Key result
The 1-day mesenteric lymph fistula surgical model in mice achieved a 63.0% surgical success rate compared to 38.0% in the traditional 2-day model, while yielding significantly higher postprandial triglyceride concentrations.
Why the study?
Isolating intestinal lipoproteins in vivo is extremely difficult due to dilution in peripheral blood and rapid hydrolysis of chylomicron triglycerides once in circulation.
Absolute Event Rate: 63% vs 38%
The updated 1-day mesenteric lymph surgery in mice improves survival and triglyceride excursion compared to the traditional 2-day model, providing a robust tool for studying lipid absorption and intestinal immunity.
Facilitates mechanistic study of intestinal lipid absorption in mice; leaves open clinical translation to human dyslipidemia.
The intestine plays a crucial role in regulating whole-body lipid metabolism through its unique function of absorbing dietary fat. In the small intestine, absorptive epithelial cells emulsify hydrophobic dietary triglycerides (TAGs) prior to secreting them into mesenteric lymphatic vessels as chylomicrons. Except for short- and medium-chain fatty acids, which are directly absorbed from the intestinal lumen into portal vasculature, the only way for an animal to absorb dietary TAG is through the chylomicron/mesenteric lymphatic pathway. Isolating intestinal lipoproteins, including chylomicrons, is extremely difficult in vivo because of the dilution of postprandial lymph in the peripheral blood. In addition, once postprandial lymph enters the circulation, chylomicron TAGs are rapidly hydrolyzed. To enhance isolation of large quantities of pure postprandial chylomicrons, we have modified the Tso group's highly reproducible gold-standard double-cannulation technique in rats to enable single-day surgery and lymph collection in mice. Our technique has a significantly higher survival rate than the traditional 2-day surgical model and allows for the collection of greater than 400 μl of chylous lymph with high postprandial TAG concentrations. Using this approach, we show that after an intraduodenal lipid bolus, the mesenteric lymph contains naïve CD4+ T-cell populations that can be quantified by flow cytometry. In conclusion, this experimental approach represents a quantitative tool for determining dietary lipid absorption, intestinal lipoprotein dynamics, and mesenteric immunity. Our model may also be a powerful tool for studies of antigens, the microbiome, pharmacokinetics, and dietary compound absorption.
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Dedousis et al. (2022) studied Dietary lipid absorption (animal model) (n=48). 1-day mesenteric lymph fistula surgical model vs. 2-day mesenteric lymph fistula surgical model was evaluated on Surgical success rate (milky lipid-rich flowing lymph starting ~15 min after duodenal lipid infusion and lasting at least 5 h). The 1-day mesenteric lymph fistula surgical model in mice achieved a 63.0% surgical success rate compared to 38.0% in the traditional 2-day model, while yielding significantly higher postprandial triglyceride concentrations.
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