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Institute for Liver, Digestive, and Metabolic Diseases, Department of Pediatrics, University Hospital Groningen, 9700 RB Groningen, The Netherlands
We investigated in
bile duct-ligated (BDL) and sham-operated control rats whether the
frequent presence of essential fatty acid deficiency in cholestatic
liver disease could be related to linoleic acid malabsorption, altered
linoleic acid metabolism, or both. In plasma of BDL rats, the
triene-to-tetraene ratio, a biochemical marker for essential fatty acid
deficiency, was increased compared with controls (0.024 ± 0.004 vs. 0.013 ± 0.001; P < 0.05). Net and percentage
of dietary linoleic acid absorbed were decreased in BDL rats compared
with control rats (1.50 ± 0.16 mmol/day and 81.3 ± 3.3%
vs. 2.08 ± 0.07 mmol/day and 99.2 ± 0.1%, respectively;
each P < 0.001). At 24 h after
[13C]linoleic acid administration, BDL rats had a similar
ratio of plasma [13C]arachidonic acid to plasma
[13C]linoleic acid concentration compared with control
rats.
6-Desaturase activity was not significantly
different in hepatic microsomes from control or BDL rats. At 3 h
after [13C]linoleic acid administration, plasma
appearance of [13C]linoleic acid and cumulative
expiration of 13CO2 were decreased in BDL rats,
compared with controls (by 54% and 80%, respectively). The present
data indicate that the impaired linoleic acid status in cholestatic
liver disease is mainly due to decreased net absorption and not to
quantitative alterations in postabsorptive metabolism.
essential fatty acid; enterohepatic circulation; cholestasis; stable isotope
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