title: Preferential uptake of dietary Fatty acids in adipose tissue and muscle in the postprandial period.
abstract: Despite consistent evidence that abnormalities of fatty acid delivery and storage underlie the metabolic defects of insulin resistance, physiological pathways by which fat is stored in adipose tissue and skeletal muscle are not clear. We used a combination of stable isotope labeling and arteriovenous difference measurements to elucidate pathways of postprandial fat deposition in adipose tissue and skeletal muscle in healthy humans. A test meal containing [U-(13)C]palmitate was combined with intravenous infusion of [(2)H(2)]palmitate to label plasma fatty acids and VLDL-triglyceride. Both dietary (chylomicron) and VLDL-triglyceride were cleared across adipose tissue and muscle, though with greater fractional extraction of the chylomicron-triglyceride. In adipose tissue there was significant uptake of plasma nonesterified fatty acids (NEFAs) in the postprandial but not the fasting state. However, this was minor in comparison with chylomicron-triglyceride fatty acids. We modeled the fate of fatty acids released by lipoprotein lipase (LPL). There was clear preferential uptake of these fatty acids compared with plasma NEFAs. In muscle, there was unexpected evidence for release of LPL-derived fatty acids into the plasma. With this integrative physiological approach, we have revealed hidden complexities in pathways of fatty acid uptake in adipose tissue and skeletal muscle.
authors.affiliation: Oxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford, UK.
authors.forename: Alex S T
authors.initials: AS
authors.lastname: Bickerton
authors.forename: Rachel
authors.initials: R
authors.lastname: Roberts
authors.forename: Barbara A
authors.initials: BA
authors.lastname: Fielding
authors.forename: Leanne
authors.initials: L
authors.lastname: Hodson
authors.forename: Ellen E
authors.initials: EE
authors.lastname: Blaak
authors.forename: Anton J M
authors.initials: AJ
authors.lastname: Wagenmakers
authors.forename: Marjorie
authors.initials: M
authors.lastname: Gilbert
authors.forename: Fredrik
authors.initials: F
authors.lastname: Karpe
authors.forename: Keith N
authors.initials: KN
authors.lastname: Frayn
mesh_terms: D000005:Abdomen; D000273:Adipose Tissue / Q000502:physiology*; D001783:Blood Flow Velocity / Q000502:physiology; D001786:Blood Glucose / Q000032:analysis; D003903:Deuterium; D004041:Dietary Fats / Q000378:metabolism*; D005215:Fasting; D005230:Fatty Acids, Nonesterified / Q000493:pharmacokinetics*; D006801:Humans; D007328:Insulin / Q000097:blood; D008075:Lipoproteins, HDL / Q000097:blood; D008297:Male; D018482:Muscle, Skeletal / Q000502:physiology*; D019308:Palmitic Acid / Q000493:pharmacokinetics; D019518:Postprandial Period / Q000502:physiology*; D012016:Reference Values; D014280:Triglycerides / Q000097:blood / Q000493:pharmacokinetics
chemical_list: D001786:Blood Glucose; D004041:Dietary Fats; D005230:Fatty Acids, Nonesterified; D007328:Insulin; D008075:Lipoproteins, HDL; D014280:Triglycerides; D019308:Palmitic Acid; D003903:Deuterium