N-acetylgalactosamine
Related Terms
- Dietary saccharide, fucose, galactose, glucose, glycobiology, glycoconjugates, glycoform, glyconutritional, glycoprotein, mannose, N-acetylgalactosamine, N-acetylglucosamine, N-acetylneuraminic acid, saccharide, sialic acid, sugars, xylose.
Background
- Glyconutrients are dietary supplements that supply sugars such as glucose, galactose, mannose, fucose, xylose, N-acetylglucosamine, N-acetylgalactosamine, and N-acetylneuraminic acid. These sugars are thought to be necessary for cells to communicate with each other in the body.
- Glyconutrient research (glycobiology) has increased in the last few years. A leading manufacturer of glyconutrient supplements, however, was prosecuted by the Texas attorney general in 2009 for exaggerating the benefits of its product and was required to pay four million dollars in restitution to customers.
- Studies have investigated the effect of glyconutrients on attention-deficit hyperactivity disorder (ADHD), cognition, immune function, failure to thrive, and myasthenia gravis (a neuromuscular disorder), and well-being. However, the scientific evidence is unclear. More research is needed before firm conclusions can be made.
Evidence Table
These uses have been tested in humans or animals. Safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider. |
GRADE * |
These uses have been tested in humans or animals. Safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider. |
GRADE * |
Glyconutrients may cause a decrease in the number and severity of symptoms in children with attention-deficit hyperactivity disorder. However, more research is needed in this area.
|
C |
Glyconutrients may cause a decrease in the number and severity of symptoms in children with attention-deficit hyperactivity disorder. However, more research is needed in this area.
|
C |
Preliminary research suggests that glyconutrients may be beneficial for cognition and memory. More research is needed.
|
C |
Preliminary research suggests that glyconutrients may be beneficial for cognition and memory. More research is needed.
|
C |
Glyconutrients may increase weight and height in toddlers with failure to thrive. More research is needed.
|
C |
Glyconutrients may increase weight and height in toddlers with failure to thrive. More research is needed.
|
C |
Several polysaccharides (sugars) from the diet may have immune effects and may be helpful for immune disorders, allergies, cancer, and infections. More trials are warranted.
|
C |
Several polysaccharides (sugars) from the diet may have immune effects and may be helpful for immune disorders, allergies, cancer, and infections. More trials are warranted.
|
C |
Research suggests that glyconutrient supplementation may offer some benefit to patients with myasthenia gravis. Further research is needed.
|
C |
Research suggests that glyconutrient supplementation may offer some benefit to patients with myasthenia gravis. Further research is needed.
|
C |
Supplementation with a commercial polysaccharide (sugars) product was associated with a greater self-reported physical and psychological well-being. More well-designed studies are needed in this area.
|
C |
Supplementation with a commercial polysaccharide (sugars) product was associated with a greater self-reported physical and psychological well-being. More well-designed studies are needed in this area.
|
C | * Key to grades
A: Strong scientific evidence for this use B: Good scientific evidence for this use C: Unclear scientific evidence for this use D: Fair scientific evidence for this use (it may not work) F: Strong scientific evidence against this use (it likley does not work)
| * Key to grades
A: Strong scientific evidence for this use B: Good scientific evidence for this use C: Unclear scientific evidence for this use D: Fair scientific evidence for this use (it may not work) F: Strong scientific evidence against this use (it likley does not work)
| Tradition / Theory
The below uses are based on tradition, scientific theories, or limited research. They often have not been thoroughly tested in humans, and safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider. There may be other proposed uses that are not listed below.
Dosing
Adults (over 18 years old)
- For cognition, one teaspoon of a glyconutrient complex, containing polysaccharides from Aloe vera, Larix decidua, Astragalus gummifer, and Anogeissus latifolia, as well as rice starch, glucosamine hydrochloride, mannose, galactose, fucose, xylose, glucose, N-acetylglucosamine, N-acetylneuraminic acid, and N-acetylgalactosamine, has been taken by mouth twice daily for 12 weeks.
- For immune function, 100-5,400mg daily for periods of four days to seven years.
- For well-being, one teaspoon twice daily of a glyconutrient complex for 12 weeks.
Safety
The U.S. Food and Drug Administration does not strictly regulate herbs and supplements. There is no guarantee of strength, purity or safety of products, and effects may vary. You should always read product labels. If you have a medical condition, or are taking other drugs, herbs, or supplements, you should speak with a qualified healthcare provider before starting a new therapy. Consult a healthcare provider immediately if you experience side effects.
Interactions
Interactions with Drugs
- Glyconutrients may alter the risk of bleeding when taken with drugs that increase the risk of bleeding. Some examples include aspirin, anticoagulants (blood thinners) such as warfarin (Coumadin?) or heparin, antiplatelet drugs such as clopidogrel (Plavix?), and nonsteroidal anti-inflammatory drugs such as ibuprofen (Motrin?, Advil?) or naproxen (Naprosyn?, Aleve?). Commercial glyconutrient products that contain vitamin K or ubidecarenone may antagonize the effects of anticoagulants, such as warfarin (Coumadin?).
- Glyconutrients may affect blood sugar levels. Caution is advised when using medications that may also affect blood sugar. People taking agents for diabetes by mouth, or insulin should be monitored closely by a qualified healthcare professional, including a pharmacist. Medication adjustments may be necessary.
- Glyconutrients may also interact with agents that affect cholesterol levels, agents for diarrhea, estrogens, gastrointestinal agents, immunosuppressants, iron salts, or memory agents.
Attribution
-
This information is based on a systematic review of scientific literature edited and peer-reviewed by contributors to the Natural Standard Research Collaboration (www.naturalstandard.com).
Bibliography
Alavi, A., Fraser, O., Tarelli, E., Bland, M., and Axford, J. An open-label dosing study to evaluate the safety and effects of a dietary plant-derived polysaccharide supplement on the N-glycosylation status of serum glycoproteins in healthy subjects. Eur J Clin Nutr 2011;65(5):648-656.
Axford JS, Mackenzie L, Lydyard PM, et al. Reduced B-cell galactosyltransferase activity in rheumatoid arthritis. Lancet 1987;2(8574):1486-1488.
Bloomer RJ, Canale RE, Blankenship MM, et al. Effect of Ambrotose AO? on resting and exercise-induced antioxidant capacity and oxidative stress in healthy adults. Nutr J 2010;9:49.
Cook GC. Rates and mechanisms of glucose, galactose, and xylose absorption in man . Scand J Gastroenterol 1977;12(6):733-737.
Dawson DJ, Burrows PC, Lobley RW, et al. The kinetics of monosaccharide absorption by human jejunal biopsies: evidence for active and passive processes. Digestion 1987;38(2):124-132.
Dykman KD, Dykman RA. Effect of nutritional supplements on attentional-deficit hyperactivity disorder. Integr Physiol Behav Sci 1998;33(1):49-60.
Flogel M, Lauc G, Gornik I, et al. Fucosylation and galactosylation of IgG heavy chains differ between acute and remission phases of juvenile chronic arthritis. Clin Chem Lab Med 1998;36(2):99-102.
Freeze HH. Disorders in protein glycosylation and potential therapy: tip of an iceberg? J Pediatr 1998;133(5):593-600.
Kriat M, Vion-Dury J, Fayre R, et al. Variations of plasma sialic acid and N-acetylglucosamine levels in cancer, inflammatory diseases and bone marrow transplantation: a proton NMR spectroscopy study. Biochimie 1991;73(1):99-104.
Levin RJ. Digestion and absorption of carbohydrates--from molecules and membranes to humans. Am J Clin Nutr 1994;59(3 Suppl):690S-698S.
Malmi R, Kallajoki M, Suominen J. Distribution of glycoconjugates in human testis. A histochemical study using fluorescein- and rhodamine-conjugated lectins. Andrologia 1987;19(3):322-332.
Panneerselvam K, Etchison JR, Skovby F, et al. Abnormal metabolism of mannose in families with carbohydrate-deficient glycoprotein syndrome type 1. Biochem Mol Med 1997;61(2):161-167.
Routier FH, Hounsell EF, Rudd PM, et al. Quantitation of the oligosaccharides of human serum IgG from patients with rheumatoid arthritis: a critical evaluation of different methods. J Immunol Methods 1998;213(2):113-130.
Talent JM, Gracy RW. Pilot study of oral polymeric N-acetyl-D-glucosamine as a potential treatment for patients with osteoarthritis. Clin Ther 1996;18(6):1184-1190.
Wang C, Szabo JS, Dykman RA. Effects of a carbohydrate supplement upon resting brain activity. Integr Physiol Behav Sci 2004;39(2):126-138.