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Comparison of lactulose and inulin as reference standard for the study of resistant starch fermentation using hydrogen breath test.

Disaccharide lactulose is commonly used as a standard to quantitate the colonic fermentation of undigested sugars by means of H2 breath measurements. However, its high hydrogen production rate during fermentation may make it inappropriate for mimicking the fermentation of more complex carbohydrates, such as starch. Indigestible carbohydrates with a higher molecular weight might be more suitable than lactulose as a standard in H2 breath studies of starch digestibility. To test this hypothesis, we measured H2 breath in 8 healthy volunteers after a standard meal supplemented with 5 g or 10 g of lactulose or inulin, an indigestible oligosaccharide with an average degree of polymerization 4.5 times higher than that of lactulose. The results were then compared with those obtained after a standard meal containing a known amount (6.1 g) of resistant starch from high-amylose corn starch. Median H2 breath excretion per gram of reference carbohydrate was lower after the 5 g dose of inulin than after the 5 g dose of lactulose (19.1 vs 26.6 ppm x h x g-1; Wilcoxon's rank test p = 0.021) but similar after the two 10 g doses (inulin 22.4; lactulose 23.6; p = 0.234). Median H2 breath excretion per gram of resistant starch was significantly lower than that for both lactulose and inulin (p < 0.02), being 4.7 ppm x h x g-1. In vitro fermentation for 8 hrs with fecal homogenate showed similar mean hydrogen production rates for inulin and lactulose (30.5 vs 27.7 mL/mg fermented carbohydrate), and a significantly lower rate for starch (9.1 mL/mg) (n = 7; ANOVA p = 0.0007).(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

[The evaluation of lyophilized plasma as a reference standard for the prothrombin complex].

Analysis of a number of parameters of a lyophilized donor plasma reference sample to be used for the assessment of the prothrombin complex factors has shown the stability of this sample over the course of 14 months (a follow-up period). The sample may be used as a reference one in estimation of plasma prothrombin complex factor activities, and of PPSB activity. The reference sample activity should be estimated from the fresh donor plasma native pool, whose procoagulant activity is conventionally estimated as 100% or 1 U/ml. Use of a lyophilized reference sample helps obtain objective results compatible within this country, particularly so if all biologic reagents included in the test systems are standardized.

Blood Coagulation Factors↗

Evaluation of pteroylglutamic acid and n-5-methyltetrahydrofolic acid reference standards in a new "No-Boil" radioassay for serum folate.

Serum folate, pteroylglutamic acid standards, and N-5-methyltetrahydrofolate standards extract differently during sample preparation for radiometric assay. B/B0 values for each material were determined before and after an alkaline extraction procedure. Serum folate most closely resembled N-5-methyltetrahydrofolate standards in that it exhibited a slightly greater ability to displace iodinated folate derivative in competition for beta-lactoglobulin binder. Pteroylglutamic acid standards displaced folate derivative less well, so that serum folate values were lower than when N-5-methyltetrahydrofolate was used as the standard material.

Folic Acid↗

One-dimensional and two-dimensional 1H- and 13C-nuclear magnetic resonance (NMR) analysis of vitamin E raw materials or analytical reference standards.

Two-dimensional spectral analysis (COSY, HETCOR) was utilized to make the complete 13C- and 1H-NMR assignments for alpha-, beta-, gamma-, and delta-tocopherol as well as for the acetate and succinate esters of alpha-tocopherol. 13C-NMR was found to be especially useful in distinguishing between the various tocopherols and distinguishing between the d-isomer and the d,l-racemic mixture. HETCOR spectra were also found to be useful for the qualitative identification of mixtures of the tocopherols and sesame oil. Using a procedure designed to minimize errors arising from spin relaxation and nuclear Overhauser effects, 13C-NMR peak integrals were used to quantitate alpha-tocopherol and delta-tocopherol in the presence of sesame oil using benzoic acid as the standard for calibration of the quantitation. The NMR results were compared to a capillary column gas chromatographic analysis of the individual alpha-tocopherol and delta-tocopherol reference materials.

Carbon Isotopes↗