Etude métabolique de trois émulsions lipidiques utilisées dans l’alimentation parentérale

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Abstract
With a model of isolated rat liver perfusion, the authors study the removal kinetic of three different fat emulsions. In experiments done with Lipiphysan, triglyceride uptake by liver is linear with a rate of 30 mg/h until the 60th minute; after blockade of the reticuloendothelial system (RES), triglyceride uptake is greatly reduced. In standard experiments done with Intralipid and Trive 1000, triglyceride content of the perfusate does not vary significantly; however, the study of free fatty acids removal done before and after liberation of hepatic triglyceride lipase by heparin seems to show that Intralipid triglycerides are slightly hydrolyzed by hepatic triglyceride lipase. The particles of Lipiphysan might be capted directly by RES cells (fast removal), whereas Intralipid might be slightly hydrolyzed (slow removal); Trive 1000 removal appears to be slow and similar to Intralipid. Those results give some explanations on data obtained in vivo in minipigs and agree with a better use of Intralipid and Trive 1000 triglycerides by extrahepatic sites.

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