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Department of Medicine, University of Missouri-Kansas City, and Cardiovascular Research Department, Mid America Heart Institute, St. Luke's Hospital, Kansas City, Missouri 64111
Our
understanding of the metabolism of chylomicrons, the lipoprotein that
transports dietary fat from the intestine to peripheral tissues, is
incomplete. The present studies were conducted to determine whether a
labeled intravenous lipid emulsion could be used to estimate
chylomicron triglyceride (TG) rate of appearance (Ra) and
thereby quantify the rate of intestinal fat absorption. After an
overnight fast, healthy volunteers (n = 6) sipped a
3H-labeled drink over 6.5 h at a rate of 175 mg
fat · kg
1 · h
1. Beginning
at hour 5, an HPLC-purified, 14C-labeled lipid
emulsion was infused intravenously for 90 min. During the study, plasma
total and chylomicron TG concentrations increased from 100 ± 21 to 237 ± 40 mg/dl and from undetectable to steady-state levels of
35 ± 13 mg/dl, respectively. After a minor correction for VLDL
contamination, tracer-determined chylomicron TG Ra was
175 ± 30 mg · kg
1 · h
1, equal to the
presumed ingestion rate. In summary, a radiolabeled intravenous lipid
emulsion is able to accurately estimate chylomicron TG Ra
and therefore can be used to measure in vivo fat absorption rates.
triglyceride; lipid emulsion; absorption; appearance rate; tracer
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