Search Results (50)

Background: Type 2 diabetes mellitus (T2DM) is commonly managed with complex pharmacotherapy combined with dietary modification, which increases the risk of clinically relevant drug–food interactions (DFIs). Despite their potential impact on treatment efficacy and safety, patient knowledge of DFIs—particularly in the context of modern therapies such as glucagon-like peptide-1 receptor agonists (GLP-1 RAs)—remains insufficiently explored. Methods: This cross-sectional study assessed knowledge of DFIs among 103 adults with T2DM using a self-administered, expert-validated questionnaire. Data on sociodemographic characteristics, clinical variables, anti-diabetic therapy (including GLP-1 RAs), sources of education, and attendance at dietary consultations were collected. Knowledge scores were calculated based on correct responses and categorized into tertiles (low, moderate, high). Associations were analyzed using non-parametric tests. Multivariable logistic regression was performed to identify independent predictors of moderate-to-high DFI knowledge. Results: Substantial gaps in DFI knowledge were identified, particularly regarding interactions involving dietary fiber, dairy products, grapefruit juice, and nutrient deficiencies associated with long-term pharmacotherapy. Knowledge level was not significantly associated with age, educational attainment, diabetes duration, or GLP-1 RA use. Female sex was associated with higher knowledge in univariate analysis (p = 0.026); however, this association did not remain significant in the multivariable regression model. Attendance at at least one dietary consultation in the previous year was significantly associated with higher knowledge levels (p = 0.041) and remained an independent predictor in multivariable analysis (OR = 2.31; 95% CI: 1.04–5.15; p = 0.039). Most participants reported not receiving prior education on DFIs, while expressing a strong need for more frequent counseling. Conclusions: Patients with T2DM demonstrate insufficient knowledge of clinically relevant DFIs, including selected issues related to GLP-1 RA therapy. Attendance at structured dietary consultations was independently associated with higher levels of DFI knowledge; however, the directionality and causality of this relationship cannot be established. Given the cross-sectional design and the assessment of knowledge rather than behavioral or clinical outcomes, these findings should be interpreted as hypothesis-generating. Further longitudinal and interventional studies are required to determine whether improved DFI knowledge translates into meaningful changes in dietary behavior, treatment adherence, or metabolic outcomes. Full article

Although aquatic products are abundant in premium proteins and other vital nutrients, their unique fishy smell often restricts public acceptance and the development of related products. Therefore, pre-marinating is usually used to improve sensory quality and mitigate fishy smell. In this study, sea bass filets were marinated for 1 h at a solid–liquid ratio of 3:5 (w/w) using 15% orange juice, 15% grapefruit juice, and 10% lemon juice. Subsequently, their effects on the flavor and sensory quality of sea bass were examined. The results of gas chromatography-ion mobility spectrometry (GC-IMS) showed that marinating the filets in citrus juice led to a notable increase in volatile compounds, including esters with fruity flavor such as ethyl butyrate and terpenes with pleasant citrus aromas such as limonene. The results of texture profile analysis (TPA) showed that pre-marinading with orange juice and grapefruit juice significantly reduced the hardness of fish and resulted in higher sensory evaluation scores (p < 0.05). Lemon juice treatment produced the most noticeable whitening effect (p < 0.05). These findings suggest that citrus juices can be effectively incorporated as marinade ingredients for sea bass, providing both theoretical insight and practical guidance for improving the marinating technology for aquatic products. Full article

The effects of pectin extraction, cellulose purification, and sonication on the juice extraction residue from grapefruit were investigated. Pectin extraction using pressurized carbon dioxide (pCO₂) in a sodium oxalate solution (U-OX) lowered the cellulose content and increased the hemicellulose and lignin contents, whereas pectin extraction in deionized water (U-DW) did not affect these contents. Pectin extraction and cellulose purification induced hydrolysis and removal of non-crystalline cellulose regions. The sonication of the purified cellulose samples formed fiber-like structures with widths of <100 nm on their surfaces. The cellulose purification process increased the surface charge and formed a gel-like structure with increased hardness, adhesiveness, and film structure. These processes enhance the absorption of amphiphilic dyes, although to a lesser extent than that of the untreated juice extraction residue (UJR) after sonication. Before sonication, UJR adsorbed cationic dyes, whereas after, UJR adsorbed both polar and nonpolar dyes. These results suggest that juice residue could be used as a biomaterial with diverse potential applications. Full article

Citrus fruit processing, mainly for fresh juice production in the food industry, generates significant amounts of residues and by-products enriched with bioactive components. Peels are the primary waste fraction of citrus fruits, along with discarded pulp and seeds. This study aimed to identify the most fast and sustainable extraction process for flavonoids on a laboratory scale by varying the solvent and extraction methodology, and comparing the yields in order to evaluate their influence on total and individual flavonoid content. A chromatographic analysis was also performed using ultrahigh-performance liquid chromatography (UHPLC) with a 10 min run time. Our focus was on selecting the most user-friendly and cost-effective methodology. Ultrasound- and microwave-assisted extraction equipment were used with green solvents (water and ethanol) and compared for their efficiency in recovering flavonoid compounds from a mixture of peel and pulp. For this study, two widely cultivated Mediterranean citrus varieties were selected: ‘Marsh’ seedless grapefruits (Citrus paradisi Macf.) and ‘Comun’ mandarins (C. deliciosa Ten.). Lab-scale extraction results showed that ultrasound-assisted extraction with a simple ultrasonic bath, using an ethanol–water mixture provided the highest total flavonoid recovery and improved the extraction of key flavanones such as hesperidin, narirutin, and naringin. All ethanol–water mixtures tested (1:1, 7:3, and 3:7) yielded higher flavonoid levels in grapefruit (approximately 2500 mg/100 g DW) and mandarin (approximately 1200 mg/100 g DW) wastes compared with water or ethanol alone. This method offers a scalable and green strategy for valorizing citrus residues. Full article

Growing consumer awareness of the link between diet and health has increased interest in functional foods, including fermented juices. Grapefruit juice has potential health-promoting properties, but its bitter taste limits its acceptance by consumers. This study aimed to develop a fermentation process for debittering grapefruit juice at natural pH using Lacticaseibacillus rhamnosus and naringinase. Grapefruit juice was fermented with Lactic. rhamnosus using free naringinase and naringinase immobilized on carob gum and chitosan supports at 30 ± 0.2 °C for 72 h. Naringin concentration, bacterial cell count, total phenol content, organic acids, carbohydrates, antioxidant activity, and pH were analyzed. Naringinase immobilized on carob gum demonstrated the highest efficiency, hydrolyzing over 42% of naringin after 24 h (from 418.20 to 241.19 μg/mL). The free enzyme reduced the naringin concentration to 155.28 μg/mL after 48 h. The highest Lactic. rhamnosus cell count (2.05 × 10⁹ CFU/mL) was achieved with the free enzyme. Total phenol content decreased from 42.24 to 16.58 mg GAE/100 mL when using naringinase immobilized on chitosan. The combined use of naringinase and Lactic. rhamnosus enables the development of an integrated process that improves consumer acceptance with potential applications in the functional beverage industry. Full article

Food components and herbal substances can inhibit or enhance the therapeutic effects of drugs, thus influencing their efficacy and safety. As relatively little in known of these interactions, the aim of this review is to shed further light on the potentially dangerous influences that food and herbs may have on cytochrome P450 enzyme (CYP) and monoamine oxidase (MAO) activity in the first stage of drug biotransformation. The review includes documented cases in which such interactions have led to health complications in patients. For example, fruit juices, such as grapefruit juice, cranberry juice, and pomegranate juice, have been found to interact with drugs, and to particularly inhibit CYP450 activity, and commonly used herbs are known to inhibit (e.g., Astragalus membranous) or induce (e.g., Hypericum perforatum) CYP enzymes involved in drug metabolism. CYP is also induced by polycyclic aromatic hydrocarbons (PAHs), found in grilled meat and tobacco smoke. The paper also discusses the toxic effects of tyramine, present in inter alia blue cheese, resulting from interactions with MAO-metabolised drugs. Most importantly, while the quantity of food and herbs consumed plays a significant role in the described drug interactions, it is possible for toxic effects to be observed even after the consumption of relatively small amounts. Patients are encouraged to consult a healthcare provider about any potential drug interactions that may occur when starting a new medication. Full article

Background/Objectives: As a peripheral effect of depression-related traits, sensory responses may predispose individuals to depressive symptoms by prompting suboptimal dietary patterns with long-term effects on mood. Mood disturbances in adolescence are strong predictors of adult mental illness, making it crucial to identify factors that may shift transient mood fluctuations into more severe mental health issues during this vulnerable period. Given the substantial gender differences in susceptibility to comorbidities of depression, we examined whether the link between sensory perception and depressive symptoms in nonclinical adolescents varied by gender and was related to dietary habits. Methods: In this cross-sectional study, 232 healthy adolescents (41.8% girls, aged 13–17) reported their diet over the past year using the EPIC Food Frequency Questionnaire and rated their liking and perceived intensity of oral sensations from four grapefruit juices and dark chocolate puddings with varying sucrose levels. Additionally, participants completed assessments of anxiety, neuroticism, pickiness, body dissatisfaction, and the Patient Health Questionnaire (PHQ-9) to evaluate depressive symptoms. Results: We found that girls exhibited higher levels of depression, anxiety, neuroticism, and pickiness compared to boys (Wilcoxon Rank Sum Test), and that greater responsiveness to bitterness (e.g., β = 0.264, p = 0.037) and astringency (β = 0.269, p = 0.029) predicted higher depressive symptoms exclusively in girls. PHQ-9 scores were positively associated with alcohol use in both girls (ρ = 0.176, p = 0.003) and boys (ρ = 0.148, p = 0.004) and inversely related to the intake of beneficial nutrients (e.g., fiber, polyunsaturated fats), particularly in girls. Intriguingly, moderation analyses suggested that associations between nutrient intake and acuity for alarming oral sensations were largely moderated by depression-related traits in girls, but not in boys. Conclusions: Our findings suggest that gender moderates the links between depressive symptoms, sensory perception, and dietary habits in healthy adolescents, possibly reflecting gender-specific coping strategies for comorbidities of depression. Full article

The valorization of citrus peel byproducts presents a sustainable and innovative approach to reducing food waste while improving the nutritional content of fruit-based products. Citrus peels, a significant byproduct of the fruit juice industry, are abundant in bioactive compounds with recognized health benefits and functional properties, making them particularly suitable for jam production. The global citrus industry generates substantial amounts of waste, with peels accounting for approximately 50% of the total fruit mass. Conventional disposal methods often result in environmental concerns and the underutilization of valuable bioresources. This study aims to investigate the potential of incorporating citrus peel into jam formulations as a means of enhancing their nutritional and functional properties. Jams were prepared using a traditional processing technique (TP) incorporating citrus peel. The experimental jam variants included pomelo peel jam (PPJ), lime peel jam (LiPJ), lemon peel jam (LePJ), clementine peel jam (CPJ), orange peel jam (OPJ), and grapefruit peel jam (GPJ). All jam samples were subjected to comprehensive analyses, including assessments of chemical composition, total soluble solids (TSSs), titrable acidity (g/100 g acid citric), macro- and microelement contents, total phenolic content (TPC), total flavonoid content (TFC), and antioxidant activity using the FRAP assay. The study revealed high levels of biologically active compounds, such aspolyphenols, flavonoids, and vitamin C, in the jams, highlighting their antioxidant properties and potential health benefits. Among the jams, lemon peel jam (LePJ) exhibited the highest antioxidant activity and polyphenol content, making it a superior choice in terms of functional benefits. In terms of sensory analysis, orange peel jam (OPJ) was the most favored by consumers, demonstrating its high acceptability and potential for market success. Full article

Drug interactions can have significant consequences for public health, especially given the growing importance of readily available dietary supplements. The same applies to the consumption of fruit and fruit juices, which are often praised for their health benefits, but which can generate drug interactions. These are well known and documented in the case of grapefruit, which should not be taken with certain medications. Grapefruit contains flavonoids and furanocoumarins, which are responsible for various interactions with the cytochrome P450 enzyme system. However, for young children and the elderly, fruit juices are often used to facilitate treatment. This review examines commonly used fruit juices, particularly from citrus, apple, and red fruits, and discusses potential interactions, disadvantages, and advantages, as well as the chemical structures involved in interactions with cytochromes P-450, P-glycoprotein, and organic anion transporter polypeptide (OATP), responsible for sometimes dangerous changes in bioavailability or potential accumulation of drugs in the body. Full article

Osteoarthritis, affecting over 8 million people in the UK, remains a debilitating condition with limited treatment options. Current therapies primarily address symptoms and can exacerbate joint damage over time. Developing disease-modifying drugs that alleviate inflammation and promote joint regeneration is crucial for long-term patient benefit. This study investigates the potential of exosome-like nano-vesicles isolated from grapefruit juice (GEVs) as a novel therapeutic approach for osteoarthritis. GEVs possess regenerative properties and present a promising avenue for clinical translation. In this study, nano-vesicles were isolated and characterized in terms of protein quantification, size, and morphology. In vitro studies demonstrated the safety and efficacy of GEVs, showing an enhancement in human chondrocyte migratory activity of over 13%. GEVs exhibited a dual mechanism of action, reducing inflammation and oxidative stress while promoting cellular regeneration. Specifically, they reduced the expression of COX2 and PTGS2, markers associated with inflammation and pain sensitization, and enhanced the expression of antioxidant genes SD2 and GPX in osteoarthritic-like chondrocytes. Additionally, GEVs downregulated the expression of ADAMTS-5 and hypertrophic COL10 while upregulating chondrogenic markers ACAN, COL2, and SOX9. This research signifies a significant advancement in osteoarthritis therapy, offering a natural, safe, and cost-effective treatment option with the potential for long-lasting benefits. Clinical translation of GEV therapy holds promise for improving patient outcomes and reducing the burden on healthcare systems. Full article

Background/Objectives: Fexofenadine hydrochloride is a widely prescribed drug for treating histamine-mediated allergic reactions. This review systematically collates existing research on the clinical pharmacokinetics (PK) of fexofenadine, with a copious emphasis on examining the impact of stereoisomerism, disease states, and drug interactions. Methods: The search engines PubMed, Science Direct, Google Scholar, and Cochrane were scanned systematically for articles concerning the clinical PK of fexofenadine in humans. The extensive literature search yielded 85 articles meeting the inclusion standards. Results: The PK parameters of fexofenadine showed a linear correlation between increasing doses and proportional elevations in PK parameters such as area under the curve from time 0 to infinity (AUC_0–∞) and maximum plasma concentration (C_max). Under fed conditions, its bioavailability was reduced by approximately 50%. Findings from patients with end-stage renal disease (ESRD) displayed a 63% decline in oral clearance (CL/F) of fexofenadine. A drug–food interaction study has displayed that grapefruit juice decreased C_max (201 ng/mL vs. 128 ng/mL), accompanied by a 30% reduction in the bioavailability of fexofenadine. Furthermore, a drug–herb interaction study with St John’s Wort (SJW) has reported a reduction in CL/F by 10% after a single dose, but long-term administration reversed this effect, resulting in elevated CL/F by 17% of fexofenadine. Conclusions: Since no prior systematic review on the PK of this drug exists, this review amalgamates all pertinent PK parameters in humans by pooling up-to-date data from published studies. This detailed literature review can be advantageous for researchers who want to develop and assess PK models. Full article

Chemical amination of the enzyme was demonstrated to favor immobilization onto polydopamine (PDA)-coated magnetic nanoparticles (MNPs) for the first time, to the best of the author’s knowledge. MNPs prepared via hydrothermal synthesis were coated with PDA for the immobilization of naringinase. X-ray diffraction, transmission electron microscopy, X-ray photoelectron spectroscopy, and Fourier-transform infrared spectroscopy showed that the MNPs were composed mainly of Fe₃O₄ with an average size of 38.9 nm, and coated with a 15.1 nm PDA layer. Although the specific activities of α-L-rhamnosidase (RAM) and β-D-glucosidase (GLU) of free naringinase decreased with amination, the immobilization yields of the aminated enzyme increased by more than 40% for RAM and more than 10-fold for GLU. The immobilization improved the enzyme’s thermal stability (at 50 °C), reaching a half-life of 40.7 and 23.1 h for RAM and GLU activities, respectively. The biocatalyst was successfully used for the debittering of grapefruit juice, detecting a reduction in naringin of 56% after 24 h. These results demonstrate that the enzyme amination is an effective strategy to enhance the immobilization on a PDA coating and could be applied to other enzymes in order to obtain an easily recoverable biocatalyst using a simple immobilization methodology. Full article

Grapefruit extracts and black chokeberry juice have antioxidant and antimicrobial properties. The aim of the experiment was to evaluate the effect of grapefruit-based preparations, Biosept Active and Citrogrep, and black chokeberry juice on the germination, vigor, and health of carrot seeds. The seeds of two cultivars were soaked for 30 min in 0.25% grapefruit-based preparations and in 5 and 25% chokeberry juice. Standard ISTA methods were used to evaluate seed germination and health. The chemical composition of the applied preparations and juice was analyzed with ultra-high-performance liquid chromatography electrospray ionization mass spectrometry. The grapefruit-based preparations differed significantly in their chemical composition, qualitatively and quantitatively, but in both of them, flavanones and flavones prevailed. Biosept Active improved seed germination especially in the cultivar, which was characterized by a lower initial seed quality. The significant positive correlations between germination at the first and final counts, as well as the contents of flavanones and flavones, were identified in this cultivar. Moreover, the negative correlations between the percentages of diseased seedlings, dead seeds, the percentages of seed infested with Cladosporium spp., Epicoccum nigrum, Melanospora simplex, and Ulocladium spp., and the investigated compounds were found. Chokeberry juice, at the higher concentration, showed some antioxidant activity; however, it frequently stimulated the growth of the fungi. Full article

Type 2 diabetes mellitus is a multifactorial disorder whose primary manifestation usually initiates with elevated blood sugar levels. Several antidiabetic agents are used to manage type 2 diabetes mellitus, of which empagliflozin is an oral sodium-glucose co-transporter (SGLT-2) inhibitor in the kidney. This research aims to develop and validate a simple analytical method for determining empagliflozin levels in biological fluid and to further evaluate grapefruit juice’s impact on empagliflozin pharmacokinetics in rats. High-Performance Liquid Chromatography (HPLC) was used to establish a simple, rapid, and accurate method for determining empagliflozin levels in rat plasma, in the presence of grapefruit juice. Four groups of rats (n = 10 rats in each) were used in the preclinical study. Group A (healthy rats) received empagliflozin alone; Group B (healthy rats) received empagliflozin with grapefruit; Group C (diabetic rats) received empagliflozin with grapefruit; and Group D (healthy, negative control) received no medication. The rats (n = 10) were given grapefruit juice instead of water for seven days before receiving the empagliflozin dose (0.16 mg/kg). Some pharmacokinetic parameters for each group were determined. The maximum plasma concentration (C_max) and area under the curve (AUC) of empagliflozin in Group A without grapefruit intake were 730 ng/mL and 9264.6 ng × h/mL, respectively, with T_max (2 h). In Group B, C_max was 1907 ng/mL and AUC was 10,290.75 ng × h/mL in the presence of grapefruit, with T_max (1 h); whereas, in Group C, the C_max was 2936 ng/mL and AUC was 18657 ng × h/mL, with T_max (2 h). In conclusion, our results showed that the co-administration of grapefruit with empagliflozin should be cautiously monitored and avoided, in which grapefruit elevates the plasma level of empagliflozin. This may be attributed to the inhibition of the uridine enzyme in the grapefruit by hesperidin, naringin, and flavonoid. Full article

Phenolic antioxidants of various groups are important nutrients in the human diet, providing positive health effects. Nevertheless, these effects are dose dependent and require the control of natural phenolic contents in their sources. Coffee and citrus juices containing significant amounts of hydroxycinnamic acids and flavanones, respectively, are among the most widely consumed beverages all over the world. The electroactivity of phenolics allows the application of voltammetric sensors for quantification purposes. Highly sensitive and selective voltammetric sensors for the simultaneous quantification of hydroxycinnamic (caffeic (CA), ferulic (FA), and p-coumaric(p-CA)) acids and flavanones (hesperidin and naringin) have been developed for the first time using glassy carbon electrodes modified with single-walled carbon nanotubes functionalized via polyaminobenzene sulfonic acid (f-SWCNTs) and polymeric coverages from triphenylmethane dyes (phenol red (PR) or aluminon). Polymeric layers have been obtained in potentiodynamic modes. The conditions of the dye’s electropolymerization have been optimized using the voltammetric response of hydroxycinnamic acids or flavanone mixtures. Three separated oxidation peaks of CA, FA, and p-CA at the electrode with polyPR as well as hesperidin and naringin at the polyaluaminon-modified electrode have been observed. The oxidation currents are significantly increased comparing those at the bare glassy carbon (GCE) and carbon nanotube-modified electrodes. Both sensors provide a highly sensitive response to target analytes in the differential pulse voltammetric mode. Other natural phenolics of various classes do not affect the response of the sensors developed to the target analyte. The quantification of hydroxycinnamic acids in coffee and flavanones in orange and grapefruit juices has been successfully realized. Full article