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Journal of Parenteral and Enteral Nutrition
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Alternative Lipids to Usual {omega}6 PUFAS: {gamma}-Linolenic Acid, {alpha}-Linolenic Acid, Stearidonic Acid, EPA, Etc

D. Spielmann, M.D., M.SC.

Nestec Limited, Nestlé Research Centre, Lausanne, Switzerland

U. Bracco, PH.D.

Nestec Limited, Nestlé Research Centre, Lausanne, Switzerland

H. Traitler, PH.D.

Nestec Limited, Nestlé Research Centre, Lausanne, Switzerland

G. Crozier, PH.D.

Nestec Limited, Nestlé Research Centre, Lausanne, Switzerland

R. Holman, PH.D.

University of Minnesota, Hormel Institute, Austin, MN

M. Ward, D.V.M.

Clintec Nutrition, Deerfield, Illinois

R. Cotter, PH.D.

Clintec Nutrition, Deerfield, Illinois

The intravenous administration of parenteral fat emulsions is widely used in total parenteral nutrition (TPN) to supply essential fatty acids and concentrated energy in a relatively small volume of isotonic solution. They contain very high amounts of linoleic acid and usually about 8% of {alpha}-linolenic acid calculated in the fat phase (10 or 20% of the total emulsion). Most of the time one emulsion is given as the sole source of fat, giving direct venous entry to a fatty acid composition substantially different from that encountered in a normal diet.

Since the latter greatly influences the fatty acid composition of phospholipids which are critical determinants of membrane structural properties influencing a variety of membrane functions (Fig. 1) (enzyme activity, membrane transport, receptor function) and functional precursors of intracellular and intercellular mediators (diacylglycerols, prostaglandins, leukotrienes, hydroxy fatty acids), do we provide the right fatty acid at the right place and the right time for efficient cell cell interaction? In other words, given the three roles of fatty acids—energetic, structural, functional—are we using the best strategy to avoid imbalances between the three roles? (Journal of Parenteral and Enteral Nutrition 12:111S-123S, 1988)

Journal of Parenteral and Enteral Nutrition, Vol. 12, No. 6 Suppl, 111S-123S (1988)
DOI: 10.1177/014860718801200618


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