Abstract

BackgroundHigh-fat diets may contribute to metabolic disease via postprandial changes in serum endotoxin and inflammation. It is unclear how dietary fat composition may alter these parameters. We hypothesized that a meal rich in n-3 (ω3) fatty acids would reduce endotoxemia and associated inflammation but a saturated or n-6 (ω6) fatty acid-rich meal would increase postprandial serum endotoxin concentrations and systemic inflammation in healthy adults.MethodsHealthy adults (n = 20; mean age 25 ± 3.2 S.D. years) were enrolled in this single-blind, randomized, cross-over study. Participants were randomized to treatment and reported to the laboratory, after an overnight fast, on four occasions separated by at least one week. Participants were blinded to treatment meal and consumed one of four isoenergetic meals that provided: 1) 20 % fat (control; olive oil) or 35 % fat provided from 2) n-3 (ω3) (DHA = 500 mg; fish oil); 3) n-6 (ω6) (7.4 g; grapeseed oil) or 4) saturated fat (16 g; coconut oil). Baseline and postprandial blood samples were collected. Primary outcome was defined as the effect of treatment meal on postprandial endotoxemia. Serum was analyzed for metabolites, inflammatory markers, and endotoxin. Data from all 20 participants were analyzed using repeated-measures ANCOVA.ResultsParticipant serum endotoxin concentration was increased during the postprandial period after the consumption of the saturated fat meal but decreased after the n-3 meal (p < 0.05). The n-6 meal did not effect a different outcome in participant postprandial serum endotoxin concentration from that of the control meal (p > 0.05). There was no treatment meal effect on participant postprandial serum biomarkers of inflammation. Postprandial serum triacylglycerols were significantly elevated following the n-6 meal compared to the n-3 meal. Non-esterified fatty acids were significantly increased after consumption of the saturated fat meal compared to other treatment meals.ConclusionsMeal fatty acid composition modulates postprandial serum endotoxin concentration in healthy adults. However, postprandial endotoxin was not associated with systemic inflammation in vivo.Trial registrationThis study was retrospectively registered at clinicaltrials.gov as NCT02521779 on July 28, 2015.

Highlights

  • High-fat diets may contribute to metabolic disease via postprandial changes in serum endotoxin and inflammation

  • Postprandial endotoxin was not associated with systemic inflammation in vivo

  • The results of this study demonstrate that the modulatory role of dietary fat intake on postprandial endogenous endotoxin concentration in healthy adult men and women is influenced by dietary fatty acid composition, but not the fat content of a meal

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Summary

Introduction

High-fat diets may contribute to metabolic disease via postprandial changes in serum endotoxin and inflammation. It is unclear how dietary fat composition may alter these parameters. We hypothesized that a meal rich in n-3 (ω3) fatty acids would reduce endotoxemia and associated inflammation but a saturated or n-6 (ω6) fatty acid-rich meal would increase postprandial serum endotoxin concentrations and systemic inflammation in healthy adults. Previous studies have shown that consuming a high fat meal (50 g fat) is associated with a post-prandial increase in plasma [4] and serum [10] endotoxin concentrations in adult humans. A recent study reported that, using an ex vivo swine intestine model, mucosal to serosal endotoxin transport was decreased with a high docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA)-meal but increased after a saturated fatty acid rich (coconut oil)-meal; the inflammatory response in these animals was not investigated [12]

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