Oliveira F L, Rumsey S C, Schlotzer E, Hansen I, Carpentier Y A, Deckelbaum R J
Department of Pediatrics, Columbia University, New York, NY 10032, USA.
JPEN J Parenter Enteral Nutr. 1997 Jul-Aug;21(4):224-9. doi: 10.1177/0148607197021004224.
Fish oil triglycerides (TG) are being considered for use in IV lipid emulsions, but the characteristics of their lipase-mediated clearance from plasma are largely unknown.
We compared the in vitro hydrolysis of soy oil long-chain triglyceride emulsions (LCT) and fish oil emulsions (omega-3) using lipoprotein (LPL) and hepatic (HL) lipases, omega-3 emulsions contained 18% and 28% of total TG fatty acid as eicosapentaenoic acid (EPA) and docosahexanoic acid (DHA), respectively.
Under conditions of maximal hydrolysis, total free fatty acid (FFA) release was two- to threefold greater with LCT compared with omega-3 emulsions. Also, EPA and DHA together contributed proportionally much less than other fatty acids (< 20%) to FFA released from omega-3 emulsions. In mixtures of LCT emulsion with omega-3 emulsions, the presence of > 20% of omega-3 particles substantially inhibited LCT emulsion hydrolysis (by up to 50%).
Our results suggest that, during infusion of omega-3 emulsions, EPA and DHA may enter cells as TG or partial glycerides within emulsion particles and not as FFA and that coinfusion of omega-3 emulsion with LCT emulsion at low omega-3:LCT emulsion ratios (up to 20% of total triglyceride as omega-3) will not substantially inhibit LCT hydrolysis.
鱼油甘油三酯(TG)正被考虑用于静脉脂质乳剂,但它们经脂肪酶介导从血浆中清除的特性在很大程度上尚不清楚。
我们使用脂蛋白脂肪酶(LPL)和肝脂肪酶(HL)比较了大豆油长链甘油三酯乳剂(LCT)和鱼油乳剂(ω-3)的体外水解情况,ω-3乳剂分别含有18%和28%的总TG脂肪酸为二十碳五烯酸(EPA)和二十二碳六烯酸(DHA)。
在最大水解条件下,与ω-3乳剂相比,LCT乳剂释放的总游离脂肪酸(FFA)多两到三倍。此外,EPA和DHA共同对从ω-3乳剂释放的FFA的贡献比例远低于其他脂肪酸(<20%)。在LCT乳剂与ω-3乳剂的混合物中,>20%的ω-3颗粒的存在显著抑制LCT乳剂的水解(高达50%)。
我们的结果表明,在输注ω-3乳剂期间,EPA和DHA可能作为乳剂颗粒内的TG或甘油部分进入细胞,而不是作为FFA,并且以低ω-3:LCT乳剂比例(高达总甘油三酯的20%为ω-3)将ω-3乳剂与LCT乳剂联合输注不会显著抑制LCT的水解。