Ohkawa A, Sato N, Hatakeyama K
Department of Surgery, Niigata University School of Medicine, Japan.
JPEN J Parenter Enteral Nutr. 1997 Jul-Aug;21(4):220-3. doi: 10.1177/0148607197021004220.
This study evaluated the effect of total parenteral nutrition (TPN) regimens containing a medium-chain triglyceride (MCT) emulsion on tumor metastasis.
Tumor metastasis development was assessed by the number of metastatic foci on the liver surface in rats inoculated with ACL-15 tumor cells via the portal vein. Rats received one of the following TPN regimens: TPN containing an MCT emulsion (group M), in which tricaprylin emulsion served as the MCT and comprised 50% of nonprotein calories (NPC); TPN containing a long-chain triglyceride (LCT) emulsion (group L), in which soybean oil served as the LCT and comprised 50% of NPC; and TPN without lipid emulsion (group G), in which dextrose comprised 100% of NPC.
The number of metastatic foci was greatest in rats receiving TPN containing the MCT emulsion on day 11 after tumor cell inoculation and either 11 days of TPN or 2 days of TPN followed by 9 days standard rat chow.
TPN containing MCT emulsion increases liver metastasis early in its administration.
本研究评估了含中链甘油三酯(MCT)乳剂的全胃肠外营养(TPN)方案对肿瘤转移的影响。
通过经门静脉接种ACL - 15肿瘤细胞的大鼠肝脏表面转移灶数量来评估肿瘤转移的发展情况。大鼠接受以下TPN方案之一:含MCT乳剂的TPN(M组),其中三辛酸甘油酯乳剂作为MCT,占非蛋白热量(NPC)的50%;含长链甘油三酯(LCT)乳剂的TPN(L组),其中大豆油作为LCT,占NPC的50%;以及不含脂质乳剂的TPN(G组),其中葡萄糖占NPC的100%。
在肿瘤细胞接种后第11天,接受含MCT乳剂TPN的大鼠,无论是接受11天TPN还是2天TPN后再接受9天标准大鼠饲料喂养,其转移灶数量最多。
含MCT乳剂的TPN在给药早期会增加肝转移。