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1 OCDEM, University of Oxford, Oxford, United Kingdom
2 Lipoprotein and Atherosclerosis Research Group, University of Ottawa Heart Institute, Ottowa, Canada
3 Institute of Human Nutrition, University of Southampton, Southampton, United Kingdom
* To whom correspondence should be addressed. E-mail: keith.frayn{at}oxlip.ox.ac.uk.
Exaggerated postprandial lipemia is associated with coronary heart disease and type II diabetes, yet few studies have examined the effect of sequential meals on lipoprotein metabolism. We have used [13C]-labelled fatty acids to trace the incorporation of fatty acid derived from a meal into apo B100-containing lipoproteins and plasma non-esterified fatty acids (NEFA) following two consecutive meals. Healthy volunteers (n = 8) were given breakfast labeled with [1-13C]palmitic acid, eicasopentaenoic acid and docosahexaenoic acid, followed at 5 h by lunch containing [1-13C]oleic acid. Blood samples were taken until 9 h. Apo B-100-containing lipoproteins were isolated by immunoaffinity chromatography. Chylomicron-triacylglycerol (TG) concentrations peaked at 195 min following breakfast but at 75 min following lunch (P < 0.001). VLDL-TG concentrations, in contrast, rose to a broad peak after breakfast and then fell steadily after lunch. Breakfast markers followed chylomicron-TG concentrations and appeared in plasma NEFA with a similar profile, whereas [1-13C]oleic acid peaked 2 h after lunch in plasma TG and NEFA. Breakfast markers appeared steadily in VLDL, peaking 1 - 3 h after lunch, whereas [1-13C]oleic acid was still accumulating in VLDL at 9 h. Around 17% of VLDL-TG originated from recent dietary fat 5 h after breakfast, and around 40% at the end of the experiment. We conclude that there is rapid flux of fatty acids from the diet into endogenous pools. Further study of these processes may open up new targets for intervention to reduce VLDL-TG concentrations and postprandial lipemia.
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