Astringency and Oral Health

Study Overview
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Brief Summary
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The perception of astringency is thought to involve the interaction between tannins and salivary proteins. However, the mechanisms underlying this interaction are poorly understood. The tannins' subclass known as type A proanthocyanidins seems to have a positive effect on human health. Despite that, humans show large individual differences in the sensory perception and acceptance of astringent foods such as tea, wine and chocolate suggesting that this variation may have a genetic basis. Salivary proteins play an essential role both in affecting oral taste perception and in maintaining a healthy oral environment. Diverse microorganisms inhabit the oral cavity. The interactions between oral microbiota, host and environmental factors influence microbial homeostasis and ultimately human oral health. Understanding individual differences in salivary proteins, oral microbiome and the mechanisms by which tannins evoke the perception of astringency could provide important insights into the role of these compounds in human nutrition and health.

Detailed Description
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This study examines the effects of a daily Cranberry Polyphenol Extract (CPE) oral rinse on salivary protein responses and the oral microbiome (as a proxy measure of oral health). The study will be conducted in healthy adults who are presumably at high-risk or low-risk of oral disease. High risk individuals include non-tasters of PROP (6-n-propylthiouracil) and homozygous recessive for TAS2R38 (Taste 2 Receptor Member 38) gene, while low-risk individuals include super-tasters of PROP and homozygous dominant for TAS2R38 gene. The specific aims are to determine if the use of cranberry polyphenol extract rinse will: alter the oral microbial profile induce changes in the salivary protein response be associated with changes in taste and flavor perception Participants will be screened for good overall and oral health. Each subject's period of participation will be 2 weeks. Days 1-3 of the study is a run-in period. Subjects will rinse with spring water 2-times/day (after brushing their teeth in the morning and evening). During days 4-14, subjects will rinse in a similar manner with a solution of CPE in spring water. Saliva will be collected from subjects in a brief session (10 min) on day 1, day 3, and day 14. Saliva samples will be analyzed for gene, salivary proteins and microbial profile analysis. The purpose of this analysis is to measure the relative ratios of beneficial vs. disease-causing microbes in the mouth using microbial whole-genome sequencing (WGS). On each of the testing days, subjects will also evaluate food samples for standard taste and flavor attributes.

Official Title
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Astringency Perception and Oral Health

Conditions
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Saliva Altered, Taste, Altered

Intervention / Treatment
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* Other: Plain water
* Other: CPE


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: PROP insensitive individuals (PROP non-tasters; homozygous recessive for TAS2R38 gene) PROP high-sensitive individuals (PROP super-tasters; homozygous dominant for TAS2R38 gene) Overall healthy; good oral health and hygiene routine Current on a routine checkup by a oral/dental health professional Recently underwent dental/cleaning by a oral/dental health professional No ongoing oral health problems Agree to use intervention material as prescribed Agree to refrain from using any other oral rinse material during the term of the study Exclusion Criteria: PROP medium-taster individuals (heterozygous for TAS2R38 gene) Taste or smell dysfunction Pregnant or nursing Oral piercings Smoking Use of medications other than birth control

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Basic Science
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: PROP non-taster subjects<br>This arm will comprise of PROP non-taster subjects. Subjects will use a cranberry-derived oral rinse twice a day for 11 days following a 3-day plain water-rinse period. | Other: Plain water<br>* Subjects will use plain water as an oral rinse twice a day for 3 days.<br>Other: CPE<br>* Subjects will use a cranberry-derived oral rinse twice a day for 11 days.<br>|
| Experimental: PROP super-taster subjects<br>This arm will comprise of PROP super-taster subjects. Subjects will use a cranberry-derived oral rinse twice a day for 11 days following a 3-day plain water-rinse period. | Other: Plain water<br>* Subjects will use plain water as an oral rinse twice a day for 3 days.<br>Other: CPE<br>* Subjects will use a cranberry-derived oral rinse twice a day for 11 days.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline Taste and Flavor Intensity Ratings after 11 days | Taste and flavor intensity ratings of cranberry juice and aronia juice samples will be collected 3 days after control intervention and then at the end of the experimental intervention. An end-anchored (None, Very Strong) 15 cm line scale will be used with taste and key flavor attributes. | Baseline measure 3 days after control intervention; Post intervention measure 11 days after experimental intervention | 
| Change from Baseline Levels of Salivary Proteins after 11 days | Saliva will be collected 3 days after control intervention and then at the end of the experimental intervention. Samples will be analyzed via dot blot analysis and LC-MS (liquid chromatography-mass spectrometry) to establish proteomic composition before and after the intervention. Specifically, area of the ion current peaks (XIC peaks) generated will be used as a relative quantity of the salivary protein levels. The XIC peaks are proportional to the concentration of salivary proteins under constant conditions and will be used to understand the effect of the intervention on salivary protein levels. | Baseline measure 3 days after control intervention; Post intervention measure 11 days after experimental intervention | 
| Change from Baseline Composition of Oral Microbiome after 11 days | Salivary samples will be collected 3 days after control intervention and then at the end of the experimental intervention. Samples will be analyzed for microbial composition via Whole Genome Sequencing and data used to understand changes in microbial diversity before and after the intervention. Specifically operational taxonomic units will be identified and classified at the species level. | Baseline measure 3 days after control intervention; Post intervention measure 11 days after experimental intervention |