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Am J Physiol Gastrointest Liver Physiol 277: G1081-G1087, 1999;
0193-1857/99 $5.00
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Vol. 277, Issue 5, G1081-G1087, November 1999

Stimulation of jejunal synthesis of apolipoprotein A-IV by ileal lipid infusion is blocked by vagotomy

Theodore J. Kalogeris1, V. Roger Holden1, and Patrick Tso2

1 Department of Surgery, Louisiana State University Medical Center, Shreveport, Louisiana 71130; and 2 Department of Pathology, University of Cincinnati, Cincinnati, Ohio 45267

We examined the role of vagal innervation in lipid-stimulated increases in expression and synthesis of intestinal apolipoprotein A-IV (apoA-IV). In rats with duodenal cannulas and superior mesenteric lymph fistulas given duodenal infusions of lipid emulsion, vagotomy had no effect on either intestinal lipid transport, lymphatic apoA-IV output, or jejunal mucosal apoA-IV synthesis. In rats with jejunal Thiry-Vella fistulas, ileal lipid infusion elicited a twofold stimulation of apoA-IV synthesis without affecting apoA-IV mRNA levels; vagotomy blocked this increase in apoA-IV synthesis. Direct perfusion of jejunal Thiry-Vella fistulas produced 2- to 2.5-fold increases in both apoA-IV synthesis and mRNA levels in the Thiry-Vella segment; these effects were not influenced by vagal denervation. These results suggest two mechanisms whereby lipid stimulates intestinal apoA-IV production: 1) a vagal-dependent stimulation of jejunal apoA-IV synthesis by distal gut lipid that is independent of changes in apoA-IV mRNA levels and 2) a direct stimulatory effect of proximal gut lipid on both synthesis and mRNA levels of jejunal apoA-IV that is independent of vagal innervation.

ileal brake; nutrient absorption; chylomicrons; Thiry-Vella fistula; lymph fistula; triglyceride


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