Rapid changes in serum, plasma and erythrocyte lipid compositions, and serum transaminase levels during continuous enteral hyperalimentation by carbohydrates alone

Twelve normal men received twice their estimated basal energy requirement by a carbohydrate solution via a nasogastric catheter during 48 hours, followed by a seven-hour fast. Subsequently, in nine of them 0.5 mg epinephrine was given subcutaneously under ongoing fasting. During hyperalimentation, s...

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Veröffentlicht in:Metabolism, clinical and experimental clinical and experimental, 1987-12, Vol.36 (12), p.1132-1140
Hauptverfasser: van Doormaal, Jasper J., Muskiet, Frits A.J., Martini, Ingrid A., Doorenbos, Hieronymus
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container_issue 12
container_start_page 1132
container_title Metabolism, clinical and experimental
container_volume 36
creator van Doormaal, Jasper J.
Muskiet, Frits A.J.
Martini, Ingrid A.
Doorenbos, Hieronymus
description Twelve normal men received twice their estimated basal energy requirement by a carbohydrate solution via a nasogastric catheter during 48 hours, followed by a seven-hour fast. Subsequently, in nine of them 0.5 mg epinephrine was given subcutaneously under ongoing fasting. During hyperalimentation, serum triglycerides, phospholipids, total and free cholesterol, phospholipids/free cholesterol ratio, and plasma free fatty acids decreased, whereas the percentage of free cholesterol increased. During fasting and subsequent epinephrine administration triglycerides and free fatty acids rose without reaching basal levels. Plasma and red blood cell (RBC) fatty acid composition already changed from two hours after the start of the feeding. Most markedly, a steady decrease in RBC 18:2c,ω6, amounting to more than 17% of the basal value at the end of the observation period was found. Neither in plasma, nor in RBC a concomitant appearance of 20:3c,ω9 was seen. In RBC, the relative amounts of the saturated fatty acids increased, whereas those of monounsaturated and polyunsaturated fatty acids decreased. RBC content of total fatty acids decreased and that of cholesterol increased. The ratios 16:1 c,ω7 16:0 and 18:3 c,ω6 18:2 c,ω6 in plasma, and 20:3 c,ω6 18:2 c,ω6 in plasma and RBC increased, whereas those of 18:1 c,ω7 16:1 c,ω7 and 20:3 c,ω6 18:3 c,ω6 in plasma decreased. After 48 hours feeding serum glutamic pyruvic transaminase and glutamic oxaloacetic transaminase levels were moderately increased and rose further during fasting. Thus, continuous enteral hyperalimentation by carbohydrates alone rapidly induces profound changes in serum-, plasma-, and RBC lipid compositions and serum parameters of hepatic function. The data suggest a stimulation of de novo fatty acid synthesis, an augmentation of Δ9 and Δ6 desaturase activity along with an impairment of the chain-elongation of unsaturated fatty acids, and a shift of cholesterol from plasma to the RBC membrane.
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Subsequently, in nine of them 0.5 mg epinephrine was given subcutaneously under ongoing fasting. During hyperalimentation, serum triglycerides, phospholipids, total and free cholesterol, phospholipids/free cholesterol ratio, and plasma free fatty acids decreased, whereas the percentage of free cholesterol increased. During fasting and subsequent epinephrine administration triglycerides and free fatty acids rose without reaching basal levels. Plasma and red blood cell (RBC) fatty acid composition already changed from two hours after the start of the feeding. Most markedly, a steady decrease in RBC 18:2c,ω6, amounting to more than 17% of the basal value at the end of the observation period was found. Neither in plasma, nor in RBC a concomitant appearance of 20:3c,ω9 was seen. In RBC, the relative amounts of the saturated fatty acids increased, whereas those of monounsaturated and polyunsaturated fatty acids decreased. RBC content of total fatty acids decreased and that of cholesterol increased. The ratios 16:1 c,ω7 16:0 and 18:3 c,ω6 18:2 c,ω6 in plasma, and 20:3 c,ω6 18:2 c,ω6 in plasma and RBC increased, whereas those of 18:1 c,ω7 16:1 c,ω7 and 20:3 c,ω6 18:3 c,ω6 in plasma decreased. After 48 hours feeding serum glutamic pyruvic transaminase and glutamic oxaloacetic transaminase levels were moderately increased and rose further during fasting. Thus, continuous enteral hyperalimentation by carbohydrates alone rapidly induces profound changes in serum-, plasma-, and RBC lipid compositions and serum parameters of hepatic function. 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Subsequently, in nine of them 0.5 mg epinephrine was given subcutaneously under ongoing fasting. During hyperalimentation, serum triglycerides, phospholipids, total and free cholesterol, phospholipids/free cholesterol ratio, and plasma free fatty acids decreased, whereas the percentage of free cholesterol increased. During fasting and subsequent epinephrine administration triglycerides and free fatty acids rose without reaching basal levels. Plasma and red blood cell (RBC) fatty acid composition already changed from two hours after the start of the feeding. Most markedly, a steady decrease in RBC 18:2c,ω6, amounting to more than 17% of the basal value at the end of the observation period was found. Neither in plasma, nor in RBC a concomitant appearance of 20:3c,ω9 was seen. In RBC, the relative amounts of the saturated fatty acids increased, whereas those of monounsaturated and polyunsaturated fatty acids decreased. RBC content of total fatty acids decreased and that of cholesterol increased. The ratios 16:1 c,ω7 16:0 and 18:3 c,ω6 18:2 c,ω6 in plasma, and 20:3 c,ω6 18:2 c,ω6 in plasma and RBC increased, whereas those of 18:1 c,ω7 16:1 c,ω7 and 20:3 c,ω6 18:3 c,ω6 in plasma decreased. After 48 hours feeding serum glutamic pyruvic transaminase and glutamic oxaloacetic transaminase levels were moderately increased and rose further during fasting. Thus, continuous enteral hyperalimentation by carbohydrates alone rapidly induces profound changes in serum-, plasma-, and RBC lipid compositions and serum parameters of hepatic function. 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Cell therapy and gene therapy</subject><subject>Aspartate Aminotransferases - blood</subject><subject>Biological and medical sciences</subject><subject>BLOOD COMPOSITION</subject><subject>Blood Glucose - analysis</subject><subject>CARBOHIDRATOS</subject><subject>CARBOHYDRATES</subject><subject>Cholesterol - metabolism</subject><subject>COMPOSICION DE LA SANGRE</subject><subject>COMPOSITION DU SANG</subject><subject>CONTENIDO DE LIPIDOS</subject><subject>Dietary Carbohydrates - administration &amp; dosage</subject><subject>Dietary Carbohydrates - pharmacology</subject><subject>Emergency and intensive care: metabolism and nutrition disorders. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Aspartate Aminotransferases - blood</topic><topic>Biological and medical sciences</topic><topic>BLOOD COMPOSITION</topic><topic>Blood Glucose - analysis</topic><topic>CARBOHIDRATOS</topic><topic>CARBOHYDRATES</topic><topic>Cholesterol - metabolism</topic><topic>COMPOSICION DE LA SANGRE</topic><topic>COMPOSITION DU SANG</topic><topic>CONTENIDO DE LIPIDOS</topic><topic>Dietary Carbohydrates - administration &amp; dosage</topic><topic>Dietary Carbohydrates - pharmacology</topic><topic>Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition</topic><topic>Enteral Nutrition</topic><topic>Epinephrine - pharmacology</topic><topic>ERITROCITOS</topic><topic>ERYTHROCYTE</topic><topic>ERYTHROCYTES</topic><topic>Erythrocytes - analysis</topic><topic>FATTY ACIDS</topic><topic>Fatty Acids - metabolism</topic><topic>Food, Formulated</topic><topic>GENERO HUMANO</topic><topic>GENRE HUMAIN</topic><topic>GLUCIDE</topic><topic>Humans</topic><topic>Insulin - blood</topic><topic>Intensive care medicine</topic><topic>INTESTIN</topic><topic>INTESTINES</topic><topic>INTESTINOS</topic><topic>LIPID CONTENT</topic><topic>Lipids - blood</topic><topic>Male</topic><topic>MANKIND</topic><topic>Medical sciences</topic><topic>TENEUR EN LIPIDES</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Doormaal, Jasper J.</creatorcontrib><creatorcontrib>Muskiet, Frits A.J.</creatorcontrib><creatorcontrib>Martini, Ingrid A.</creatorcontrib><creatorcontrib>Doorenbos, Hieronymus</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Metabolism, clinical and experimental</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Doormaal, Jasper J.</au><au>Muskiet, Frits A.J.</au><au>Martini, Ingrid A.</au><au>Doorenbos, Hieronymus</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rapid changes in serum, plasma and erythrocyte lipid compositions, and serum transaminase levels during continuous enteral hyperalimentation by carbohydrates alone</atitle><jtitle>Metabolism, clinical and experimental</jtitle><addtitle>Metabolism</addtitle><date>1987-12-01</date><risdate>1987</risdate><volume>36</volume><issue>12</issue><spage>1132</spage><epage>1140</epage><pages>1132-1140</pages><issn>0026-0495</issn><eissn>1532-8600</eissn><abstract>Twelve normal men received twice their estimated basal energy requirement by a carbohydrate solution via a nasogastric catheter during 48 hours, followed by a seven-hour fast. Subsequently, in nine of them 0.5 mg epinephrine was given subcutaneously under ongoing fasting. During hyperalimentation, serum triglycerides, phospholipids, total and free cholesterol, phospholipids/free cholesterol ratio, and plasma free fatty acids decreased, whereas the percentage of free cholesterol increased. During fasting and subsequent epinephrine administration triglycerides and free fatty acids rose without reaching basal levels. Plasma and red blood cell (RBC) fatty acid composition already changed from two hours after the start of the feeding. Most markedly, a steady decrease in RBC 18:2c,ω6, amounting to more than 17% of the basal value at the end of the observation period was found. Neither in plasma, nor in RBC a concomitant appearance of 20:3c,ω9 was seen. In RBC, the relative amounts of the saturated fatty acids increased, whereas those of monounsaturated and polyunsaturated fatty acids decreased. RBC content of total fatty acids decreased and that of cholesterol increased. The ratios 16:1 c,ω7 16:0 and 18:3 c,ω6 18:2 c,ω6 in plasma, and 20:3 c,ω6 18:2 c,ω6 in plasma and RBC increased, whereas those of 18:1 c,ω7 16:1 c,ω7 and 20:3 c,ω6 18:3 c,ω6 in plasma decreased. After 48 hours feeding serum glutamic pyruvic transaminase and glutamic oxaloacetic transaminase levels were moderately increased and rose further during fasting. Thus, continuous enteral hyperalimentation by carbohydrates alone rapidly induces profound changes in serum-, plasma-, and RBC lipid compositions and serum parameters of hepatic function. The data suggest a stimulation of de novo fatty acid synthesis, an augmentation of Δ9 and Δ6 desaturase activity along with an impairment of the chain-elongation of unsaturated fatty acids, and a shift of cholesterol from plasma to the RBC membrane.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>3119958</pmid><doi>10.1016/0026-0495(87)90239-3</doi><tpages>9</tpages></addata></record>
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subjects ACIDE GRAS
ACIDOS GRASOS
Adult
Alanine Transaminase - blood
Alkaline Phosphatase - blood
AMINOTRANSFERASAS
AMINOTRANSFERASE
AMINOTRANSFERASES
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Aspartate Aminotransferases - blood
Biological and medical sciences
BLOOD COMPOSITION
Blood Glucose - analysis
CARBOHIDRATOS
CARBOHYDRATES
Cholesterol - metabolism
COMPOSICION DE LA SANGRE
COMPOSITION DU SANG
CONTENIDO DE LIPIDOS
Dietary Carbohydrates - administration & dosage
Dietary Carbohydrates - pharmacology
Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition
Enteral Nutrition
Epinephrine - pharmacology
ERITROCITOS
ERYTHROCYTE
ERYTHROCYTES
Erythrocytes - analysis
FATTY ACIDS
Fatty Acids - metabolism
Food, Formulated
GENERO HUMANO
GENRE HUMAIN
GLUCIDE
Humans
Insulin - blood
Intensive care medicine
INTESTIN
INTESTINES
INTESTINOS
LIPID CONTENT
Lipids - blood
Male
MANKIND
Medical sciences
TENEUR EN LIPIDES
title Rapid changes in serum, plasma and erythrocyte lipid compositions, and serum transaminase levels during continuous enteral hyperalimentation by carbohydrates alone
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