Jørgensen J R, Fitch M D, Mortensen P B, Fleming S E
Department of Medicine CA 2121, Section of Gastroenterology, Copenhagen University Hospital, Rigshospital, Copenhagen, Denmark.
Gut. 2002 Jul;51(1):76-81. doi: 10.1136/gut.51.1.76.
Compared with short and long chain fatty acids, medium chain fatty acids (MCFAs) have been shown to provide the highest colonic absorption of substrate carbon. Moreover, colonic epithelial cells fulfil their basic energy requirements as easily from MCFAs as from short chain fatty acids.
To further characterise octanoate as a colonic luminal substrate, we determined in vivo the influence of (i) substrate concentration and (ii) alternative luminal fuels, on rat colonic transport and metabolism.
Segments of rat proximal colon (8 cm) were cannulated and perfused for 100 min with (14)C labelled octanoate. The right colic vein was also cannulated and venous blood analysed for total (14)C, (14)CO(2), and metabolites by scintillation counting and high performance liquid chromatography.
Tracer appearance in mesenteric blood stabilised after 20-40 minutes of perfusion. Increasing luminal octanoate concentrations from 2 to 40 mM resulted in linear increases in total carbon absorption. Maximum CO(2) production was reached near 10 mM. A substantial proportion of octanoate was absorbed without being metabolised (59-94%). The luminal presence of a mixture of alternative fuels had no influence on either octanoate transport or metabolism.
This study demonstrated substantial concentration dependent colonic absorption of octanoate, rendering this MCFA a potential and much needed high energy substrate for patients with compromised small bowel function. Moreover, octanoate meets the basic energy requirements of colonic epithelial cells in vivo as well as butyrate. This study also demonstrates the divergence of in vitro and in vivo data regarding fatty acid absorption and metabolism in the colonic epithelium.
与短链和长链脂肪酸相比,中链脂肪酸(MCFAs)已被证明能使结肠对底物碳的吸收达到最高水平。此外,结肠上皮细胞利用MCFAs满足其基本能量需求的程度与利用短链脂肪酸一样容易。
为了进一步将辛酸作为结肠腔内底物进行特征描述,我们在体内确定了(i)底物浓度和(ii)替代腔内燃料对大鼠结肠转运和代谢的影响。
将大鼠近端结肠段(8厘米)插管,并灌注含(14)C标记辛酸的溶液100分钟。同时也对右结肠静脉进行插管,并通过闪烁计数和高效液相色谱法分析静脉血中的总(14)C、(14)CO₂和代谢产物。
灌注20 - 40分钟后,肠系膜血中示踪剂的出现趋于稳定。将腔内辛酸浓度从2 mM增加到40 mM导致总碳吸收呈线性增加。在接近10 mM时达到最大CO₂产生量。相当一部分辛酸在未被代谢的情况下被吸收(59 - 94%)。替代燃料混合物的腔内存在对辛酸的转运或代谢均无影响。
本研究表明结肠对辛酸的吸收存在显著的浓度依赖性,使这种MCFA成为小肠功能受损患者潜在且急需的高能量底物。此外,辛酸在体内能满足结肠上皮细胞的基本能量需求,与丁酸一样。本研究还证明了关于结肠上皮细胞中脂肪酸吸收和代谢的体外和体内数据存在差异。