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对母乳喂养的早产儿血浆和红细胞脂肪酸及脂质的纵向多中心研究。

Longitudinal multicentric study of plasma and red blood cell fatty acids and lipids in preterm newborns fed human milk.

作者信息

Babin F, Sarda P, Bouglé D, Billeaud C, Mazette S, Combe N, Nouvelot A, Descomps B, Entressangles B, Crastes de Paulet A, Mendy F

机构信息

Laboratoire de Biologie et Biochimie des Lipides, Université, Montpellier I, France.

出版信息

Biol Neonate. 1999 May;75(5):285-93. doi: 10.1159/000014106.

DOI:10.1159/000014106
PMID:10095142
Abstract

The present multicentric study (three centers) deals with the values of plasma and red blood cell fatty acids obtained in a group of 18 preterm newborns after 2 days (D2), 15 days (D15) and 5 weeks (37th week postconception: 37th wk) of human milk feeding. Analytical methods were randomized between the three centers and quality control was evaluated by repeated analysis of reference samples. 20:4 n-6 varied from 10.71 +/- 1.58% to 9.51 +/- 1.65 and 10.10 +/- 1.42% in plasma phospholipids and from 16.59 +/- 3.30% to 14.68 +/- 3.14 and 18.24 +/- 4.09% in red blood cell phosphatidylethanolamine (RBC-PE) at D2, D15 and 37th wk, respectively, contrasting with the important rise of the precursor (18:2 n-6) in all the fractions studied. In RBC-PE, 22:6 n-3 significantly declined from 3.52 +/- 1. 03% at D2 to 2.56 +/- 0.83% at D15 (p < 0.02) and recovered its initial level at 37th wk (4.08 +/- 1.94%). The recovery of long chain polyunsaturated fatty acid homeostasis at that time was also confirmed by the decline of 16:1 n-7 in cholesterol esters (10.69 +/- 3.92 to 4.32 +/- 2.38%).

摘要

本多中心研究(三个中心)涉及一组18名早产新生儿在进行2天(D2)、15天(D15)和5周(孕后第37周:37周)母乳喂养后所获得的血浆和红细胞脂肪酸值。分析方法在三个中心之间随机分配,通过对参考样本的重复分析来评估质量控制。在D2、D15和37周时,血浆磷脂中20:4 n-6分别从10.71±1.58%变化至9.51±1.65%和10.10±1.42%,红细胞磷脂酰乙醇胺(RBC-PE)中则从16.59±3.30%变化至14.68±3.14%和18.24±4.09%,这与所研究的所有组分中前体物质(18:2 n-6)的显著升高形成对比。在RBC-PE中,22:6 n-3从D2时的3.52±1.03%显著下降至D15时的2.56±0.83%(p<0.02),并在37周时恢复到初始水平(4.08±1.94%)。胆固醇酯中16:1 n-7的下降(从10.69±3.92降至4.32±2.38%)也证实了此时长链多不饱和脂肪酸内稳态的恢复。

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