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Immune SystemPPMSNCT05792137

Postprandial Monocyte Study

A study testing High saturated fat challenge meal and High mono unsaturated fat challenge meal in people with Immune System and Nutrition, run by USDA, Western Human Nutrition Research Center at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this research is to determine the role of a type of immune cell in blood, called a non-classical monocytes (NCMs), following consumption of a high-fat meal. Previous studies have found that monocytes are important for blood vessel health. Read more about this study

Who is it for?
Ages 18 to 39 yearsHealthy volunteers can take part
Conditions the study is for
Immune System, Nutrition, Inflammation
What is being tested?
High saturated fat challenge meal and High mono unsaturated fat challenge meal
Could I receive a placebo?
No, everyone receives an active treatment
How many people
32 participants
Where
1 siteUnited States
Study dates
14 Nov 2023to 11 Oct 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 39 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • BMI 18.5 - 29.9 kg/m²
  • have a bank account and social security number or taxpayer identification for financial compensation

Who cannot join

  • Pregnant or lactating women
  • Known allergy or hindering intolerance to study meal ingredients
  • Systolic blood pressure greater than 140 mmHg or diastolic blood pressure greater than 90 mmHg measured
  • Fasting glucose above 105 mg/dL
  • Triglycerides above 150 mg/dL
  • HDL cholesterol less than 40 mg/dL (men) and 50 mg/dL (women)
Show all 21Show fewer
  • Self-reported history of difficulties with blood drawing procedures including prior fainting or dizziness, or veins assessed as not suitable for four separate venipunctures by licensed phlebotomist
  • Diagnosed active chronic diseases for which the individual is currently taking daily medication, including but not limited to Diabetes mellitus, Cardiovascular disease, Cancer, Gastrointestinal disorders, Kidney disease, Liver disease, Bleeding disorders, Asthma, Autoimmune disorders, Hypertension, Osteoporosis
  • Recent minor surgery (within 4 wk) or major surgery (within 16 wk)
  • History of gastrointestinal surgery, including gastric bypass surgery or resection
  • Recent antibiotic therapy (within 4 wk)
  • Known gallbladder disease or history of cholecystectomy
  • Recent hospitalization (within 4 wk)
  • Use of prescription medications at the time of the study that directly affect endpoints of interest (e.g. hyperlipidemia, glycemic control, steroids, statins, anti-inflammatory agents, and over-the-counter weight loss aids)
  • Current participation in another research study
  • Less than 18 and over 39 years old
  • BMI less than 18.5 and above 29.9 kg/m²
  • Has HIV/AIDS or another disease that affects the immune system
  • Unable to fast for 12 hours
  • Gives regular blood donations and is unwilling to stop during the study
  • Has monocytosis (>0.8 x 10³/microliter) or other abnormalities in hematologic parameters based on a screening complete blood count (CBC) with differential

Trial locations and contacts

1 site in 1 country.

United States1 site
  • USDA Western Human Nutrition Research Center

    Davis, California, 95616

Other trials in United States

About this study

Official title: Western Human Nutrition Research Center (WHNRC) Postprandial Monocyte Study

The purpose of this research is to determine the role of a type of immune cell in blood, called a non-classical monocytes (NCMs), following consumption of a high-fat meal. Previous studies have found that monocytes are important for blood vessel health. In this study, two different high-fat meals will be used to study the effect of different types of dietary fat on postprandial NCMs. The investigators will characterize NCMs in both fasting conditions and following consumption of two different high-fat meals, and will evaluate whether the type of fat in a meal affects NCMs in blood.

Read the detailed description

Monocytes are a heterogeneous population of circulating blood cells that contribute to tissue integrity as well as to innate and adaptive immune defense. There are three well-characterized subsets based on their relative expression of surface antigens, cluster of differentiation 14 (CD14) and cluster of differentiation 16 (CD16). Monocytes originate from myeloid precursors in the bone marrow and enter the circulation as classical monocytes (CLMs). CLMs represent a transient cell population with a diverse differentiation potential. CLMs comprise 80-90% of the circulating blood monocyte pool and remain in circulation for approximately one day before either migrating into tissue to repopulate the tissue resident macrophage population or maturing into non-classical monocytes (NCMs). NCMs comprise only 5-10% of the circulating blood monocyte pool but have a much longer circulating lifespan of approximately 7 days. NCMs exhibit conflicting functions as anti-inflammatory caretakers of vascular tissue and as contributors to the pathogenesis of disease.

Metabolic responses to food consumption influence the risk of cardiometabolic disease. Postprandial glycemia and lipemia modulate vascular health by altering endothelial function and inducing oxidative stress, inflammation, and apoptosis. Consumption of a single high-fat meal increases circulating interleukin 6 (IL-6), enhances expression of monocyte adhesion molecules, reduces flow-mediated dilation, and increases markers of oxidative stress in human subjects. Although NCMs are described as vascular housekeepers with distinct motility and crawling patterns allowing them to actively surveil endothelium and scavenge luminal debris, their role in the postprandial state is currently unknown.

To better understand the function of postprandial NCMs following consumption of a single high-fat mixed macronutrient challenge meal, the investigators propose a study following a crossover design in which participants will consume one of two isocaloric high-fat challenge meals spaced two-weeks apart, a high-saturated fat mixed macronutrient challenge meal or a high-monounsaturated fat mixed macronutrient challenge meal. Blood at fasting and at six hours postprandial will be collected and the proportion of NCMs and their integrin expression will be analyzed by flow cytometry while changes in global gene expression will be measured by RNA-sequencing.

Being tested
High saturated fat challenge meal, High mono unsaturated fat challenge meal
Keywords
monocyte, postprandial, nonclassical monocytes
Medical subject headings
Inflammation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • High saturated fat challenge mealOther

    High saturated fat challenge meal made with palm oil

  • High mono unsaturated fat challenge mealOther

    High mono unsaturated fat challenge meal made with olive oil

Study groups in NCT05792137
Study groupRoleWhat they receive
High saturated fat challenge meal followed by high mono-unsaturated fat challenge mealExperimentalHigh saturated fat mixed macronutrient challenge meal with palm oil followed by high mono-unsaturated fat mixed macronutrient challenge meal with olive oil two weeks later
Receives: Other: High saturated fat challenge meal; Other: High mono unsaturated fat challenge meal
High mono-unsaturated fat challenge meal followed by high saturated fat challenge mealExperimentalHigh mono-unsaturated fat mixed macronutrient challenge meal with olive oil followed by high saturated fat mixed macronutrient challenge meal with palm oil two weeks later
Receives: Other: High saturated fat challenge meal; Other: High mono unsaturated fat challenge meal

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Monocyte subsets

    Monocyte subsets will be analyzed using flow cytometry. Subset analysis will be performed by labeling immune cells with anti-cluster of differentiation antigen 45 (anti-CD45), cluster of differentiation antigen 91 (anti-CD91), anti-CD14, and anti-CD16 fluorescently labeled antibodies.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

Secondary outcomes (38)
  1. Change in white blood cell count

    White blood cell (WBC) count will be measured by a DxH 520 Hematology analyzer.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  2. Change in lymphocyte count

    Lymphocyte (LY) count will be measured by a DxH 520 Hematology analyzer.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  3. Change in monocyte count

    Monocyte (MO) count will be measured by a DxH 520 Hematology analyzer.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  4. Change in change in neutrophil granulocyte count

    Neutrophil granulocyte (NE) count will be measured by a DxH 520 Hematology analyzer.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  5. Change in eosinophil count

    Eosinophil (EO) count will be measured by a DxH 520 Hematology analyzer.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  6. Change in basophil count

    Basophil (BA) count will be measured by a DxH 520 Hematology analyzer.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  7. Change in red blood cell count

    Red blood cell (RBC) count will be measured by a DxH 520 Hematology analyzer.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  8. Change in hemoglobin

    Hemoglobin (HGB) will be measured by a DxH 520 Hematology analyzer.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  9. Change in hematocrit

    Hematocrit (HCT) will be measured by a DxH 520 Hematology analyzer.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  10. Change in mean corpuscular volume

    Mean corpuscular volume (MCV) will be measured by a DxH 520 Hematology analyzer.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  11. Change in mean corpuscular hemoglobin

    Mean corpuscular hemoglobin (MCH) will be measured by a DxH 520 Hematology analyzer.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  12. Change in mean corpuscular hemoglobin concentration

    Mean corpuscular hemoglobin concentration (MCHC) will be measured by a DxH 520 Hematology analyzer.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  13. Change in red blood cell distribution width

    Red blood cell distribution width (RDW) will be measured by a DxH 520 Hematology analyzer.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  14. Change in red blood cell distribution width standard deviation

    Red blood cell distribution width standard deviation (RDW-SD) will be measured by a DxH 520 Hematology analyzer.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  15. Change in platelet count

    Platelet (PLT) count will be measured by a DxH 520 Hematology analyzer.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  16. Change in mean platelet volume

    Mean platelet volume (MPV) will be measured by a DxH 520 Hematology analyzer.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  17. Change in CD45 gene expression

    Transcriptional changes in non-classical and classical monocytes will be measured by RNA-sequencing following the isolation of non-classical monocytes from peripheral blood by fluorescence-activated cell sorting (FACS) using anti-CD45 fluorescently labeled antibodies.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  18. Change in CD91 gene expression

    Transcriptional changes in non-classical and classical monocytes will be measured by RNA-sequencing following the isolation of non-classical monocytes from peripheral blood by fluorescence-activated cell sorting (FACS) using anti-CD91 fluorescently labeled antibodies.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  19. Change in CD14 gene expression

    Transcriptional changes in non-classical and classical monocytes will be measured by RNA-sequencing following the isolation of non-classical monocytes from peripheral blood by fluorescence-activated cell sorting (FACS) using anti-CD14 fluorescently labeled antibodies.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  20. Change in CD16 gene expression

    Transcriptional changes in non-classical and classical monocytes will be measured by RNA-sequencing following the isolation of non-classical monocytes from peripheral blood by fluorescence-activated cell sorting (FACS) using anti-CD16 fluorescently labeled antibodies.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  21. Change in expression of very late antigen-4

    Monocyte adhesion molecule expression of very late antigen-4 (VLA-4) will be assessed using flow cytometry.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  22. Change in expression of C-X3-C motif chemokine receptor 1

    Monocyte adhesion molecule expression of C-X3-C motif chemokine receptor 1 (CX3CR1) will be assessed using flow cytometry.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  23. Change in expression of Notch2

    Monocyte adhesion molecule expression of Notch2 will be assessed using flow cytometry.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  24. Change in expression of colony stimulating factor 1 receptor

    Monocyte adhesion molecule expression of colony stimulating factor 1 receptor (CSFR1) will be assessed using flow cytometry.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  25. Change in expression of scavenger receptor class B, member 3

    Monocyte adhesion molecule expression of scavenger receptor class B, member 3 (CD36) will be assessed using flow cytometry.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  26. Change in intensity of filamentous-actin

    Filamentous-actin (F-actin) intensity will be assessed using phalloidin.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  27. Change in levels of interleukin-6

    Plasma markers of systemic inflammation including interleukin-6 will be measured by ELISA.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  28. Change in levels of interleukin-8

    Plasma markers of systemic inflammation including interleukin-8 will be measured by ELISA.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  29. Change in levels of C-reactive protein

    Acute phase reactants including C-reactive protein (CRP) will be measured by ELISA.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  30. Change in levels of serum amyloid A

    Acute phase reactants including serum amyloid A (SAA) will be measured by ELISA.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  31. Change in levels of chemokine ligand 2

    Chemokines including chemokine ligand 2 will be measured by ELISA.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  32. Change in levels of 8-isoprostane F2alpha

    Plasma markers of oxidative stress including 8-isoprostane F2alpha will be measured by ELISA.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  33. Change in soluble cluster of differentiation antigen 146

    Endothelial activation including soluble cluster of differentiation antigen 146 (CD146) will be measured by ELISA.

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  34. Change in levels of triglycerides

    Lipid-related markers including triglycerides will be measured by auto-analyzer, Cobas Integra 400+ instrument

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  35. Change in levels of total cholesterol

    Lipid-related markers including total cholesterol will be measured by auto-analyzer, Cobas Integra 400+ instrument

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  36. Change in levels of HDL-cholesterol

    Lipid-related markers including HDL-cholesterol (HDL-C) will be measured by auto-analyzer, Cobas Integra 400+ instrument

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  37. Change in levels of LDL-cholesterol

    Lipid-related markers including LDL-cholesterol (LDL-C) will be measured by auto-analyzer, Cobas Integra 400+ instrument

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

  38. Change in levels of glucose

    Plasma glucose will be measured by auto-analyzer, Cobas Integra 400+ instrument

    Measured: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Mar 2023
  2. Study start14 Nov 2023
  3. Primary completion11 Oct 2024
  4. Study completion11 Oct 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Crossover
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05792137
Sponsor's protocol ID
1999385
Acronym
PPMS
Status last verified
Mar 2025
First submitted
15 Mar 2023
Last updated
12 Mar 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing High saturated fat challenge meal and High mono unsaturated fat challenge meal in people with Immune System and Nutrition, run by USDA, Western Human Nutrition Research Center at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 12 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Monocyte subsets (time frame: Measured from samples taken at 0 hours (fasting) and 6 hours (postprandial) on 2 test days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Mar 2025.

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