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Safety and Efficacy of Gamma-Aminobutyric Acid from Fermented Rice Germ in Patients with Insomnia Symptoms: A Randomized, Double-Blind Trial

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Background and Purpose This study aimed to determine the subjective and objective improvements in sleep quality after treatment with gamma-aminobutyric acid (GABA; 300 mg daily) extracted from unpolished rice germ. Methods This study was a prospective, randomized, double-blind, and placebo-controlled trial. In total, 40 patients who complained of insomnia symptoms were enrolled and randomly assigned to the GABA treatment group (n=30) or the placebo group (n=10). Polysomnography was performed, and sleep questionnaires were administered before treatment and after 4 weeks of treatment. Results After 4 weeks of treatment the sleep latency had decreased [13.4±15.7 min at pretreatment vs. 5.7±6.2 min at posttreatment (mean±SD), p=0.001] and the sleep efficacy had increased (79.4±12.9% vs. 86.1±10.5%, p=0.018) only in the GABA treatment group. Adverse events occurred in four subjects (10%). Conclusions This study shows that treatment with unpolished-rice-germ-derived GABA improved not only the subjective sleep quality but also the objective sleep efficacy without severe adverse events.

Abstract

Background and Purpose This study aimed to determine the subjective and objective improvements in sleep quality after treatment with gamma-aminobutyric acid (GABA; 300 mg daily) extracted from unpolished rice germ. Methods This study was a prospective, randomized, double-blind, and placebo-controlled trial. In total, 40 patients who complained of insomnia symptoms were enrolled and randomly assigned to the GABA treatment group (n=30) or the placebo group (n=10). Polysomnography was performed, and sleep questionnaires were administered before treatment and after 4 weeks of treatment. Results After 4 weeks of treatment the sleep latency had decreased [13.4±15.7 min at pretreatment vs. 5.7±6.2 min at posttreatment (mean±SD), p=0.001] and the sleep efficacy had increased (79.4±12.9% vs. 86.1±10.5%, p=0.018) only in the GABA treatment group. Adverse events occurred in four subjects (10%). Conclusions This study shows that treatment with unpolished-rice-germ-derived GABA improved not only the subjective sleep quality but also the objective sleep efficacy without severe adverse events.

참고문헌 (33)

  1. Riemann D, "The neurobiology, investigation, and treatment of chronic insomnia", Lancet Neurol, 14, pp.547~558 (2015)[DOI]
  2. Winkelman JW, "Clinical practice. insomnia disorder", N Engl J Med, 373, pp.1437~1444 (2015)[DOI]
  3. Gottesmann C, "GABA mechanisms and sleep", Neuroscience, 111, pp.231~239 (2002)[DOI]
  4. Ashton H, "The diagnosis and management of benzodiazepine dependence", Curr Opin Psychiatry, 18, pp.249~255 (2005)[DOI]
  5. Ancoli-Israel S, "Insomnia in the elderly: a review for the primary care practitioner", Sleep, 23(Suppl 1), pp.S36~S38 (2000)
  6. Ford ES, "Trends in insomnia and excessive daytime sleepiness among U.S. adults from 2002 to 2012", Sleep Med, 16, pp.372~378 (2015)[DOI]
  7. Abdou AM, "Relaxation and immunity enhancement effects of gamma-aminobutyric acid (GABA) administration in humans", Biofactors, 26, pp.201~208 (2006)[DOI]
  8. Diana M, "Gamma-aminobutyric acid as a bioactive compound in foods: a review", J Funct Foods, 10, pp.407~420 (2014)[DOI]
  9. Li H, "Production of gamma-aminobutyric acid by Lactobacillus brevis NCL912 using fed-batch fermentation", Microb Cell Fact, 9, pp.85~ (2010)[DOI]
  10. Dhakal R, "Production of gaba (<TEX>${\gamma}$<", TEX>-Aminobutyric acid) by microorganisms: a review, 2012, pp.43, 1230~1241
  11. Hong KB, "Sleep-promoting effects of a GABA", 5-HTP mixture: behavioral changes and neuromodulation in an invertebrate model, 2016, pp.150, 42~49
  12. Darine Froy N. Mabunga, "Treatment of GABA from Fermented Rice Germ Ameliorates Caffeine-Induced Sleep Disturbance in Mice", Biomolecules & Therapeutics, 23(3), pp.268~274 (2015), 한국응용약물학회[DOI]
  13. Shell W, "A randomized, placebo-controlled trial of an amino acid preparation on timing and quality of sleep", Am J Ther, 17, pp.133~139 (2010)[DOI]
  14. Boonstra E, "Neurotransmitters as food supplements: the effects of GABA on brain and behavior", Front Psychol, 6, pp.1520~ (2015)
  15. Sohn SI, "The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index", Sleep Breath, 16, pp.803~812 (2012)[DOI]
  16. 조용원, "Validation of a Korean Version of the Insomnia Severity Index", Journal of Clinical Neurology, 10(3), pp.210~215 (2014), 대한신경과학회[DOI]
  17. 국무창, "Enhanced Production of γ-Aminobutyric Acid Using Rice Bran Extracts by Lactobacillus sakei B2-16", Journal of Microbiology and Biotechnology, 20(4), pp.763~766 (2010), 한국미생물·생명공학회
  18. 신유용, "저용량과 고용량 현미쌀눈 유래 GABA가 수면시간과 질에 미치는 영향에 대한 무작위 이중 눈가림법 위약 처치시행 연구", Journal of sleep medicine, 13(2), pp.60~66 (2016), 대한수면연구학회
  19. Berry RB, "The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications, Version 2.3", American Academy of Sleep Medicine, ~ (2015)
  20. Trotti A, "CTCAE v3.0: development of a comprehensive grading system for the adverse effects of cancer treatment", Semin Radiat Oncol, 13, pp.176~181 (2003)[DOI]
  21. Nauta WJ, "Hypothalamic regulation of sleep in rats; an experimental study", J Neurophysiol, 9, pp.285~316 (1946)[DOI]
  22. Luppi PH, "Not a single but multiple populations of GABAergic neurons control sleep", Sleep Med Rev, 32, pp.85~94 (2017)[DOI]
  23. Schneider E, "Gamma-aminobutyric acid (GABA) and sleep. the influence of di-n-propylacetic acid on sleep in man", Eur Neurol, 15, pp.146~152 (1977)[DOI]
  24. Kuriyama K, "Blood-brain barrier to H3-gamma-aminobutyric acid in normal and amino oxyacetic acid-treated animals", Neuropharmacology, 10, pp.103~108 (1971)[DOI]
  25. Al-Sarraf H, "Transport of 14C-gamma-aminobutyric acid into brain, cerebrospinal fluid and choroid plexus in neonatal and adult rats", Brain Res Dev Brain Res, 139, pp.121~129 (2002)[DOI]
  26. Shyamaladevi N, "Evidence that nitric oxide production increases gamma-amino butyric acid permeability of blood-brain barrier", Brain Res Bull, 57, pp.231~236 (2002)[DOI]
  27. Ohayon MM, "Place of chronic insomnia in the course of depressive and anxiety disorders", J Psychiatr Res, 37, pp.9~15 (2003)[DOI]
  28. Sutton EL, "Psychiatric disorders and sleep issues", Med Clin North Am, 98, pp.1123~1143 (2014)[DOI]
  29. Brambilla P, "GABAergic dysfunction in mood disorders", Mol Psychiatry, 8, pp.721~737 (2003)[DOI]
  30. Ator NA, "Contributions of GABAA receptor subtype selectivity to abuse liability and dependence potential of pharmacological treatments for anxiety and sleep disorders", CNS Spectr, 10, pp.31~39 (2005)
  31. Mohler H, "The GABA system in anxiety and depression and its therapeutic potential", Neuropharmacology, 62, pp.42~53 (2012)[DOI]
  32. Brunner DP, "Effect of zolpidem on sleep and sleep EEG spectra in healthy young men", Psychopharmacology, 104, pp.1~5 (1991)[DOI]
  33. Aeschbach D, "Dynamics of slow-wave activity and spindle frequency activity in the human sleep EEG: effect of midazolam and zopiclone", Neuropsychopharmacology, 11, pp.237~244 (1994)[DOI]

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