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(Journal of Nutrition. 2000;130:2450-2455.)
© 2000 The American Society for Nutritional Sciences


Article

Fats Infused Intraduodenally Affect the Postprandial Secretion of the Exocrine Pancreas and the Plasma Concentration of Cholecystokinin but Not of Peptide YY in Growing Pigs1

Stefan Jakob*,{dagger}2, Rainer Mosenthin*, Romuald Zabielski**, Catarina Rippe{ddagger}, Maria Sörhede Winzell{ddagger}, Urszula Gacsalyi**, Daniel Laubitz{dagger}{dagger}, Elzbieta Grzesiuk{dagger}{dagger} and Stefan G. Pierzynowski{dagger}{dagger},{ddagger}{ddagger}

* Institute of Animal Nutrition (450), Hohenheim University, D-70593 Stuttgart, Germany; {dagger} Orffa Germany GmbH, D-46483 Wesel, Germany; ** The Kielanowski Institute of Animal Physiology and Nutrition, Polish Academy of Sciences, 05–110 Jablonna, Poland; {ddagger} Department of Cell and Molecular Biology, Lund University, S-223 62 Lund, Sweden; {dagger}{dagger} Department of Animal Physiology, Lund University, S-223 62 Lund, Sweden; {ddagger}{ddagger} Gramineer Int. AB, Ideon beta, S-223 62 Lund, Sweden; and § Institute of Biochemistry and Biophysics, Polish Academy of Sciences, 02-106 Warsaw, Poland

2To whom correspondence should be addressed.


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
In pigs, the spontaneous secretion of the exocrine pancreas and the release of cholecystokinin (CCK) and peptide YY (PYY) after intraduodenal infusion of fully saturated synthetic fats differing in chain length was studied. Growing pigs (n = 6) were prepared with pancreatic duct catheters, duodenal T-cannulas and catheters placed in the jugular vein. The pigs were fed 2 g/100 g body twice daily. Beginning with the morning feeding, a medium-chain triglyceride (MCT: glycerol tricaprylate), a long-chain triglyceride (LCT: glycerol tristearate) or saline was infused at a rate of 0.1 g/100 g body. Pancreatic juice was collected, beginning 1 h preprandially until 3 h postprandially. Blood samples were obtained 15 min preprandially and 15, 45, 90 and 150 min postprandially. The infusion of MCT evoked a change in the trend of the curve for the volume of secretion of pancreatic juice, lipase and colipase concentrations and outputs. The trend of the curve did not change over time for CCK and PYY. Differences between the trends of the curves for the saline and MCT treatment were observed for volume of secretion, protein output, lipase content and output, trypsin and colipase output. Differences in the trends of the curves between MCT and LCT were obtained for the outputs of protein, lipase and colipase. Plasma CCK levels were lower as a result of the MCT treatment compared with the saline and LCT treatments. The results suggest an immediate, distinguished response of the porcine exocrine pancreas to fats differing in chain length.


KEY WORDS: • pigs • pancreatic secretion • fat • cholecystokinin • peptide YY


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The secretions of the exocrine pancreas are required for hydrolysis of nutrients present in food and feed (Rinderknecht 1993Citation ). Enzyme secretion is highly dependent on diet composition, age and feeding regimen (Corring et al. 1989Citation ). This has been well described for different species including rats (Bucko and Kopec 1968Citation , Gidez 1973Citation ), dogs (Behrmann and Kare 1969Citation ) and pigs (Corring 1980Citation , Makkink and Verstegen 1990Citation , Ozimek et al. 1995Citation ). For example, Mourot and Corring (1979)Citation observed higher lipase contents in porcine pancreatic tissue with increasing levels of fat in the diet. Deschodt Lanckman et al. (1971)Citation and Ricketts and Brannon (1994)Citation showed increased lipase contents in rats when polyunsaturated fatty acids (PUFA)3 were included in the diet. Simoes Nunes (1986)Citation fed diets to pigs containing either 21 g/100 g sunflower oil or lard and showed that sunflower oil evoked a higher (P < 0.05) lipase content than lard. In studies by Gabert et al. (1996)Citation , pigs were prepared with a pancreatic duct catheter and adapted to diets containing either coconut oil, rapeseed oil or fish oil. The authors found a higher (P < 0.05) chymotrypsin secretion in pancreatic juice of pigs fed a diet supplemented with coconut oil, and higher (P < 0.05) secretion of carboxylester hydrolase in pigs fed a diet containing fish oil.

The gastrointestinal hormones

Peptide YY (PYY) and cholecystokinin (CCK) are considered to be major regulative hormones of the exocrine pancreas. Several authors showed that fat stimulated the release of PYY in dogs (Aponte et al. 1985Citation , Lluis et al. 1989Citation , Pappas et al. 1985Citation ) and the release of CCK in dogs (Shiratori et al. 1989Citation ) and cats (Backus et al. 1995Citation ) as well. The effect of dietary fat on plasma CCK levels in pigs is discussed equivocally because Corring and Chayvialle (1987)Citation could not observe any effect, whereas Cuber et al. (1990)Citation reported a stimulatory effect of fats. Moreover, Yago et al. (1997a)Citation demonstrated in humans that not only the quantity of fat consumed but also the composition of dietary fat influenced plasma CCK and PYY levels. A diet based on olive oil with a higher degree of saturation than sunflower oil evoked higher hormone levels compared with the diet supplemented with sunflower oil.

In most studies, dietary changes elicited a fast response in enzyme adaptation and the secretion of gastrointestinal hormones, which took place completed within 1 wk (Bucko and Kopec 1968Citation , Corring 1980Citation , Deschodt Lanckman et al. 1971Citation ). There is evidence for the existence of such a mechanism in rats (Bucko and Kopec 1968Citation , Deschodt Lanckman et al. 1971Citation ), pigs (Corring and Chayvialle 1987Citation , Hee et al. 1988Citation ) and dogs (Yago et al. 1997bCitation ).

However, there is still a scarcity of information on the existence of a spontaneous adaptation of the exocrine pancreas when fully saturated fatty acids different in chain length are fed to pigs. The objectives of this study were to examine the effect of purified fat sources, namely, glycerol tricaprylate (8:0) and glycerol tristearate (18:0), on the spontaneous exocrine pancreatic secretion in pigs and on plasma levels of the gastrointestinal hormones CCK and PYY.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Animals.

The studies were carried out with six piglets [Swedish Landrace x (Yorkshire x Hampshire)] obtained from a production herd (Odarslöv’s Research Farm, Swedish University of Agricultural Sciences, Lund) with an average body weight of 13.6 kg at the beginning of the experiment. The pigs were housed individually; they had free movement in pens (1 x 2 m), free access to water and were kept under a 12-h light:dark cycle (light from 0800 to 2000h). Treatments and experiments were conducted according to the European Community regulations concerning the protection of experimental animals and Lunds University Ethical Committee Allowance.

Surgical procedures.

The pigs were sedated with azaperone (Stresnil, Janssen Pharmaceutica, Beerse, Belgium; 2 mg/kg body) and anesthetized with Halothane (ISC Chemicals, Tarrytown, NY; 3% air). Surgery was performed under aseptic conditions. The pigs were surgically fitted with a chronic pancreatic duct catheter and a T-shaped duodenal cannula for collection and subsequent return of pancreatic juice into the duodenum according to Pierzynowski et al. (1988)Citation and modified as described by Thaela et al. (1995)Citation . This method allows for the quantitative sampling of 100% pure, nonactivated pancreatic juice and therefore for a quantitative measurement of the volume of secretion of pancreatic juice. Additionally, a catheter for blood sampling was implanted into the vena jugularis according to Pierzynowski et al. (1988)Citation .

Experimental procedures.

The piglets were fed twice daily (1000 and 1600 h) a barley-based starter diet with 17.7% crude protein and 5.2% crude fat (Växfor, Lantmännen, Stockholm, Sweden) at a rate of 2 g/100 g body. After a postsurgical recuperation period of 7 d, beginning with the morning feeding (1000 h), a medium-chain triglyceride (MCT: glycerol tricaprylate, Fluka, Deisenhofen, Germany) or a long-chain triglyceride (LCT: glycerol tristearate, Fluka) or saline as a control was infused directly into the duodenum of the piglets via the duodenal T-cannula. The daily amount of fat infused into the duodenum amounted to 0.1 g/100 g body, which corresponds to 5% fat supplementation to the diet. Syringes were filled with the fats and saline was added to a final volume of 36 mL. They were kept under heating lamps at body temperature and were emulsified by means of vigorous shaking just before the infusions started. The fat treatments and the control infusion with saline (36 mL) were administered in small boluses of 3 mL per bolus every 5 min over a period of 1 h (1000 to 1100 h). The fats were provided according to a 3 x 2 Latin square design; the fatty acid composition of the fats infused is shown in Table 1Citation .


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Table 1. Fatty acid composition of MCT and LCT1

 
Pancreatic juice was collected over a period of 4 h, beginning 1 h preprandially (0900 h) and extending to 3 h postprandially (1300 h). The volume of secretion was recorded in 30-min intervals; an aliquot (1 mL) was obtained for analyses and stored immediately at -20°C. To maintain regulative feedback mechanisms with as few distortions as possible, the remainder was reinfused into the duodenum via the duodenal cannula in small doses every 5 min over a period of 30 min at a level that corresponded to the rate of secretion of pancreatic juice.

Additionally, blood samples of 5 mL were obtained 15 min preprandially and 15, 45, 90 and 150 min postprandially. The samples were taken with syringes containing 4 mmol EDTA and 1000 KIU (Kallikrein Inhibitor Unit) Trasylol (Bayer, Leverkusen, Germany) as a proteinase-inhibitor. The blood samples were immediately ice-chilled and centrifuged at 3434 x g. The plasma obtained was stored at -20°C until analyses.

Analytical procedures.

The fats infused were analyzed for their fatty acid composition by means of a gas liquid chromatography procedure according to Naumann et al. (1976)Citation . Pancreatic juice samples were analyzed for protein using the Lowry method (Lowry et al. 1951Citation ), performed on 96-well microwell plates, with bovine serum albumin (Sigma, St. Louis, MO) as a standard. Intra- and interassay CV for the protein determination were 3.1 and 3.6%, respectively. Trypsin (EC 3.4.21.4) activities were estimated after enterokinase (Sigma) activation using N-{alpha}-benzoyl-DL-arginine-p-nitroanilide (Sigma) as a substrate (Pierzynowski et al. 1990Citation ). Intra- and interassay CV for the trypsin determination were 2.8 and 3.2%, respectively. Lipase (EC 3.1.1.3) activities were determined by a pH-stat titration method using tributyrin as a substrate, as described by Borgström and Hildebrand (1975)Citation . Interassay CV for the lipase activity was 4.2%. One unit (U) of enzyme activity is defined as the amount of enzyme hydrolyzing 1 µmol substrate per minute. A competitive ELISA was used for measuring pancreatic colipase. The estimation was adapted to a procedure described for measuring enterostatin (Mei et al. 1993Citation ). Antiserum was obtained by immunizing a rabbit (3BI-16) with porcine procolipase [purified from porcine pancreas according to the method of Erlanson et al. (1973)Citation ]. Microtiter plates (96-well) were coated overnight with 0.2 mg/L purified procolipase (Erlanson et al. 1973Citation ). The antibody against procolipase was diluted 1:5000, the secondary biotin conjugated antibody (Sigma) was diluted 1:6000 and the streptavidin-alkaline phosphatase (Sigma) was diluted 1:6000. The plate was developed by the addition of p-nitrophenyl phosphate (Sigma), and a standard curve (r2 = 0.99) ranging from 500 mg/L to 0.7 mg/L was used in this assay [50% inhibitory dose (ID50) = 34 mg/L]. A RIA kit was used for the determination of plasma CCK levels (Eurodiagnostica, Malmö, Sweden; crossreactivity with gastrin sulfated < 0.5%, with gastrin nonsulfated < 0.01%; assay C-terminally oriented) and for plasma PYY levels (Peninsula, St. Helens, UK; crossreactivity with pancreatic polypeptide < 0.01%; assay C-terminally oriented). The methods recommended by the manufacturers were used except for minor modifications for the PYY estimation, i.e., before extracting the peptides out of the sample solutions, the recommended Sep-Pak C18 (Sep-Pak Vac 3cc, Waters, Milford, MA) cartridges were pretreated with 100% acetonitrile (Merck, Darmstadt, Germany). After the columns were conditioned, they were loaded with 2 mL sample solution. Intra-assay CV and recovery were 16 and 80% for CCK and 14 and 67% for PYY, respectively.

Protein contents in pancreatic juice were expressed as g/L; protein outputs were expressed as mg/(h · kg). Enzyme contents in pancreatic juice were expressed as kU/L; enzyme outputs were expressed as U/(h · kg body). Colipase contents in pancreatic juice were expressed as µg/L, and colipase outputs were expressed as µg/(h · kg body). Plasma CCK levels were expressed as pmol/L, and plasma PYY levels were expressed as ng/L.

Statistical analyses.

Data were analyzed with StatView software (version 4.57, Abacus Concepts, Berkeley, CA) using repeated-measures ANOVA with time, treatment and time x treatment interaction in the model. Scheffé’s post-test was performed to compare treatment means of the pooled data. The results were expressed as means ± SEM The level of significant difference was set at 5% (P < 0.05).


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The pigs recovered well from surgery and started to gain weight (300–450 g/d) 3–5 d postsurgically. The pigs remained clinically healthy and consumed their feed within 10–15 min. Postmortem examinations after the experiment revealed no intestinal adhesions, other abnormalities or the existence of a Wirsungs’ duct.

The infusion of MCT evoked a postprandial decrease in the volume of secretion from 2.6 mL/(h · kg) (30 min postprandially) to a value of 0.25 mL/(h · kg) (2 h postprandially) (Fig. 1Citation ). There was a minor increase 4 h postprandially, which amounted to 1.3 mL/(h · kg). As a result, for the volume of secretion, the trend of the curve for the MCT treatment changed (P < 0.01), whereas no changes (P > 0.2) for the LCT and saline infusions were obtained. A difference (P < 0.02) between the diurnal patterns of the curves for the MCT and saline treatment was observed, whereas the curves for MCT and LCT treatment tended to (P < 0.10) different trends of the curves. No difference (P > 0.3) between the trends of the curves for saline and LCT infusions was obtained.



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Figure 1. The trends of the curves of volume of secretion of pancreatic juice after intraduodenal infusion of saline, medium-chain triglyceride (MCT) and long-chain triglyceride (LCT) in pigs. Results are expressed as means ± SEM, n = 6. *Indicates a significant change of trend of curve over time, P < 0.05. Different superscripts in the legend indicate significant differences among trends of the curves, P < 0.05.

 
The protein content in pancreatic juice showed nondirectional trends of the curves for all three treatments. The diurnal patterns did not change (P > 0.2) for these treatments and no differences (P > 0.4) between the trends of the curves were observed. However, on the basis of protein output in pancreatic juice, MCT infusions induced a change (P < 0.01) in the trend of the curves, whereas the control infusion with saline and the LCT treatment did not evoke (P > 0.2) a change in the diurnal patterns. The trend of the curve for the MCT infusions differed (P < 0.01) from the trend of the curve for the LCT infusion because 30 min after feed consumption, both curves showed a prandial increase in the protein output from 6.2 to 15.9 mg/(h · kg) for the MCT treatment and from 4.8 to 8.2 mg/(h · kg) for the LCT treatment. Values for the saline and the LCT treatment remained at levels of 8–10 mg/(h · kg) up to 4 h postprandially, whereas protein outputs for the MCT treatment decreased 2–3 h postprandially to below preprandial levels, resulting in a value of 1.35 mg/(h · kg). The protein output of the MCT treatment recovered to preprandial values 4 h postprandially.

The diurnal patterns of trypsin contents did not change (P > 0.1) for the saline and MCT infusions, whereas the LCT infusions evoked a change in the trend of the curve (P < 0.01). However, no differences (P > 0.05) between the trends of the curves were observed. A prandial increase in the outputs of trypsin was obtained for all three treatments. However, the trend of the curve for the MCT treatment decreased to below preprandial values [from 3.78 to 0.99 U/(h · kg)] 90 min postrandially and recovered to preprandial values 4 h postprandially. The diurnal patterns of the MCT (P < 0.01) and LCT (P < 0.03) infusions changed, whereas the control infusion with saline had no effect (P > 0.4) on trypsin output. Moreover, the trends of the curves for the trypsin outputs differed between LCT and MCT treatments as well as between the saline and the MCT treatments (P < 0.01). No difference (P > 0.2) between the diurnal patterns of the saline and LCT infusion was obtained.

Lipase contents showed a nondirectional trend of the curves for saline and MCT infusions (P > 0.2), whereas the LCT infusions evoked a change (P < 0.05) of the trend of the curve; a prandial peak (2.5-fold increase compared with preprandial value) 30 min postprandially was observed (Fig. 2ACitation ). The diurnal patterns of LCT and MCT infusions differed (P < 0.02) from each other, whereas no difference (P > 0.1) was found between the saline and LCT or between the saline and MCT treatment. The trend of the curve for lipase outputs did not change (P > 0.4) for the saline treatment, whereas there was a tendency toward a change (P < 0.06) in the trend of the curve for the MCT treatment and a significant (P < 0.01) change in the diurnal pattern of the LCT infusion (Fig. 2BCitation ). Lipase outputs increased twofold and 1.6-fold for the LCT and MCT treatments, respectively, 30 min postprandially compared with preprandial values. Although lipase outputs decreased to below preprandial values for the MCT infusion, lipase outputs for the LCT treatment remained high, ranging from 1.5- to 2-fold over preprandial values. The trends of the curves between MCT and LCT treatments were different (P < 0.03), whereas no difference between saline and MCT (P > 0.2) or between saline and LCT treatments (P > 0.3) was observed.



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Figure 2. The trends of the curves of lipase concentration (panel A) and output (panel B) in pancreatic juice of pigs after intraduodenal infusion of saline, medium-chain triglyceride (MCT) and long-chain triglyceride (LCT). (A and B) Results are expressed as means ± SEM, n = 6. *Indicates a significant change of trend of curve over time, P < 0.05. Different superscripts in the legend indicate significant differences among trends of the curves, P < 0.05.

 
The infusion of MCT evoked a change (P < 0.05) in the trend of the curve for the colipase content in pancreatic juice, and there also tended to be a difference (P < 0.09) in the trend of the curve for the LCT treatment. No change (P > 0.5) was obtained for the saline treatment (Fig. 3ACitation ). A postprandial increase of the colipase content was observed for both the MCT and LCT treatments, peaking 1 h postprandially at 56.3 and 58.7 mg/L, respectively. No differences (P < 0.2) between the trends of the curves were obtained. The diurnal patterns of the colipase output changed with respect to time (P < 0.01) for the MCT infusion, whereas the infusion of saline and LCT had no effect (P > 0.1). Colipase output increased fourfold after infusion of LCT compared with preprandial values and remained at this elevated level for 2.5 h. The trends of the curves differed (P < 0.01) between the saline and MCT treatment as well as between the MCT and LCT treatment, whereas no difference (P > 0.7) between saline and LCT infusions was found (Fig. 3BCitation ).



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Figure 3. The trends of the curves of colipase concentration (panel A) and output (panel B) in pancreatic juice of pigs after intraduodenal infusion of saline, medium-chain triglyceride (MCT) and long-chain triglyceride (LCT). (A and B) Results are expressed as means ± SEM, n = 6. *Indicates a significant change of trend of curve over time, P < 0.05. Different superscripts in the legend indicate significant differences among trends of the curves, P < 0.05.

 
Plasma CCK levels for saline and LCT treatment did not show a change (P > 0.2) in their diurnal patterns during the experiment; however, there was a trend (P < 0.08) for a change in the MCT treatment (Fig. 4Citation ). Although the curves do not differ (P > 0.2) from each other, the comparison of treatment means of the pooled data showed that the MCT treatment resulted in 35 and 40% lower (P < 0.01) plasma CCK levels compared with the saline and LCT treatment, respectively.



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Figure 4. The trends of the curves of plasma cholecystokinin (CCK) after intraduodenal infusion of saline, medium-chain triglyceride (MCT) and long-chain triglyceride (LCT) in pigs. Results are expressed as means ± SEM, n = 6. *Indicates a significant change of trend of curve over time, P < 0.05. Different uppercase letters in the legend indicate significant differences among pooled data of the treatments, P < 0.05.

 
The trends of the curves for the plasma PYY levels did not differ (P > 0.5) among the three treatments during the experimental period. Moreover, no differences (P > 0.6) were observed among the diurnal patterns of the three treatments; PYY levels remained at constant values of ~25 ng/L (Fig. 5Citation ).



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Figure 5. The trends of the curves of plasma peptide YY (PYY) after intraduodenal infusion of saline, medium-chain triglyceride (MCT) and long-chain triglyceride (LCT) in pigs. Results are expressed as means ± SEM, n = 6.

 

    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
All variables estimated except for colipase concentrations showed an immediate response of the exocrine pancreas to feed intake and infusions of fat. This prandial response to feed intake is reflected by an immediate increase in the volume of secretion, in enzyme activities and in plasma CCK levels. Similar responses to feed intake have been described earlier in studies with pigs by Hee et al. (1988)Citation and Thaela et al. (1995)Citation . Protein and trypsin outputs showed very similar diurnal patterns, which might be related to the fact that in the pancreatic juice of pigs, the ratio between trypsin and protein is fourfold higher than the values obtained in the pancreatic juice of rats. This suggests that trypsin is a major component of the protein fraction in the pancreatic juice of pigs (Harada et al. 1982Citation ). Pancreatic lipase is most important for fat digestion in the small intestine. However, on the basis of the lipase contents in pancreatic juice, the results for the different infusion treatments are equivocal and no clear evidence exists for the influence of fats differing in chain length on pancreatic lipase secretion. On the basis of lipase outputs, representing the lipase content in relation to its corresponding value in volume of secretion, however, three different trends of the curves for the three different infusion treatments were obtained. Lipase outputs did not change in the diurnal pattern after saline infusion, whereas the MCT treatment evoked a prandial peak and a postprandial decrease to below preprandial values. On the other hand, after LCT infusions, the lipase outputs remained at the prandial elevated level. Moreover, this pattern for each of the infusion treatments is also similar for colipase contents and outputs.

The different infusion treatments had only minor effects on plasma PYY levels, which confirms observations by Aponte et al. (1985)Citation who showed that infusion of either lauric (12:0) or oleic (18:1) acid into the proximal duodenum did not evoke a PYY release. In contrast, ileal and combined duodenal and ileal infusions of lauric or oleic acid produced similar significant increases in plasma PYY levels. The authors concluded that plasma PYY levels are not influenced by the chain length of fatty acids. It cannot be excluded that in the present study, the absolute amounts of triglycerides infused intraduodenally were not sufficient to stimulate the PYY release at the ileal level. Moreover, Serrano et al. (1997)Citation pointed out that the degree of saturation of fatty acid must be considered as an important stimulus for PYY release. In humans, the consumption of a diet containing olive oil with high levels of monounsaturated fatty acids evoked higher plasma PYY levels than the consumption of a diet containing sunflower oil with high levels of PUFA (Serrano et al. 1997Citation ). This may explain why no differences in plasma PYY levels were observed in this study because the fats infused were both fully saturated.

The plasma CCK levels for the saline and LCT treatments did not differ from each other, which confirms observations in pigs (Corring and Chayvialle 1987Citation ). These authors did not find a difference in plasma CCK levels after consumption of either a high fat or high starch diet compared with a balanced control diet. However, in the present study, the plasma CCK concentrations decreased after the start of the MCT infusions. This decrease follows the same diurnal pattern as was obtained for enzyme outputs during the experimental periods. CCK is a potent stimulus for pancreatic secretion in pigs (Houe et al. 1997Citation , Pierzynowski et al. 1995Citation ), and different CCK-mediated feedback mechanisms, as described recently by Pierzynowski et al. (1999)Citation , are responsible for the close relationship between enzyme secretion and plasma CCK levels.

In addition, there are indications that the CCK release might be influenced by plasma PYY levels. Fifteen minutes after the infusion of MCT, the plasma PYY showed a great variation (mean 36.7 ng/L, SEM 16.0) which suggests that at least in some pigs, PYY release was highly stimulated. Coincidentally, the plasma CCK level started to decrease 90 min after the beginning of the MCT infusions. A possible explanation for this interaction is provided by Lluis et al. (1988)Citation who showed in adult dogs that a suppression of CCK release was linked to an increase in plasma PYY levels. They concluded that the CCK release was inhibited by an increased PYY release.

The reason for the decrease in volume of secretion after MCT infusions, resulting in similar decreases in enzyme outputs, remains unclear. One possible explanation was provided by Layer et al. (1990)Citation who could show in humans that small quantities of nutrients (e.g., fat) that were perfused into the ileum decreased pancreatic enzyme secretion by >80% (P < 0.001) compared with perfusions with saline. Moreover, Furuse et al. (1992)Citation demonstrated that MCT are absorbed via the blood and the lymphatic system, whereas LCT are absorbed exclusively via the lymphatic system. This difference could mediate different hormonal feedback mechanisms. Furthermore, MCT might be absorbed at a higher rate than LCT, resulting in lower quantities reaching the ileum of pigs.

In conclusion, the infusions of different fats into the duodenum under prandial conditions evoked different responses. It can be assumed that the chain length of the fats infused will have an influence on the release of CCK and therefore on exocrine pancreatic secretions. There is no clear evidence that PYY is mediating the regulation of exocrine pancreatic secretions with respect to fat digestion. Furthermore, the results of this study clearly show that enzyme and protein contents do not reflect physiologic conditions; therefore, studies based on the slaughter method must be reviewed critically. This method does not allow for the measurement of enzyme outputs because long-term collections of pancreatic juice are not possible. According to Sauer and Mosenthin (1999)Citation , only results expressed in outputs rather than contents are a true reflection of the effect of dietary treatments on the exocrine pancreas because differences in contents may simply reflect dilution by pancreatic juice.

Further investigations are warranted to identify the factors that may be responsible for the changes in the volume of secretion, enzyme secretion and the release of gastrointestinal hormones after MCT infusions. Further studies should focus on gastrointestinal hormones involved in the regulation of the exocrine pancreas, such as CCK and PYY, but also neurotensin and secretin. The determination of the diurnal pattern of secretin in plasma is of particular interest because secretin is considered to be the major regulative hormone of the volume of pancreatic secretion.


    ACKNOWLEDGMENTS
 
The authors thank Dieter Eckstein (Institute of Physics, Hohenheim University) for conducting PYY estimations and Inger Matsson for exceptional analytical help and never-ending patience.


    FOOTNOTES
 
1 Supported by the DFG (German Research Council), Swedish Council for Forestry and Agriculture, the Dr Albert Påhlsson Foundation and the Visby Programet. Back

3 Abbreviations used: CCK, cholecystokinin; LCT, long-chain triglyceride; MCT, medium-chain triglyceride; PUFA, polyunsaturated fatty acids; PYY, peptide YY. Back

Manuscript received January 13, 2000. Initial review completed March 20, 2000. Revision accepted July 4, 2000.


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

1. Aponte G. W., Fink A. S., Meyer J. H., Tatemoto K., Taylor I. L. Regional distribution and release of peptide YY with fatty acids of different chain length. Am. J. Physiol. 1985;249:G745-G750[Abstract/Free Full Text]

2. Backus R. C., Rosenquist G. L., Rogers Q. R., Calam J., Morris J. G. Elevation of plasma cholecystokinin (CCK) immunoreactivity by fat, protein, and amino acids in the cat, a carnivore. Regul. Pept. 1995;57:123-131[Medline]

3. Behrmann H. R., Kare M. R. Adaptation of canine pancreatic enzymes to diet composition. J. Physiol. 1969;205:667-676[Abstract/Free Full Text]

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5. Bucko A., Kopec Z. Adaptation of enzyme activity of the rat pancreas on altered food intake. Nutr. Diet. 1968;10:276-287

6. Corring T. The adaptation of digestive enzymes to the diet: its physiological significance. Reprod. Nutr. Dev. 1980;20:1217-1235

7. Corring T., Chayvialle J. A. Diet composition and the plasma levels of some peptides regulating pancreatic secretion in the pig. Reprod. Nutr. Dev. 1987;27:967-977

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M. S. Hedemann, A. R. Pedersen, and R. M. Engberg
Exocrine Pancreatic Secretion Is Stimulated in Piglets Fed Fish Oil Compared with Those Fed Coconut Oil or Lard
J. Nutr., December 1, 2001; 131(12): 3222 - 3226.
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