From: Phenotypic flexibility as a measure of health: the optimal nutritional stress response test
Organ system | Process | OGTT | OLTT | OPTT | OPGLTT |
---|---|---|---|---|---|
Gut | Host–microbe interaction | ||||
Defense against pathogens | |||||
Gastrointestinal functioning | |||||
Absorption | |||||
Intestinal integrity | |||||
Incretin production | ↑ | ↑a | ↑a | ||
Satiety hormone production | ↑a | ||||
Gut-mediated inflammation | –a | ||||
Adipose tissue | Lipolysis | ↓a | ↑a | ↓ | ↑a |
Adipose insulin sensitivity | |||||
Expandability | |||||
Lipokine and adipokine production | – | ↑a | ↑a | ||
Macrophage infiltration | |||||
Systemic stress response | Systemic insulin sensitivity | ↑a | – | ↑a | |
Oxidative stress | ↓a | ↑a | ↑a | ||
Nitrosative stress | ↑a | ↑a | |||
Chronic low-grade inflammation | – | –a | ↑a | ||
Metabolic flexibility | ↑a | –a | |||
ER stress | ↓ | ↑ | |||
Muscle | Protein metabolism | ↑a | |||
Muscle tissue injury control | ↓ | ||||
Muscle insulin sensitivity | |||||
Liver | β-oxidation | ↓a | ↑a | ||
Citric acid cycle | ↑ | ||||
Ketogenesis | ↓a | ↑ | |||
Glycolysis/Gluconeogenesis | ↑a | ↑ | |||
Purine degradation | ↓ | ||||
Hepatic protein metabolism | |||||
Lipoprotein production | ↓a | ↑a | ↑a | ||
Bile production | ↓a | ||||
Hepatic fat metabolism | |||||
Fibrosis and inflammation | |||||
Hepatic insulin sensitivity | |||||
Hepatic injury control | ↑a | ||||
Kidney | (Re)absorption | ↑ | |||
Urea cycle | ↓ | ↑ | |||
Vasculature | Blood pressure regulation | ↓a | ↓a | ↓a | |
NO formation | ↓ | ↓ | |||
Vascular flexibility | ↓a | ||||
Adhesion | ↑a | ↑a | ↑a | ||
Complement system | |||||
Coagulation system | |||||
Pancreas | α-Cell | ||||
β-Cell | ↑a | ↑a | ↑a | ||
Brain | Endocrine response | ↓ | |||
Secondary messengers | |||||
Mental performance | |||||
Appetite | |||||
HPA axis | –a | ||||
Neurotransmitters and precursors | ↓ | ↑ |