In parenteral nutrition-fed piglets, fatty acids vary by lipid emulsion and tissue sampled

Children with intestinal failure without liver disease may be given soy-based lipid emulsion (SLE) or mixed lipid emulsion (MLE; containing soy, medium-chain triglyceride, olive, and/or fish oils). Both differ in essential fatty acid content: MLE has added arachidonic acid (AA) and docosahexaenoic a...

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Veröffentlicht in:JPEN. Journal of parenteral and enteral nutrition 2023-11, Vol.47 (8), p.1038-1046
Hauptverfasser: Pauline, Mirielle L, Huynh, Caitlin, Wizzard, Pamela R, Nation, Patrick N, Field, Catherine J, Wales, Paul W, Turner, Justine M
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container_issue 8
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container_title JPEN. Journal of parenteral and enteral nutrition
container_volume 47
creator Pauline, Mirielle L
Huynh, Caitlin
Wizzard, Pamela R
Nation, Patrick N
Field, Catherine J
Wales, Paul W
Turner, Justine M
description Children with intestinal failure without liver disease may be given soy-based lipid emulsion (SLE) or mixed lipid emulsion (MLE; containing soy, medium-chain triglyceride, olive, and/or fish oils). Both differ in essential fatty acid content: MLE has added arachidonic acid (AA) and docosahexaenoic acid (DHA). The aim of this study, in neonatal piglets, was to compare serum and tissue fatty acid composition when the emulsions were given at unrestricted doses. We compared SLE (n = 15) and MLE (n = 15) at doses of 10-15 g/kg/day in parenteral nutrition (PN). On day 14 we collected serum and tissues. Using gas-liquid chromatography, percentage fatty acids were measured in serum, brain, and liver phospholipid. Comparisons were made to reference values from litter-matched controls (n = 8). Comparing median values, linoleic acid (LA) was lower for MLE vs SLE in serum (-27%), liver (-45%), and brain (-33%) (P 
doi_str_mv 10.1002/jpen.2547
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Both differ in essential fatty acid content: MLE has added arachidonic acid (AA) and docosahexaenoic acid (DHA). The aim of this study, in neonatal piglets, was to compare serum and tissue fatty acid composition when the emulsions were given at unrestricted doses. We compared SLE (n = 15) and MLE (n = 15) at doses of 10-15 g/kg/day in parenteral nutrition (PN). On day 14 we collected serum and tissues. Using gas-liquid chromatography, percentage fatty acids were measured in serum, brain, and liver phospholipid. Comparisons were made to reference values from litter-matched controls (n = 8). Comparing median values, linoleic acid (LA) was lower for MLE vs SLE in serum (-27%), liver (-45%), and brain (-33%) (P &lt; 0.001). AA was lower for MLE in serum (-25%), liver (-40%), and brain (-10%). DHA was higher for MLE in serum (+50%), liver (+200%), and brain (+10%). AA levels were lower for MLE vs control piglets in serum (-81%), liver (-63%), and brain (-9%). DHA levels were higher in serum (+41%), liver (+38%), and brain (+19%). This study in piglets has shown that, at unrestricted doses, MLE treatment is associated with low serum and tissue AA compared with SLE and healthy litter-matched controls. Although not yet proven, low tissue AA levels may have functional consequences, and these data support current practice avoiding MLE dose restriction.</description><identifier>ISSN: 0148-6071</identifier><identifier>EISSN: 1941-2444</identifier><identifier>DOI: 10.1002/jpen.2547</identifier><identifier>PMID: 37416983</identifier><language>eng</language><publisher>United States</publisher><subject>Animals ; Arachidonic Acid ; Child ; Docosahexaenoic Acids ; Fat Emulsions, Intravenous - chemistry ; Fatty Acids ; Fatty Acids, Essential ; Fish Oils - chemistry ; Humans ; Parenteral Nutrition - methods ; Phospholipids ; Soybean Oil ; Swine</subject><ispartof>JPEN. 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subjects Animals
Arachidonic Acid
Child
Docosahexaenoic Acids
Fat Emulsions, Intravenous - chemistry
Fatty Acids
Fatty Acids, Essential
Fish Oils - chemistry
Humans
Parenteral Nutrition - methods
Phospholipids
Soybean Oil
Swine
title In parenteral nutrition-fed piglets, fatty acids vary by lipid emulsion and tissue sampled
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