial metabolism (12–16). Through non-targeted metabolomics approaches, all metabolites (in theory) within a biological sample can be identified in a non-biased manner, to reveal novel insights and biomarkers (17).
Cooked dry beans (a legume) and rice bran (a whole grain component) are rich sources of proteins, lipids, vitamins, fiber, and phytochemicals that have favorable impacts on intestinal and cardiovascular health (18–22). Increased consumption of navy beans and rice bran have demonstrated efficacy in lowering serum cholesterol levels in experimental animals (23, 24), hypercholesterolemic adults (19, 25, 26), as well as modulating high-density lipoprotein (HDL) and low-density lipoprotein (LDL) cholesterol in some children after 4 weeks of consumption (27). However, the effects of navy bean and rice bran consumption on the plasma metabolome of children with abnormal cholesterol have not been previously evaluated. A global, non-targeted metabolomics analysis was applied to reveal the network of metabolic pathways altered by 4 weeks of daily intake with navy bean, rice bran, or a combination of navy bean + rice bran when compared to a control at 4 weeks, or compared to their respective baseline. We hypothesized that navy bean and rice bran consumption favorably modulates multiple metabolic pathways associated with cholesterol-lowering in children. Identification of bioactive food compounds with cardioprotective properties will elucidate important mechanisms by which navy beans and rice bran exert their health-promoting effects and may uncover candidate dietary biomarkers of intake.
Materials and Methods
Study Participants
Healthy children aged 8–13 years old were recruited from a school-based program (Healthy Hearts) in Northern Colorado, as previously described (27, 28). These children underwent cholesterol screening and were included on the basis of abnormal cholesterol levels that put them at high risk for future CVD. Criteria for abnormal cholesterol included either: total cholesterol ≥ 180 mg/dL and HDL < 60 mg/dL; LDL ≥ 100 mg/dL and HDL < 60 mg/dL; or non-HDL > 100 mg/dL; and HDL < 60 mg/dL. Children with ongoing medical illnesses, taking medications, or with food allergies or major dietary restrictions, were excluded from participation. This study was carried out in accordance with the recommendations of local and national guidelines, and study protocols were approved by the University of Colorado Health-North Institutional Review Board (Protocol 13-1263) and the Colorado State University Research Integrity and Compliance Review Office (Protocol 13-4390). Prior to the start of the trial, written informed consent were obtained from guardians and written informed assent from all participants in accordance with the Declaration of Helsinki. This trial was registered at clinicaltrials.gov under NCT01911390.
Dietary Interventions
Eligible participants were computer-randomized by sex into one of four dietary intervention groups. All participants received a muffin or smoothie daily for 4 weeks that had (1) no navy beans or rice bran (control, 0 g/day), (2) 17.5 g/day cooked navy beans, (3) 15 g/day heat-stabilized rice bran, or (4) a combination of 9 g/day navy bean and 8 g/day rice bran (Figure 1). The amounts of navy bean and/or rice bran in the navy bean, rice bran, and navy bean + rice bran groups provided 55, 48, and 53 kcal/day, respectively (27). Study-provided foods were coded to ensure participant blinding. Cooked navy bean powder (VegeFull™) was provided by Archer Daniels Midland Edible Bean Specialties, Inc. (Decatur, IL, USA), and heat-stabilized rice bran was provided by the US Department of Agriculture-Agricultural Research Service Dale Bumpers National Rice Research Center (Stuttgart, AR, USA). All study foods were prepared in a commercial kitchen with quality control measures at Colorado State University as previously described (27).
Blood Sample Collection
Fasting blood samples were collected from the participants by venipuncture at baseline and week 4. Blood samples were collected into 4-mL sodium citrate cell preparation tubes (BD Biosciences, Franklin Lakes, NJ, USA) and centrifuged at 1,500 relative centrifugal force at room temperature for 30 min to separate red and white cells from plasma. Plasma was aliquoted (0.5 mL) and frozen at −80°C until metabolomics analysis.
Statistical Analysis
Power calculation for this pilot study was based on effect sizes reported in a previous rice bran dietary intervention metabolomics study (29, 30). Two-way analysis of variance (ANOVA) and Welch’s two-sample t-tests were used to determine statistical significance between groups, and ANOVA with repeated measures was used to determine statistical significance within groups (p ≤ 0.05). Metabolites that showed statistical difference at baseline between navy bean, rice bran, or navy bean + rice bran groups and control were removed from the between-group analyses. An estimate of the false discovery rate was calculated (q-value) to take into account the multiple comparisons relevant to metabolomics investigations.
Results
Phytochemicals Detected and Modulated following Navy Bean and/or Rice Bran Consumption
Phytochemicals (and other exogenous compounds) represented the third largest metabolic grouping modulated by navy bean and/or rice bran consumption (Figure 2). Compared to control, navy bean consumption increased the phytochemicals 4-vinylphenol sulfate (2.22-fold difference) and N-methylpipecolate (1.89-fold difference), and decreased N-acetylalliin, erythritol, and the drug compound omeprazole (Table 2; Figures 2A,C,E in Supplementary Material). Rice bran consumption decreased three phytochemicals and exogenous chemicals compared to control, including 2-isopropylmalate, saccharin, and omeprazole. Navy bean + rice bran consumption increased theanine (8.11-fold difference) and decreased 3-methyl catechol sulfate and omeprazole, compared to control.
Compared to baseline, navy bean consumption for 4 weeks decreased 8 phytochemicals and exogenous compounds, including 7 xanthine metabolites (0.50- to 0.79-fold change), and 4-hydroxylchlorothalonil (0.92-fold change) (Table S1 in Supplementary Material; Figures S2B,D,F in Supplementary Material). Several phytochemicals and exogenous compounds were also increased in the navy bean group compared to baseline with large magnitude fold changes, including ferulic acid 4-sulfate (4.62-fold change), 4-vinylguaiacol sulfate (20.17-fold change), dimethyl sulfone (1.54-fold change), and ectoine (23.49-fold change). Phytochemicals and exogenous compounds increased following rice bran consumption compared to baseline included the benzoate metabolite 2-hydroxyhippurate (3.05-fold change), alliin (3.34-fold change), salicylate (2.74-fold change), S-carboxymethyl-l-cysteine (3.14-fold change), 2-keto-3-deoxy-gluconate, N-methylpipecolate, and 4-hydroxychlorothalonil. One food metabolite, stachydrine, was decreased in rice bran group. Ten phytochemicals and exogenous compounds were increased in the navy bean + rice bran group compared to baseline, including seven xanthine metabolites (2.50- to 10.85-fold change), allylphenol sulfate (4.47-fold change), methyl glucopyranoside (2.55-fold change), and dimethyl sulfone (1.72-fold change), and two phytochemicals were decreased (N-acetylalliin and 3,4-methyleneheptanoate). Phytochemicals and exogenous compounds increased in the control group include 4-allylphenol sulfate (9.19-fold change), umbelliferone sulfate (6.74-fold change), paraxanthine (2.65-fold change), 5-acetylamino-6-amino-3-methyluracil (7.28-fold change), N-acetylalliin (1.98-fold change), and omeprazole (2.14-fold change), and decreased phytochemicals include cotinine, retinal, and N-methylpipecolate.
Discussion
Using a non-targeted metabolomics approach, we demonstrated that navy bean and/or rice bran consumption for 4 weeks significantly modulated the plasma metabolome of children with abnormal cholesterol. Lipid metabolites represented 46% of total metabolites identified, and significant changes determined for 18 plasma lipids in the navy bean group and 10 plasma lipids for the rice bran group compared to control, and 48 lipids in the navy bean group and 40 in the rice bran group compared to baseline, support the hypothesis that consumption of these foods impact blood lipid metabolism with implications for reducing CVD risk in children. The findings in this paper advance upon previous efforts, whereby navy beans and/or rice bran demonstrated total and LDL-cholesterol-lowering properties (31, 32) as well as increasing HDL-cholesterol in children, adults, and/or experimental animals (19, 23–27).
Study Limitations
Limitations to this study include the pilot trial aspects, such as a small cohort size and short study duration. The sample size (n = 38) is comparable though to other nutritional metabolomics-based human studies (n = 11 to 30 total participants) (29, 56–58). The tendency to select 1 or 2 compounds for future sample size estimates and power calculations warrants caution as this dietary intervention showed 10 to 20 metabolites differentially affected in growing children that could be of equal importance (59). Further, the complexity in the metabolite profiles affected by diet as detected via this sensitive, non-targeted metabolomics approach was with small doses of navy bean and/or rice bran (ranging 1.7 to 5.2% of the total caloric intake) (27), which indicates that small amounts of certain foods can be practically incorporated into the daily diets of children to influence underlying metabolic processes for CVD prevention. Further, we speculated that the fewer number of significant metabolites observed after 4 weeks of navy bean + rice bran consumption was dose-related. Investigations with larger daily intake doses of navy bean + rice bran as a combination warrants continued research attention to observe synergistic and complementary effects on the plasma metabolome.
Conclusion
Incorporation of navy beans and rice bran in the diet has great potential to improve the health of children at risk for CVD. This study utilized a non-targeted metabolomics approach to reveal a wide spectrum of plasma lipids, amino acids, and phytochemicals modulated by navy bean and/or rice bran consumption, all of which are of significance to improving lipid profiles and overall nutritional status of children with early indices of dyslipidemia. Mitigating risk factors for CVD in children merits investigation with practical lifestyle interventions and this nutritional metabolomics approach offers great utility for the identification of dietary biomarkers that may further link navy bean and rice bran intake to long-term health benefits.
Ethics Statement
This study was carried out in accordance with the recommendations of local and national guidelines and study protocols were approved by the University of Colorado Health-North Institutional Review Board (Protocol 13-1263) and the Colorado State University Research Integrity and Compliance Review Office (Protocol 13-4390). Prior to the start of the trial, written informed consent were obtained from guardians and written informed assent from all participants in accordance with the Declaration of Helsinki. This trial was registered at clinicaltrials.gov under NCT01911390.
Conflict of Interest Statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The reviewer MS and handling editor declared their shared affiliation.
Acknowledgments
The authors thank Nora Jean Nealon, Iman Zarei, Luis Zambrana Gutierrez, and Erin Lynch for their review of the manuscript.
Footnotes
Footnote Group
Supplementary Material
The Supplementary Material for this article can be found online at http://www.frontiersin.org/articles/10.3389/fnut.2017.00071/full#supplementary-material.
Abbreviations
CVD, cardiovascular disease; GC-MS, gas-chromatography mass spectrometry; HDL, high-density lipoprotein; HILIC, hydrophilic interaction liquid chromatography; LDL, low-density lipoprotein; UPLC-MS/MS, ultra-high performance liquid-chromatography tandem mass spectrometry.
References
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