Monday, May 30, 2011

Tryptophan in food: Will it make you happy, sleepy or smelly?

And the answer is ... either or all of the above. And this is not a complete list of all that can happen. In some rare conditions, for example, tryptophan could also make your pee purple.


Tryptophan supplements were used as a popular sleeping aid until negative press in 1989. The FDA banned dietary tryptophan supplements from the market, just days before the arrival of Prozac rising as the new promise for chemical happiness. Further investigation showed that ill effects of tryptophan were actually due to a contaminant in the supplement not the amino acid itself.
Today you can find tryptophan at many supplement retailers. You can also get it from food - from chocolate or red meat, for example. What does it really do in our bodies?

Tryptophan is a complex aromatic amino acid  - one of eight "essential" amino acids that have to be taken with food as they cannot be created by the human body. Tryptophan metabolism is complex - KEGG pathway shows the multitude of reactions it participates in.
One of tryptophan metabolites - Kynurenic acid - is involved in the regulatory function of the gastrointestinal system and the modulation of the inflammatory response. Another metabolite is neurotransmitter Serotonin which has a calming and sleeping-inducing effect on the brain.
L-Tryptophan administration (2 g) as a single dose before a meal has been found to decrease subjective hunger ratings, food intake, and alertness in men (Hrboticky et al., 1985), but not women (Leiter et al., 1987).  Babies  were also found to get sleepier (20 mg supplementation, Yogman and Zeisel, 1983, 1985). Tryptophan can be used by the body to create 5-hydroxytryptophan (also known as 5-HTP and oxitriptan). 5-HTP is sold as a dietary supplement as an antidepressant and sleep aid. It is marketed under many different trade names such as Cincofarm, Levothym, Oxyfan and Triptum.  Studies showed that 5-HTP provides benefits with regard to depression, blood pressure and regular sleep patterns. So even though that fact that the Thanksgiving turkey is responsible for sleepiness is an urban legend, tryptophan could definitely contribute to calmness and happiness.

Yet, according to a study by British researchers, irritable bowel syndrome sufferers have an increase in gastrointestinal symptoms after ingestion of a large dose of tryptophan, in addition to having fewer symptoms of anxiety and depression. One of the reasons: tryptophan metabolism mostly happening along the kynurenine and not 5-HT pathway. Increased tryptophan catabolism was recently shown to be associated with depression, reduced motivation and pessimism in the elderly. According to earlier studies (like the referenced 1998 articles by Austrian scientists), people with fructose malabsorption have abnormal tryptophan metabolism too, leaving them with less available tryptophan, and it seems to be responsible for mental depression (Ledochowski et al., 1998).   Overdose of tryptophan  in healthy adults (5 g in a double-blind, placebo-controlled study) induced  severe nausea and headache and increased drowsiness soon after ingestion (Greenwood et al., 1975). 
What happens to tryptophan abnormally accumulated in intestines? Here come more bad news - it is utilized by intestinal bacteria (e.g. Lactobacillus) and converted into indole and skatole - metabolites responsible for strong fecal smell. The rate of production of these smelly compounds depends on the acidity  - it is greatest at pH 6.5 and less at pH 5.0 and 8.0. Food-food interaction could lessen or enhance the "smelly"effects. The suppression of tryptophan degradation by propolis, for example,  could contribute to beneficial health properties. Preliminary results were also reported for cocoa extracts, Fructooligosacharides (FOS) and resistant starch, but more studies are needed.

So, how much tryptophan do you really need?  Half a gram, 2 grams, even more? It depends on your metabolism, your life style and your diet. It may be a good idea to watch your wellbeing along with tryptophan intake, to find your own optimal daily value.
This post was chosen as an Editor's Selection for ResearchBlogging.org



REFERENCES

Capuron L, Schroecksnadel S, Féart C, Aubert A, Higueret D, Barberger-Gateau P, Layé S, & Fuchs D (2011). Chronic Low-Grade Inflammation in Elderly Persons Is Associated with Altered Tryptophan and Tyrosine Metabolism: Role in Neuropsychiatric Symptoms. Biological psychiatry PMID: 21277567

Christmas DM; Badawy AAB; Hince D; Davies SJC; Probert C; Creed T; Smithson J; Afzal M; et al. (Oct 2010). Increased serum free tryptophan in patients with diarrhea-predominant irritable bowel syndrome. NUTR RES. 30:678-688. DOI.

Hood SD; Hince DA; Davies SJC; Argyropoulos S; Robinson H; Potokar J; Nutt DJ. (Feb 2010). Effects of acute tryptophan depletion in serotonin reuptake inhibitor-remitted patients with generalized anxiety disorder. PSYCHOPHARMACOLOGY. 208:223-232. DOI.

Shufflebotham J; Hood S; Hendry J; Hince DA; Morris K; Nutt D; Probert C; Potokar J. (Nov 2006). Acute tryptophan depletion alters gastrointestinal and anxiety symptoms in irritable bowel syndrome. Am J Gastroenterol. 101:2582-2587. DOI.

Ledochowski M, Widner B, Murr C, Sperner-Unterweger B, Fuchs D. Fructose malabsorption is associated with decreased plasma tryptophan. Scand J Gastroenterol. 2001 Apr;36(4):367-71.

Ledochowski M, Sperner-Unterweger B, Widner B, Fuchs D. Fructose malabsorption is associated with early signs of mental depression. Eur J Med Res. 1998 Jun 17;3(6):295-8.

Xu ZR, Hu CH, Wang MQ. Effects of fructooligosaccharide on conversion of L-tryptophan to skatole and indole by mixed populations of pig fecal bacteria. J Gen Appl Microbiol. 2002 Apr;48(2):83-90.

Jones HE, Johnson RE, Bigelow GE, Silverman K, Mudric T, Strain EC. Safety and efficacy of L-tryptophan and behavioral incentives for treatment of cocaine dependence: a randomized clinical trial. Am J Addict. 2004 Oct-Dec;13(5):421-37. 

Jensen MT, Cox RP, Jensen BB. 3- Methylindole (skatole) and indole production by mixed population of pig fecal bacteria.  Appl Environ Microbiol. 1995 Aug;61(8):3180-4.

Celenza JL. Metabolism of tyrosine and tryptophan - new genes for old pathways. Curr Opin Plant Biol. 2001 Jun;4(3):234-40.

Monday, May 9, 2011

On seasonal allergies and IBS






Irritable Bowel Syndrome is nothing to sneeze at. Especially during the sneezing season. 
As a matter of fact, you are more prone to have irritable bowel if you have a seasonal allergy. The likelihood of IBS is 3 times higher in patients reporting atopic symptoms (2.67 times higher in patients with seasonal allergic rhinitis and 3. 85 times higher in patients with allergic eczema, according to Tobin and his colleagues who administered questionnaires to 125 patients).  So some of that abdominal pain may be part of  allergic disease. Almost any other symptom of IBS may owe to it, too. See for example this case involving leaky gut and diarrhea or this case of bloating and constipation.
It is May and grass pollen is adding to flowering trees in most of the US.  Europe is experiencing high birch pollen counts with grasses ready to pop up. The Mediterranean region is dominated by the pollination of grasses and olive trees. Allergy season is over in Japan, Australia and South Africa but new pollen sources will be soon waking up. 
Seasonal allergies are common. It is estimated that 15-20% of Americans suffer from seasonal and perennial allergies. Numbers of sufferers have been increasing over the years. 
The best way to control allergies is to avoid the triggers - stay indoors, wash hands and take showers after coming in from outdoors. Of course, there are also drugs. But relief from allergies could come in more natural ways. For example, from probiotics.
A recent study showed that Lactobacillus paracasei, commonly found in our orifices (oral and rectal mucosa to be more precise) could help with grass allergies. This is not news -  earlier research showed it was effective against diarrhea in infants and helped some patients with chronic fatigue syndrome and seasonal allergies. 
The research was sponsored by Nestle, one of several manufacturers already adding L. paracasei to their products. Their results,  based on a randomized, double-blind, placebo-controlled study, show that the ability of the nose to combat allergies significantly improves (NCT01150253).    Where are these probiotics found? Lactobacillus bacteria are involved in dairy fermentation and are present in fermented milk products and cheeses. Irish Cheddar, hand-made Spanish cheeses, Ricotta,  Italian hard cheeses and Mozzarella harbor many different strains of lactobacilli. Many of these products, however, are not tolerated well by the IBS population about half of which is lactose intolerant. 
The good news is that probiotics are not only in dairy products. Lactobacillus paracasei LMGP22043 found in artichokes was recently shown to be carried into the human gut and challenge the bad guys there (E.coli and Clostridium). And even though European food safety authority believes that LMGP22043 does not relieve gastrointestinal discomfort, there were studies showing that artichokes do help those with alternating IBS. So enjoy your vegetables and lets do more research!

Source

REFERENCES
Valerio F, de Candia S, Lonigro SL, Russo F, Riezzo G, Orlando A, De Bellis P, Sisto A, & Lavermicocca P (2011). Role of the probiotic strain Lactobacillus paracasei LMGP22043 carried by artichokes in influencing faecal bacteria and biochemical parameters in human subjects. Journal of applied microbiology PMID: 21447019

Wassenberg J, Nutten S, Audran R, Barbier N, Aubert V, Moulin J, Mercenier A, & Spertini F (2011). Effect of Lactobacillus paracasei ST11 on a nasal provocation test with grass pollen in allergic rhinitis. Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology, 41 (4), 565-73 PMID: 21395878


Ann Allergy Asthma Immunol. 2008 Jan;100(1):49-53.


Sarker SA, Sultana S, Fuchs GJ, Alam NH, Azim T, Brüssow H, Hammarström L. Lactobacillus paracasei strain ST11 has no effect on rotavirus but ameliorates the outcome of nonrotavirus diarrhea in children from Bangladesh.  Pediatrics. 2005 Aug;116(2):e221-8.