Bruder Eric D, Lee Ping C, Raff Hershel
Endocrine research Laboratory, St. Luke's Medical Center, 2801 W. KK River Parkway, Suite 245, Milwaukee, WI 53215, USA.
Am J Physiol Endocrinol Metab. 2005 Feb;288(2):E314-20. doi: 10.1152/ajpendo.00362.2004. Epub 2004 Oct 5.
Neonatal hypoxia leads to clinically significant fatty liver, presumably due to disturbances in lipid metabolism. To fully evaluate lipid metabolism, the present study analyzed the complete lipid profile of the brain, liver, and ingested stomach contents of 7-day-old rats exposed to hypoxia from birth. Hypoxia had negligible direct effects on lipid metabolism in the brain. Conversely, hypoxia exhibited direct effects on hepatic lipid metabolism that could not be fully explained by changes in dietary intake. Triacylglyceride concentration was significantly increased in the hypoxic liver but remained unchanged in the brain and stomach contents. Diacylglyceride concentration was increased in both the brain and liver, and this was associated with increased diacylglyceride in the stomach contents. Most n-3 and n-6 fatty acids were increased in the liver, but not in the brain, of hypoxic pups. These changes did not reflect those measured in the stomach contents. Saturated fatty acid concentrations were increased in both the hypoxic brain and liver, and these changes reflected those in the stomach contents. Hypoxia also increased total phospholipid concentration in the brain and stomach contents. We conclude that neonatal hypoxia indirectly affects specific lipid and fatty acid concentrations in the brain and liver through alterations in the absorbed stomach contents. Hypoxia also exhibits some direct affects through modulation of metabolic pathways in situ, mostly in the liver. In this respect, the neonatal brain exhibits tighter control on lipid homeostasis than the liver during neonatal hypoxia.
新生儿缺氧会导致具有临床意义的脂肪肝,这可能是由于脂质代谢紊乱所致。为了全面评估脂质代谢,本研究分析了从出生就暴露于缺氧环境的7日龄大鼠的脑、肝以及摄入的胃内容物的完整脂质谱。缺氧对脑内脂质代谢的直接影响可忽略不计。相反,缺氧对肝脏脂质代谢有直接影响,而饮食摄入量的变化并不能完全解释这种影响。缺氧组大鼠肝脏中的甘油三酯浓度显著升高,但脑和胃内容物中的甘油三酯浓度保持不变。脑和肝脏中的甘油二酯浓度均升高,且这与胃内容物中甘油二酯的增加有关。大多数n-3和n-6脂肪酸在缺氧幼崽的肝脏中增加,但在脑中未增加。这些变化与胃内容物中测得的变化不同。缺氧组大鼠脑和肝脏中的饱和脂肪酸浓度均升高,且这些变化与胃内容物中的变化一致。缺氧还增加了脑和胃内容物中的总磷脂浓度。我们得出结论,新生儿缺氧通过改变吸收的胃内容物间接影响脑和肝脏中特定脂质和脂肪酸的浓度。缺氧还通过原位调节代谢途径表现出一些直接影响,主要是在肝脏中。在这方面,新生儿缺氧期间,新生脑对脂质稳态的控制比肝脏更严格。