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Shriners Burns Hospital and the Departments of Surgery and Anesthesiology, The University of Texas Medical Branch, Galveston, Texas 77555
The primary goal of this study was to investigate the effects of
glucose infusion on surfactant phosphatidylcholine (PC) metabolic
kinetics in the lungs. A new stable isotope tracer model was used
in which [1,2-13C2]acetate and
uniformly labeled [U-13C16]palmitate were
infused in 12 normal overnight-fasted pigs to quantify lung
surfactant kinetics with or without glucose infusion (24 mg · kg
1 · min
1). With
glucose infusion, the rate of surfactant PC incorporation from de novo
synthesized palmitate increased from the control value of 2.1 ± 0.2 to 15.5 ± 1.9 nmol PC-bound
palmitate · h
1 · g wet
lung
1 (P < 0.05), whereas the
incorporation rate from plasma preformed palmitate decreased from the
control value of 20.9 ± 1.9 to 11.6 ± 1.1 nmol
palmitate · h
1 · g wet
lung
1 (P < 0.05). The palmitate
composition in lamellar body surfactant PC increased from the control
value of 61.7 ± 2.1% to 75.9 ± 0.6% (P < 0.05). The surfactant PC secretion rate decreased from the control
value of 239.0 ± 26.1 to 81.9 ± 5.3 nmol PC-bound
palmitate · h
1 · g wet
lung
1 (P < 0.05). We conclude that,
whereas surfactant secretion was inhibited by glucose infusion, neither
total surfactant PC synthesis nor the surfactant PC pool size was
significantly affected due to an increased reliance on de novo
synthesized fatty acids.
phosphatidylcholine; isotope; synthesis; secretion
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