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October 1, 2001AJP Endocrinology and Metabolism

Lipid metabolism during fasting

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Authors

MJMichael D. JensenPreventive CardiologyKEKarin EkbergAsarina Pharma (Sweden)BLBernard R. LandauUniversity of Vermont

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Implication

Metabolic tracer study demonstrates systemic free fatty acid reesterification exceeds splanchnic triglyceride output in fasting men, indicating prominent nonhepatic lipid recycling.

Key Points

  • To evaluate the relationship between systemic free fatty acid (FFA) reesterification and regional FFA, glycerol, and triglyceride metabolism following prolonged fasting.
  • Assessed six men (N=6) following a 60-hour fast using indirect calorimetry to quantify resting fatty acid oxidation.
  • Measured systemic and regional (splanchnic, renal, and leg) FFA and glycerol kinetics using [(3)H]palmitate and [(3)H]glycerol tracer infusions alongside splanchnic triglyceride output.
  • Systemic FFA reesterification occurred at 366 ± 93 µmol/min, significantly exceeding splanchnic triglyceride fatty acid output of 64 ± 6 µmol/min (P < 0.05).
  • Systemic FFA release was approximately double the rate typically observed in overnight postabsorptive men, although regional release proportions remained unchanged.
  • Glycerol uptake occurred primarily within splanchnic and renal vascular beds, with minor uptake detected across the leg.

Cite This Study

Jensen et al. (2001) studied this question.

synapsesocial.com/papers/6a72b785febe604dd70abca0https://doi.org/10.1152/ajpendo.2001.281.4.e789
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