COAGULATION DEFECTS AND ATHEROSCLEROSIS INDUCED IN RABBITS BY A DIET CONTAINING MEDIUM CHAIN TRIGLYCERIDES (MCT)

Autor: Gösta Arvidson, Inger Kockum, Nils H. Sternby, Inga Marie Nilsson, Haqvin Malmros
Rok vydání: 2009
Předmět:
Zdroj: Acta Medica Scandinavica. 192:201-212
ISSN: 0001-6101
DOI: 10.1111/j.0954-6820.1972.tb04803.x
Popis: In recent years medium chain triglycerides (MCT) have been widely used in the treatment of various diseases, such as different forms of malabsorption and certain types of hyperlipaemia. Only a few animal experimental studies and hardly any long-term studies had been available before the introduction of this agent as a therapeutic in clinical medicine. In experiments on rabbits a semisynthetic diet containing 20% MCT produced a remarkable rise in serum cholesterol, a certain increase of the triglycerides and distinct atheromatous changes in the aorta. The level of linoleic acid decreased markedly in the neutral lipids of serum, liver and adipose tissue. There was also an influence on the relative proportions of saturated and monounsaturated long chain fatty acids in the serum lipids. The phospholipids of serum and liver retained relatively high levels of linoleic acid. An incidental finding was that MCT caused a defect of the coagulation of the same type as that seen in severe diseases of the liver, such as liver cirrhosis in man. At postmortem examination considerable changes were found in the liver, probably a manifestation of a toxic effect. In two cases MCT was replaced by an equivalent amount of corn oil after 32 weeks. This resulted in a rapid normalization of the serum cholesterol and triglyceride values. The coagulation of the blood also became normal. Postmortem examination of these two cases, after they had been fed corn oil for 18 weeks, revealed a normal or practically normal liver.
Databáze: OpenAIRE