Palombo J D, Bistrian B R, Fechner K D, Blackburn G L, Forse R A
Department of Surgery, New England Deaconess Hospital, Harvard Medical School, Boston, MA 02215.
Am J Clin Nutr. 1993 May;57(5):643-9. doi: 10.1093/ajcn/57.5.643.
Therapeutic modalities that downregulate macrophage and endothelial production of eicosanoid mediators by displacing membrane arachidonic acid (20:4 omega 6) may benefit patients at increased risk of septic complications. The objective of this study in rats was to assess the incorporation of fish or olive oil fatty acids into hepatic Kupffer and endothelial (K&E) cell phospholipids after 4 d of continuous enteral feeding during endotoxemia. Either endotoxin (ETX) (0.5-1 mg-1.day-1) or vehicle was infused intravenously during the last 72 h. Dietary fish and olive oil fatty acids were rapidly incorporated into both K&E and plasma phospholipids irrespective of ETX cotreatment. Rats infused with the fish oil-enriched diet had a significantly lower relative percent of both K&E linoleic acid (18:2 omega 6) and 20:4 omega 6, whereas rats infused with the olive oil-enriched diet only had a lower relative percent of 18:2 omega 6 compared with control rats receiving corn oil. Provision of specific dietary lipids by continuous enteral infusion may prove efficacious for the rapid modulation of hepatic sinusoidal cell membrane fatty acids under either normal or endotoxemic conditions.
通过置换膜花生四烯酸(20:4 ω6)来下调巨噬细胞和内皮细胞类花生酸介质生成的治疗方式,可能会使败血症并发症风险增加的患者受益。本研究在大鼠中的目的是评估在内毒素血症期间连续肠内喂养4天后,鱼类或橄榄油脂肪酸在肝库普弗细胞和内皮(K&E)细胞磷脂中的掺入情况。在最后72小时内,静脉注射内毒素(ETX)(0.5 - 1毫克/天)或赋形剂。无论是否联合ETX治疗,膳食中的鱼类和橄榄油脂肪酸都能迅速掺入K&E细胞和血浆磷脂中。输注富含鱼油饮食的大鼠,其K&E细胞亚油酸(18:2 ω6)和20:4 ω6的相对百分比均显著降低,而输注富含橄榄油饮食的大鼠,与接受玉米油的对照大鼠相比,仅18:2 ω6的相对百分比降低。通过连续肠内输注提供特定膳食脂质,可能被证明在正常或内毒素血症条件下,对快速调节肝窦细胞膜脂肪酸是有效的。