Document Detail


Dynamics of fat absorption and effect of sham feeding on postprandial lipema.
MedLine Citation:
PMID:  20493191     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND & AIMS: Given the importance of postprandial hyperlipidemia to increase risk for atherosclerosis, in the present study, stable isotope-labeled meals were fed to healthy subjects (7 males and 3 females) to investigate the kinetics chylomicron synthesis and the effect of sensory exposure to lipid on metabolism.
METHODS: Subjects performed two, 24-hour inpatient studies that entailed consumption of a liquid formula evening meal containing 30 g of oil (+ (13)C(2) triolein) on day 1. Breakfast (day 2) consisted of triacylglycerols (TAGs) fed as capsules (30 g oil + (13)C(7) triolein) to avoid activation of mouth taste receptors. Next, modified sham feeding of cream cheese occurred over 2 hours. In the 2 trials, the stimulus was either higher fat (HF) or lower fat (LF) cream cheese. A liquid meal was consumed at lunch. Blood sampling occurred intermittently, and chylomicron particles S(f) >400 TAGs were analyzed by gas chromatography-mass spectrometry.
RESULTS: (13)C(2)-Label was found in fasting-state lipoproteins, and persons with higher body fat percentages showed greater dilution of meal TAGs from endogenous sources. For both trials, 13% ± 4% of lipoprotein TAGs oleic acid was derived from the previous evening meal. Incremental area under the curve for TAGs during HF was ∼2.5 times higher than after LF exposure (46 ± 15 vs 17 ± 5 μmol/L/h; P = .04). The greater HF morning lipemia occurred with elevated glucose, insulin, and nonesterified fatty acids peak after lunch.
CONCLUSIONS: These data support a connection between enteral lipid metabolism and oral fat exposure, resulting in elevated postprandial lipemia. The results suggest that the intestine may participate in a mechanism coordinating oral fat signaling with control of subsequent macronutrient disposal in the body.
Authors:
Rosa N Chavez-Jauregui; Richard D Mattes; Elizabeth J Parks
Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural     Date:  2010-05-19
Journal Detail:
Title:  Gastroenterology     Volume:  139     ISSN:  1528-0012     ISO Abbreviation:  Gastroenterology     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-01     Completed Date:  2010-11-30     Revised Date:  2011-11-01    
Medline Journal Info:
Nlm Unique ID:  0374630     Medline TA:  Gastroenterology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1538-48     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2010 AGA Institute. Published by Elsevier Inc. All rights reserved.
Affiliation:
Center for Human Nutrition, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9052, USA.
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MeSH Terms
Descriptor/Qualifier:
Adipose Tissue / metabolism*
Adult
Atherosclerosis / etiology,  metabolism,  prevention & control
Dietary Fats / pharmacokinetics*
Enterocytes / metabolism
Female
Follow-Up Studies
Gas Chromatography-Mass Spectrometry
Humans
Hyperlipidemias / complications,  diet therapy,  metabolism*
Intestinal Absorption / physiology*
Lipids / blood*
Male
Postprandial Period*
Prognosis
Risk Factors
Grant Support
ID/Acronym/Agency:
1PL1DK081183-01/DK/NIDDK NIH HHS; 5R01 DK04520414/DK/NIDDK NIH HHS; 8 UL1 DE019584-02/DE/NIDCR NIH HHS; M01-RR00633/RR/NCRR NIH HHS; R01 DK063185-04/DK/NIDDK NIH HHS; R01 DK079913-03/DK/NIDDK NIH HHS; UL1RR024982/RR/NCRR NIH HHS
Chemical
Reg. No./Substance:
0/Dietary Fats; 0/Lipids

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