Sulphate and osteoarthritis: decrease of serum sulphate levels by an additional 3-h fast and a 3-h glucose tolerance
C M Blinn1, B A Biggee, T E McAlindon
1Connective Tissue Research Laboratory, Edith Nourse Rogers Memorial Veterans Hospital, MA 01730, USA.
Fasting or consuming glucose significantly lowers serum sulphate levels, potentially impacting cartilage health and contributing to osteoarthritis. This study quantifies these reductions over a three-hour period.
Area of Science:
- Biochemistry
- Metabolic Research
- Osteoarthritis Pathophysiology
Background:
- Low serum sulphate levels may be linked to osteoarthritis development.
- This reduction is potentially due to decreased cartilage chondroitin sulphation.
Purpose of the Study:
- To quantify serum sulphate level changes during fasting or glucose intake.
- To determine the extent of sulphate reduction within a three-hour post-absorptive period.
Main Methods:
- Serum samples were collected from 14 osteoarthritis patients over three hours.
- Measurements were taken during continued fasting and after glucose ingestion.
- Sulphate and glucose levels were analyzed using high-performance liquid chromatography.
Main Results:
- Continued fasting for three hours caused a mean serum sulphate decrease of 9.3%.
- Ingesting 75g of glucose resulted in a more significant mean sulphate reduction of 18.9%.
- Individual sulphate level drops ranged from 3-20% with fasting and 10-33% with glucose.
Conclusions:
- A three-hour fast markedly reduces serum sulphate levels.
- Glucose ingestion (without protein) doubled the sulphate reduction observed during fasting.
- These findings suggest fasting and protein-free calories may lead to chondroitin undersulphation, potentially affecting osteoarthritis.
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