Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/17490
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Type: Journal article
Title: Fat digestion is required for suppression of ghrelin and stimulation of peptide YY and pancreatic polypeptide secretion by intraduodenal lipid
Author: Feinle-Bisset, C.
Patterson, M.
Ghatei, M.
Bloom, S.
Horowitz, M.
Citation: American Journal of Physiology: Endocrinology and Metabolism, 2005; 289(6):E948-E953
Publisher: Amer Physiological Soc
Issue Date: 2005
ISSN: 0193-1849
1522-1555
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Responsibility: 
Christine Feinle-Bisset, Michael Patterson, Mohammad A. Ghatei, Stephen R. Bloom, and Michael Horowitz
Abstract: Stimulation of cholecystokinin and glucagon-like peptide-1 secretion by fat is mediated by the products of fat digestion. Ghrelin, peptide YY (PYY), and pancreatic polypeptide (PP) appear to play an important role in appetite regulation, and their release is modulated by food ingestion, including fat. It is unknown whether fat digestion is a prerequisite for their suppression (ghrelin) or release (PYY, PP). Moreover, it is not known whether small intestinal exposure to fat is sufficient to suppress ghrelin secretion. Our study aimed to resolve these issues. Sixteen healthy young males received, on two separate occasions, 120-min intraduodenal infusions of a long-chain triglyceride emulsion (2.8 kcal/min) 1) without (condition FAT) or 2) with (FAT-THL) 120 mg of tetrahydrolipstatin (THL, lipase inhibitor), followed by a standard buffet-style meal. Blood samples for ghrelin, PYY, and PP were taken throughout. FAT infusion was associated with a marked, and progressive, suppression of plasma ghrelin from t = 60 min (P < 0.001) and stimulation of PYY from t = 30 min (P < 0.01). FAT infusion also stimulated plasma PP (P 0.01), and the release was immediate. FAT-THL completely abolished the FAT-induced changes in ghrelin, PYY, and PP. In response to the meal, plasma ghrelin was further suppressed, and PYY and PP stimulated, during both FAT and FAT-THL infusions. In conclusion, in healthy humans, 1) the presence of fat in the small intestine suppresses ghrelin secretion, and 2) fat-induced suppression of ghrelin and stimulation of PYY and PP is dependent on fat digestion.
Keywords: lipase inhibition
gut hormone secretion
Description: Published abstract used with permission of the copyright owner.
Rights: © 2005 American Physiological Society
DOI: 10.1152/ajpendo.00220.2005
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