Contributions of Different Fatty Acid Sources to Very Low-Density Lipoprotein-Triacylglycerol in the Fasted and Fed States
Brian R. Barrows and
Elizabeth J. Parks
Department of Food Science and Nutrition and Division of Endocrinology and Diabetes, University of Minnesota, St. Paul, Minnesota 55108
Address all correspondence and requests for reprints to: Elizabeth J. Parks, Ph.D., Center for Human Nutrition, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, Texas 75390-9052. E-mail: Elizabeth.Parks{at}UTSoutwestern.edu.
Context: The livers regulation of fatty acids (FAs) postprandiallymay contribute to risk of metabolic diseases.
Objective: Measurements of steady-state metabolism were usedto investigate sources of FAs used for very low-density lipoprotein(VLDL)-triacylglycerol (TG) synthesis during fasting and feedingin vivo.
Design/Intervention: Subjects were duodenally fed a formulalabeled with the stable isotope glyceryl tri-palmitate-d31 andiv infused with [1,2,3,4-13C4]-palmitatic acid and [1-13C1]-acetateto quantitate the livers use of FAs originating fromadipose tissue and de novo lipogenesis.
Setting/Participants: This study of healthy men (n = 12; bodymass index, 24.4 ± 2.7 kg/m2) was conducted at a GeneralClinical Research Center.
Main Outcome Measures: Concentrations of metabolites duringfasting and feeding, sources of FAs used for lipoprotein synthesis,rate of appearance of serum nonesterified FA (NEFA), and VLDL-TGwere measured.
Results: During fasting, 77.2 ± 14.0% of VLDL-TG wasderived from adipose FA recycling and 4.0 ± 3.6% fromlipogenesis; with feeding, 43.6 ± 18.6% came from adiposeFAs (P < 0.001), 8.2 ± 5.1% from lipogenesis (P <0.001), 15.2 ± 13.7% from uptake of chylomicron-remnantTG, and 10.3 ± 6.9% from dietary FA spillover into theserum NEFA pool. Fed-state VLDL-TG from NEFA reesterificationdecreased in proportion to the reduction in adipose NEFA appearance.
Conclusion: These data: 1) quantify the extent to which thehealthy liver manages its use of different sources of FAs thatflow to it, 2) demonstrate how the postprandial reduction inadipose-NEFA flux may be partially replaced by other sources,and 3) highlight the potential for dietary FA spillover to supportthe continued dominance of NEFA as a substrate for VLDL-TG synthesis.
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