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NCT Number: NCT06252922

Diet-Induced Changes in GEnetic Material

This is a pilot study in 10 men to test the hypothesis that perturbations in substrate flux and the circulating metabolic and pro-inflammatory milieus during a high-fat diet paradigm will modulate DNA methylation of genes in sperm associated with obesity and cardiometabolic dysfunction.

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Key information

Age range

20 year–35 year

Sex eligibility

Male

Study type

Observational

Primary location

Pennington Biomedical Research Center

Baton Rouge, Louisiana, 70808, United States

Location status: Recruiting

Location contact

Emily Flanagan, PhD

CONTACT

[email protected]

225-763-2828

Emily Flanagan, PhD

PRINCIPAL_INVESTIGATOR

About this study

The Paternal Origins of Health and Disease (POHaD) hypothesis was introduced to emphasize the need for research on paternal transmission of environmental exposures on offspring disease development. Paternal exposure to an obesogenic diet has been shown to imprint epigenetic predisposition to metabolic diseases which can be evident in offspring for up to 5 generations. In support, observational studies in men show that high-fat diets and diets high in processed foods significantly reduced the quantity and quality of sperm, including motility, morphology, and concentration, and DNA methylation of genes associated with obesity and cardiometabolic dysfunction. Yet, there are no experimental diet manipulation studies in males to understand the contribution of an acute obesogenic diet (i.e., high-fat) on DNA methylation of genes associated with obesity and cardiometabolic diseases in male gametes.

The research aims of this study are to: 1) measure DNA methylation of genes in semen in response to a healthy and high-fat diet, 2) examine metabolic flexibility in response to a healthy and high fat diet and its contribution to DNA methylation in semen, and 3) examine the metabolic and inflammatory milieu in response to a healthy and high fat diet and its contribution to DNA methylation in semen. To achieve these aims, we will conduct a cross-sectional, observational study in 10 healthy male participants 20-35 years of age using two diets (Healthy Diet: 27% Fat, 55% Carbohydrate, 15% Protein followed by a High-Fat Diet: 50% Fat, 35% Carbohydrate, 15% Protein).

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male based on biological sex
  • Age 20-35 years
  • BMI between 18.5 and 24.9 kg/m2
  • White/Caucasian
  • Willing to consume pre-prepared meals
  • Willing to wear an accelerometer and continuous glucose monitor (CGM)
  • Willing to track diet intake
  • Willing to stay 24 hours, including overnight in a research clinic
  • Willing to provide blood and sperm samples
  • Willing to consent to whole-genome sequencing of DNA

Exclusion criteria

  • Unstable weight in the last 3 months (±5% weight loss or gain)
  • Shift work or working in a factory setting
  • Habitual smoking or use of tobacco products, including vaping, within the past 6 months.
  • History of clinically diagnosed diabetes
  • Hypertension (>140/90 mmHg measured at screening)
  • Has undergone bariatric surgery
  • History of cardiovascular disease, neurological disease, or other chronic diseases, including cancer
  • History of human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS)
  • Adherence to special or restrained diets (e.g., low-CHO, low-fat, or vegetarian/vegan diets) or food allergies associated with study foods.
  • Currently engaging in >150 minutes moderate-intensity or >75 minutes of vigorous-intensity physical activity each week
  • Drinking more than 14 servings of beer or alcohol per week
  • Depressive (Score ≥10), anxiety (Score ≥8), and stress (Score≥15) symptomology (Score ≥16) from the 42-item Depression, Anxiety, Stress Scales (DASS)

Treatment and study plan

Primary outcomes

  1. Sperm DNA methylation

    Time frame: Baseline, Immediately after the healthy diet, Immediately after the high-fat diet

    Incidence of DNA methylation (whole genome/epigenome wide) of genes in sperm measured using bisulphate sequencing

Secondary outcomes

  1. Sperm DNA Damage

    Time frame: Baseline, Immediately after the healthy diet, Immediately after the high-fat diet

    Comet Assay to determine DNA fragmentation in sperm.

Other outcomes

  1. Metabolic Flexibility (indirect)

    Time frame: Immediately after the healthy diet, Immediately after the high-fat diet

    Change in respiratory quotient (RQ) from a fasted to a fed state using a metabolic chamber.

  2. Metabolic Flexibility (direct)

    Time frame: Immediately after the healthy diet, Immediately after the high-fat diet

    Changes to circulating glucose from a fasted (0 minutes) to a fed state (240 minutes).

  3. Continuous glucose monitoring

    Time frame: Immediately after the healthy diet, Immediately after the high-fat diet

    Mean Amplitude of Glycemic Excursions (MAGE) in response to healthy and high fat diets.

  4. Insulin sensitivity

    Time frame: Immediately after the healthy diet, Immediately after the high-fat diet

    Mean 24hr glucose and total 24hr c-peptide excretion

Study contacts

Contact information is provided by the study sponsor or research team.

Emily Flanagan, PhD

CONTACT

[email protected]

(225) 763-2828

Sponsors and collaborators

Lead sponsor

Pennington Biomedical Research Center

Other

Registry information

Official study title

A Pilot Study to Examine Metabolic Flexibility as a Mechanism for Diet- Induced Epigenetic Alterations in Male Gametes

Acronym: DIG 'EM

Important dates

Study start
2023
Primary completion
2026
Study completion
2026
First posted
Feb 12, 2024
Registry last updated
May 31, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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