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全胃肠外营养袋中静脉注射用脂质乳剂的脂质过氧化:生育酚的影响。

Lipid peroxidation of i.v. lipid emulsions in TPN bags: the influence of tocopherols.

作者信息

Steger P J, Mühlebach S F

机构信息

Department of Pharmacy, Kantonsspital Aarau, Switzerland.

出版信息

Nutrition. 1998 Feb;14(2):179-85. doi: 10.1016/s0899-9007(97)00438-3.

DOI:10.1016/s0899-9007(97)00438-3
PMID:9530645
Abstract

Four commercial i.v. lipid emulsions containing soybean oil were investigated to determine the tocopherol content. A sensitive high-performance liquid chromatography (HPLC) on a diol column was established to quantitate the tocopherol isomers in lipid emulsions. A previously described iodometric titration was used to assess the peroxide value (mmol peroxides/L). The pH was measured also. The initial tocopherol concentration ranges in three of the four commercial soybean oil-based 20% lipid emulsions studied were compared ([mg/L]: alpha: 17-23, beta: 4, gamma: 88-129, delta: 40-44). One product showed an increased alpha-tocopherol content (172 mg/L) due to supplementation during manufacture. During storage in an ethylvinyl acetate (EVA) bag at 40 degrees C under light-protection (LP) for 34 d, a lipid emulsion 20% with a natural alpha-tocopherol content showed a peroxide value (PV) of 9.18 (about 450 times the value of controls in glass bottles) with a concomittant reduction of the tocopherol isomers to 61.6% (alpha), 86.5% (gamma), and 88.9% (delta) compared to the initial values. Comparison of two lipid emulsions with different amounts of alpha-tocopherol (Lipidem 20%, B. Braun, Switzerland: 156.29 mg/L vs. Intralipid 20%, Pharmacia Upjohn, Switzerland: 8.75 mg/L) for their antioxidative capacity using the same stress conditions revealed for the emulsion with the high alpha-tocopherol content a significantly higher PV over the whole test period (after 5 wk: 33.63 vs. 6.23; P < 0.001) and an increased alpha-tocopherol decomposition (51.6% vs. 8.7%). The drop in pH was higher, also (1.9 vs. 1.0 pH units). In contrast to ordinary concentrations of about 20 mg/L, alpha-tocopherol in 20% lipid emulsions showing antioxidative properties, a supplementation with about 160 mg/L showed a prooxidative effect when exposed to ambient atmosphere in an EVA bag.

摘要

对四种含大豆油的市售静脉注射用脂质乳剂进行了研究,以测定生育酚含量。建立了一种在二醇柱上的灵敏高效液相色谱法(HPLC),用于定量脂质乳剂中的生育酚异构体。采用先前描述的碘量滴定法评估过氧化值(毫摩尔过氧化物/升)。还测量了pH值。比较了所研究的四种市售大豆油基20%脂质乳剂中三种的初始生育酚浓度范围([毫克/升]:α:17 - 23,β:4,γ:88 - 129,δ:40 - 44)。一种产品由于在生产过程中添加了生育酚,其α - 生育酚含量增加(172毫克/升)。在40℃下于乙烯 - 醋酸乙烯酯(EVA)袋中避光保存34天后,一种天然α - 生育酚含量的20%脂质乳剂的过氧化值(PV)为9.18(约为玻璃瓶中对照品值的450倍),同时生育酚异构体与初始值相比分别降至61.6%(α)、86.5%(γ)和88.9%(δ)。在相同应激条件下,比较两种α - 生育酚含量不同的脂质乳剂(Lipidem 20%,B. Braun,瑞士:156.29毫克/升与Intralipid 20%,Pharmacia Upjohn,瑞士:8.75毫克/升)的抗氧化能力,结果显示α - 生育酚含量高的乳剂在整个测试期间的过氧化值显著更高(5周后:33.63对6.23;P < 0.001),且α - 生育酚分解增加(51.6%对8.7%)。pH值下降也更高(1.9对1.0个pH单位)。与普通浓度约为二十毫克/升相比,在20%脂质乳剂中显示抗氧化特性的α - 生育酚,当在EVA袋中暴露于环境大气时,添加约160毫克/升会显示出促氧化作用。

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