Influence of dietary long-chain PUFA on premature baboon lung FA and dipalmitoyl PC composition

Angela Chueh Chao1, Bassem I Ziadeh, Guan-Yeu Diau

  • 1Division of Nutritional Sciences, Cornell University, Ithaca, New York 14853, USA.

Lipids
|July 10, 2003
PubMed

Insights

Dietary DHA and arachidonic acid (AA) supplementation improved lung surfactant lipid concentration in preterm baboons. This supports improved lung function by increasing long-chain polyunsaturates without negatively impacting palmitate or DPPC levels.

Area of Science:

  • Neonatal physiology
  • Nutritional science
  • Pulmonology

Background:

  • Premature birth poses survival challenges, notably impaired lung surfactant production.
  • Lung surfactant's lipid component, dipalmitoyl PC (DPPC), normally increases before term birth.
  • Lung fatty acid (FA) composition shifts away from unsaturates prior to term birth.

Purpose of the Study:

  • To investigate the impact of dietary docosahexaenoic acid (DHA) and arachidonic acid (AA) on lung FA composition and DPPC concentration.
  • To compare outcomes in term and preterm baboons under different feeding regimens.
  • To assess the effects of antenatal corticosteroids in preterm neonates.

Main Methods:

  • Randomized controlled trial in pregnant baboons and neonates across four groups: breast-fed (B), term formula-fed (T-), preterm formula-fed (P-), and preterm formula-fed with DHA-AA (P+).
  • Preterm groups received antenatal corticosteroids.
  • Neonatal lung tissue analyzed for FA composition and DPPC at 4 weeks adjusted age.

Main Results:

  • Palmitate (16:0) levels were consistent across all groups (~28% of lung total FA).
  • DPPC concentration was significantly higher in the breast-fed (B) group compared to unsupplemented preterm (P-) and term (T-) groups, but not different from the DHA-AA supplemented preterm (P+) group.
  • Lung tissue DHA and AA levels were significantly higher in both B and P+ groups compared to T- and P- groups.

Conclusions:

  • Long-chain polyunsaturated fatty acid (LCP) supplementation, specifically DHA and AA, increases lung DHA and AA concentrations in preterm baboons.
  • LCP supplementation supports improved surfactant lipid concentration in preterm neonate lungs.
  • Dietary LCP supplementation does not compromise overall lung palmitate or DPPC levels, indicating a beneficial shift towards unsaturation for surfactant production.