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May 2, 2005Journal of Clinical InvestigationOpen Access

Sources of fatty acids stored in liver and secreted via lipoproteins in patients with nonalcoholic fatty liver disease

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Authors

KDKerry L. DonnellyUniversity of MinnesotaCSColeman I. SmithGeorgetown UniversitySSSarah Jane SchwarzenbergUniversity of Minnesota

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Implication

Stable isotope tracer study uncovers primary sources of hepatic triacylglycerol in nonalcoholic fatty liver disease, highlighting peripheral lipolysis and de novo lipogenesis as major drivers.

Key Points

  • To directly quantify the biological sources of hepatic and circulating lipoprotein triacylglycerols in patients diagnosed with nonalcoholic fatty liver disease.
  • Infused and fed stable isotopes over 4 days in patients (N=9; 5 male, 4 female; mean age 44 ± 10 years) scheduled for medically indicated liver biopsies.
  • Tracked fatty acids originating from serum nonesterified fatty acids (NEFAs), diet, and the de novo lipogenesis (DNL) pathway in liver tissue and plasma lipoprotein triacylglycerols using gas chromatography/mass spectrometry.
  • Liver triacylglycerols derived primarily from serum NEFAs (59.0% ± 9.9%), followed by DNL (26.1% ± 6.7%) and dietary sources (14.9% ± 7.0%).
  • Very low-density lipoprotein (VLDL) triacylglycerol showed labeling patterns similar to liver tissue, with reciprocal utilization of adipose and dietary fatty acids over 4 days.
  • DNL was markedly elevated in the fasting state and exhibited no normal diurnal variation.

Cite This Study

Donnelly et al. (2005) studied this question.

synapsesocial.com/papers/69dc378e1fd473d97f9f5564https://doi.org/10.1172/jci23621
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