Case report2025Industry fundedOpen access

Funded in part by Nestlé Health Science

Reduced Serum PD-L1 and Markers of Inflammation in Response to Alternate Day Fasting With a Low-Carbohydrate Intervention: A Secondary Analysis of a Single-Arm Trial

Akasheh RT, Fantuzzi G, Varady KA, Cheng TD, Kalam F

Current developments in nutrition · 2 citations

Review labels

Author industry tiesIndustry funded

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Case report (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Industry funded
University or hospital
Ohio State University
Company
Nestlé Health Science
Government
National Cancer Institute
Authors
At least one author declares a financial tie to industry
Grants
National Cancer Institute (P30CA016058); Ohio State University (P30CA016058)

Based on 3 listed funder(s) and full-text disclosure statement.

Publication

Published
2025-02-14 · Curr Dev Nutr · vol. 9 · issue 3 · p. 104566
Publisher
Elsevier BV
Cited
2 citations · more than 74% of similar papers · 1.1× the field average
References
39 works
Access
Open access (journal) · CC-BY
Research areas
Dietary Effects on Health · Diet and metabolism studies · Diet, Metabolism, and Disease
Keywords
Inflammation, Medicine, Intervention (counseling), Internal medicine, Carbohydrate, Low carbohydrate, Randomized controlled trial, Endocrinology, Weight loss, Obesity

5 authors

From US

  • Rand T. Akasheh · correspondingThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute
  • Giamila FantuzziUniversity of Illinois Chicago
  • Krista A VaradyUniversity of Illinois Chicago
  • Ting‐Yuan David Cheng · correspondingThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute
  • Faiza KalamThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute

Abstract

This secondary analysis aimed to examine the effect of a single-arm alternate day fasting intervention with a 30% low-carbohydrate diet on biomarkers of inflammation and immune activation in adults with obesity. A 12-week weight-loss period was followed by a 12-week weight maintenance period. Anthropometrics and blood samples were collected at baseline and weeks 12 and 24. Multiplex assay was used to measure serum biomarkers including programmed death ligand 1 (PD-L1), interleukin 8 (IL-8), IL-1 receptor antagonist (IL-1ra), chemokine ligand (CCL)2, CCL4, interferon gamma (IFnγ), IFNγ-induced protein 10 (IP-10), and cluster of differentiation 40 ligand (CD40-L). In 28 participants, body weight and fat mass decreased during the weight-loss period but stabilized during the weight maintenance period. Serum PD-L1 decreased from baseline to week 12 (P = 0.005) but not at week 24. Moreover, IL-1ra and CCL4 concentrations decreased from baseline to week 24 (P P < 0.008, respectively). Changes were not significant for in CCL2, IL-8, CD40-L, IFNγ, or IP-10. In conclusion, alternate day fasting-low carbohydrate modulates circulating immune biomarkers, which may be relevant to diabetes, cancer, and autoimmunity. This trial was registered at clinicaltrials.gov as NCT03528317 (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6934424/).

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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