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(Journal of Nutrition. 2001;131:717-722.)
© 2001 The American Society for Nutritional Sciences


Articles

Phosphatidylcholine Inhibits and Lysophosphatidylcholine Enhances the Lymphatic Absorption of {alpha}-Tocopherol in Adult Rats1

Sung I. Koo2 and Sang K. Noh

Department of Human Nutrition, Kansas State University, Manhattan, Kansas 66506

2To whom correspondence should be addressed. E-mail: koo{at}humec.ksu.edu


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 Experiment 1
 Experiment 2
 RESULTS
 DISCUSSION
 REFERENCES
 
This study was conducted to compare the effects of enterally infused phosphatidylcholine (PC) and lysophosphatidylcholine (lysoPC) on the lymphatic absorption of {alpha}-tocopherol ({alpha}TP) in male rats. In expt. 1, bile-diverted rats with mesenteric lymph cannulas were infused at 3.0 mL/h for 8 h with a lipid emulsion containing 5.0 µmol {alpha}TP, 565 µmol 14C-triolein (14C-OA) and 396 µmol Na+-taurocholate with 80 µmol 1,2-dipalmitoyl PC (DPPC) or 1,2-dilinoleoyl PC (DLPC) or without PC (NoPC) in 24 mL phosphate-buffered saline (pH 6.6). In expt. 2, the effects of 1,2-dioleoyl PC (DOPC) and 1-oleoyl-2-hydroxy-PC (lysoPC) on {alpha}TP and 14C-cholesterol absorption were compared in rats with lymph cannulas. When DPPC or DLPC was infused, the lymphatic absorption of {alpha}TP was lowered drastically. The cumulative absorptions of {alpha}TP in rats infused with DPPC and DLPC were 45 and 52%, respectively, of the control values (NoPC). No significant difference was noted between the PC groups. In contrast, the absorption of 14C-OA was increased by 42 to 43% in rats infused with DPPC or DLPC compared with that in NoPC rats. Phospholipid outputs also were significantly higher in DPPC (34.0 ± 5.5 µmol/8 h) and DLPC (32.4 ± 2.4 µmol/8 h) rats than in NoPC rats (21.2 ± 4.2 µmol/8 h). When lysoPC was infused, the absorptions of {alpha}TP and 14C-cholesterol were increased markedly compared with those for DOPC, with no significant difference in PL output between groups infused with DOPC and lysoPC. These observations provide clear evidence that PC present in a lipid emulsion inhibits {alpha}TP absorption, whereas it enhances the absorption of fat. The data also demonstrate that lysoPC simultaneously increases the absorption of {alpha}TP and cholesterol. The findings indicate that luminal PC inhibits the absorption of {alpha}TP and that hydrolysis of PC is critical to improving the intestinal absorption of the vitamin.


KEY WORDS: • absorption • {alpha}-tocopherol • cholesterol • lysophosphatidylcholine • phosphatidylcholine • rats


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 Experiment 1
 Experiment 2
 RESULTS
 DISCUSSION
 REFERENCES
 
Phosphatidylcholine (PC)3 of biliary or dietary origin plays an important role in the intestinal absorption of dietary fat and fat-soluble nutrients. O’Doherty et al. (1)Citation first demonstrated that the deprivation of biliary PC results in the impaired uptake and absorption of fatty acid (fat) and that the provision of PC in bile-diverted rats not only restores the absorption of fat but also stimulates protein synthesis during active fat absorption. This observation has been confirmed in subsequent studies by other investigators (2Citation ,3)Citation . Growing evidence, however, indicates that PC may inhibit the intestinal uptake and absorption of certain lipids. For instance, the presence of PC in bile-salt micelles has been shown to inhibit cholesterol uptake by intestinal segments and everted sacs under in vitro conditions (4Citation 5Citation 6Citation 7Citation 8)Citation . A marked decrease in cholesterol absorption also has been shown in humans infused intraduodenally with purified soy PC (9)Citation . More recently, a study with Caco-2 cells (10)Citation showed that PC in bile-salt micelles decreased the cell uptake, esterification and secretion of cholesterol without affecting the uptake of fat and monoacylglycerol, whereas the substitution of lysophosphatidylcholine (lysoPC) for the PC or the addition of pancreatic phospholipase A2 (PLA2) reversed the inhibition of cholesterol uptake by PC. In addition, PLA2 inhibitors or antibodies were shown to abolish the PLA2-dependent increase in cholesterol uptake (10Citation ,11)Citation . The inhibitory effect of PC on cholesterol uptake also was observed when PC was incorporated into lipid emulsions (12)Citation . The initial hydrolysis of the surface PC in a lipid emulsion by pancreatic PLA2 was required for hydrolysis of the core triacylglycerol (TG) by pancreatic lipase/colipase and for the stimulation of cholesterol uptake by rat intestinal cells.

Of particular interest is the observation that micellar PC causes a drastic decrease in the intestinal absorption of {alpha}-tocopherol ({alpha}TP), a fat-soluble vitamin, as measured by using an intestinal segment perfused in situ (13)Citation . At the present, direct evidence for such an effect of PC is lacking from in vivo studies using conscious animals. Furthermore, the exact mechanism underlying the inhibitory effect of PC on the intestinal uptake and absorption of {alpha}TP remains to be elucidated. Thus, the present study was conducted to: 1) determine the effects of PC differing in their fatty acid makeup on {alpha}TP absorption in bile-diverted rats with lymph cannula and 2) examine whether lysoPC increases the intestinal absorption of the vitamin.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 Experiment 1
 Experiment 2
 RESULTS
 DISCUSSION
 REFERENCES
 
Animals and diet.

Male Sprague-Dawley rats weighing 242 ± 7 g were purchased from Harlan Industries (Indianapolis, IN) and housed singly in wire-bottomed plastic cages in a room of controlled temperature (22–24°C) and lighting (light off: 0900–2100 h). On arrival, rats had free access to a nutritionally adequate AIN-93G diet (14)Citation containing egg white in place of casein (Table 1Citation ). All rats had free access to deionized water throughout the study. Animals were cared for in an animal care facility in the Department of Human Nutrition, Kansas State University, that was fully accredited by the American Association for the Accreditation of Laboratory Animal Care. Animals were maintained in accordance with the policies and guidelines for animal care and use procedures of the Kansas State University Institutional Animal Care and Use Committee.


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Table 1. Diet composition1

 

    Experiment 1
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 Experiment 1
 Experiment 2
 RESULTS
 DISCUSSION
 REFERENCES
 
Cannulation of bile and lymph ducts.

Rats weighing 348–368 g were divided into three groups of five rats each. After not being fed for 15 h, rats were anesthetized with halothane using a vaporizer (2.0% halothane in 2.0 L oxygen/min). Cannulation of the bile and mesenteric lymph ducts was performed as described previously (15Citation ,16)Citation . Briefly, after midline abdominal incision, the bile duct was cannulated with PE-10 tubing (Clay Adams, Sparks, MD), which was secured in place with suture (4-0 silk; Ethicon, Somerville, NJ). Subsequently, the major mesenteric lymph duct was cannulated with polyethylene tubing (SV 31 tubing; Dural Plastics, Auburn, Australia) and fixed with cyanoacrylate glue (Krazy Glue, Columbus, OH). A silicone infusion catheter (Silastic medical grade tubing; Dow Corning, Midland, MI) was inserted into the proximal duodenum via the gastric fundus and secured with purse-string suture (4-0 silk; Ethicon). The bile and lymph cannulas and the infusion catheter were exteriorized through the right flank. The rats were placed in individual restraining cages and allowed to recover for 20 h in a warm recovery chamber maintained at 30°C. During the recovery period, rats were infused via the infusion catheter with phosphate-buffered saline (PBS) buffer (277 mmol glucose, 6.75 mmol Na2HPO4, 16.5 mmol NaH2PO4, 115 mmol NaCl and 5 mmol KCl per L, pH 6.6) at 3.0 mL/h via a syringe pump (model 935; Harvard Apparatus, South Natick, MA).

Composition and infusion of lipid emulsion.

After postoperative recovery, rats were infused at 3.0 mL/h with a lipid emulsion containing 5.0 µmol {alpha}TP (all-rac-{alpha}-tocopherol, 97%; Aldrich Chemical, Milwaukee, WI), 27.8 kBq [carboxyl-14C]triolein (14C-OA; specific activity, 3.8 GBq/mmol; DuPont-New England Nuclear, Boston, MA), 565 µmol triolein (95%; Sigma Chemical, St. Louis, MO) and 396 µmol Na+-taurocholate with 80 µmol 1,2-dipalmitoyl PC (DPPC; 99%; Avanti Polar Lipids, Alabaster, AL) or 1,2-dilinoleoyl PC (DLPC; 99%; Avanti Polar Lipids) or without PC (NoPC) in 24 mL of PBS. During infusion of the lipid emulsion, lymph was collected at hourly intervals for 8 h in preweighed ice-chilled plastic tubes containing 30 µg n-propyl gallate and 4 mg Na2EDTA. Lymph samples were stored at -70°C for lipid analyses.

HPLC analysis of {alpha}TP in lymph.

{alpha}TP was extracted with acetone with a slight modification of the procedure (17)Citation . Briefly, 100 µL lymph was placed into a glass test tube, followed by the addition of 1 mL acetone and 150 mg anhydrous sodium sulfate. The contents were mixed vigorously on a vortex mixer. After centrifugation at 1000 x g at 4°C for 10 min, the upper phase was filtered through a PTFE syringe filter (0.45 µm; Alltech Associates, Deerfield, IL), dried under N2 and resolubilized in a defined volume of chloroform/methanol mixture (1:3, v/v). {alpha}TP acetate was added as an internal standard into each sample. The extracts were separated with a Beckman HPLC instrument with System Gold software (Beckman Instruments, Fullerton, CA) equipped with a C-18 reverse-phase column (Alltima C18, 5 µm, 4.6 x 150 mm; Alltech Associates). Methanol was used as the mobile phase at 2 mL/min. Typical elution times were 4.1 min for {alpha}TP and 5.3 min for {alpha}TP acetate. Detection was monitored at 292 nm (Module 166; Beckman Instruments). The concentration of {alpha}TP was calculated from the peak area responses using a standard curve with {alpha}TP ranging from 110.5 to 442.3 pmol. The recovery of the internal standard exceeded 94%.

Determination of 14C-OA absorption.

From 100-µL aliquots of fresh lymph, 14C-radioactivity was determined with a liquid scintillation counting system (Beckman LS-6500; Beckman Instruments) after mixing with scintillation liquid (ScintiVerse; Fisher Scientific, Fair Lawn, NJ). The 14C-radioactivity appearing in total hourly lymph volumes was expressed as a percentage of the total 14C-radioactivity infused.

Determination of lymphatic phospholipid (PL) and cholesterol outputs.

With 100 µL of hourly lymph samples, PL was measured colorimetrically (UV-1201 Spectrophotometer; Shimazu Scientific Instruments, Columbia, MD) according to the method of Raheja et al. (18)Citation . Cholesterol was determined with the use of o-phthalaldehyde (Sigma Chemical), as described by Rudel and Morris (19)Citation .


    Experiment 2
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 Experiment 1
 Experiment 2
 RESULTS
 DISCUSSION
 REFERENCES
 
This experiment was conducted to determine whether the substitution of lysoPC for PC in a lipid emulsion increases the intestinal absorption of {alpha}TP and cholesterol. The protocols concerning diet formulation, animal care, surgical procedure and lipid analyses were the same as described for expt. 1, except that rats weighing 334–408 g were used for cannulation of the mesenteric lymph duct without bile diversion. After an overnight recovery period, rats were infused with a lipid emulsion containing 3.56 µmol {alpha}TP (all-rac-{alpha}-tocopherol, 97%; Aldrich Chemical), 33.3 kBq [4-14C]-cholesterol (specific activity, 1.9 GBq/mmol; DuPont-New England Nuclear), 20.69 µmol cholesterol, 452 µmol triolein (95%; Sigma Chemical) and 396 µmol Na+-taurocholate with either 100 µmol DOPC (99%; Avanti Polar Lipids) or lysoPC (99%; Avanti Polar Lipids) plus 100 µmol oleic acid in 24 mL PBS (pH 6.6).

Statistical analysis.

All statistical analyses were performed using PC SAS (20)Citation . ANOVA and the least significant difference test were performed to compare multiple group means and to detect time-dependent changes within groups. Student’s t test was used to compare two group means at designated time intervals. Differences were considered significant at P < 0.05. Values in tables and figures are expressed as means ± SD.


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 Experiment 1
 Experiment 2
 RESULTS
 DISCUSSION
 REFERENCES
 
Experiment 1

    Lymphatic absorption of {alpha}TP. The rates of lymph flow or total lymph volumes did not differ regardless of whether PC was infused. The hourly rates of lymph flow were 2.1 ± 0.5 mL when infused with DPPC, 2.0 ± 0.4 mL with DLPC and 2.0 ± 0.2 mL with NoPC. Figure 1Citation shows the hourly lymphatic absorption of {alpha}TP in rats with bile diversion. The intraduodenal infusion of either DPPC or DLPC in a lipid emulsion drastically lowered the hourly rates of {alpha}TP absorption at 4 h and thereafter, with no significant difference between DPPC- and DLPC-infused rats (Table 2Citation ). The hourly rates of {alpha}TP absorption rose slowly but steadily in all groups during the first 3 h of lipid infusion (Fig. 1)Citation . At 4 h and thereafter, however, the hourly rates of absorption did not rise further in DPPC and DLPC rats and remained at 50 to 60 nmol/h. In contrast, the rate of {alpha}TP absorption in NoPC rats increased rapidly beginning at 4 h and reached 122.8 ± 23.4 nmol/h at 8 h. The rates of {alpha}TP absorption in DPPC, DLPC and NoPC groups were 45.1 ± 10.7, 48.0 ± 7.9 and 86.5 ± 16.9 nmol/h, respectively. The cumulative absorptions of {alpha}TP at 8 h were 361.0 ± 85.3 nmol (7.2 ± 1.7% dose) in DPPC, 383.8 ± 63.4 nmol (8.5 ± 1.4% dose) in DLPC and 692.2 ± 135.0 nmol (13.9 ± 2.7% dose) in NoPC rats, with no significant difference between the DPPC and DLPC groups. The total absorptions of {alpha}TP in DPPC and DLPC groups represented 52 and 56%, respectively, of the controls (NoPC).



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Figure 1. The lymphatic absorption of {alpha}-tocopherol ({alpha}TP) at hourly intervals for 8 h in bile-diverted rats during luminal infusion of a lipid emulsion without phosphatidylcholine (NoPC) or with either 1,2-dipalmitoyl phosphatidylcholine (DPPC) or 1,2-dilinoleoyl phosphatidylcholine (DLPC). All values are expressed as means ± SD, n = 5. *Significantly higher than DPPC and DLPC groups at the time point (P < 0.05).

 

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Table 2. Cumulative lymphatic absorptions of {alpha}-tocopherol ({alpha}TP) and 14C-triolein (14C-OA) and outputs of phospholipid (PL) in bile-diverted rats during duodenal infusion of a lipid emulsion with 1,2-dipalmitoyl phosphatidylcholine (DPPC) or 1,2-dilinoleoyl phosphatidylcholine (DLPC) or without phosphatidylcholine (NoPC)1

 
    Lymphatic absorption of 14C-OA. In direct contrast to the inhibitory effect of PC on {alpha}TP absorption, luminal infusion of DPPC or DLPC markedly increased the absorption of 14C-OA, as provided in the form of triolein. The hourly rates of 14C-OA absorption rose rapidly in rats infused with DPPC or DLPC starting at 3 h and continued to rise above the rates observed in NoPC rats until 8 h (Fig. 2Citation ). The rates of 14C-OA absorption were 6.6 ± 0.9% dose/h in DPPC, 6.7 ± 0.5% dose/h in DLPC and 4.7 ± 0.6% dose/h in NoPC rats. The hourly rates of 14C-OA absorption in both DPPC and DLPC rats steadily increased in close parallel, with no significant difference at any hourly intervals (Fig. 2)Citation . The cumulative absorptions of 14C-OA for 8 h in DPPC and DLPC rats were 53.1 ± 7.4% dose and 53.5 ± 4.2% dose, respectively, which were significantly higher than in NoPC rats (37.5 ± 5.8% dose).



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Figure 2. The lymphatic absorption of triolein labeled with 14C (14C-OA) at hourly intervals for 8 h in bile-diverted rats during luminal infusion of a lipid emulsion without phosphatidylcholine (NoPC) or with either 1,2-dipalmitoyl phosphatidylcholine (DPPC) or 1,2-dilinoleoyl phosphatidylcholine (DLPC). All values are expressed as means ± SD, n = 5. *Significantly lower than DPPC and DLPC at the time point (P < 0.05).

 
    Lymphatic output of PL. As expected, the enteral infusion of PC markedly increased the hourly lymphatic outputs of PL. However, no difference (P > 0.05) was noted in PL outputs between DPPC and DLPC rats (Fig. 3Citation ). After rapid increases for the initial 2 h, the rates of PL output in DPPC and DLPC rats remained constant at 4.0–5.3 µmol/h. In rats infused with no PC, the rates of PL output after 2 h ranged from 2.6 to 3.0 µmol/h. The total amounts of PL released for 8 h were 34.0 ± 5.5 µmol in DPPC, 32.4 ± 2.4 µmol in DLPC and 21.2 ± 4.2 µmol in NoPC rats, with no significant difference between the PC groups (Table 2)Citation .



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Figure 3. The lymphatic output of phospholipid (PL) at hourly intervals for 8 h in bile-diverted rats during luminal infusion of a lipid emulsion without phosphatidylcholine (NoPC) or with either 1,2-dipalmitoyl phosphatidylcholine (DPPC) or 1,2-dilinoleoyl phosphatidylcholine (DLPC). All values are expressed as means ± SD, n = 5. *Significantly lower than DPPC and DLPC at the time point (P < 0.05).

 
Experiment 2

    Lymphatic absorption of {alpha}TP and 14C-cholesterol (14C-CH). Rates of lymph flow in lysoPC and DOPC rats were 2.6 ± 0.4 and 2.5 ± 0.6 mL/h, respectively. The total volumes of lymph secreted for 8 h were 20.5 ± 3.5 mL in lysoPC rats and 20.1 ± 5.1 mL in DOPC rats, with no significant difference between groups. However, the luminal infusion of lysoPC significantly increased the lymphatic absorption of {alpha}TP compared with that of DOPC (Fig. 4ACitation , P < 0.05). The hourly rate of {alpha}TP absorption was increased sharply with lysoPC infusion, peaking at 78.9 ± 17.6 nmol/h at 3 h, and then declined to a rate of 73.0 nmol/h thereafter. In rats infused with DOPC, however, the absorption of {alpha}TP, after peaking at 69.5 ± 20.7 nmol/h at 3 h, decreased to 53.0 ± 12.2 nmol/h at 4 h and remained at that level. The rates of {alpha}TP absorption were 73.0 ± 8.3 nmol/h in lysoPC rats and 51.1 ± 8.3 nmol/h in DOPC rats. The cumulative absorptions of {alpha}TP for 8 h were 583.7 ± 12.8 nmol (16.4 ± 0.4% dose) in lysoPC rats and 408.5 ± 66.5 nmol (11.5 ± 1.9% dose) in DOPC rats (Table 3Citation ). Similarly, the lymphatic absorption of 14C-CH was significantly higher in lysoPC rats than in DOPC rats at 3 h and thereafter (Fig. 4BCitation , P < 0.05). The hourly rates of 14C-CH absorption were 4.2 ± 0.1% dose/h in lysoPC rats and 3.1 ± 0.3% dose/h in DOPC rats. The cumulative absorption of 14C-CH for 8 h also was significantly higher in lysoPC rates (33.7 ± 1.1% dose) than in DOPC rats (24.8 ± 2.1% dose) (Table 3)Citation .



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Figure 4. The lymphatic absorptions of {alpha}-tocopherol ({alpha}TP) (A) and 14C-cholesterol (14C-CH) (B) at hourly intervals for 8 h in rats during luminal infusion of a lipid emulsion with either 1-oleoyl-2-hydroxy phosphatidylcholine (lysoPC) or 1,2-dioleoyl phosphatidylcholine (DOPC). All values are expressed as means ± SD, n = 5. *Significant differences between groups at the time point (P < 0.05).

 

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Table 3. Cumulative lymphatic absorptions of {alpha}-tocopherol ({alpha}TP) and 14C-cholesterol (14C-CH) and output of phospholipid (PL) in rats with lymph cannula during duodenal infusion of a lipid emulsion containing either 1-oleoyl-2-hydroxy phosphatidylcholine (lysoPC) or 1,2-dioleoyl phosphatidylcholine (DOPC)1

 
    Lymphatic output of PL. Rates of PL secretion in rats infused with lysoPC and DOPC were 3.6 ± 0.3 and 3.2 ± 0.4 µmol/h, respectively, with no significant difference between groups. The cumulative lymphatic outputs of PL in lysoPC and DOPC rats for 8 h were 29.1 ± 2.5 and 25.8 ± 3.4 µmol, respectively, with no significant difference between groups.


    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 Experiment 1
 Experiment 2
 RESULTS
 DISCUSSION
 REFERENCES
 
In the present study using bile-diverted rats with lymph cannulas, we provided clear evidence that the inclusion of intact PC in a lipid emulsion causes drastic decreases in the lymphatic absorption of {alpha}TP and cholesterol, whereas it enhances the absorption of fat (or fatty acid). In addition, the present data demonstrate that the substitution of lysoPC for PC simultaneously increases the absorption of {alpha}TP and cholesterol. Data show that the inhibitory effects of PC on {alpha}TP and cholesterol absorption are unrelated to the chain length or saturation/unsaturation of the acyl groups of the PC infused. To compare the effects of exogenous PC (DPPC versus DLPC), the influence of biliary PC was eliminated by bile diversion, but Na+-taurocholate was provided at 49.5 µmol/h to ensure an adequate supply of bile salts (21)Citation .

At the present, the mechanism underlying such dual effects of PC on lipid absorption is far from clear. Although intact PC is taken up via the intestinal brush border membrane (22)Citation , its direct uptake is thought to be minimal (23)Citation . Considerable evidence indicates that the action of intact PC is largely intraluminal. Studies, as mostly conducted under in vitro conditions, suggest that PC may affect the intestinal absorption of lipids by influencing the following intraluminal events: 1) the rates of lipolysis, 2) formation and diffusion of mixed micelles across the unstirred water layer and 3) transfer of micellar lipids to the brush border membrane. Earlier studies have shown that the presence of PC on the surface of lipid emulsions hinders the hydrolysis of the core TG by pancreatic lipase even in the presence of bile salts and colipase, whereas a limited initial hydrolysis of PC to lysoPC by pancreatic PLA2 facilitates the binding of lipase/colipase to the substrate interface, resulting in a rapid hydrolysis of TG to fatty acids and monoacylglycerol (24Citation 25Citation 26)Citation . More recently, a study using rat IEC-6 intestinal cells (12)Citation also showed that pancreatic lipase/colipase was ineffective in hydrolyzing TG in PC-containing lipid emulsions and that the initial hydrolysis of the surface PC by the addition of pancreatic PLA2 significantly increased the ability of pancreatic lipase/colipase to hydrolyze the core TG of the emulsion. Minimal hydrolysis of TG was required for stimulation of the cell uptake of cholesterol, suggesting that fatty acid and monoacylglycerol liberated from TG are key determinants in facilitating cholesterol transfer to the enterocyte. Thus, the combined actions of pancreatic PLA2 and lipase/colipase are critical for support of the normal rates of luminal lipolysis and subsequent formation of mixed micelles. The inclusion of PC in mixed micelles also has been shown to increase the solubility of lipids and the size of micelles in the presence of bile salts, which results in slowing of the rate of micellar diffusion across the unstirred water layer (6Citation ,8Citation ,27)Citation . Thus, these observations suggest that before its hydrolysis to lysoPC, PC may affect the intestinal uptake of lipids by slowing the rates of lipolysis and micelle formation in the intestinal lumen.

An important observation from the present study is that exogenous PC in bile-diverted rats inhibits the absorption of {alpha}TP and cholesterol, whereas it enhances the absorption of fat under in vivo conditions. It should be pointed out that the amount of PC infused was more than adequate to provide the amount of biliary PC lost by bile diversion, which was determined to be 3–4 µmol/h (unpublished data). In the present study, the amount of PC infused in the bile-diverted rats was set at 10 µmol/h to provide the amount of PC lost (4.0 µmol) by bile diversion and the estimated intake of PC through a typical diet. On a daily basis, this amount is equal to an intake of 113 mg PC and equivalent to 0.38 mg/kJ based on the average daily food intake of 20 g (AIN-93G diet), providing 297 kJ. For a human who consumes 10,450 kJ (2500 kcal)/d, it would be equivalent to a daily intake of 4.0 g PC, which is within the range (4–8 g) of daily PC intake estimated for adult humans (28)Citation . Thus, the observed inhibitory effect of PC on {alpha}TP and cholesterol absorption is not attributable to a lack or excess of PC supply. The inhibition of {alpha}TP absorption by PC also was demonstrated previously by using the rat small intestine perfused in situ with egg PC incorporated into bile salt micelles (13)Citation . However, the mechanism underlying the dual effects of PC (i.e., inhibition of {alpha}TP and cholesterol absorption and enhancement of fat absorption) has yet to be understood. It is generally believed that {alpha}TP and other fat-soluble vitamins enter the intestinal cell via passive diffusion, moving along with absorbed lipids (29Citation 30Citation 31)Citation . However, a recent in vitro study using Caco-2 cells (10)Citation demonstrated that the presence of intact PC in bile salt micelles differentially affects the cell uptake of lipids from the micellar matrix. The data showed that PC markedly reduced the uptake of cholesterol by Caco-2 cells, whereas it did not interfere with the cell uptake of oleic acid and monoacylglycerol (10)Citation . The investigators postulated that the presence of intact PC in bile salt micelles slows the transfer (desorption) of more hydrophobic lipids such as cholesterol (a 27-carbon lipid), without affecting the transfer of other less hydrophobic lipids, such as fatty acid and monoacylglycerol, products of TG hydrolysis by pancreatic lipase/colipase. This hypothesis is supported by the earlier observation by Pownall et al. (32)Citation that the rate of transfer of a hydrophobic molecule from PC single bilayer vesicles decreases with increasing hydrophobicity of the molecule. Consistent with these observations is the present finding that luminally infused PC slows the lymphatic absorption of {alpha}TP, an extremely hydrophobic 29-carbon lipid, whereas it enhances the absorption of fat (oleic acid).

The present data clearly demonstrate that the inhibitory effect of PC on the absorption of {alpha}TP and cholesterol is abolished when lysoPC is substituted for PC. Several studies previously have shown that the inclusion of lysoPC in mixed micelles or addition of pancreatic PLA2 in mixed micelles or a lipid emulsion enhances cholesterol uptake by intestinal cells under in vitro conditions (10Citation 11Citation 12)Citation . The present study is the first to show under in vivo conditions that the substitution of lysoPC for PC in a lipid emulsion simultaneously enhances the absorption of {alpha}TP and cholesterol. This effect of lysoPC may be mediated not only by its favorable effect on TG hydrolysis and micellar formation in the intestinal lumen but also by its stimulation of intracellular processing of lipids within the enterocyte. It is well documented that once lysoPC is taken up by the enterocyte, it is reconverted to PC and facilitates the intracellular reacylation and packaging of lipids and the formation and secretion of chylomicrons (1Citation ,21Citation ,33Citation 34Citation 35Citation 36)Citation .

In summary, the present study provides evidence that the luminal infusion of PC in bile-diverted rats with lymph cannulas drastically lowers the absorption of {alpha}TP but markedly increases the lymphatic absorption of fat and the output of PL. The substitution of lysoPC for PC in a lipid emulsion significantly enhances the intestinal absorption of {alpha}TP and cholesterol. Thus, pancreatic PLA2, which hydrolyzes PC to lysoPC, may play an important role in regulating the absorption of lipids and lipid-soluble vitamins. Our data here, as obtained under in vivo conditions, suggest that exogenous or dietary PC may be used to lower cholesterol absorption but may adversely affect the body or nutritional status of vitamin E by decreasing its absorption. Further investigation is required to delineate the impacts of dietary PC intake on {alpha}TP status and cholesterol metabolism.


    FOOTNOTES
 
1 Supported by U.S. Department of Agriculature National Research Initiative Competitive Grants Program (96-35200-3207) and the Kansas Agricultural Experiment Station (KAES) (contribution 01-79-J). Back

3 Abbreviations used: {alpha}TP, {alpha}-tocopherol; 14C-CH, 14C-cholesterol; 14C-OA, 14C-oleic acid; DLPC, 1,2-dilinoleoyl phosphatidylcholine; DOPC, 1,2-dioleoyl phosphatidylcholine; DPPC, 1,2-dipalmitoyl phosphatidylcholine; lysoPC, 1-oleoyl-2-hydroxy phosphatidylcholine; PC, phosphatidylcholine; PL, phospholipid. Back

Manuscript received September 18, 2000. Initial review completed November 16, 2000. Revision accepted December 11, 2000.


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 Experiment 1
 Experiment 2
 RESULTS
 DISCUSSION
 REFERENCES
 

1. O’Doherty P. J., Kasis G., Kuksis A. Role of luminal lecithin in intestinal fat absorption. Lipids 1973;8:249-255[Medline]

2. Tso P. Intestinal lipid absorption. Johnson L. R. Alpers D. H. Christensen J. Jacobson E. D. Walsh J. H. eds. Physiology of the Gastrointestinal Tract 3rd ed 1994:1867-1907 Raven Press New York, NY.

3. Tso P., Scobey M. The role of phosphatidylcholine in the absorption and transport of dietary fat. Kuksis A. eds. Fat Absorption 1986;1:177-195 CRC Press Boca Raton, FL.

4. Hollander D., Morgan D. Effect of plant sterols, fatty acids and lecithin on cholesterol absorption in vivo in the rat. Lipids 1980;15:395-400[Medline]

5. Rampone A. J. Effect of lecithin on intestinal cholesterol uptake by rat intestine in vitro. J. Physiol. 1973;229:505-514[Abstract/Free Full Text]

6. Rampone A. J., Long L. W. The effect of phosphatidylcholine and lysophosphatidylcholine on the absorption and mucosal metabolism of oleic acid and cholesterol in vitro. Biochim. Biophys. Acta 1977;486:500-510[Medline]

7. Reynier M. O., Lafont H., Crotte C., Sauve P., Gerolami A. Intestinal cholesterol uptake: comparison between mixed micelles containing lecithin or lysolecithin. Lipids 1985;20:145-150[Medline]

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