Assessment of Type 2 Diabetes Risk in General Population using Bitter Taste Sensitivity Status to Phenylthiocarbamide - A Pilot Study
DOI:
https://doi.org/10.21048/IJND.2023.60.2.31037Keywords:
FINDRISC, type 2 diabetes risk, prevention, PTC, food preferenceAbstract
Eating habits and genetic factors contribute to diseases such as obesity and Type 2 Diabetes Mellitus (T2DM). Variation in bitter taste perception has been linked with intake of alcohol, coffee, vegetable, and smoking habit as well as with adiposity, a risk factor for diabetes development. Therefore, it was hypothesized that bitter taste perception could lead to differences in eating/drinking behavior among individuals, which may lead T2DM development later in the life. Bitter taste sensitivity was assessed using paper strips having supra-threshold concentration of Phenyl Thio Carbamide (PTC). Lifestyle variables were assessed using standard anthropometry measurements and a questionnaire. T2DM risk was assessed using a point based system developed by Finnish Diabetes Association (FINDRISC score). SPSS software was used for statistical analysis. A total of 498 volunteers from New Delhi region participated in the present study, where the mean age of PTC tasters was 24 ± 12 years and for non-tasters was 29 ± 16 years. PTC taster status was significantly correlated with age (p ≤ 0.01), weight (p ≤ 0.05), BMI (p ≤ 0.05) and waste circumference (p ≤ 0.05). A positive correlation was observed for type of chocolate liking (r = 0.113, p ≤ 0.001) and for T2DM risk (p ≤ 0.012) with PTC non-taster status. Logistic regression analysis showed that PTC non-taster individuals are at a higher risk (OR: 1.558, 95% CI: 1.037-2.342, p=0.033) for developing T2DM in the next ten years. Present results have shown that bitter taste sensitivity modulates liking towards certain food and non-tasters for PTC have a higher BMI, weight and are at a higher risk for T2DM development. PTC tasting could be employed as a method for assessing risk of diabetes in healthy individuals. We recommend large scale screening among young adults to promote awareness and early prevention measures.
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Accepted 2023-06-26
Published 2023-06-01
References
Glendinning, J.I. Is the bitter rejection response always adaptive? Physiol. Behav., 1994, 56, 1217-27. DOI: https://doi.org/10.1016/0031-9384(94)90369-7
Sandell, M.A. and Breslin, P.A. Variability in a taste-receptor gene determines whether we taste toxins in food. Curr. Biol., 2006, 16, 792-794. DOI: https://doi.org/10.1016/j.cub.2006.08.049
Chandrashekar, J., Mueller, K.L., Hoon, M.A., Adler, E., Feng, L., Guo, W., Zuker, C.S. and Ryba, N.J. T2Rs function as bitter taste receptors. Cell, 2000, 100, 703-711. DOI: https://doi.org/10.1016/S0092-8674(00)80706-0
Biarnes, X., Marchiori, A., Giorgetti, A., Lanzara, C., Gasparini, P., Carloni, P., Born, S., Brockhoff, A., Behrens, M. and Meyerhof, W. Insights into the binding of Phenyltiocarbamide (PTC) agonist to its target human TAS2R38 bitter receptor. PLoS One, 2010, 5, 12394. DOI: https://doi.org/10.1371/journal.pone.0012394
Meyerhof, W., Behrens, M., Brockhoff, A., Bufe, B. and Kuhn, C. Human bitter taste perception. Chem. Senses, 2005, 30, 14-15. DOI: https://doi.org/10.1093/chemse/bjh089
Kim, M.R., Kusakabe, Y., Miura, H., Shindo, Y., Ninomiya, Y. and Hino, A. Regional expression patterns of taste receptors and gustducin in the mouse tongue. Biochem. Biophys. Res. Commun., 2003, 312, 50050-6. DOI: https://doi.org/10.1016/j.bbrc.2003.10.137
Bufe, B., Breslin, P.A.S., Kuhn, C., Reed, D.R., Tharp, C.D., Slack, J.P., Kim, U.K., Drayna, D. and Meyerhof, W. The molecular basis of individual differences in phenylthiocarbamide and propylthiouracil bitterness perception. Curr. Biol., 2005, 15, 322-327. DOI: https://doi.org/10.1016/j.cub.2005.01.047
Prodi, D.A., Drayna, D., Forabosco, P., Palmas, M.A., Maestrale, G.B., Piras, D., Pirastu, M. and Angius, A. Bitter taste study in a sardinian genetic isolate supports the association of phenylthiocarbamide sensitivity to the TAS2R38 bitter receptor gene. Chem. Senses, 2004, 29, 697-702. DOI: https://doi.org/10.1093/chemse/bjh074
Dinehart, M.E., Hayes, J.E., Bartoshuk, L.M., Lanier, S.L. and Duffy, V.B. Bitter taste markers explain variability in vegetable sweetness, bitterness, and intake. Physiol. Behav., 2006, 87, 304-313. DOI: https://doi.org/10.1016/j.physbeh.2005.10.018
Tepper, B.J., Williams, T.Z.A., Burgess, J.R., Antalis, C.J. and Mattes, R.D. Genetic variation in bitter taste and plasma markers of anti-oxidant status in college women. Int. J. Fd. Sci. Nutr., 2009, 60, 35-45. DOI: https://doi.org/10.1080/09637480802304499
Bachmanov, A.A. and Beauchamp, G.K. Taste receptor genes. Annu. Rev. Nutr., 2007, 27, 389-414. DOI: https://doi.org/10.1146/annurev.nutr.26.061505.111329
Hu, F.B., Manson, J.E., Stampfer, M.J., Colditz, G., Liu, S., Solomon, C.G. and Willett, W.C. Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. N. Engl. J. Med., 2001, 345, 790-797. DOI: https://doi.org/10.1056/NEJMoa010492
Ardisson Korat, A.V., Willett, W.C. and Hu, F.B. Diet, lifestyle, and genetic risk factors for type 2 diabetes: A review from the nurses’ health study, Nurses’ Health Study 2, and Health Professionals’ Follow-up Study. Curr. Nutr. Rep., 2014, 3, 345-354. DOI: https://doi.org/10.1007/s13668-014-0103-5
Driscoll, K.A., Perez, M., CukrowiczK.C., Butler, M. and Joiner, Jr. T.E. Associations of phenylthiocarbamide tasting to alcohol problems and family history of alcoholism differ by gender. Psych. Res., 2006, 143, 21-27. DOI: https://doi.org/10.1016/j.psychres.2005.07.029
Snedecor, S.M., Pomerleau, C.S., Mehringer, A.M., Ninowski, R. and Pomerleau, O.F. Differences in smoking-related variables based on phenylthiocarbamide “taster” status. Addict. Behav., 2006, 31, 2309-23012. DOI: https://doi.org/10.1016/j.addbeh.2006.02.016
Keller, M., Liu, X., Wohland, T., Rohde, K., Gast, M.T., Stumvoll, M., Kovacs, P., Tonjes, A. and Bottcher, Y. TAS2R38 and its influence on smoking behavior and glucose homeostasis in the German Sorbs. PLoS One, 2013, 8, e80512. DOI: https://doi.org/10.1371/journal.pone.0080512
Tepper, B.J., Koelliker, Y., Zhao, L., Ullrich, N.V., Lanzara, C., d’Adamo, P., Ferrara, A., Ulivi, S., Esposita, L. and Gasparini, P. Variation in the bitter-taste receptor gene TAS2R38, and adiposity in a genetically isolated population in Southern Italy. Obesity (Silver Spring), 2008, 16, 2289-2295. DOI: https://doi.org/10.1038/oby.2008.357
Rana, J.S., Li, T. Y., Manson, J.E. and Hu, F.B.Adiposity compared with physical inactivity and risk of type 2 diabetes in women. Diabetes Care, 2007, 30, 53-58. DOI: https://doi.org/10.2337/dc06-1456
Gupta, V., Kumar, A., Sharma, L., Bhatia, K. and Walia, G.K. Association of TAS2R38 polymorphism with measures of adiposity in Indian population. Meta. Gene., 2018, 18, 68-72. DOI: https://doi.org/10.1016/j.mgene.2018.08.001
Terry, M.C. and G. Segall, The association of diabetes and taste-blindness. J. Hered., 1947, 38, 135-137. DOI: https://doi.org/10.1093/oxfordjournals.jhered.a105709
Ali, S.G., Khan, A.K.A., Mahtab, H., Khan, A.R. and Muhibullah, M. Association of phenylthiocarbamide taste sensitivity with diabetes mellitus in Bangladesh. Hum. Hered., 1994, 44, 14-17. DOI: https://doi.org/10.1159/000154183
Bernabe-Ortiz, A., Perel, P., Miranda, J.J. and Smeeth, L. Diagnostic accuracy of the finnish diabetes risk score (FINDRISC) for undiagnosed T2DM in Peruvian population. Prim. Care Diabetes, 2018, 12, 517-525. DOI: https://doi.org/10.1016/j.pcd.2018.07.015
Burd, C., Senerat, A., Chambers, E. and Keller, K.L. PROP taster status interacts with the built environment to influence children’s food acceptance and body weight status. Obesity (Silver Spring), 2013, 21 786-794. DOI: https://doi.org/10.1002/oby.20059
Kwon, H. and J.E. Pessin, Adipokines mediate inflammation and insulin resistance. Front. Endocrinol (Lausanne)., 2013, 4, 71. DOI: https://doi.org/10.3389/fendo.2013.00071
Sharafi, M., Rawal, S., Fernandez, M.L., Huedo Medina, T.B. and Duffy, V.B. Taste phenotype associates with cardiovascular disease risk factors via diet quality in multivariate modeling. Physiol. Behav., 2018, 194, 103-112. DOI: https://doi.org/10.1016/j.physbeh.2018.05.005
Veluswami, D., Meena, B.A., Latha, S., Fathima, G.I., Soundariya, K. and Selvi, K.S. A study on prevalence of phenyl thiocarbamide (PTC) taste blindness among obese individuals. J. Clin. Diagn. Res., 2015, 9, CC04-6. DOI: https://doi.org/10.7860/JCDR/2015/11821.5896
Feng, J., He, S. and Chen, X. Body adiposity index and body roundness index in identifying insulin resistance among adults without diabetes. Am. J. Med. Sci., 2019, 357, 116-123. DOI: https://doi.org/10.1016/j.amjms.2018.11.006
Fischer, R., Griffin, F. and Kaplan, A.R. Taste thresholds, cigarette smoking, and food dislikes. Med. Exp. Int. J. Exp. Med., 1963, 9, 151-167. DOI: https://doi.org/10.1159/000135346
Fischer, R., Griffin, F., England, S. and Garn, S.M. Taste thresholds and food dislikes. Nature, 1961, 191, 1328. DOI: https://doi.org/10.1038/1911328a0
Duffy, V.B., Davidson, A.C., Kidd, J.R., Kidd, KK., Speed, W.C., Pakstis, A, J., Reed, D.R., Snyder, D. J. and Bartoshuk, L.M. Bitter receptor gene (TAS2R38), 6-n-propylthiouracil (PROP) bitterness and alcohol intake. Alcohol. Clin. Exp. Res., 2004, 28, 1629-1637. DOI: https://doi.org/10.1097/01.ALC.0000145789.55183.D4
Keller, K.L. and Adise, S. Variation in the ability to taste bitter thiourea compounds: implications for food acceptance, dietary intake, and obesity risk in children. Annu. Rev. Nutr., 2016, 36, 157-182. DOI: https://doi.org/10.1146/annurev-nutr-071715-050916
van Dieren, S., Uiterwaal, C.S.P.M., Van der Schouw, Y.T., Van der, A. D.L., Boer, J.M.A., Spijkerman, A., Grobbee, D.E. and Beulens, J.W.L. Coffee and tea consumption and risk of type 2 diabetes. Diabetologia, 2009, 52, 2561-2569. DOI: https://doi.org/10.1007/s00125-009-1516-3
Anderson, R.A. and Polansky, M.M. Tea enhances insulin activity. J. Agric. Fd. Chem., 2002, 50, 7182-7186. DOI: https://doi.org/10.1021/jf020514c
Ly, A. and Drewnowski, A. PROP (6-n-Propylthiouracil) tasting and sensory responses to caffeine, sucrose, neohesperidin dihydrochalcone and chocolate. Chem. Senses, 2001. 26, 41-47. DOI: https://doi.org/10.1093/chemse/26.1.41
Ramos, S., Martin, M.A. and Goya, L. Effects of cocoa antioxidants in type 2 diabetes mellitus. Antioxidants (Basel), 2017, 6. DOI: https://doi.org/10.3390/antiox6040084
Shah, S.R., Alweis, R., Najim, N. I., Dharani, A.M., Jangda, M.A., Shahid, M., Kazi, A.N. and Shah, S.A. Use of dark chocolate for diabetic patients: A review of the literature and current evidence. J. Comm. Hosp. Intern. Med. Perspect, 2017, 7, 218-221. DOI: https://doi.org/10.1080/20009666.2017.1361293
Lima-Martinez, M.M., Arrau, C., Jerez, S., Paoli, M., Gonzalez rivas, J.P., Nieto Martinez, R. and Lacobellis, G. Relationship between the Finnish Diabetes Risk Score (FINDRISC), vitamin D levels, and insulin resistance in obese subjects. Prim. Care Diabetes, 2017, 11, 94-100. DOI: https://doi.org/10.1016/j.pcd.2016.11.001