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 |
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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. |
doi_str_mv | 10.1016/0026-0495(87)90239-3 |
format | Article |
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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.</description><identifier>ISSN: 0026-0495</identifier><identifier>EISSN: 1532-8600</identifier><identifier>DOI: 10.1016/0026-0495(87)90239-3</identifier><identifier>PMID: 3119958</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>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</subject><ispartof>Metabolism, clinical and experimental, 1987-12, Vol.36 (12), p.1132-1140</ispartof><rights>1987</rights><rights>1988 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c407t-6c1ca9098c5004f8a6f3a816041a151671c02ff35287ae2326c75091184122d63</citedby><cites>FETCH-LOGICAL-c407t-6c1ca9098c5004f8a6f3a816041a151671c02ff35287ae2326c75091184122d63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0026-0495(87)90239-3$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7654728$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3119958$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Doormaal, Jasper J.</creatorcontrib><creatorcontrib>Muskiet, Frits A.J.</creatorcontrib><creatorcontrib>Martini, Ingrid A.</creatorcontrib><creatorcontrib>Doorenbos, Hieronymus</creatorcontrib><title>Rapid changes in serum, plasma and erythrocyte lipid compositions, and serum transaminase levels during continuous enteral hyperalimentation by carbohydrates alone</title><title>Metabolism, clinical and experimental</title><addtitle>Metabolism</addtitle><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.</description><subject>ACIDE GRAS</subject><subject>ACIDOS GRASOS</subject><subject>Adult</subject><subject>Alanine Transaminase - blood</subject><subject>Alkaline Phosphatase - blood</subject><subject>AMINOTRANSFERASAS</subject><subject>AMINOTRANSFERASE</subject><subject>AMINOTRANSFERASES</subject><subject>Anesthesia. Intensive care medicine. Transfusions. 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 & dosage</subject><subject>Dietary Carbohydrates - pharmacology</subject><subject>Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition</subject><subject>Enteral Nutrition</subject><subject>Epinephrine - pharmacology</subject><subject>ERITROCITOS</subject><subject>ERYTHROCYTE</subject><subject>ERYTHROCYTES</subject><subject>Erythrocytes - analysis</subject><subject>FATTY ACIDS</subject><subject>Fatty Acids - metabolism</subject><subject>Food, Formulated</subject><subject>GENERO HUMANO</subject><subject>GENRE HUMAIN</subject><subject>GLUCIDE</subject><subject>Humans</subject><subject>Insulin - blood</subject><subject>Intensive care medicine</subject><subject>INTESTIN</subject><subject>INTESTINES</subject><subject>INTESTINOS</subject><subject>LIPID CONTENT</subject><subject>Lipids - blood</subject><subject>Male</subject><subject>MANKIND</subject><subject>Medical sciences</subject><subject>TENEUR EN LIPIDES</subject><issn>0026-0495</issn><issn>1532-8600</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV-L1DAUxYso6-zqN1ghDyIrbDVp2jR5EWTxHywI6j6HO-ntTKRNapIu9PP4RU1nhnn06cI9v3O5nFMU14y-Y5SJ95RWoqS1am5k-1bRiquSPyk2rOFVKQWlT4vNGXleXMb4m1LatlJcFBecMaUauSn-_oDJdsTswe0wEutIxDCPt2QaII5AwHUEw5L2wZslIRnsAffj5KNN1rt4e2AOLpICuAijdRAzio84RNLNwbpdtrhk3eznSNAlDDCQ_TKt0455Aestsl2IgbD1-6ULkPI_MHiHL4pnPQwRX57mVfHw-dOvu6_l_fcv3-4-3pempm0qhWEGFFXSNJTWvQTRc5BM0JoBa5homaFV3_Omki1gxSth2oYqxmTNqqoT_Kp4c7w7Bf9nxpj0aKPBYQCH-W-ds-NKqhWsj6AJPsaAvZ6CHSEsmlG9dqPX4PUavJatPnSjeba9Ot2ftyN2Z9OpjKy_PukQDQx9DtPYeMZa0dRttWLXR6wHr2EXMvLwU0rGGsXlKn84yjl8fLQYdDQWncHOBjRJd97-_81_rpm2dg</recordid><startdate>19871201</startdate><enddate>19871201</enddate><creator>van Doormaal, Jasper J.</creator><creator>Muskiet, Frits A.J.</creator><creator>Martini, Ingrid A.</creator><creator>Doorenbos, Hieronymus</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19871201</creationdate><title>Rapid changes in serum, plasma and erythrocyte lipid compositions, and serum transaminase levels during continuous enteral hyperalimentation by carbohydrates alone</title><author>van Doormaal, Jasper J. ; Muskiet, Frits A.J. ; Martini, Ingrid A. ; Doorenbos, Hieronymus</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c407t-6c1ca9098c5004f8a6f3a816041a151671c02ff35287ae2326c75091184122d63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1987</creationdate><topic>ACIDE GRAS</topic><topic>ACIDOS GRASOS</topic><topic>Adult</topic><topic>Alanine Transaminase - blood</topic><topic>Alkaline Phosphatase - blood</topic><topic>AMINOTRANSFERASAS</topic><topic>AMINOTRANSFERASE</topic><topic>AMINOTRANSFERASES</topic><topic>Anesthesia. 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 & 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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source | MEDLINE; Elsevier ScienceDirect Journals |
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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