The Acute Effect of Hydroxychloroquine Sulfate on Hunger, the Plasma Concentration of Orexigenic Peptides and Hedonic Food Intake: A Pilot Study

The direct infusion of bitter solutions in the gastrointestinal tract can reduce the secretion of orexigenic hormones and influence appetite and food intake. We aimed to explore whether oral ingestion of the bitter tastant hydroxychloroquine sulfate can exert similar effects. Ten lean adult women we...

Full description

Bibliographic Details
Main Authors: Emily Ruilova Sosoranga, Wout Verbeure, Hannelore Geysen, Theo Thijs, Christophe Matthys, Inge Depoortere, Jan Tack
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/19/4264
_version_ 1797575349797650432
author Emily Ruilova Sosoranga
Wout Verbeure
Hannelore Geysen
Theo Thijs
Christophe Matthys
Inge Depoortere
Jan Tack
author_facet Emily Ruilova Sosoranga
Wout Verbeure
Hannelore Geysen
Theo Thijs
Christophe Matthys
Inge Depoortere
Jan Tack
author_sort Emily Ruilova Sosoranga
collection DOAJ
description The direct infusion of bitter solutions in the gastrointestinal tract can reduce the secretion of orexigenic hormones and influence appetite and food intake. We aimed to explore whether oral ingestion of the bitter tastant hydroxychloroquine sulfate can exert similar effects. Ten lean adult women were included in this double-blind, randomized, two-visit, crossover study. After an overnight fast, each volunteer received film-coated tablets containing 400 mg of hydroxychloroquine sulfate (Plaquenil<sup>®</sup>) or placebo. Plasma-ghrelin, -motilin, -insulin and blood-glucose concentrations were determined every 10 min before and 30 min after feeding; appetite was scored every 10 min. Hunger scores were investigated with a special interest 50–60 min after the ingestion of hydroxychloroquine sulfate, right before a rewarding chocolate milkshake was offered to drink ad libitum. Compared with the placebo, hydroxychloroquine sulfate tended to reduce hunger at the time of interest (<i>p</i> = 0.10). No effect was found upon subsequent milkshake intake. Motilin plasma concentrations were unaltered, but acyl-ghrelin plasma concentrations decreased after the ingestion of hydroxychloroquine sulfate (t = 40–50; <i>p</i> < 0.05). These data suggest that the oral intake of hydroxychloroquine sulfate tablets reduces subjective hunger via a ghrelin-dependent mechanism but does not affect motilin release, hedonic food intake or insulin levels in healthy women.
first_indexed 2024-03-10T21:37:21Z
format Article
id doaj.art-00579ecb8a4747d382facc1e6bbb5f1c
institution Directory Open Access Journal
issn 2072-6643
language English
last_indexed 2024-03-10T21:37:21Z
publishDate 2023-10-01
publisher MDPI AG
record_format Article
series Nutrients
spelling doaj.art-00579ecb8a4747d382facc1e6bbb5f1c2023-11-19T14:52:29ZengMDPI AGNutrients2072-66432023-10-011519426410.3390/nu15194264The Acute Effect of Hydroxychloroquine Sulfate on Hunger, the Plasma Concentration of Orexigenic Peptides and Hedonic Food Intake: A Pilot StudyEmily Ruilova Sosoranga0Wout Verbeure1Hannelore Geysen2Theo Thijs3Christophe Matthys4Inge Depoortere5Jan Tack6Translational Research Center for Gastrointestinal Disorders, KU Leuven, 3000 Leuven, BelgiumTranslational Research Center for Gastrointestinal Disorders, KU Leuven, 3000 Leuven, BelgiumTranslational Research Center for Gastrointestinal Disorders, KU Leuven, 3000 Leuven, BelgiumTranslational Research Center for Gastrointestinal Disorders, KU Leuven, 3000 Leuven, BelgiumClinical and Experimental Endocrinology, KU Leuven, 3000 Leuven, BelgiumTranslational Research Center for Gastrointestinal Disorders, KU Leuven, 3000 Leuven, BelgiumTranslational Research Center for Gastrointestinal Disorders, KU Leuven, 3000 Leuven, BelgiumThe direct infusion of bitter solutions in the gastrointestinal tract can reduce the secretion of orexigenic hormones and influence appetite and food intake. We aimed to explore whether oral ingestion of the bitter tastant hydroxychloroquine sulfate can exert similar effects. Ten lean adult women were included in this double-blind, randomized, two-visit, crossover study. After an overnight fast, each volunteer received film-coated tablets containing 400 mg of hydroxychloroquine sulfate (Plaquenil<sup>®</sup>) or placebo. Plasma-ghrelin, -motilin, -insulin and blood-glucose concentrations were determined every 10 min before and 30 min after feeding; appetite was scored every 10 min. Hunger scores were investigated with a special interest 50–60 min after the ingestion of hydroxychloroquine sulfate, right before a rewarding chocolate milkshake was offered to drink ad libitum. Compared with the placebo, hydroxychloroquine sulfate tended to reduce hunger at the time of interest (<i>p</i> = 0.10). No effect was found upon subsequent milkshake intake. Motilin plasma concentrations were unaltered, but acyl-ghrelin plasma concentrations decreased after the ingestion of hydroxychloroquine sulfate (t = 40–50; <i>p</i> < 0.05). These data suggest that the oral intake of hydroxychloroquine sulfate tablets reduces subjective hunger via a ghrelin-dependent mechanism but does not affect motilin release, hedonic food intake or insulin levels in healthy women.https://www.mdpi.com/2072-6643/15/19/4264bitterappetiteghrelinmotilinfastingPlaquenil<sup>®</sup>
spellingShingle Emily Ruilova Sosoranga
Wout Verbeure
Hannelore Geysen
Theo Thijs
Christophe Matthys
Inge Depoortere
Jan Tack
The Acute Effect of Hydroxychloroquine Sulfate on Hunger, the Plasma Concentration of Orexigenic Peptides and Hedonic Food Intake: A Pilot Study
Nutrients
bitter
appetite
ghrelin
motilin
fasting
Plaquenil<sup>®</sup>
title The Acute Effect of Hydroxychloroquine Sulfate on Hunger, the Plasma Concentration of Orexigenic Peptides and Hedonic Food Intake: A Pilot Study
title_full The Acute Effect of Hydroxychloroquine Sulfate on Hunger, the Plasma Concentration of Orexigenic Peptides and Hedonic Food Intake: A Pilot Study
title_fullStr The Acute Effect of Hydroxychloroquine Sulfate on Hunger, the Plasma Concentration of Orexigenic Peptides and Hedonic Food Intake: A Pilot Study
title_full_unstemmed The Acute Effect of Hydroxychloroquine Sulfate on Hunger, the Plasma Concentration of Orexigenic Peptides and Hedonic Food Intake: A Pilot Study
title_short The Acute Effect of Hydroxychloroquine Sulfate on Hunger, the Plasma Concentration of Orexigenic Peptides and Hedonic Food Intake: A Pilot Study
title_sort acute effect of hydroxychloroquine sulfate on hunger the plasma concentration of orexigenic peptides and hedonic food intake a pilot study
topic bitter
appetite
ghrelin
motilin
fasting
Plaquenil<sup>®</sup>
url https://www.mdpi.com/2072-6643/15/19/4264
work_keys_str_mv AT emilyruilovasosoranga theacuteeffectofhydroxychloroquinesulfateonhungertheplasmaconcentrationoforexigenicpeptidesandhedonicfoodintakeapilotstudy
AT woutverbeure theacuteeffectofhydroxychloroquinesulfateonhungertheplasmaconcentrationoforexigenicpeptidesandhedonicfoodintakeapilotstudy
AT hanneloregeysen theacuteeffectofhydroxychloroquinesulfateonhungertheplasmaconcentrationoforexigenicpeptidesandhedonicfoodintakeapilotstudy
AT theothijs theacuteeffectofhydroxychloroquinesulfateonhungertheplasmaconcentrationoforexigenicpeptidesandhedonicfoodintakeapilotstudy
AT christophematthys theacuteeffectofhydroxychloroquinesulfateonhungertheplasmaconcentrationoforexigenicpeptidesandhedonicfoodintakeapilotstudy
AT ingedepoortere theacuteeffectofhydroxychloroquinesulfateonhungertheplasmaconcentrationoforexigenicpeptidesandhedonicfoodintakeapilotstudy
AT jantack theacuteeffectofhydroxychloroquinesulfateonhungertheplasmaconcentrationoforexigenicpeptidesandhedonicfoodintakeapilotstudy
AT emilyruilovasosoranga acuteeffectofhydroxychloroquinesulfateonhungertheplasmaconcentrationoforexigenicpeptidesandhedonicfoodintakeapilotstudy
AT woutverbeure acuteeffectofhydroxychloroquinesulfateonhungertheplasmaconcentrationoforexigenicpeptidesandhedonicfoodintakeapilotstudy
AT hanneloregeysen acuteeffectofhydroxychloroquinesulfateonhungertheplasmaconcentrationoforexigenicpeptidesandhedonicfoodintakeapilotstudy
AT theothijs acuteeffectofhydroxychloroquinesulfateonhungertheplasmaconcentrationoforexigenicpeptidesandhedonicfoodintakeapilotstudy
AT christophematthys acuteeffectofhydroxychloroquinesulfateonhungertheplasmaconcentrationoforexigenicpeptidesandhedonicfoodintakeapilotstudy
AT ingedepoortere acuteeffectofhydroxychloroquinesulfateonhungertheplasmaconcentrationoforexigenicpeptidesandhedonicfoodintakeapilotstudy
AT jantack acuteeffectofhydroxychloroquinesulfateonhungertheplasmaconcentrationoforexigenicpeptidesandhedonicfoodintakeapilotstudy