A mathematical model of dietary lipid absorption and postprandial chylomicron dynamics

Obesity and related conditions such as dyslipidemia impose an increasing burden on healthcare systems worldwide. These conditions are associated with altered postprandial chylomicron (CM) metabolism, the elusive and critical first step in lipid metabolism. This step remains elusive because it is governed by large interindividual variations and a complex set of intestinal processes. In particular, the second meal effect (SME) implies that enterocytes release previously stored fat during subsequent meals. To deal with this complexity, CM and lipid metabolism have previously been explored using mathematical modeling. However, existing models primarily describe TAG dynamics following a single meal or are too complex for practical personalization across datasets. Herein, we address these limitations by presenting a small-scale mathematical model of CM dynamics that incorporates the SME. The presented model successfully describes data from six clinical studies of both single and repeated meal interventions. Model performance was further evaluated by predicting independent datasets using a BMI-dependent calibration. Finally, to demonstrate model applicability, we simulated full-day responses consisting of three sequential meals in individuals with varying BMI values, with qualitative agreement to clinical observations. This work supports our understanding of the SME, person-specific CM postprandial responses, and mechanisms underlying obesity.