Pathological Consequences From the Infusion of Unstable Lipid Emulsion Admixtures in Guinea Pigs

Abstract

The pathophysiologic effects of infusing unstable lipid emulsions are unclear, but these were shown to cause reticuloendothelial system (RES) dysfunction in animals and humans. We investigated the effects of unstable lipid emulsions in RES organs defined by 2 levels of the percent fat >5μ m (percentage of fat, PFAT > 5 μm) in a guinea pig model. Two identical injectable lipid emulsions with differing (stable vs unstable) PFAT >5 μm levels were infused for over 24 h into 2 groups of animals (n = 5/group). The PFAT >5 μm concentration was measured before and at the end of the infusion to ascertain the dose range of enlarged fat globules in each group. Animals were killed and specimens from the upper, middle, and lower lung and a single liver sample were examined histologically and for micromolar concentrations of malondialdehyde (MDA) per g (μmol–1 g) of wet tissue. The PFAT >5 μm concentrations preinfusion were 0.004 ± 0.001 and 2.418 ± 0.273 for the stable and unstable injectable lipid emulsions, respectively. At 24 hours, the PFAT >5 μm level increased in both the groups (stable: 0.161± 0.008; unstable: 7.861 ± 0.291). MDA concentrations were significantly higher in the lungs of animals receiving the unstable (47.2± 26.2 μmol–1 g) vs stable (32.4 ± 11.2 μmol–1 g) injectable lipid emulsions (p = .033), but were not different for the liver specimens (stable: 16.9 ± 7.6 μmol–1 g vs unstable: 17.7 ± 2.2μ mol–1 g, p = .944). These preliminary data suggest that infusion of unstable injectable lipid emulsions has pathologic consequences showing greater evidence of oxidative stress in the lungs. (Clin Nutr. 2005;24:105–113.)