Abstract

A deficiency of essential fatty acids (EFA) is frequently described in cystic fibrosis (CF), but whether this is a primary consequence of altered EFA metabolism or a secondary phenomenon is unclear. It was suggested that defective long-chain polyunsaturated fatty acid (LCPUFA) synthesis contributes to the CF phenotype. To establish whether cystic fibrosis transmembrane conductance regulator (CFTR) dysfunction affects LCPUFA synthesis, we quantified EFA metabolism in cftr-/-CAM and cftr+/+CAM mice. Effects of intestinal phenotype, diet, age, and genetic background on EFA status were evaluated in cftr-/-CAM mice, DeltaF508/DeltaF508 mice, and littermate controls. EFA metabolism was measured by 13C stable isotope methodology in vivo. EFA status was determined by gas chromatography in tissues of cftr-/-CAM mice, DeltaF508/DeltaF508 mice, littermate controls, and C57Bl/6 wild types fed chow or liquid diet. After enteral administration of [13C]EFA, arachidonic acid (AA) and docosahexaenoic acid (DHA) were equally 13C-enriched in cftr-/-CAM and cftr+/+CAM mice, indicating similar EFA elongation/desaturation rates. LA, ALA, AA, and DHA concentrations were equal in pancreas, lung, and jejunum of chow-fed cftr-/-CAM and DeltaF508/DeltaF508 mice and controls. LCPUFA levels were also equal in liquid diet-weaned cftr-/-CAM mice and littermate controls, but consistently higher than in age- and diet-matched C57Bl/6 wild types. We conclude that cftr-/-CAM mice adequately absorb and metabolize EFA, indicating that CFTR dysfunction does not impair LCPUFA synthesis. A membrane EFA imbalance is not inextricably linked to the CF genotype. EFA status in murine CF models is strongly determined by genetic background.

Highlights

  • A deficiency of essential fatty acids (EFA) is frequently described in cystic fibrosis (CF), but whether this is a primary consequence of altered EFA metabolism or a secondary phenomenon is unclear

  • Our results indicate that cftrϪ/ϪCAM mice adequately absorb, elongate, and desaturate intragastrically administered EFA, and that a membrane fatty acid imbalance in CF-affected tissues is not inherent to the CF genotype in mouse models with and without fat malabsorption

  • Because cystic fibrosis transmembrane conductance regulator (CFTR) dysfunction has been postulated to affect EFA tissue incorporation or rate of metabolism [12, 13, 26, 27], we quantified in vivo the appearance in different organs of ingested 13C-labeled EFA and their conversion into long-chain polyunsaturated fatty acid (LCPUFA)

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Summary

Introduction

A deficiency of essential fatty acids (EFA) is frequently described in cystic fibrosis (CF), but whether this is a primary consequence of altered EFA metabolism or a secondary phenomenon is unclear. To establish whether cystic fibrosis transmembrane conductance regulator (CFTR) dysfunction affects LCPUFA synthesis, we quantified EFA metabolism in cftr؊/؊CAM and cftr؉/؉CAM mice. Diet, age, and genetic background on EFA status were evaluated in cftr؊/؊CAM mice, ⌬F508/⌬F508 mice, and littermate controls. We conclude that cftr؊/؊CAM mice adequately absorb and metabolize EFA, indicating that CFTR dysfunction does not impair LCPUFA synthesis. Oral supplementation with DHA, but not with its precursor ALA, corrected this lipid imbalance and was reported to reverse certain pathological features of the disease These studies suggested that CFTR exerts control over LCPUFA synthesis from EFA, and that impaired EFA processing primarily contributes to CF pathology [13, 14]. Similar to CF patients, CF mouse models display significant phenotypic variability, concerning the severity of gastrointestinal symptoms such as intestinal obstruction and fat malabsorption

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