长期禁食诱导红细胞膜脂肪酸组成的重塑。

IF 4.4 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL European Journal of Clinical Investigation Pub Date : 2025-01-13 DOI:10.1111/eci.14382
Katharina Gewecke, Franziska Grundler, Massimiliano Ruscica, Clemens von Schacky, Robin Mesnage, Françoise Wilhelmi de Toledo
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引用次数: 0

摘要

长期禁食(LF)激活一种适应性反应,将代谢燃料从食物葡萄糖转换为储存在脂肪组织中的脂质。在禁食期间,游离脂肪酸(FFA)氧化的增加对健康有益。我们质疑LF期间脂质代谢的变化是否会影响人类细胞膜中的脂质。因此,我们分析了LF后12.6±3.5天和食物重新引入后1个月红细胞膜(EM)中的FA组成。方法:在三项单臂介入研究中,共有98名受试者接受了医学监督的长期禁食(12.6±3.5天)计划。用气相色谱法测定了26 FA的分布规律和HS-Omega-3指数。结果:26例FA中有18例有明显改变。饱和FA组肉豆蔻酸(14:0)和硬脂酸(18:0)降低,棕榈酸(16:0)和花生酸(20:0)升高。当大多数单不饱和脂肪酸增加时,反式脂肪酸减少或保持不变。在多不饱和脂肪酸中,花生四烯酸(20:4n6)和二十二碳六烯酸(22:6n3)含量增加,亚油酸(18:2n6)、α -亚麻酸(18:3n3)和二十碳五烯酸(20:5n3)含量减少。因此,HS-Omega-3指数增加。有显著变化的18例FA中有11例在1个月后恢复到基线水平。亚油酸和α -亚麻酸的水平高于基线水平。结论:长期禁食会引起EM中FA组成的变化。
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Long-term fasting induces a remodelling of fatty acid composition in erythrocyte membranes.

Introduction: Long-term fasting (LF) activates an adaptative response to switch metabolic fuels from food glucose to lipids stored in adipose tissues. The increase in free fatty acid (FFA) oxidation during fasting triggers health benefits. We questioned if the changes in lipid metabolism during LF could affect lipids in cell membranes in humans. We thus analysed the FA composition in erythrocyte membranes (EM) during 12.6 ± 3.5 days of LF and 1 month after food reintroduction.

Methods: A total of 98 subjects out of three single-arm interventional studies underwent a medical supervised long-term fasting (12.6 ± 3.5 days) programme. The distribution pattern of 26 FA as well as the HS-Omega-3 Index were assessed in the EM using gas chromatography.

Results: Eighteen of 26 FA showed significant changes. Within the group of saturated FA, myristic (14:0) and stearic acid (18:0) decreased while palmitic (16:0) and arachid acid (20:0) increased. While most monounsaturated FA increased, trans fatty acids decreased or remained unchanged. Within the polyunsaturated FA, arachidonic (20:4n6) and docosahexaenoic (22:6n3) acid increased, while linoleic (18:2n6), alpha-linolenic (18:3n3) and eicosapentaenoic acid (20:5n3) decreased. Consequently, the HS-Omega-3 Index increased. 11 out of the 18 FA with significant changes returned to baseline levels 1 month afterwards. Levels of linoleic and alpha-linolenic acid increased over baseline levels.

Conclusions: Long-term fasting triggers changes in the FA composition of EM.

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