<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "journalpublishing3.dtd">
<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title></journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2015.4324</article-id>
<article-id pub-id-type="publisher-id">mmr-12-05-7017</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Sardine protein diet increases plasma glucagon-like peptide-1 levels and prevents tissue oxidative stress in rats fed a high-fructose diet</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>MADANI</surname><given-names>ZOHRA</given-names></name><xref rid="af1-mmr-12-05-7017" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>SENER</surname><given-names>ABDULLAH</given-names></name><xref rid="af2-mmr-12-05-7017" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>MALAISSE</surname><given-names>WILLY J.</given-names></name><xref rid="af3-mmr-12-05-7017" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>DALILA</surname><given-names>AIT YAHIA</given-names></name><xref rid="af1-mmr-12-05-7017" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-mmr-12-05-7017"/></contrib></contrib-group>
<aff id="af1-mmr-12-05-7017">
<label>1</label>Department of Biology, Faculty of Natural and Life Sciences, University of Oran, Oran 31000, Algeria</aff>
<aff id="af2-mmr-12-05-7017">
<label>2</label>Laboratory of Physiology and Pharmacology, Faculty of Medicine, Free University of Brussels, Brussels B-1070, Belgium</aff>
<aff id="af3-mmr-12-05-7017">
<label>3</label>Department of Biochemistry, Free University of Brussels, Brussels B-1070, Belgium</aff>
<author-notes>
<corresp id="c1-mmr-12-05-7017">Correspondence to: Professor Ait Yahia Dalila, Department of Biology, Faculty of Natural and Life Sciences, University of Oran, BP 1524 El M'Naouer, Es S&#x000E9;nia, Oran 31000, Algeria, E-mail: <email>aityahiad@yahoo.fr</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>11</month>
<year>2015</year></pub-date>
<pub-date pub-type="epub">
<day>14</day>
<month>09</month>
<year>2015</year></pub-date>
<volume>12</volume>
<issue>5</issue>
<fpage>7017</fpage>
<lpage>7026</lpage>
<history>
<date date-type="received">
<day>10</day>
<month>03</month>
<year>2015</year></date>
<date date-type="accepted">
<day>22</day>
<month>07</month>
<year>2015</year></date></history>
<permissions>
<copyright-statement>Copyright: &#x000A9; Madani et al.</copyright-statement>
<copyright-year>2015</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license></permissions>
<abstract>
<p>The current study investigated whether sardine protein mitigates the adverse effects of fructose on plasma glucagon-like peptide-1 (GLP-1) and oxidative stress in rats. Rats were fed casein (C) or sardine protein (S) with or without high-fructose (HF) for 2 months. Plasma glucose, insulin, GLP-1, lipid and protein oxidation and antioxidant enzymes were assayed. HF rats developed obesity, hyperglycemia, hyperinsulinemia, insulin resistance and oxidative stress despite reduced energy and food intakes. High plasma creatinine and uric acid levels, in addition to albuminuria were observed in the HF groups. The S-HF diet reduced plasma glucose, insulin, creatinine, uric acid and homeostasis model assessment-insulin resistance index levels, however increased GLP-1 levels compared with the C-HF diet. Hydroperoxides were reduced in the liver, kidney, heart and muscle of S-HF-fed rats compared with C-HF-fed rats. A reduction in liver, kidney and heart carbonyls was observed in S-HF-fed rats compared with C-HF-fed rats. Reduced levels of nitric oxide (NO) were detected in the liver, kidney and heart of the S-HF-fed rats compared with C-HF-fed rats. The S diet compared with the C-diet reduced levels of liver hydroperoxides, heart carbonyls and kidney NO. The S-HF diet compared with the C-HF diet increased the levels of liver and kidney superoxide dismutase, liver and muscle catalase, liver, heart and muscle glutathione peroxidase and liver ascorbic acid. The S diet prevented and reversed insulin resistance and oxidative stress, and may have benefits in patients with metabolic syndrome.</p></abstract>
<kwd-group>
<kwd>metabolic syndrome</kwd>
<kwd>fructose</kwd>
<kwd>rat</kwd>
<kwd>sardine protein</kwd>
<kwd>tissues</kwd>
<kwd>lipid peroxidation</kwd>
<kwd>antioxidant enzymes</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Metabolic syndrome (MS) is considered to be a clustering of metabolic alterations conferring a high risk of developing type-2 diabetes (T2D) and cardiovascular disease (CVD) (<xref rid="b1-mmr-12-05-7017" ref-type="bibr">1</xref>,<xref rid="b2-mmr-12-05-7017" ref-type="bibr">2</xref>). The prevalence of MS has markedly increased worldwide due to modern lifestyles and an increased consumption of high-sugar diets, in particular fructose (<xref rid="b3-mmr-12-05-7017" ref-type="bibr">3</xref>). Previous data suggests that fructose consumption in humans results in increased visceral adiposity, lipid dysregulation and reduced insulin sensitivity, all of which have been associated with increased risk for CVD and T2D (<xref rid="b4-mmr-12-05-7017" ref-type="bibr">4</xref>). Fructose has become an important causative factor in the development of MS (<xref rid="b4-mmr-12-05-7017" ref-type="bibr">4</xref>,<xref rid="b5-mmr-12-05-7017" ref-type="bibr">5</xref>). The fructose-fed rat is therefore used as an animal model for insulin resistance, and is considered to mirror MS observed in humans (<xref rid="b6-mmr-12-05-7017" ref-type="bibr">6</xref>). Animal studies have demonstrated that rats fed a high-fructose (HF) diet exhibit hepatic oxidative damage and an altered lipid metabolism due to hepatic stress as a result of the burden on the fructose metabolism (<xref rid="b7-mmr-12-05-7017" ref-type="bibr">7</xref>).</p>
<p>Previous studies have focused upon types of seafood that may be beneficial in preventing MS and possibly reducing the risk of various diseases (<xref rid="b8-mmr-12-05-7017" ref-type="bibr">8</xref>,<xref rid="b9-mmr-12-05-7017" ref-type="bibr">9</xref>). The reduced incidence of CVD among populations consuming fish-rich diets has been attributed to a greater proportion of omega 3 polyunsaturated fatty acids in fish oil (<xref rid="b10-mmr-12-05-7017" ref-type="bibr">10</xref>&#x02013;<xref rid="b12-mmr-12-05-7017" ref-type="bibr">12</xref>). There is evidence that the type of protein in the diet may serve an important role in the secretion of insulin by the pancreas (<xref rid="b13-mmr-12-05-7017" ref-type="bibr">13</xref>) and in the regulation of hepatic lipogenesis mediated by sterol regulatory element binding protein-1 (<xref rid="b14-mmr-12-05-7017" ref-type="bibr">14</xref>). In previous animal studies regarding the health effects of fish protein, fish proteins have been demonstrated to prevent insulin resistance in high-fat fed obese rats (<xref rid="b15-mmr-12-05-7017" ref-type="bibr">15</xref>,<xref rid="b16-mmr-12-05-7017" ref-type="bibr">16</xref>), and diminish the development of high blood pressure and hypercholesterolemia (<xref rid="b17-mmr-12-05-7017" ref-type="bibr">17</xref>,<xref rid="b18-mmr-12-05-7017" ref-type="bibr">18</xref>). Furthermore, in insulin resistant males and females the consumption of a cod protein diet for 4 weeks improved insulin sensitivity compared with a diet of lean beef, pork, veal, eggs, milk and milk products (<xref rid="b19-mmr-12-05-7017" ref-type="bibr">19</xref>).</p>
<p>The objective of the current study was to investigate the specific effect of the type of dietary protein on insulin resistance, plasma glucagon-like peptide-1 (GLP-1), in addition to oxidative stress in the tissues of HF-fed rats.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Preparation of sardine protein</title>
<p>Fish protein was isolated from sardine fillets obtained from a fishery (Oran, Algeria). The heads, internal organs and bones of the sardines were removed. The proteins of the muscle tissue were then solubilized in 10 volumes of water with NaOH (Sigma-Aldrich, St. Louis, MO, USA) added to obtain pH 10.5 according to the method outlined by Undeland <italic>et al</italic> (<xref rid="b20-mmr-12-05-7017" ref-type="bibr">20</xref>). The mixture was centrifuged (18,000 x g, 20 min, 4&#x000B0;C), causing the light oil fraction to rise to the top of the suspension, then the muscle proteins were precipitated and collected. The crude protein content was determined by the Kjeldahl method (<xref rid="b21-mmr-12-05-7017" ref-type="bibr">21</xref>). The crude fat content was measured by the Soxhlet method (<xref rid="b22-mmr-12-05-7017" ref-type="bibr">22</xref>). The moisture content was calculated as the loss in weight following drying at 105&#x000B0;C for 24 h. The ash amount was analyzed by direct ignition at 550&#x000B0;C for 24 h. The amino acid composition of the sardine protein, as determined through analysis by a commercial service (Institute of Chemistry, Center for Technical and Scientific Research in Physical-Chemical Analysis, Algiers, Algeria), is presented in <xref rid="tI-mmr-12-05-7017" ref-type="table">Table I</xref>.</p></sec>
<sec>
<title>Animals and diets</title>
<p>A total of 24 male Wistar rats obtained from Iffa-Credo (l'Arbresle, France) weighing 190&#x02013;200 g at the beginning of the experiment were used for the current study. The rats were kept in a laboratory animal house with a 12 h light:dark cycle (07:00&#x02013;19:00). Throughout the experiment, the temperature of the animal room was maintained at 24&#x000B0;C and humidity at 60%. Rats were assigned to four equal-weight groups and fed the following diets for 2 months: Group 1 (C-HF), diet containing 20% casein (C) and 64% fructose (Prolabo, Paris, France); group 2 (S-HF), 20% sardine protein and 64% fructose; group 3 (C), 20% casein; group 4 (S), 20% sardine protein. The compositions of the experimental diets are presented in <xref rid="tII-mmr-12-05-7017" ref-type="table">Table II</xref>. Diets were isoenergetic (16.28 MJ/kg) and contained identical amounts of lipids, vitamins (UAR 200; UAR, Villemoisson-sur-Orge, France), minerals (UAR 205 B; UAR) and fiber. Food and water were provided <italic>ad libitum</italic>. The body weights of the animals were recorded every week and food intake was measured daily. The food efficiency ratio was calculated as follows: Weight gain (g) / food intake (g), where weight gain was calculated as the difference between the final weight and the initial weight of each rat during the 60-day experiment and food intake was determined as the difference between the rest amount of food and the amount of food administered for each rat during the 60-day experiment. The glycemia was measured weekly using a handheld glucometer (Accu-Chek Aviva; Roche Diagnostics, Basel, Switzerland) with blood obtained from the caudal vein. The general guidelines for the Care and Use of Laboratory Animals as set forth by the Council of European Communities were followed (<xref rid="b23-mmr-12-05-7017" ref-type="bibr">23</xref>).</p></sec>
<sec>
<title>Blood, urine and tissue samples</title>
<p>At the end of the experimental period, the rats were sacrificed by anesthesia using intraperitoneal injection of sodium pentobarbital (60 mg/kg body weight; Abbott Laboratories, North Chicago, IL, USA) following overnight starvation. Blood samples were collected from the abdominal aorta in citric acid tubes, and the plasma was separated by centrifugation (3,000 &#x000D7; g, 15 min, 4&#x000B0;C) and stored at -70&#x000B0;C until required for chemical analysis. Liver, kidney, heart and gastrocnemius muscle tissues were harvested, washed with ice-cold 150 mmol/l NaCl (Sigma-Aldrich), weighed and immediately frozen at -70&#x000B0;C until required for analysis. Urine samples were collected on day 59 of the experiment in the four groups.</p></sec>
<sec>
<title>Analytical procedures</title>
<p>Plasma glucose was analyzed by the method previously described by Bergmeyer <italic>et al</italic> (<xref rid="b24-mmr-12-05-7017" ref-type="bibr">24</xref>). Insulin in plasma was measured by radioimmunoassay according to Leclercq-Meyer <italic>et al</italic> (<xref rid="b25-mmr-12-05-7017" ref-type="bibr">25</xref>). These measurements were used to calculate the homeostasis model assessment (HOMA) index (mmol/l/22.5): &#x0005B;The product of the plasma insulin concentration (mmol/l) &#x000D7; plasma D-glucose concentration (mmol/l)&#x0005D;. GLP-1 level was measured in plasma using a GLP-1 (Active) ELISA kit (BioVendor Research and Diagnostic Products, Karasek, Czech Republic). Plasma fructose levels were determined enzymatically using a BioSentec Glucose/Fructose/Sucrose kit (BioSentec, Toulouse, France). Protein concentrations were measured according to the method of Lowry <italic>et al</italic> (<xref rid="b26-mmr-12-05-7017" ref-type="bibr">26</xref>) using bovine serum albumin (Sigma-Aldrich) as a standard. Plasma and urine creatinine, uric acid and albumin levels were determined using an enzymatic Spinreact Colorimetric Kinetic Jaff&#x000E9; kit (cat. no. 1001110), a Uricase-POD Spinreact Enzymatic Colorimetric kit (cat. no. 1001011), and a Bromocresol Green Spinreact Colorimetric kit (cat. no. 1001020; Spinreact, Girona, Spain).</p></sec>
<sec>
<title>Tissue analysis</title>
<p>The level of lipid peroxidation in the liver, kidney, heart and muscle tissues was studied by measuring thiobarbituric acid reactive substances (TBARS) in tissue homogenates using the method of Quintanilha <italic>et al</italic> (<xref rid="b27-mmr-12-05-7017" ref-type="bibr">27</xref>). For TBARS measurement, the tissue homogenates were deproteinized with 10% trichloroacetic acid (TCA) (Sigma-Aldrich) and the precipitate was treated with thiobarbituric acid (Sigma-Aldrich) at 90&#x000B0;C for 1 h. The pink color formed gave a measure of the TBARS. The concentration was expressed as <italic>&#x000B5;</italic>mol/g tissue. Additionally, liver, kidney, heart and muscle hydroperoxides were assayed using the method described by Eymard &amp; Genot (<xref rid="b28-mmr-12-05-7017" ref-type="bibr">28</xref>). The color developed was read at 560 nm using a Beckman Coulter DU 640 spectrophotometer (Beckman Coulter, Inc., Cridersville, OH, USA). The concentration was expressed as <italic>&#x000B5;</italic>mol/g tissue. The level of protein carbonyl was measured by the method of Levine <italic>et al</italic> (<xref rid="b29-mmr-12-05-7017" ref-type="bibr">29</xref>). The tissue was homogenized in 10 mM HEPES buffer (Sigma-Aldrich) containing 137 mM NaCl, 4.0 mM potassium chloride, 1.0 mM potassium dihydrogen phosphate and 0.6 mM magnesium sulfate (Sigma-Aldrich). The homogenate was centrifuged at 40,000 &#x000D7; g for 20 min at 25&#x000B0;C. The supernatant was mixed with dinitrophenyl hydrazine in 2M hydrochloric acid and allowed to stand at room tempera ture for 1 h. The protein hydrazone derivative was precipitated with TCA and the precipitate was washed three times with ethanol ethylacetate (1:1) (Sigma-Aldrich). The color in the supernatant was read at 390 nm using a Beckman Coulter DU 640 spectrophotometer. The concentrations were expressed as nmol/g tissue. Tissue nitric oxide (NO) was assessed using the Griess reagent (sulfanilamide and N-naphthyl ethylenediamine) (<xref rid="b30-mmr-12-05-7017" ref-type="bibr">30</xref>). Tissue homogenates were clarified by zinc sulfate solution (Sigma-Aldrich), NO<sub>3</sub> (Sigma-Aldrich) was then reduced to NO<sub>2</sub> by cadmium (Sigma-Aldrich) overnight at 20&#x000B0;C under agitation. Samples were added to the Griess reagent and incubated for 20 min at room temperature. The absorbance of these solutions was measured at 540 nm using a Beckman Coulter DU 640 spectrophotometer. Sodium nitrite (Sigma-Aldrich) was used for the standard curve. The data were expressed as <italic>&#x000B5;</italic>mol/g tissue.</p></sec>
<sec>
<title>Antioxidant enzyme activity</title>
<p>Liver, kidney, heart and muscle tissue homogenates prepared on ice at a ratio of 1 g wet tissue to 9 ml 150 mmol/l KCl using a POLYTRON<sup>&#x000AE;</sup> PT 2100 homogenizer (Kinematica AG, Lucerne, Switzerland), were used for superoxide dismutase (SOD; EC 1.15.1.1), glutathione peroxidase (GSH-Px; EC 1.11.1.9) and catalase (CAT; EC 1.11.1.6) determinations. Tissue SOD activity was determined using a SOD and GSH-Px Reagent Assay Cayman Chemical kit (Cayman Chemical Company, Ann Arbor, MI, USA). Briefly, the method uses xanthine and xanthine oxidase to generate superoxide radicals, which react with 2-(4-iodophenyl)-3-(4-nitrophenyl)-5-phenyl tetrazolium chloride to form a formazan dye. The SOD activity was measured by the degree of inhibition of the reaction, using a spectrophotometer. The results were expressed as U/mg of protein. CAT activity was determined according to the method described by Aebi (<xref rid="b31-mmr-12-05-7017" ref-type="bibr">31</xref>) and the results were expressed as nmol/mg of protein. Tissue GPH-Px activity was measured using an enzymatic method with a kit from Cayman Chemical Company. The data were expressed in nmol/min/mg of protein.</p></sec>
<sec>
<title>Liver &#x003B1;-tocopherol and ascorbic acid levels</title>
<p>Liver &#x003B1;-tocopherol levels were determined by the method as described by Baker <italic>et al</italic> (<xref rid="b32-mmr-12-05-7017" ref-type="bibr">32</xref>). The level of &#x003B1;-tocopherol was estimated by the reduction of ferric ions to ferrous ions by &#x003B1;-tocopherol and the formation of a red-colored complex with 2,2-dipyridyl was measured at 520 nm using a Beckman Coulter DU 640 spectrophotometer. Ascorbic acid concentrations were measured using a LiChrospher 100 RP18 high performance liquid chromatography instrument (EMD Millipore, Billerica, MA, USA).</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Values are presented as the mean &#x000B1; standard deviation of six rats per group. Statistical analysis of the data was conducted with Statistica software, version 6 (Dell Software, Aliso Viejo, CA, USA). Data were analyzed using two way analysis of variance with the type of protein and fructose as independent variables. When the interaction was significant, Fisher's protected least significant difference test was performed. P&lt;0.05 was considered to indicate a statisti cally significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Energy intake and tissues weights</title>
<p>Following 8 weeks of feeding, the HF-fed rats were significantly heavier than the control rats, despite a low cumulative energy intake over the 8 weeks of study (P&lt;0.05; <xref rid="tIII-mmr-12-05-7017" ref-type="table">Table III</xref>). Consequently, food efficiency was significantly higher (P&lt;0.05) in HF-fed animals as compared with control animals. Consistent with this, the weights of the liver, kidney and heart were greater in rats on the HF diets compared with control rats. The constituents (g/100 g) of the protein obtained by these operations were 93 g protein, 0.9 g lipids, 2.5 g ash and 3.6 g moisture. Rats on sardine protein diets gained less weight and had reduced food and energy intakes than those fed casein diets. The liver weight was significantly reduced with S and S-HF diets, while heart, kidney and skeletal muscle weights were not significantly different among HF rats with any of the protein sources.</p></sec>
<sec>
<title>Time course of blooD-glucose</title>
<p>The results of the time course of glycemia assessed in the rats is presented in <xref rid="f1-mmr-12-05-7017" ref-type="fig">Fig. 1</xref>. Rats receiving HF diets exhibited significantly higher blooD-glucose levels at 7, 14, 21, 28, 35, 42, 48 and 60-days compared with control diets. In S-HF rats, the glycemia was significantly reduced at 35, 42, 48 and 60-days of the experiment compared with C-HF rats. In addition, the values recorded in the S group were significantly reduced at days 48 and 60 compared with the C group. However, the results of blooD-glucose were closely comparable between the two protein groups on days 7, 14, 21 and 28 of the experimental period.</p></sec>
<sec>
<title>Metabolic alterations</title>
<p>Following 8 weeks on the HF diet, it was observed that plasma glucose was significantly increased as demonstrated by the data presented in <xref rid="tIV-mmr-12-05-7017" ref-type="table">Table IV</xref>. Plasma insulin levels were increased only in S-HF-fed rats as compared with S fed rats. The HOMA-insulin resistance (HOMA-IR) index was observed to be higher in the HF groups compared with the control groups. Likewise, plasma GLP-1 levels were significantly reduced in the HF group compared with control rats. In addition, rats on HF diets had higher plasma fructose levels than those fed control diets. Plasma and urine creatinine and uric acid, and urinary albumin concentration were significantly higher (P&lt;0.05) in rats fed the HF diet than in those on the C-diet. In the rats fed the HF diet, it was observed that the S-HF diet, compared with the C-HF diet, attenuated the rise in plasma glucose (21%), insulin (35%), HOMA-IR (42%) and fructose (17%), and increased the GLP-1 (29%) level. Consumption of the S diet significantly reduced plasma insulin, fructose and HOMA-IR compared with the C-diet. Rats fed the S-HF diet exhibited reduced plasma levels of creatinine (37%) and uric acid (22%), and urine levels of creatinine (34%) and albumin concentration (16%) compared with rats fed the C-HF diet. In addition, the S diet reduced plasma levels of creatinine (25%) and uric acid (21%), and urinary levels of uric acid (29%) and albumin concentration (29%) compared with the C-diet.</p></sec>
<sec>
<title>Tissues lipid and protein oxidation and nitric oxide levels</title>
<p><xref rid="tV-mmr-12-05-7017" ref-type="table">Table V</xref> presents the status of oxidative stress parameters in the tissues of experimental and control rats. Addition of fructose to the protein diets resulted in oxidative stress that was demonstrated by the increase in TBARS in the heart and liver tissues compared with control diets. In the kidneys, the concentration of TBARS was significantly increased in rats fed the C-HF diet compared with rats fed the C-diet. Higher hydroperoxide and protein carbonyl levels, however reduced NO contents in all tissues were observed in all HF-fed rats compared with control rats. Additionally, following the treatment with sardine protein (S-HF group), hydroperoxide concentrations in the liver (31%), heart (16%), kidney (11%) and muscle (19%) tissues were significantly reduced compared with the C-HF group. In addition, the S group rats presented with low hydroperoxide (25%) levels in the liver tissue. Protein carbonyl and NO contents were significantly reduced in the liver, kidney and heart tissues of S-HF-fed rats compared with C-HF-fed rats. Feeding rats the S diet led to reduced carbonyls in the heart and reduced NO concentrations in the kidney and heart compared with the C-diet.</p></sec>
<sec>
<title>Antioxidant enzymatic activities in the tissues</title>
<p>Following 8 weeks of feeding, the diets supplemented with high dietary fructose induced a significant reduction in the activity of SOD, CAT and GSH-Px in all tissues in comparison with the control diets (<xref rid="f2-mmr-12-05-7017" ref-type="fig">Fig. 2</xref>) (<xref rid="b33-mmr-12-05-7017" ref-type="bibr">33</xref>). Feeding rats the S diet resulted in an increase in liver SOD activity (21%) and in the CAT activity of the liver (13%) and muscle (28%) compared with the C-diet. The administration of the S-HF diet to rats increased SOD activity in liver (31%) and kidney (14%) tissues compared with the C-HF diet. Furthermore, liver and muscle CAT activity was increased in S-HF-fed rats by 28 and 48%, respectively, when compared with the C-HF-fed rats. The activity of GSH-Px, which serves a role in peroxide removal, was significantly higher in the liver (31%), heart (51%) and muscle (24%) homogenates of S-HF-fed rats than C-HF-fed rats.</p></sec>
<sec>
<title>Liver ascorbic acid and &#x003B1;-tocopherol levels</title>
<p>A reduction in liver ascorbic acid and &#x003B1;-tocopherol levels was observed in the HF-fed rats compared with the control diets (<xref rid="tVI-mmr-12-05-7017" ref-type="table">Table VI</xref>). Administration of sardine protein to rats with or without fructose significantly increased levels of liver ascorbic acid relative to casein fed rats. In addition, the levels of liver &#x003B1;-tocopherol were higher in the S group than in the C group.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>An HF diet favors the development of several metabolic alterations in the rat (<xref rid="b3-mmr-12-05-7017" ref-type="bibr">3</xref>,<xref rid="b34-mmr-12-05-7017" ref-type="bibr">34</xref>&#x02013;<xref rid="b36-mmr-12-05-7017" ref-type="bibr">36</xref>). The results from the current study indicate that the weight gain and liver, kidney, heart and muscle weights in the HF group were significantly greater than those of control groups, despite reduced energy intake, suggesting a low energy expenditure. These results are in line with a previous study (<xref rid="b37-mmr-12-05-7017" ref-type="bibr">37</xref>). Intake of sardine protein suppressed HF-diet-mediated body, liver and muscle weight gain compared with casein, which is attributable in part to the satietogenic effects of sardine protein. According to Borzoei <italic>et al</italic> (<xref rid="b38-mmr-12-05-7017" ref-type="bibr">38</xref>), fish protein may have a stronger satiating effect compared with beef and chicken protein. Alternatively, the reduced levels of essential amino acids including isoleucine, phenylalanine, tyrosine, valine and histidine, in sardine protein (<xref rid="tI-mmr-12-05-7017" ref-type="table">Table I</xref>), may have been responsible for this low rate of growth. These results are consistent with those obtained in salmon protein fed insulin resistant rats (<xref rid="b39-mmr-12-05-7017" ref-type="bibr">39</xref>) and in spontaneously hypertensive rats fed with fish protein compared with those fed with casein (<xref rid="b17-mmr-12-05-7017" ref-type="bibr">17</xref>).</p>
<p>In addition, these data imply that the reduction in weight gain, liver weight and muscle weight as a result of the sardine protein diet may be responsible for improving insulin sensitivity in HF-fed rats. Rats assigned to an HF diet developed hyperglycemia, hyperinsulinemia and insulin resistance. Furthermore, this animal model exhibited significant elevations in blooD-glucose levels at all time points, compared with the control rats. The beneficial effect of sardine protein consumption in the HF group was demonstrated by a reduction in glycemia at all time points, a reduction in plasma D-glucose and insulin concentrations following overnight starvation, and a reduced HOMA index and plasma fructose. These observations are in agreement with previous studies on fish protein (<xref rid="b15-mmr-12-05-7017" ref-type="bibr">15</xref>,<xref rid="b40-mmr-12-05-7017" ref-type="bibr">40</xref>). It is widely recognized that certain bioactive agents (hormones) produced by the gastrointestinal system are able to modulate the secretory activities of the islets of Langerhans (<xref rid="b41-mmr-12-05-7017" ref-type="bibr">41</xref>,<xref rid="b42-mmr-12-05-7017" ref-type="bibr">42</xref>). The current study demonstrated that the GLP-1 response in the HF group was significantly reduced compared with the controls. Treatment with sardine protein attenuated the reduction in GLP-1 levels resulting from the HF diet, coinciding with reduced plasma glucose, insulin concentrations and reduced weight gain. Consequently, previous studies have identified GLP-1 to be highly effective in reducing blood glucose levels in patients with T2D (<xref rid="b43-mmr-12-05-7017" ref-type="bibr">43</xref>&#x02013;<xref rid="b45-mmr-12-05-7017" ref-type="bibr">45</xref>), and GLP-1 has been reported to serve an important role in normalizing fasting hyperglycemia (<xref rid="b46-mmr-12-05-7017" ref-type="bibr">46</xref>). Furthermore, GLP-1 acts as an incretin to reduce blood glucose, via stimulation of insulin secretion from islet &#x003B2; cells, and in addition is able to inhibit gastric emptying and acid secretion, reducing food ingestion and glucagon secretion (<xref rid="b47-mmr-12-05-7017" ref-type="bibr">47</xref>). Alternatively, this protein-dependent difference in insulin resistance may be attributed to the difference in the amino acid composition. Different amino acids appear to affect insulin secretion in different ways, with the branched-chain amino acids leucine, isoleucine and valine observed to increase insulin secretion more than other amino acids (<xref rid="b48-mmr-12-05-7017" ref-type="bibr">48</xref>). In the sardine protein used in the present study and in cod and soy proteins, these amino acids are present in reduced amounts compared with casein (<xref rid="b49-mmr-12-05-7017" ref-type="bibr">49</xref>). Increased levels of glycine, alanine and glutamic acid in sardine proteins may have a positive effect on glycemia, due to the fact that reduced glycemia in patients with T2D supplemented with alanine, glycine, aspartic and glutamine acids was observed by Natarajan Sulochana <italic>et al</italic> (<xref rid="b50-mmr-12-05-7017" ref-type="bibr">50</xref>).</p>
<p>The current study also demonstrated that excess fructose consumption is closely associated with the increased levels of creatinine and uric acid in plasma and urine, and albuminuria as compared with control diets. In rats fed with the S-HF diet, reduced plasma creatinine (37%) and uric acid (22%) levels, and urine albumin (16%) and creatinine (34%) levels were observed compared with rats fed with the C-HF diet. This suggests that the sardine protein may slow or reverse the progression of established kidney disease and may protect against the development of kidney disease in fructose induced MS in rats. In addition, the S diet group exhibited reduced plasma creatinine and uric acid levels, and urinary uric acid and albumin levels compared with the C-diet group. Similar observations were reported in streptozotocin induced type 1 diabetes rats fed sardine protein compared with those fed casein (<xref rid="b16-mmr-12-05-7017" ref-type="bibr">16</xref>).</p>
<p>Fructose-induced hyperglycemia is able to increase reactive oxygen species (ROS), resulting in lipid peroxidation and the depletion of the antioxidant defense status in various tissues (<xref rid="b51-mmr-12-05-7017" ref-type="bibr">51</xref>). In the present study, the tissue levels of TBARS, hydroperoxides and carbonyls were increased in HF rats, whilst the activity of antioxidants including SOD, CAT and GSH-Px were reduced in HF rats. These data demonstrate that HF treatment exhibited detrimental effects on antioxidant production and subsequently increased oxidative stress in rats. This accounts for the excessive production of superoxide anions and organic peroxides, and the increased utilization of scavenging free radicals. In addition, fructose itself enhances the formation of ROS <italic>in vitro</italic> (<xref rid="b52-mmr-12-05-7017" ref-type="bibr">52</xref>). These observations are in agreement with previous studies (<xref rid="b51-mmr-12-05-7017" ref-type="bibr">51</xref>,<xref rid="b53-mmr-12-05-7017" ref-type="bibr">53</xref>). Taken together, these alterations reduced the cellular capacity to cope with oxidative stress and are responsible for the increase in biomarkers of oxidative damage. The increase in protein carbonyl content is indicative of oxidative damage in addition to chemical modification. The protein oxidation observations provide additional evidence for carbonyl stress, which arises from oxidative and/or non oxidative reactions and leads to increased chemical modification of proteins (<xref rid="b54-mmr-12-05-7017" ref-type="bibr">54</xref>). Exposure to the sardine protein diet counteracted the increase in oxidative stress in HF rats and maintained the activity of SOD, CAT and GSH-Px. This implies that fish protein is able to act as a protective agent against potential fructose induced alterations in rats by attenuating lipid and protein oxidation, and enhancing the antioxidant capacity of tissues. Similar results were observed in spontaneously hypertensive streptozotocin induced diabetic rats fed with fish protein compared with those fed casein (<xref rid="b55-mmr-12-05-7017" ref-type="bibr">55</xref>). In the liver, low levels of lipid peroxides were associated with increased activity of SOD, CAT and GSH-Px in S-HF-fed rats. This suggests that the livers of S-HF rats exhibit an enhanced protective response to oxidative stress. The possible reduced accumulation of H<sub>2</sub>O<sub>2</sub> in the liver as a result of increased activity of CAT in rats fed the S-HF diet is suggested to be explained by the increased glutathione levels stimulating the GSH-Px mediated reduction of H<sub>2</sub>O<sub>2</sub> and organic hydroperoxides. In addition, an increase in the levels of ascorbic acid in the liver of S-HF-fed rats may be responsible for the reduced lipid peroxides. The lack of a difference in the CAT activity in the heart and kidney in the current study may imply that these organs are less vulnerable to diet-induced oxidative stress. The reduction in lipid peroxide levels in these organs may have resulted from an increase in SOD activity in the kidney and GSH-Px activity in the heart. These data suggest a reduced susceptibility to oxidative stress in fructose-fed rats. In muscles, however, the reduced lipid peroxidation in rats fed the S-HF diet compared with those fed the C-HF diet may be due to the enhancement of CAT and GSH-Px activities, which may be accounted for by the reduced accumulation of H<sub>2</sub>O<sub>2</sub>. The current study demonstrates that the fructose-enriched diets reduced NO levels in tissues compared with control rats, suggesting endothelial dysfunction. These observations may be explained by reduced NO production, inactivation of NO by superoxide radicals, or to increased formation of peroxynitrite (ONOO-) leading to aggravation of cellular injury via membrane damage. This is in agreement with the studies by Sun <italic>et al</italic> (<xref rid="b56-mmr-12-05-7017" ref-type="bibr">56</xref>) and Sim&#x000E3;o <italic>et al</italic> (<xref rid="b57-mmr-12-05-7017" ref-type="bibr">57</xref>) in patients with MS. NO, which serves a critical role in maintaining normal endothelial function by causing vasodilatation (<xref rid="b58-mmr-12-05-7017" ref-type="bibr">58</xref>), was reduced on treatment with sardine protein. The NO-reducing effect of sardine protein did not result from a reduced relative amount of the NO precursor, arginine, in the amino acid profile of sardine protein. However it may be associated with the reduction in blood pressure, as Ait-Yahia <italic>et al</italic> (<xref rid="b17-mmr-12-05-7017" ref-type="bibr">17</xref>) reported low blood pressure in spontaneously hypertensive rats fed fish protein compared with those fed casein.</p>
<p>In conclusion, chronic fructose consumption leads to detrimental effects, including insulin resistance, metabolic disorder and oxidative stress. Administration of sardine protein was able to prevent and reverse the insulin resistance and oxidative stress induced by the HF diet. Overall, the current study may provide novel insights regarding future human and clinical nutritional approaches aimed at preventing or treating MS.</p></sec></body>
<back>
<ref-list>
<title>References</title>
<ref id="b1-mmr-12-05-7017"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wong</surname><given-names>ND</given-names></name></person-group><article-title>Metabolic syndrome: Cardiovascular risk assessment and management</article-title><source>Am J Cardiovasc Drugs</source><volume>7</volume><fpage>259</fpage><lpage>272</lpage><year>2007</year><pub-id pub-id-type="doi">10.2165/00129784-200707040-00004</pub-id><pub-id pub-id-type="pmid">17696567</pub-id></element-citation></ref>
<ref id="b2-mmr-12-05-7017"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Despr&#x000E9;s</surname><given-names>JP</given-names></name><name><surname>Lemieux</surname><given-names>I</given-names></name><name><surname>Bergeron</surname><given-names>J</given-names></name><name><surname>Pibarot</surname><given-names>Ph</given-names></name><name><surname>Mathieu</surname><given-names>P</given-names></name><name><surname>Larose</surname><given-names>E</given-names></name><name><surname>Rod&#x000E9;s Cabau</surname><given-names>J</given-names></name><name><surname>Bertrand</surname><given-names>OF</given-names></name><name><surname>Poirier</surname><given-names>P</given-names></name></person-group><article-title>Abdominal obesity and the metabolic syndrome: Contribution to global cardiometabolic risk</article-title><source>Arterioscler Thromb Vasc Biol</source><volume>28</volume><fpage>1039</fpage><lpage>1049</lpage><year>2008</year><pub-id pub-id-type="doi">10.1161/ATVBAHA.107.159228</pub-id><pub-id pub-id-type="pmid">18356555</pub-id></element-citation></ref>
<ref id="b3-mmr-12-05-7017"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Misra</surname><given-names>A</given-names></name><name><surname>Khurana</surname><given-names>L</given-names></name></person-group><article-title>Obesity and the metabolic syndrome in developing countries</article-title><source>J Clin Endocrinol Metab</source><volume>93</volume><issue>Suppl 1</issue><fpage>S9</fpage><lpage>S30</lpage><year>2008</year><pub-id pub-id-type="doi">10.1210/jc.2008-1595</pub-id><pub-id pub-id-type="pmid">18987276</pub-id></element-citation></ref>
<ref id="b4-mmr-12-05-7017"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tappy</surname><given-names>L</given-names></name><name><surname>L&#x000EA;</surname><given-names>KA</given-names></name></person-group><article-title>Metabolic effects of fructose and the worldwide increase in obesity</article-title><source>Physiol Rev</source><volume>90</volume><fpage>23</fpage><lpage>46</lpage><year>2010</year><pub-id pub-id-type="doi">10.1152/physrev.00019.2009</pub-id><pub-id pub-id-type="pmid">20086073</pub-id></element-citation></ref>
<ref id="b5-mmr-12-05-7017"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>L&#x000EA;</surname><given-names>KA</given-names></name><name><surname>Tappy</surname><given-names>L</given-names></name></person-group><article-title>Metabolic effects of fructose</article-title><source>Curr Opin Clin Nutr Metab Care</source><volume>9</volume><fpage>469</fpage><lpage>475</lpage><year>2006</year><pub-id pub-id-type="doi">10.1097/01.mco.0000232910.61612.4d</pub-id><pub-id pub-id-type="pmid">16778579</pub-id></element-citation></ref>
<ref id="b6-mmr-12-05-7017"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yokozawa</surname><given-names>T</given-names></name><name><surname>Kim</surname><given-names>HJ</given-names></name><name><surname>Cho</surname><given-names>EJ</given-names></name></person-group><article-title>Gravinol ameliorates high fructose induced metabolic syndrome through regulation of lipid metabolism and proinflammatory state in rats</article-title><source>J Agric Food Chem</source><volume>56</volume><fpage>5026</fpage><lpage>5032</lpage><year>2008</year><pub-id pub-id-type="doi">10.1021/jf800213f</pub-id><pub-id pub-id-type="pmid">18540612</pub-id></element-citation></ref>
<ref id="b7-mmr-12-05-7017"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kelley</surname><given-names>GL</given-names></name><name><surname>Allan</surname><given-names>G</given-names></name><name><surname>Azhar</surname><given-names>S</given-names></name></person-group><article-title>High dietary fructose induces a hepatic stress response resulting in cholesterol and lipid dysregulation</article-title><source>Endocrinology</source><volume>145</volume><fpage>548</fpage><lpage>555</lpage><year>2004</year><comment><ext-link xlink:href="http://dx.doi.org/10.1210/en.2003-1167" ext-link-type="uri">http://dx.doi.org/10.1210/en.2003-1167</ext-link></comment><pub-id pub-id-type="doi">10.1210/en.2003-1167</pub-id></element-citation></ref>
<ref id="b8-mmr-12-05-7017"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nkondjock</surname><given-names>A</given-names></name><name><surname>Receveur</surname><given-names>O</given-names></name></person-group><article-title>Fish seafood consumption, obesity, and risk of type 2 diabetes: An ecological study</article-title><source>Diabetes Metab</source><volume>29</volume><fpage>635</fpage><lpage>642</lpage><year>2003</year><pub-id pub-id-type="doi">10.1016/S1262-3636(07)70080-0</pub-id></element-citation></ref>
<ref id="b9-mmr-12-05-7017"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ramel</surname><given-names>A</given-names></name><name><surname>Martin&#x000E8;z</surname><given-names>A</given-names></name><name><surname>Kiely</surname><given-names>M</given-names></name><name><surname>Morais</surname><given-names>G</given-names></name><name><surname>Bandarra</surname><given-names>NM</given-names></name><name><surname>Thorsdottir</surname><given-names>I</given-names></name></person-group><article-title>Beneficial effects of long chain n-3 fatty acids included in an energy restricted diet on insulin resistance in overweight and obese European young adults</article-title><source>Diabetologia</source><volume>51</volume><fpage>1261</fpage><lpage>1268</lpage><year>2008</year><pub-id pub-id-type="doi">10.1007/s00125-008-1035-7</pub-id><pub-id pub-id-type="pmid">18491071</pub-id></element-citation></ref>
<ref id="b10-mmr-12-05-7017"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Delarue</surname><given-names>J</given-names></name><name><surname>LeFoll</surname><given-names>C</given-names></name><name><surname>Corporeau</surname><given-names>C</given-names></name><name><surname>Lucas</surname><given-names>D</given-names></name></person-group><article-title>N-3 long chain polyunsaturated fatty acids: A nutritional tool to prevent insulin resistance associated to type 2 diabetes and obesity</article-title><source>Reprod Nutr Dev</source><volume>44</volume><fpage>289</fpage><lpage>299</lpage><year>2004</year><pub-id pub-id-type="doi">10.1051/rnd:2004033</pub-id><pub-id pub-id-type="pmid">15460168</pub-id></element-citation></ref>
<ref id="b11-mmr-12-05-7017"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ebbesson</surname><given-names>SO</given-names></name><name><surname>Ebbesson</surname><given-names>LO</given-names></name><name><surname>Swenson</surname><given-names>M</given-names></name><name><surname>Kennish</surname><given-names>JM</given-names></name><name><surname>Robbins</surname><given-names>DC</given-names></name></person-group><article-title>A successful diabetes prevention study in Eskimos: The Alaska Siberia project</article-title><source>Int J Circumpolar Health</source><volume>64</volume><fpage>409</fpage><lpage>424</lpage><year>2005</year><pub-id pub-id-type="doi">10.3402/ijch.v64i4.18017</pub-id><pub-id pub-id-type="pmid">16277124</pub-id></element-citation></ref>
<ref id="b12-mmr-12-05-7017"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lombardo</surname><given-names>YB</given-names></name><name><surname>Hein</surname><given-names>G</given-names></name><name><surname>Chicco</surname><given-names>A</given-names></name></person-group><article-title>Metabolic syndrome: Effects of n-3 PUFAs on a model of dyslipidemia, insulin resistance and adiposity</article-title><source>Lipids</source><volume>42</volume><fpage>427</fpage><lpage>437</lpage><year>2007</year><pub-id pub-id-type="doi">10.1007/s11745-007-3039-3</pub-id><pub-id pub-id-type="pmid">17476547</pub-id></element-citation></ref>
<ref id="b13-mmr-12-05-7017"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Noriega L&#x000F3;pez</surname><given-names>L</given-names></name><name><surname>Tovar</surname><given-names>AR</given-names></name><name><surname>Gonzalez Granillo</surname><given-names>M</given-names></name><name><surname>Hern&#x000E1;ndez Pando</surname><given-names>R</given-names></name><name><surname>Escalante</surname><given-names>B</given-names></name><name><surname>Santill&#x000E1;n Doherty</surname><given-names>P</given-names></name><name><surname>Torres</surname><given-names>N</given-names></name></person-group><article-title>Pancreatic insulin secretion in rats fed a soy protein high fat diet depends on the interaction between the amino acid pattern and isoflavones</article-title><source>J Biol Chem</source><volume>282</volume><fpage>20657</fpage><lpage>20666</lpage><year>2007</year><pub-id pub-id-type="doi">10.1074/jbc.M701045200</pub-id><pub-id pub-id-type="pmid">17507381</pub-id></element-citation></ref>
<ref id="b14-mmr-12-05-7017"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ascencio</surname><given-names>C</given-names></name><name><surname>Torres</surname><given-names>N</given-names></name><name><surname>Isoard Acosta</surname><given-names>F</given-names></name><name><surname>G&#x000F3;mez P&#x000E9;rez</surname><given-names>FJ</given-names></name><name><surname>Hern&#x000E1;ndez Pando</surname><given-names>R</given-names></name><name><surname>Tovar</surname><given-names>AR</given-names></name></person-group><article-title>Soy protein affects serum insulin and hepatic SREBP 1 mRNA and reduces fatty liver in rats</article-title><source>J Nutr</source><volume>134</volume><fpage>522</fpage><lpage>529</lpage><year>2004</year><pub-id pub-id-type="pmid">14988441</pub-id></element-citation></ref>
<ref id="b15-mmr-12-05-7017"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lavigne</surname><given-names>C</given-names></name><name><surname>Tremblay</surname><given-names>F</given-names></name><name><surname>Asselin</surname><given-names>G</given-names></name><name><surname>Jacques</surname><given-names>H</given-names></name><name><surname>Marette</surname><given-names>A</given-names></name></person-group><article-title>Prevention of skeletal muscle insulin resistance by dietary cod protein in high fat fed rats</article-title><source>Am J Physiol Endocrinol Metab</source><volume>281</volume><fpage>E62</fpage><lpage>E71</lpage><year>2001</year><pub-id pub-id-type="pmid">11404223</pub-id></element-citation></ref>
<ref id="b16-mmr-12-05-7017"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mellouk</surname><given-names>Z</given-names></name><name><surname>Ait Yahia</surname><given-names>D</given-names></name><name><surname>Boukortt</surname><given-names>FO</given-names></name><name><surname>Benaicha</surname><given-names>N</given-names></name><name><surname>Madani</surname><given-names>Z</given-names></name><name><surname>Bouchenak</surname><given-names>M</given-names></name></person-group><article-title>Dietary sardine (Sardina pilchardus) protein attenuates hyperglycemia and hyperlipidemia and ameliorates tissue morphology changes in streptozotocin induced diabetic rats</article-title><source>Metab Funct Res Diab</source><volume>2</volume><fpage>45</fpage><lpage>54</lpage><year>2009</year></element-citation></ref>
<ref id="b17-mmr-12-05-7017"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ait Yahia</surname><given-names>D</given-names></name><name><surname>Madani</surname><given-names>S</given-names></name><name><surname>Prost</surname><given-names>E</given-names></name><name><surname>Prost</surname><given-names>J</given-names></name><name><surname>Bouchenak</surname><given-names>M</given-names></name><name><surname>Belleville</surname><given-names>J</given-names></name></person-group><article-title>Tissue antioxidant status differs in spontaneously hypertensive rats fed fish protein or casein</article-title><source>J Nutr</source><volume>133</volume><fpage>479</fpage><lpage>482</lpage><year>2003</year></element-citation></ref>
<ref id="b18-mmr-12-05-7017"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tremblay</surname><given-names>F</given-names></name><name><surname>Lavigne</surname><given-names>C</given-names></name><name><surname>Jacques</surname><given-names>H</given-names></name><name><surname>Marette</surname><given-names>A</given-names></name></person-group><article-title>Dietary cod protein restores insulin induced activation of phosphatidylinositol 3 kinase/Akt and GLUT4 translocation to the T tubules in skeletal muscle of high fat fed obese rats</article-title><source>Diabetes</source><volume>52</volume><fpage>29</fpage><lpage>37</lpage><year>2003</year><pub-id pub-id-type="doi">10.2337/diabetes.52.1.29</pub-id></element-citation></ref>
<ref id="b19-mmr-12-05-7017"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ouellet</surname><given-names>V</given-names></name><name><surname>Weisnagel</surname><given-names>SJ</given-names></name><name><surname>Marois</surname><given-names>J</given-names></name><name><surname>Bergeron</surname><given-names>J</given-names></name><name><surname>Julien</surname><given-names>P</given-names></name><name><surname>Gougeon</surname><given-names>R</given-names></name><name><surname>Tchernof</surname><given-names>A</given-names></name><name><surname>Holub</surname><given-names>BJ</given-names></name><name><surname>Jacques</surname><given-names>H</given-names></name></person-group><article-title>Dietary cod protein reduces plasma C reactive protein in insulin resistant men and women</article-title><source>J Nutr</source><volume>138</volume><fpage>2386</fpage><lpage>2391</lpage><year>2008</year><pub-id pub-id-type="doi">10.3945/jn.108.092346</pub-id><pub-id pub-id-type="pmid">19022962</pub-id></element-citation></ref>
<ref id="b20-mmr-12-05-7017"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Undeland</surname><given-names>I</given-names></name><name><surname>Kelleher</surname><given-names>SD</given-names></name><name><surname>Hultin</surname><given-names>HO</given-names></name></person-group><article-title>Recovery of functional proteins from herring (Clupea harengus) light muscle by an acid or alkaline solubilization process</article-title><source>J Agric Food Chem</source><volume>50</volume><fpage>7371</fpage><lpage>7379</lpage><year>2002</year><pub-id pub-id-type="doi">10.1021/jf020199u</pub-id><pub-id pub-id-type="pmid">12452661</pub-id></element-citation></ref>
<ref id="b21-mmr-12-05-7017"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kjeldahl</surname><given-names>JZ</given-names></name></person-group><article-title>A new method for the determination of nitrogen in organic bodies</article-title><source>Analytical Chemistry</source><volume>22</volume><fpage>366</fpage><year>1883</year><pub-id pub-id-type="doi">10.1007/BF01338151</pub-id></element-citation></ref>
<ref id="b22-mmr-12-05-7017"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Soxhlet</surname><given-names>FRV</given-names></name></person-group><article-title>The gravimetric determination of milk fat</article-title><source>Dingler's Polytechnic J</source><volume>232</volume><fpage>461</fpage><lpage>465</lpage><year>1879</year><comment>In German</comment></element-citation></ref>
<ref id="b23-mmr-12-05-7017"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><collab>Council of European Communities</collab></person-group><article-title>Council instructions about the protection of living animals used in scientific investigations</article-title><source>Official J</source><volume>L358</volume><day>18</day><month>12</month><year>1986</year></element-citation><element-citation publication-type="journal"><article-title>Corrigendum</article-title><source>Official J</source><volume>L 117</volume><day>05</day><month>05</month><year>1987</year></element-citation></ref>
<ref id="b24-mmr-12-05-7017"><label>24</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Bergmeyer</surname><given-names>HU</given-names></name><name><surname>Berndt</surname><given-names>E</given-names></name><name><surname>Schmidt</surname><given-names>F</given-names></name><name><surname>Stork</surname><given-names>H</given-names></name></person-group><article-title>D-glucose determination with hexokinase and glucose 6-phosphate dehydrogenase</article-title><source>Methods of Enzymatic Analysis</source><person-group person-group-type="editor"><name><surname>HU</surname><given-names>Bergmeyer</given-names></name></person-group><volume>3</volume><publisher-name>Academic Press</publisher-name><publisher-loc>New York</publisher-loc><fpage>1190</fpage><lpage>1201</lpage><year>1974</year></element-citation></ref>
<ref id="b25-mmr-12-05-7017"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Leclercq Meyer</surname><given-names>V</given-names></name><name><surname>Marchand</surname><given-names>J</given-names></name><name><surname>Woussen-Colle</surname><given-names>MC</given-names></name><name><surname>Giroix</surname><given-names>MH</given-names></name><name><surname>Malaisse</surname><given-names>WJ</given-names></name></person-group><article-title>Multiple effects of leucine on glucagon, insulin, and somatostatin secretion from the perfused rat pancreas</article-title><source>Endocrinology</source><volume>116</volume><fpage>1168</fpage><lpage>1174</lpage><year>1985</year><pub-id pub-id-type="doi">10.1210/endo-116-3-1168</pub-id><pub-id pub-id-type="pmid">2857640</pub-id></element-citation></ref>
<ref id="b26-mmr-12-05-7017"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lowry</surname><given-names>OH</given-names></name><name><surname>Rosebrough</surname><given-names>NJ</given-names></name><name><surname>Farr</surname><given-names>AL</given-names></name><name><surname>Randall</surname><given-names>RJ</given-names></name></person-group><article-title>Protein measurement with the Folin phenol reagent</article-title><source>J Biol Chem</source><volume>193</volume><fpage>265</fpage><lpage>275</lpage><year>1951</year><pub-id pub-id-type="pmid">14907713</pub-id></element-citation></ref>
<ref id="b27-mmr-12-05-7017"><label>27</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Quintanilha</surname><given-names>AT</given-names></name><name><surname>Packer</surname><given-names>L</given-names></name><name><surname>Davies</surname><given-names>JM</given-names></name><name><surname>Racanelli</surname><given-names>TL</given-names></name><name><surname>Davies</surname><given-names>KJA</given-names></name></person-group><article-title>Membrane effects of vitamin E deficiency: Bioenergetic and surface charge density studies of skeletal muscle and liver mitochondria</article-title><source>Ann NY Acad Sci</source><volume>393</volume><issue>1 Vitamin E</issue><fpage>32</fpage><lpage>47</lpage><year>1982</year><pub-id pub-id-type="doi">10.1111/j.1749-6632.1982.tb31230.x</pub-id></element-citation></ref>
<ref id="b28-mmr-12-05-7017"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Eymard</surname><given-names>S</given-names></name><name><surname>Genot</surname><given-names>C</given-names></name></person-group><article-title>A modified xylenol orange method to evaluate formation of lipid hydroperoxides during storage and processing of small pelagic fish</article-title><source>Eur J Lipid Sci Technol</source><volume>105</volume><fpage>497</fpage><lpage>501</lpage><year>2003</year><pub-id pub-id-type="doi">10.1002/ejlt.200300768</pub-id></element-citation></ref>
<ref id="b29-mmr-12-05-7017"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Levine</surname><given-names>RL</given-names></name><name><surname>Garland</surname><given-names>D</given-names></name><name><surname>Oliver</surname><given-names>CN</given-names></name><name><surname>Amici</surname><given-names>A</given-names></name><name><surname>Climent</surname><given-names>I</given-names></name><name><surname>Lenz</surname><given-names>AG</given-names></name><name><surname>Ahn</surname><given-names>BW</given-names></name><name><surname>Shaltiel</surname><given-names>S</given-names></name><name><surname>Stadtman</surname><given-names>ER</given-names></name></person-group><article-title>Determination of carbonyl content in oxidatively modified proteins</article-title><source>Methods Enzymol</source><volume>186</volume><fpage>464</fpage><lpage>478</lpage><year>1990</year><pub-id pub-id-type="doi">10.1016/0076-6879(90)86141-H</pub-id><pub-id pub-id-type="pmid">1978225</pub-id></element-citation></ref>
<ref id="b30-mmr-12-05-7017"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cortas</surname><given-names>NK</given-names></name><name><surname>Wakid</surname><given-names>NW</given-names></name></person-group><article-title>Determination of inorganic nitrate in serum and urine by a kinetic cadmium reduction method</article-title><source>Clin Chem</source><volume>36</volume><fpage>1440</fpage><lpage>1443</lpage><year>1990</year><pub-id pub-id-type="pmid">2387039</pub-id></element-citation></ref>
<ref id="b31-mmr-12-05-7017"><label>31</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Aebi</surname><given-names>H</given-names></name></person-group><article-title>Catalase</article-title><source>Methods of Enzymatic Analysis</source><person-group person-group-type="editor"><name><surname>HU</surname><given-names>Bergmeyer</given-names></name></person-group><edition>2nd edition</edition><publisher-name>Verlag Chemie</publisher-name><publisher-loc>Weinheim</publisher-loc><fpage>673</fpage><lpage>684</lpage><year>1974</year><pub-id pub-id-type="doi">10.1016/B978-0-12-091302-2.50032-3</pub-id></element-citation></ref>
<ref id="b32-mmr-12-05-7017"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Baker</surname><given-names>H</given-names></name><name><surname>Frank</surname><given-names>O</given-names></name><name><surname>Angelis</surname><given-names>B</given-names></name><name><surname>Feingold</surname><given-names>S</given-names></name></person-group><article-title>Plasma tocopherol in man at various times after ingesting free or acetylated tocopherol</article-title><source>Nutr Rep Int</source><volume>21</volume><fpage>531</fpage><lpage>536</lpage><year>1980</year></element-citation></ref>
<ref id="b33-mmr-12-05-7017"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liddell</surname><given-names>JR</given-names></name><name><surname>Dringen</surname><given-names>R</given-names></name><name><surname>Crack</surname><given-names>PJ</given-names></name><name><surname>Robinson</surname><given-names>SR</given-names></name></person-group><article-title>Glutathione peroxidase 1 and a high cellular glutathione concentration are essential for effective organic hydroperoxide detoxification in astrocytes</article-title><source>Glia</source><volume>54</volume><fpage>873</fpage><lpage>879</lpage><year>2006</year><pub-id pub-id-type="doi">10.1002/glia.20433</pub-id><pub-id pub-id-type="pmid">16998864</pub-id></element-citation></ref>
<ref id="b34-mmr-12-05-7017"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Stanhope</surname><given-names>KL</given-names></name><name><surname>Havel</surname><given-names>PJ</given-names></name></person-group><article-title>Fructose consumption: Potential mechanisms for its effects to increase visceral adiposity and induce dyslipidemia and insulin resistance</article-title><source>Curr Opin Lipidol</source><volume>19</volume><fpage>16</fpage><lpage>24</lpage><year>2008</year><pub-id pub-id-type="doi">10.1097/MOL.0b013e3282f2b24a</pub-id><pub-id pub-id-type="pmid">18196982</pub-id><pub-id pub-id-type="pmcid">4151171</pub-id></element-citation></ref>
<ref id="b35-mmr-12-05-7017"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lim</surname><given-names>JS</given-names></name><name><surname>Mietus Snyder</surname><given-names>M</given-names></name><name><surname>Valente</surname><given-names>A</given-names></name><name><surname>Schwarz</surname><given-names>JM</given-names></name><name><surname>Lustig</surname><given-names>RH</given-names></name></person-group><article-title>The role of fructose in the pathogenesis of NAFLD and the metabolic syndrome</article-title><source>Nat Rev Gastroenterol Hepatol</source><volume>7</volume><fpage>251</fpage><lpage>264</lpage><year>2010</year><pub-id pub-id-type="doi">10.1038/nrgastro.2010.41</pub-id><pub-id pub-id-type="pmid">20368739</pub-id></element-citation></ref>
<ref id="b36-mmr-12-05-7017"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ahangarpour</surname><given-names>A</given-names></name><name><surname>Mohammadian</surname><given-names>M</given-names></name><name><surname>Dianat</surname><given-names>M</given-names></name></person-group><article-title>Antidiabetic effect of hydroalcholic urticadioica leaf extract in male rats with fructose induced insulin resistance</article-title><source>Iran J Med Sci</source><volume>37</volume><fpage>181</fpage><lpage>186</lpage><year>2012</year><pub-id pub-id-type="pmid">23115450</pub-id><pub-id pub-id-type="pmcid">3470082</pub-id></element-citation></ref>
<ref id="b37-mmr-12-05-7017"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hsieh</surname><given-names>FC</given-names></name><name><surname>Lee</surname><given-names>CL</given-names></name><name><surname>Chai</surname><given-names>CY</given-names></name><name><surname>Chen</surname><given-names>WT</given-names></name><name><surname>Lu</surname><given-names>YC</given-names></name><name><surname>Wu</surname><given-names>CS</given-names></name></person-group><article-title>Oral administration of Lactobacillus reuteri GMNL 263 improves insulin resistance and ameliorates hepatic steatosis in high fructose fed rats</article-title><source>Nutr Metab (Lond)</source><volume>10</volume><fpage>35</fpage><year>2013</year><pub-id pub-id-type="doi">10.1186/1743-7075-10-35</pub-id></element-citation></ref>
<ref id="b38-mmr-12-05-7017"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Borzoei</surname><given-names>S</given-names></name><name><surname>Neovius</surname><given-names>M</given-names></name><name><surname>Barkeling</surname><given-names>B</given-names></name><name><surname>Teixeira Pinto</surname><given-names>A</given-names></name><name><surname>R&#x000F6;ssner</surname><given-names>S</given-names></name></person-group><article-title>A comparison of effects of fish and beef protein on satiety in normal weight men</article-title><source>Eur J Clin Nutr</source><volume>60</volume><fpage>897</fpage><lpage>902</lpage><year>2006</year><pub-id pub-id-type="doi">10.1038/sj.ejcn.1602397</pub-id><pub-id pub-id-type="pmid">16482079</pub-id></element-citation></ref>
<ref id="b39-mmr-12-05-7017"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pilon</surname><given-names>G</given-names></name><name><surname>Ruzzin</surname><given-names>J</given-names></name><name><surname>Rioux</surname><given-names>LE</given-names></name><name><surname>Lavigne</surname><given-names>C</given-names></name><name><surname>White</surname><given-names>PJ</given-names></name><name><surname>Fr&#x000F8;yland</surname><given-names>L</given-names></name><name><surname>Jacques</surname><given-names>H</given-names></name><name><surname>Bryl</surname><given-names>P</given-names></name><name><surname>Beaulieu</surname><given-names>L</given-names></name><name><surname>Marette</surname><given-names>A</given-names></name></person-group><article-title>Differential effects of various fish proteins in altering body weight, adiposity, inflammatory status, and insulin sensitivity in high-fat-fed rats</article-title><source>Metabolism</source><volume>60</volume><fpage>1122</fpage><lpage>1130</lpage><year>2011</year><pub-id pub-id-type="doi">10.1016/j.metabol.2010.12.005</pub-id><pub-id pub-id-type="pmid">21306751</pub-id></element-citation></ref>
<ref id="b40-mmr-12-05-7017"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ouellet</surname><given-names>V</given-names></name><name><surname>Marois</surname><given-names>J</given-names></name><name><surname>Weisnagel</surname><given-names>SJ</given-names></name><name><surname>Jacques</surname><given-names>H</given-names></name></person-group><article-title>Dietary cod protein improves insulin sensitivity in insulin resistant men and women: A randomized controlled trial</article-title><source>Diabetes Care</source><volume>30</volume><fpage>2816</fpage><lpage>2821</lpage><year>2007</year><pub-id pub-id-type="doi">10.2337/dc07-0273</pub-id><pub-id pub-id-type="pmid">17682120</pub-id></element-citation></ref>
<ref id="b41-mmr-12-05-7017"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Creutzfeldt</surname><given-names>W</given-names></name><name><surname>Ebert</surname><given-names>R</given-names></name></person-group><article-title>New developments in the incretin concept</article-title><source>Diabetologia</source><volume>28</volume><fpage>565</fpage><lpage>573</lpage><year>1985</year><pub-id pub-id-type="doi">10.1007/BF00281990</pub-id><pub-id pub-id-type="pmid">3902545</pub-id></element-citation></ref>
<ref id="b42-mmr-12-05-7017"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kieffer</surname><given-names>TJ</given-names></name><name><surname>Habener</surname><given-names>JF</given-names></name></person-group><article-title>The glucagon-like peptides</article-title><source>Endocr Rev</source><volume>20</volume><fpage>876</fpage><lpage>913</lpage><year>1999</year><pub-id pub-id-type="doi">10.1210/edrv.20.6.0385</pub-id><pub-id pub-id-type="pmid">10605628</pub-id></element-citation></ref>
<ref id="b43-mmr-12-05-7017"><label>43</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Larsen</surname><given-names>J</given-names></name><name><surname>Hylleberg</surname><given-names>B</given-names></name><name><surname>Ng</surname><given-names>K</given-names></name><name><surname>Damsbo</surname><given-names>P</given-names></name></person-group><article-title>Glucagon-like peptide-1 infusion must be maintained for 24 h/day to obtain acceptable glycemia in type 2 diabetic patients who are poorly controlled on sulphonylurea treatment</article-title><source>Diabetes Care</source><volume>24</volume><fpage>1416</fpage><lpage>1421</lpage><year>2001</year><pub-id pub-id-type="doi">10.2337/diacare.24.8.1416</pub-id><pub-id pub-id-type="pmid">11473079</pub-id></element-citation></ref>
<ref id="b44-mmr-12-05-7017"><label>44</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nauck</surname><given-names>MA</given-names></name><name><surname>Heimesaat</surname><given-names>MM</given-names></name><name><surname>Orskov</surname><given-names>C</given-names></name><name><surname>Holst</surname><given-names>JJ</given-names></name><name><surname>Ebert</surname><given-names>R</given-names></name><name><surname>Creutzfeldt</surname><given-names>W</given-names></name></person-group><article-title>Preserved incretin activity of glucagon-like peptide 1 &#x0005B;7-36amide&#x0005D; but not of synthetic human gastric inhibitory polypeptide in patients with type-2 diabetes mellitus</article-title><source>J Clin Invest</source><volume>91</volume><fpage>301</fpage><lpage>307</lpage><year>1993</year><pub-id pub-id-type="doi">10.1172/JCI116186</pub-id><pub-id pub-id-type="pmid">8423228</pub-id><pub-id pub-id-type="pmcid">330027</pub-id></element-citation></ref>
<ref id="b45-mmr-12-05-7017"><label>45</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Elahi</surname><given-names>D</given-names></name><name><surname>McAloon Dyke</surname><given-names>M</given-names></name><name><surname>Fukagawa</surname><given-names>NK</given-names></name><name><surname>Meneilly</surname><given-names>GS</given-names></name><name><surname>Sclater</surname><given-names>AL</given-names></name><name><surname>Minaker</surname><given-names>KL</given-names></name><name><surname>Habener</surname><given-names>JF</given-names></name><name><surname>Andersen</surname><given-names>DK</given-names></name></person-group><article-title>The insulinotropic actions of glucosedependent insulinotropic poly peptide (GIP) and glucagon-like peptide 1 (7 37) in normal and diabetic subjects</article-title><source>Regul Pept</source><volume>51</volume><fpage>63</fpage><lpage>74</lpage><year>1994</year><pub-id pub-id-type="doi">10.1016/0167-0115(94)90136-8</pub-id><pub-id pub-id-type="pmid">8036284</pub-id></element-citation></ref>
<ref id="b46-mmr-12-05-7017"><label>46</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kjems</surname><given-names>LL</given-names></name><name><surname>Holst</surname><given-names>JJ</given-names></name><name><surname>V&#x000F8;lund</surname><given-names>A</given-names></name><name><surname>Madsbad</surname><given-names>S</given-names></name></person-group><article-title>The influence of GLP-1 on glucose-stimulated insulin secretion: Effects on beta-cell sensitivity in type 2 and nondiabetic subjects</article-title><source>Diabetes</source><volume>52</volume><fpage>380</fpage><lpage>386</lpage><year>2003</year><pub-id pub-id-type="doi">10.2337/diabetes.52.2.380</pub-id><pub-id pub-id-type="pmid">12540611</pub-id></element-citation></ref>
<ref id="b47-mmr-12-05-7017"><label>47</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Holst</surname><given-names>JJ</given-names></name></person-group><article-title>The physiology of glucagon-like peptide-1</article-title><source>Physiol Rev</source><volume>87</volume><fpage>1409</fpage><lpage>1439</lpage><year>2007</year><pub-id pub-id-type="doi">10.1152/physrev.00034.2006</pub-id><pub-id pub-id-type="pmid">17928588</pub-id></element-citation></ref>
<ref id="b48-mmr-12-05-7017"><label>48</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lynch</surname><given-names>CJ</given-names></name><name><surname>Hutson</surname><given-names>SM</given-names></name><name><surname>Patson</surname><given-names>BJ</given-names></name><name><surname>Vaval</surname><given-names>A</given-names></name><name><surname>Vary</surname><given-names>TC</given-names></name></person-group><article-title>Tissue-specific effects of chroniC-dietary leucine and norleucine supplementation on protein synthesis in rats</article-title><source>Am J Physiol Endocrinol Metab</source><volume>283</volume><fpage>E824</fpage><lpage>E835</lpage><year>2002</year><pub-id pub-id-type="doi">10.1152/ajpendo.00085.2002</pub-id><pub-id pub-id-type="pmid">12217901</pub-id></element-citation></ref>
<ref id="b49-mmr-12-05-7017"><label>49</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lavigne</surname><given-names>C</given-names></name><name><surname>Marette</surname><given-names>A</given-names></name><name><surname>Jacques</surname><given-names>H</given-names></name></person-group><article-title>Cod and soy proteins compared with casein improve glucose tolerance and insulin sensitivity in rats</article-title><source>Am J Physiol Endocrinol Metab</source><volume>278</volume><fpage>E491</fpage><lpage>E500</lpage><year>2000</year><pub-id pub-id-type="pmid">10710504</pub-id></element-citation></ref>
<ref id="b50-mmr-12-05-7017"><label>50</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Natarajan Sulochana</surname><given-names>K</given-names></name><name><surname>Lakshmi</surname><given-names>S</given-names></name><name><surname>Punitham</surname><given-names>R</given-names></name><name><surname>Arokiasamy</surname><given-names>T</given-names></name><name><surname>Sukumar</surname><given-names>B</given-names></name><name><surname>Ramakrishnan</surname><given-names>S</given-names></name></person-group><article-title>Effect of oral supplementation of free amino acids in type 2 diabetic patients-a pilot clinical trial</article-title><source>Med Sci Monit</source><volume>8</volume><fpage>CR131</fpage><lpage>CR137</lpage><year>2002</year><pub-id pub-id-type="pmid">11887024</pub-id></element-citation></ref>
<ref id="b51-mmr-12-05-7017"><label>51</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Reddy</surname><given-names>SS</given-names></name><name><surname>Ramatholisamma</surname><given-names>P</given-names></name><name><surname>Karuna</surname><given-names>R</given-names></name><name><surname>Saralakumari</surname><given-names>D</given-names></name></person-group><article-title>Preventive effect of Tinospora cordifolia against high fructose diet-induced insulin resistance and oxidative stress in male Wistar rats</article-title><source>Food Chem Toxicol</source><volume>47</volume><fpage>2224</fpage><lpage>2229</lpage><year>2009</year><pub-id pub-id-type="doi">10.1016/j.fct.2009.06.008</pub-id><pub-id pub-id-type="pmid">19520137</pub-id></element-citation></ref>
<ref id="b52-mmr-12-05-7017"><label>52</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sakai</surname><given-names>M</given-names></name><name><surname>Oimomi</surname><given-names>M</given-names></name><name><surname>Kasuga</surname><given-names>M</given-names></name></person-group><article-title>Experimental studies on the role of fructose in the development of diabetic complications</article-title><source>Kobe J Med Sci</source><volume>48</volume><fpage>125</fpage><lpage>136</lpage><year>2002</year></element-citation></ref>
<ref id="b53-mmr-12-05-7017"><label>53</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nandhini</surname><given-names>AT</given-names></name><name><surname>Thirunavukkarasu</surname><given-names>V</given-names></name><name><surname>Ravichandran</surname><given-names>MK</given-names></name><name><surname>Anuradha</surname><given-names>CV</given-names></name></person-group><article-title>Effect of taurine on biomarkers of oxidative stress in tissues of fructose fed insulin resistant rats</article-title><source>Singapore Med J</source><volume>46</volume><fpage>82</fpage><lpage>87</lpage><year>2005</year><pub-id pub-id-type="pmid">15678290</pub-id></element-citation></ref>
<ref id="b54-mmr-12-05-7017"><label>54</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chevion</surname><given-names>M</given-names></name><name><surname>Berenshtein</surname><given-names>E</given-names></name><name><surname>Stadtman</surname><given-names>ER</given-names></name></person-group><article-title>Human studies related to protein oxidation: Protein carbonyl content as a marker of damage</article-title><source>Free Rad Res</source><volume>33</volume><issue>Suppl</issue><fpage>S99</fpage><lpage>S108</lpage><year>2000</year></element-citation></ref>
<ref id="b55-mmr-12-05-7017"><label>55</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Boukortt</surname><given-names>FO</given-names></name><name><surname>Girard</surname><given-names>A</given-names></name><name><surname>Prost</surname><given-names>JL</given-names></name><name><surname>Ait-Yahia</surname><given-names>D</given-names></name><name><surname>Bouchenak</surname><given-names>M</given-names></name><name><surname>Belleville</surname><given-names>J</given-names></name></person-group><article-title>Fish protein improves the total antioxidant status of streptozotocin induced diabetes in spontaneously hypertensive rat</article-title><source>Med Sci Monit</source><volume>10</volume><fpage>BR397</fpage><lpage>BR404</lpage><year>2004</year><pub-id pub-id-type="pmid">15507843</pub-id></element-citation></ref>
<ref id="b56-mmr-12-05-7017"><label>56</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sun</surname><given-names>YX</given-names></name><name><surname>Hu</surname><given-names>SJ</given-names></name><name><surname>Zhang</surname><given-names>XH</given-names></name><name><surname>Sun</surname><given-names>J</given-names></name><name><surname>Zhu</surname><given-names>CH</given-names></name><name><surname>Zhang</surname><given-names>ZJ</given-names></name></person-group><article-title>Plasma levels of vWF and NO in patients with metabolic syndrome and their relationship with metabolic disorders</article-title><source>Zhejiang Da Xue Xue Bao Yi Xue Ban</source><volume>35</volume><fpage>315</fpage><lpage>318</lpage><year>2006</year><comment>In Chinese</comment><pub-id pub-id-type="pmid">16764036</pub-id></element-citation></ref>
<ref id="b57-mmr-12-05-7017"><label>57</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sim&#x000E3;o</surname><given-names>ANC</given-names></name><name><surname>Lozovoy</surname><given-names>MAB</given-names></name><name><surname>Sim&#x000E3;o</surname><given-names>TNC</given-names></name><name><surname>Dichi</surname><given-names>JB</given-names></name><name><surname>Matsuo</surname><given-names>T</given-names></name><name><surname>Dichi</surname><given-names>I</given-names></name></person-group><article-title>Nitric oxide enhancement and blood pressure decrease in patients with metabolic syndrome using soy protein or fish oil</article-title><source>Arq Bras Endocrinol Metabol</source><volume>54</volume><fpage>540</fpage><lpage>545</lpage><year>2010</year><pub-id pub-id-type="doi">10.1590/S0004-27302010000600005</pub-id><pub-id pub-id-type="pmid">20857058</pub-id></element-citation></ref>
<ref id="b58-mmr-12-05-7017"><label>58</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bai</surname><given-names>Y</given-names></name><name><surname>Sun</surname><given-names>L</given-names></name><name><surname>Yang</surname><given-names>T</given-names></name><name><surname>Sun</surname><given-names>K</given-names></name><name><surname>Chen</surname><given-names>J</given-names></name><name><surname>Hui</surname><given-names>R</given-names></name></person-group><article-title>Increase in fasting vascular endothelial function after short-term oral L-arginine is effective when baseline flow-mediated dilation is low: A meta-analysis of randomized controlled trials</article-title><source>Am J Clin Nutr</source><volume>89</volume><fpage>77</fpage><lpage>84</lpage><year>2009</year><pub-id pub-id-type="doi">10.3945/ajcn.2008.26544</pub-id></element-citation></ref></ref-list></back>
<floats-group>
<fig id="f1-mmr-12-05-7017" position="float">
<label>Figure 1</label>
<caption>
<p>Time course of blood glucose of experimental and control rats. Values are presented as the mean &#x000B1; standard deviation. <sup>&#x0002A;</sup>P&lt;0.05, sardine protein vs. casein, <sup>#</sup>P&lt;0.05, fructose supplementation vs. no supplementation. C, casein; S, sardine protein; HF, high fructose.</p></caption>
<graphic xlink:href="MMR-12-05-7017-g00.jpg"/></fig>
<fig id="f2-mmr-12-05-7017" position="float">
<label>Figure 2</label>
<caption>
<p>Activity of antioxidant enzymes in tissues of experimental and control rats. Values are presented as the mean &#x000B1; standard deviation of six rats per group. <sup>&#x0002A;</sup>P&lt;0.05, sardine protein vs. casein, <sup>#</sup>P&lt;0.05, fructose supplementation vs. no supplementation. SOD, superoxide dismutase; CAT, catalase; GSH-Px, glutathione peroxidase; C, casein; S, sardine protein; HF, high fructose.</p></caption>
<graphic xlink:href="MMR-12-05-7017-g01.tif"/></fig>
<table-wrap id="tI-mmr-12-05-7017" position="float">
<label>Table I</label>
<caption>
<p>Amino acid composition of dietary proteins (g/100 g protein).</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left">Amino acids</th>
<th valign="top" align="center">Casein</th>
<th valign="top" align="center">Sardine protein</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">Alanine</td>
<td valign="top" align="center">2.9</td>
<td valign="top" align="center">6.8</td></tr>
<tr>
<td valign="top" align="left">Arginine</td>
<td valign="top" align="center">3.5</td>
<td valign="top" align="center">5.5</td></tr>
<tr>
<td valign="top" align="left">Cystine (eine)</td>
<td valign="top" align="center">0.4</td>
<td valign="top" align="center">1.2</td></tr>
<tr>
<td valign="top" align="left">Glycine</td>
<td valign="top" align="center">1.7</td>
<td valign="top" align="center">4.3</td></tr>
<tr>
<td valign="top" align="left">Histidine</td>
<td valign="top" align="center">2.9</td>
<td valign="top" align="center">2.0</td></tr>
<tr>
<td valign="top" align="left">Methionine</td>
<td valign="top" align="center">2.8</td>
<td valign="top" align="center">2.9</td></tr>
<tr>
<td valign="top" align="left">Leucine</td>
<td valign="top" align="center">8.9</td>
<td valign="top" align="center">9.2</td></tr>
<tr>
<td valign="top" align="left">Serine</td>
<td valign="top" align="center">4.9</td>
<td valign="top" align="center">3.4</td></tr>
<tr>
<td valign="top" align="left">Tyrosine</td>
<td valign="top" align="center">5.3</td>
<td valign="top" align="center">4.2</td></tr>
<tr>
<td valign="top" align="left">Valine</td>
<td valign="top" align="center">6.4</td>
<td valign="top" align="center">4.4</td></tr>
<tr>
<td valign="top" align="left">Isoleucine</td>
<td valign="top" align="center">5.2</td>
<td valign="top" align="center">4.2</td></tr>
<tr>
<td valign="top" align="left">Lysine</td>
<td valign="top" align="center">7.6</td>
<td valign="top" align="center">9.4</td></tr>
<tr>
<td valign="top" align="left">Phenylalanine</td>
<td valign="top" align="center">4.8</td>
<td valign="top" align="center">3.6</td></tr>
<tr>
<td valign="top" align="left">Glutamic acid</td>
<td valign="top" align="center">20.2</td>
<td valign="top" align="center">17.2</td></tr>
<tr>
<td valign="top" align="left">Aspartic acid</td>
<td valign="top" align="center">6.7</td>
<td valign="top" align="center">10.4</td></tr>
<tr>
<td valign="top" align="left">Tryptophan</td>
<td valign="top" align="center">1.2</td>
<td valign="top" align="center">1.2</td></tr>
<tr>
<td valign="top" align="left">Proline</td>
<td valign="top" align="center">10.6</td>
<td valign="top" align="center">4.1</td></tr>
<tr>
<td valign="top" align="left">Threonine</td>
<td valign="top" align="center">3.9</td>
<td valign="top" align="center">4.3</td></tr>
<tr>
<td valign="top" align="left">Lysine/arginine</td>
<td valign="top" align="center">2.17</td>
<td valign="top" align="center">1.70</td></tr></tbody></table></table-wrap>
<table-wrap id="tII-mmr-12-05-7017" position="float">
<label>Table II</label>
<caption>
<p>Composition of the experimental diets.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left">Ingredient</th>
<th valign="top" align="center">C (g/kg diet)</th>
<th valign="top" align="center">S (g/kg diet)</th>
<th valign="top" align="center">C-HF (g/kg diet)</th>
<th valign="top" align="center">S-HF (g/kg diet)</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">C</td>
<td valign="top" align="center">200</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">200</td>
<td valign="top" align="center">&#x02013;</td></tr>
<tr>
<td valign="top" align="left">S</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">200</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">200</td></tr>
<tr>
<td valign="top" align="left">Fructose</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">640</td>
<td valign="top" align="center">640</td></tr>
<tr>
<td valign="top" align="left">Corn starch</td>
<td valign="top" align="center">590</td>
<td valign="top" align="center">590</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td></tr>
<tr>
<td valign="top" align="left">Sucrose</td>
<td valign="top" align="center">50</td>
<td valign="top" align="center">50</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">&#x02013;</td></tr>
<tr>
<td valign="top" align="left">Sunflower oil</td>
<td valign="top" align="center">50</td>
<td valign="top" align="center">50</td>
<td valign="top" align="center">50</td>
<td valign="top" align="center">50</td></tr>
<tr>
<td valign="top" align="left">Cellulose</td>
<td valign="top" align="center">50</td>
<td valign="top" align="center">50</td>
<td valign="top" align="center">50</td>
<td valign="top" align="center">50</td></tr>
<tr>
<td valign="top" align="left">Vitamin (UAR 200)</td>
<td valign="top" align="center">20</td>
<td valign="top" align="center">20</td>
<td valign="top" align="center">20</td>
<td valign="top" align="center">20</td></tr>
<tr>
<td valign="top" align="left">Mineral (UAR 205 B)</td>
<td valign="top" align="center">40</td>
<td valign="top" align="center">40</td>
<td valign="top" align="center">40</td>
<td valign="top" align="center">40</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-mmr-12-05-7017">
<p>Diets were isoenergetic (16.28 MJ/kg of diet) and given in powdered form. The vitamin mixture provides the following amounts (mg/kg diet): Retinol, 12; cholecalciferol, 0.125; thiamine, 40; riboflavin, 30; pantothenic acid, 140; pyridoxine, 20; inositol, 300; cyanocobalamin, 0.1; ascorbic acid, 1.600; dl-&#x003B1;-tocopherol, 340; menadione, 80; nicotinic acid, 200; para-aminobenzoic acid, 100; folic acid, 10; biotin, 0.6. The salt mixture provides the following amounts (mg/kg diet): CaHPO<sub>4</sub>, 17200; KCl, 4,000 ; NaCl, 400; MgO, 420; MgSO<sub>4</sub>, 2,000; Fe<sub>2</sub>O<sub>3</sub>, 120; Fe<sub>2</sub>SO<sub>4</sub>.7H<sub>2</sub>O, 200; trace elements, 400; MnSO<sub>4</sub>.H<sub>2</sub>O, 98; CuSO<sub>4</sub>.5H<sub>2</sub>O, 20; ZnSO<sub>4</sub>, 80; CoSO<sub>4</sub>.7H<sub>2</sub>O, 0.16; Kl, 0.32. C, casein; S, sardine protein; HF, high-fructose.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tIII-mmr-12-05-7017" position="float">
<label>Table III</label>
<caption>
<p>Growth parameters of experimental and control rats.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" rowspan="2" align="left">Variables</th>
<th colspan="4" valign="bottom" align="center">Diets
<hr/></th>
<th colspan="3" valign="bottom" align="center">Analysis of variance (P values)
<hr/></th></tr>
<tr>
<th valign="bottom" align="center">C</th>
<th valign="bottom" align="center">S</th>
<th valign="bottom" align="center">C-HF</th>
<th valign="bottom" align="center">S-HF</th>
<th valign="bottom" align="center">Prot</th>
<th valign="bottom" align="center">Fru</th>
<th valign="bottom" align="center">Prot x Fru</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">Energy intake (kJ/day)</td>
<td valign="top" align="center">392.34&#x000B1;36.52</td>
<td valign="top" align="center">320.62&#x000B1;20.16<xref rid="tfn3-mmr-12-05-7017" ref-type="table-fn">a</xref></td>
<td valign="top" align="center">294.26&#x000B1;3.05<xref rid="tfn4-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">269.95&#x000B1;16.40<xref rid="tfn3-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn4-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">Body weight gain (g/8 weeks)</td>
<td valign="top" align="center">144.90&#x000B1;10.16</td>
<td valign="top" align="center">119.97&#x000B1;16.49<xref rid="tfn3-mmr-12-05-7017" ref-type="table-fn">a</xref></td>
<td valign="top" align="center">160.12&#x000B1;9.17<xref rid="tfn4-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">133.00&#x000B1;9.45<xref rid="tfn3-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn4-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">Food efficiency</td>
<td valign="top" align="center">0.10&#x000B1;0.005</td>
<td valign="top" align="center">0.10&#x000B1;0.009</td>
<td valign="top" align="center">0.14&#x000B1;0.008<xref rid="tfn4-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">0.14&#x000B1;0.01<xref rid="tfn4-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">NS</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">NS</td></tr>
<tr>
<td valign="top" align="left">Tissue absolute weight (g)</td>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/></tr>
<tr>
<td valign="top" align="left">&#x02003;Liver</td>
<td valign="top" align="center">9.67&#x000B1;1.23</td>
<td valign="top" align="center">7.60&#x000B1;0.73<xref rid="tfn3-mmr-12-05-7017" ref-type="table-fn">a</xref></td>
<td valign="top" align="center">10.73&#x000B1;0.62<xref rid="tfn4-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">9.89&#x000B1;0.49<xref rid="tfn3-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn4-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">&#x02003;Kidney</td>
<td valign="top" align="center">1.82&#x000B1;0.24</td>
<td valign="top" align="center">1.58&#x000B1;0.20</td>
<td valign="top" align="center">2.22&#x000B1;0.21<xref rid="tfn4-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">2.26&#x000B1;0.07<xref rid="tfn4-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">NS</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">NS</td></tr>
<tr>
<td valign="top" align="left">&#x02003;Heart</td>
<td valign="top" align="center">0.76&#x000B1;0.04</td>
<td valign="top" align="center">0.70&#x000B1;0.05</td>
<td valign="top" align="center">0.92&#x000B1;0.10<xref rid="tfn4-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">0.88&#x000B1;0.16<xref rid="tfn4-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">NS</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">NS</td></tr>
<tr>
<td valign="top" align="left">&#x02003;Muscle</td>
<td valign="top" align="center">1.50&#x000B1;0.06</td>
<td valign="top" align="center">1.63&#x000B1;0.13</td>
<td valign="top" align="center">1.78&#x000B1;0.15<xref rid="tfn4-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">1.55&#x000B1; 0.08<xref rid="tfn3-mmr-12-05-7017" ref-type="table-fn">a</xref></td>
<td valign="top" align="center">NS</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn2-mmr-12-05-7017">
<p>Values are presented as the mean &#x000B1; standard deviation.</p></fn><fn id="tfn3-mmr-12-05-7017">
<label>a</label>
<p>P&lt;0.05, sardine protein vs. casein,</p></fn><fn id="tfn4-mmr-12-05-7017">
<label>b</label>
<p>P&lt;0.05, fructose supplementation vs. no supplementation. C, casein; S, sardine protein; HF, high fructose; Prot, protein; Fru, high-fructose; NS, not significant.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tIV-mmr-12-05-7017" position="float">
<label>Table IV</label>
<caption>
<p>Metabolic and hormonal data of experimental and control rats.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" rowspan="2" align="left">Variables</th>
<th colspan="4" valign="bottom" align="left">Diets
<hr/></th>
<th colspan="3" valign="bottom" align="left">Analysis of variance (P values)
<hr/></th></tr>
<tr>
<th valign="bottom" align="left">C</th>
<th valign="bottom" align="left">S</th>
<th valign="bottom" align="left">C-HF</th>
<th valign="bottom" align="left">S-HF</th>
<th valign="bottom" align="left">Prot</th>
<th valign="bottom" align="left">Fru</th>
<th valign="bottom" align="left">Prot x Fru</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">Plasma D Glucose (mmol/l)</td>
<td valign="top" align="center">5.96&#x000B1;0.30</td>
<td valign="top" align="center">5.11&#x000B1;0.42</td>
<td valign="top" align="center">8.31&#x000B1;1.06<xref rid="tfn6-mmr-12-05-7017" ref-type="table-fn">a</xref></td>
<td valign="top" align="center">6.54&#x000B1;0.47<xref rid="tfn6-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn7-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">NS</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">Plasma insulin (&#x000B5;U/ml)</td>
<td valign="top" align="center">53.59&#x000B1;2.62</td>
<td valign="top" align="center">32.98&#x000B1;8.33<xref rid="tfn6-mmr-12-05-7017" ref-type="table-fn">a</xref></td>
<td valign="top" align="center">66.65&#x000B1;5.97</td>
<td valign="top" align="center">43.22&#x000B1;12.25<xref rid="tfn6-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn7-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">HOMA IR</td>
<td valign="top" align="center">14.88&#x000B1;7.51</td>
<td valign="top" align="center">7.74&#x000B1;2.31<xref rid="tfn6-mmr-12-05-7017" ref-type="table-fn">a</xref></td>
<td valign="top" align="center">21.94&#x000B1;5.43<xref rid="tfn7-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">12.70&#x000B1;4.46<xref rid="tfn6-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn7-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">Plasma fructose (mmol/l)</td>
<td valign="top" align="center">0.80&#x000B1;0.12</td>
<td valign="top" align="center">0.49&#x000B1;0.09<xref rid="tfn6-mmr-12-05-7017" ref-type="table-fn">a</xref></td>
<td valign="top" align="center">1.00&#x000B1;0.17<xref rid="tfn7-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">0.83&#x000B1;0.14<xref rid="tfn6-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn7-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">Plasma GLP 1 (pg/ml)</td>
<td valign="top" align="center">13.64&#x000B1;2.44</td>
<td valign="top" align="center">14.03&#x000B1;3.30<xref rid="tfn6-mmr-12-05-7017" ref-type="table-fn">a</xref></td>
<td valign="top" align="center">8.26&#x000B1;2.54<xref rid="tfn7-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">10.63&#x000B1;2.48<xref rid="tfn6-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn7-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">Plasma creatinine (mg/dl)</td>
<td valign="top" align="center">0.44&#x000B1;0.05</td>
<td valign="top" align="center">0.33&#x000B1;0.07<xref rid="tfn6-mmr-12-05-7017" ref-type="table-fn">a</xref></td>
<td valign="top" align="center">0.68&#x000B1;0.18<xref rid="tfn7-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">0.43&#x000B1;0.06<xref rid="tfn6-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn7-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">Plasma uric acid (mg/dl)</td>
<td valign="top" align="center">3.72&#x000B1;1.10</td>
<td valign="top" align="center">2.94&#x000B1;0.75<xref rid="tfn6-mmr-12-05-7017" ref-type="table-fn">a</xref></td>
<td valign="top" align="center">9.24&#x000B1;1.94<xref rid="tfn7-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">7.21&#x000B1;2.19<xref rid="tfn6-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn7-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">Urinary albumin (g/dl)</td>
<td valign="top" align="center">109.22&#x000B1;15.18</td>
<td valign="top" align="center">78.09&#x000B1;16.24<xref rid="tfn6-mmr-12-05-7017" ref-type="table-fn">a</xref></td>
<td valign="top" align="center">178.60&#x000B1;14.21<xref rid="tfn7-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">149.43&#x000B1;5.60<xref rid="tfn6-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn7-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">Urinary creatinine (mg/dl)</td>
<td valign="top" align="center">12.34&#x000B1;1.43</td>
<td valign="top" align="center">10.23&#x000B1;2.13</td>
<td valign="top" align="center">21.17&#x000B1;0.63<xref rid="tfn7-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">14.04&#x000B1;2.52<xref rid="tfn6-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn7-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">NS</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">Urinary uric acid (mg/dl)</td>
<td valign="top" align="center">23.02&#x000B1;2.80</td>
<td valign="top" align="center">16.45&#x000B1;1.33<xref rid="tfn6-mmr-12-05-7017" ref-type="table-fn">a</xref></td>
<td valign="top" align="center">33.03&#x000B1;5.71<xref rid="tfn7-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">29.10&#x000B1;5.37<xref rid="tfn7-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">NS</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn5-mmr-12-05-7017">
<p>Values are presented as the mean &#x000B1; standard deviation.</p></fn><fn id="tfn6-mmr-12-05-7017">
<label>a</label>
<p>P&lt;0.05, sardine protein vs. casein,</p></fn><fn id="tfn7-mmr-12-05-7017">
<label>b</label>
<p>P&lt;0.05, fructose supplementation vs. no supplementation. C, casein; S, sardine protein; HF, high fructose; Prot, protein; Fru, high-fructose; HOMA-IR, homeostasis model assessment insulin resistance index; GLP-1, glucagon-like peptide-1; NS, not significant.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tV-mmr-12-05-7017" position="float">
<label>Table V</label>
<caption>
<p>Oxidative stress markers and nitric oxide levels in tissues of experimental and control rats.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" rowspan="2" align="left">Variables</th>
<th colspan="4" valign="bottom" align="center">Diets
<hr/></th>
<th colspan="3" valign="bottom" align="center">Analysis of variance (P values)
<hr/></th></tr>
<tr>
<th valign="bottom" align="center">C</th>
<th valign="bottom" align="center">S</th>
<th valign="bottom" align="center">C-HF</th>
<th valign="bottom" align="center">S-HF</th>
<th valign="bottom" align="center">Prot</th>
<th valign="bottom" align="center">Fru</th>
<th valign="bottom" align="center">Prot x Fru</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">Liver</td>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/></tr>
<tr>
<td valign="top" align="left">&#x02003;TBARS (&#x000B5;mol/g)</td>
<td valign="top" align="center">0.88&#x000B1;0.03</td>
<td valign="top" align="center">0.81&#x000B1;0.09</td>
<td valign="top" align="center">0.92&#x000B1;0.08<xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">0.91&#x000B1;0.09<xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">NS</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">NS</td></tr>
<tr>
<td valign="top" align="left">&#x02003;LHP (&#x000B5;mol/g)</td>
<td valign="top" align="center">1.78&#x000B1;0.25</td>
<td valign="top" align="center">1.34&#x000B1;0.06<xref rid="tfn9-mmr-12-05-7017" ref-type="table-fn">a</xref></td>
<td valign="top" align="center">2.24&#x000B1;0.03<xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">1.96&#x000B1;0.02<xref rid="tfn9-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">&#x02003;Carbonyls (nmol/g)</td>
<td valign="top" align="center">78.02&#x000B1;6.01</td>
<td valign="top" align="center">67.30&#x000B1;1.35</td>
<td valign="top" align="center">237.92&#x000B1;7.80<xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">200.43&#x000B1;11.84<xref rid="tfn9-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">NS</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">&#x02003;NO (&#x000B5;mol/g)</td>
<td valign="top" align="center">606.00&#x000B1;73.99</td>
<td valign="top" align="center">452.75&#x000B1;92.47</td>
<td valign="top" align="center">358.14&#x000B1;29.87<xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">295.81&#x000B1;34.04<xref rid="tfn9-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">NS</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">Kidney</td>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/></tr>
<tr>
<td valign="top" align="left">&#x02003;TBARS (&#x000B5;mol/g)</td>
<td valign="top" align="center">0.57&#x000B1;0.05</td>
<td valign="top" align="center">0.60&#x000B1;0.09</td>
<td valign="top" align="center">0.75&#x000B1;0.04<xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">0.69&#x000B1;0.07</td>
<td valign="top" align="center">NS</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">NS</td></tr>
<tr>
<td valign="top" align="left">&#x02003;LHP (&#x000B5;mol/g)</td>
<td valign="top" align="center">1.63&#x000B1;0.11</td>
<td valign="top" align="center">1.46&#x000B1;0.08</td>
<td valign="top" align="center">1.78&#x000B1;0.39<xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">1.59&#x000B1;0.12<xref rid="tfn9-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">NS</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">&#x02003;Carbonyls (nmol/g)</td>
<td valign="top" align="center">56.00&#x000B1;28.21</td>
<td valign="top" align="center">40.50&#x000B1;15.15</td>
<td valign="top" align="center">117.56&#x000B1;21.74<xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">94.71&#x000B1;28.55<xref rid="tfn9-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">NS</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">&#x02003;NO (&#x000B5;mol/g)</td>
<td valign="top" align="center">260.49&#x000B1;8.41</td>
<td valign="top" align="center">225.39&#x000B1;49.80<xref rid="tfn9-mmr-12-05-7017" ref-type="table-fn">a</xref></td>
<td valign="top" align="center">116.27&#x000B1;5.18<xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">90.21&#x000B1;10.60<xref rid="tfn9-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">Heart</td>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/></tr>
<tr>
<td valign="top" align="left">&#x02003;TBARS (&#x000B5;mol/g)</td>
<td valign="top" align="center">0.33&#x000B1;0.02</td>
<td valign="top" align="center">0.32&#x000B1;0.02</td>
<td valign="top" align="center">0.63&#x000B1;0.02<xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">0.51&#x000B1;0.01<xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">NS</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">NS</td></tr>
<tr>
<td valign="top" align="left">&#x02003;LHP (&#x000B5;mol/g)</td>
<td valign="top" align="center">1.40&#x000B1;0.22</td>
<td valign="top" align="center">1.37&#x000B1;0.32</td>
<td valign="top" align="center">2.19&#x000B1;0.45<xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">1.84&#x000B1;0.25<xref rid="tfn9-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">NS</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">&#x02003;Carbonyls (nmol/g)</td>
<td valign="top" align="center">88.84&#x000B1;14.51</td>
<td valign="top" align="center">67.91&#x000B1;16.82<xref rid="tfn9-mmr-12-05-7017" ref-type="table-fn">a</xref></td>
<td valign="top" align="center">148.90&#x000B1;29.67<xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">126.69&#x000B1;12.96<xref rid="tfn9-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">&#x02003;NO (&#x000B5;mol/g)</td>
<td valign="top" align="center">192.95&#x000B1;15.14</td>
<td valign="top" align="center">131.62&#x000B1;12.66<xref rid="tfn9-mmr-12-05-7017" ref-type="table-fn">a</xref></td>
<td valign="top" align="center">81.57&#x000B1;8.87<xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">74.90&#x000B1;11.62<xref rid="tfn9-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">Muscle</td>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/></tr>
<tr>
<td valign="top" align="left">&#x02003;TBARS (&#x000B5;mol/g)</td>
<td valign="top" align="center">0.18&#x000B1;0.04</td>
<td valign="top" align="center">0.18&#x000B1;0.02</td>
<td valign="top" align="center">0.22&#x000B1;0.01</td>
<td valign="top" align="center">0.21&#x000B1;0.03</td>
<td valign="top" align="center">NS</td>
<td valign="top" align="center">NS</td>
<td valign="top" align="center">NS</td></tr>
<tr>
<td valign="top" align="left">&#x02003;LHP (&#x000B5;mol/g)</td>
<td valign="top" align="center">0.33&#x000B1;0.02</td>
<td valign="top" align="center">0.32&#x000B1;0.02</td>
<td valign="top" align="center">0.63&#x000B1;0.02<xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">0.51&#x000B1;0.01<xref rid="tfn9-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">NS</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">&#x02003;Carbonyls (nmol/g)</td>
<td valign="top" align="center">127.21&#x000B1;6.28</td>
<td valign="top" align="center">123.58&#x000B1;5.66</td>
<td valign="top" align="center">187.04&#x000B1;6.55<xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">166.23&#x000B1;15.01<xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">NS</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">NS</td></tr>
<tr>
<td valign="top" align="left">&#x02003;NO (&#x000B5;molg)</td>
<td valign="top" align="center">123.96&#x000B1;4.80</td>
<td valign="top" align="center">116.14&#x000B1;4.87</td>
<td valign="top" align="center">85.59&#x000B1;9.72<xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">75.55&#x000B1;12.05<xref rid="tfn10-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">NS</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">NS</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn8-mmr-12-05-7017">
<p>Values are presented as the mean &#x000B1; standard deviation of six rats per group.</p></fn><fn id="tfn9-mmr-12-05-7017">
<label>a</label>
<p>P&lt;0.05, sardine protein vs. casein,</p></fn><fn id="tfn10-mmr-12-05-7017">
<label>b</label>
<p>P&lt;0.05, fructose supplementation vs. no supplementation. C, casein; S, sardine protein; HF, high-fructose; Prot, protein; Fru, high-fructose; TBARS, thiobarbituric acid reactive substances; LHP, lipid hydroperoxides; NO, nitric oxide; NS, not significant.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tVI-mmr-12-05-7017" position="float">
<label>Table VI</label>
<caption>
<p>Liver ascorbic acid and &#x003B1;-tocopherol levels of experimental and control rats.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" rowspan="2" align="left">Variables</th>
<th colspan="4" valign="bottom" align="center">Diets
<hr/></th>
<th colspan="3" valign="bottom" align="center">Analysis of variance (P values)
<hr/></th></tr>
<tr>
<th valign="bottom" align="center">C</th>
<th valign="bottom" align="center">S</th>
<th valign="bottom" align="center">C-HF</th>
<th valign="bottom" align="center">S-HF</th>
<th valign="bottom" align="center">Prot</th>
<th valign="bottom" align="center">Fru</th>
<th valign="bottom" align="center">Prot &#x000D7; Fru</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">Ascorbic acid (mg/g)</td>
<td valign="top" align="center">1.09&#x000B1;0.05</td>
<td valign="top" align="center">1.2&#x000B1;0.08</td>
<td valign="top" align="center">0.67&#x000B1;0.07<xref rid="tfn13-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">0.81&#x000B1;0.08<xref rid="tfn12-mmr-12-05-7017" ref-type="table-fn">a</xref><xref rid="tfn13-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">NS</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td></tr>
<tr>
<td valign="top" align="left">&#x003B1;-tocopherol (mg/g)</td>
<td valign="top" align="center">0.63&#x000B1;0.010</td>
<td valign="top" align="center">0.70&#x000B1;0.03<xref rid="tfn12-mmr-12-05-7017" ref-type="table-fn">a</xref></td>
<td valign="top" align="center">0.40&#x000B1;0.04<xref rid="tfn13-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">0.45&#x000B1;0.06<xref rid="tfn13-mmr-12-05-7017" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">P&lt;0.05</td>
<td valign="top" align="center">NS</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn11-mmr-12-05-7017">
<p>Values are presented as the mean &#x000B1; standard deviation of six rats per group.</p></fn><fn id="tfn12-mmr-12-05-7017">
<label>a</label>
<p>P&lt;0.05, sardine protein vs. casein,</p></fn><fn id="tfn13-mmr-12-05-7017">
<label>b</label>
<p>P&lt;0.05, fructose supplementa tion vs. no supplementation. C, casein; S, sardine protein; HF, high-fructose; Prot, protein; Fru, high-fructose; NS, not significant.</p></fn></table-wrap-foot></table-wrap></floats-group></article>
