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Table 1 List of studies reporting candidate biomarkers for pome fruit consumption

From: Food intake biomarkers for apple, pear, and stone fruit

Dietary factor

Study design

Number of subjects

Analytical method

Biofluid

Discriminating metabolites/candidate biomarkers

Primary reference(s)

Apple

 Apple (24-h recalls, 58.7 ± 113.5 g/day+)

Observational study

53 (31 women, 22 men)

HPLC-MS

Urine

(spot and 24 h)

• Phloretin

• Other non-specific polyphenol metabolites

[40]

 Apple (FFQ and food diaries, 47 (3–140)g/day*)

Observational study

119 (all women)

HPLC-ESI-MS

Urine

(24 h)

Plasma

• Phloretin

• Other non-specific compound

[42]

 Apple (24-h recall, 61 (0–317) g/day*)

Observational study: 5 months of free access to fruit basket in working place.

79

HPLC-ESI-MS

Urine

(24 h)

• Phloretin

• Other polyphenols for other fruits

[41]

 Apple and pear (24-h recalls, 228 ± 239 g/day+)

Observational study

481

Untargeted HPLC-TOF-MS

Urine

(24 h)

• Phloretin glucuronide

• Other non-specific epicatechin metabolites

[17]

 40 g of lyophilized apples: polyphenol-rich vs polyphenol-poor apples

Double-blind, randomized cross-over trial, 4-week periods

30 (all men)

LC-MS

Morning spot urine

• Phloretin

[47]

 25 g of unripe apple processed in powder

Randomized cross-over study (two 1-day interventions: (1) 50 g OGTT and (2) 50 g OGTT+ 25 g apple powder)

6 (all women)

LC-MS

Urine

(0 h, 0-2 h, 2–4 h)

• Phloretin

• Phloretin glucuronide

[45]

 1 L cloudy apple juice

Kinetics intervention, single dose

11 (healthy ileostomy subjects)

HPLC-DAD; HPLC-ESI-MS/MS

Ileostomy fluid

(0 h, 1 h, 2 h, 4 h, 6 h, and 8 h)

• Phloretin 2′-O-xyloglucoside

• Phloretin 2′-O-glucuronide

• Phloretin

• Other non-specific polyphenol metabolites

[46]

 0.7 L of apple smoothie

Single dose, kinetic study

10 (healthy ileostomy persons)

HPLC-DAD and HPLC-MS/MS

Ileostomy fluid

(0 h, 1 h, 2 h, 4 h, 6 h, and 8 h)

• Phloretin 2′-O-xyloglucoside

• Phloretin 2′-O-glucuronide (and isomers)

• Phloretin

• Other non-specific polyphenol metabolites

[95]

 1 kg of apple (organic vs conventional)

Randomized, cross-over single-dose study (2 experimental days, 1 per intervention)

6 (all men)

HPLC-MS

Plasma

(0 h, 1 h, 2 h, 3 h, 4 h, 5 h, 6 h, 9 h, 12 h, 24 h)

• Phloretin

[43]

 500 g/day apple for 4 weeks (organic vs conventional vs no apple)

Double-blind, randomized parallel study (3 interventions: (1) organic apple, (2) conventional apple, (3) control)

43 (all men)

HPLC-MS

Plasma

(day 0 and day 28 24 h after last intake of fruit)

• Phloretin

[43]

 Apple (low: 200 ± 10 g, medium: 400 ± 10 g and high: 790 ± 10 g consumption)

Acute parallel study with three groups

30 (14 women, 16 men)

HPLC-ESI-QTrap

Urine

(0 h, 0–2 h, 2–4 h, 4–6 h, 6–8 h, 8–10 h, 10–12 h, 12–14 h, 14–16 h, 48 h morning spot, 72 h morning spot, 96 h morning spot)

• Phloretin

• Other non-specific polyphenol metabolites

[48]

Pear

 Pear (0.6 g/kg/h) vs Banana (0.6 g/kg/h) vs water (3 ml/kg/h)

Cross-over, randomized controlled trial (3 experimental days, 1 per intervention)

20 (all men)

Untargeted

UPLC-QTOF-MS

Plasma

(T0, immediately after cycling, 1.5 h after cycling trial and 21-h post exercise)

• Arbutin

• Hydroquinone sulfate

• Other non-specific compounds (sugars, polyphenol microbial metabolites)

[64]

 Pear (1 fruit, as part of a high Hydroquinone diet)

Controlled Intervention study

(3 experimental days, 1 per intervention: high hydroquinone meal with pear, low hydroquinone and acetaminophen)

4 (2 women, 2 men)

GC-ED

Plasma

(30, 60, 120 min after meal)

Urine

(2-h interval collection in a 8-h period after meal)

• Conjugated hydroquinone

[65]

  1. Abbreviations: OGTT oral glucose tolerance test, HPLC-MS high-performance liquid chromatography-mass spectrometry, HPLC-ESI-MS high-performance liquid chromatography-electron spray ionization-mass spectrometry, HPLC-TOF-MS high-performance liquid chromatography-time-of-flight-mass spectrometry, LC-MS liquid chromatography-mass spectrometry, HPLC-DAD high-performance liquid chromatography-with diode-array-detection, UPLC-QTOF-MS ultra-performance liquid chromatography-quadrupole-time-of-flight-mass spectrometry, GC-ED gas chromatography-electron capture detector
  2. +Data reported in mean and SD
  3. *Data reported in medians and percentiles