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Published on: August 6, 2018
Ontogeny of human gastric lipase and pepsin activities
D Ménard1, S Monfils, E Tremblay
1Département d'Anatomie et de Biologie Cellulaire, Faculté de Médecine, Université de Sherbrooke, Québec, Canada.
Insights
Human gastric lipase activity emerges early in fetal development, with adult-like distribution by 16 weeks. This suggests the fetal gastric mucosa is the primary source of lipase in premature infants.
Area of Science:
- Gastroenterology
- Developmental Biology
- Enzymology
Background:
- The developmental pattern of human gastric lipase and the secretory function of the immature gastric mucosa remain largely uncharacterized.
- Limited understanding exists regarding the precise timing and regional distribution of gastric lipase activity during fetal development.
Purpose of the Study:
- To determine the tissue activity levels of lipase and pepsin in different anatomical regions of the developing human stomach.
- To investigate whether the fetal gastric mucosa actively secretes lipase.
Main Methods:
- Assayed lipase and pepsin activities in 49 fetal gastric specimens across various gestational ages.
- Cultured gastric explants in a defined medium for up to 5 days, measuring enzyme activities in tissues and secreted media.
Main Results:
- Lipolytic activity was detected from 10-13 weeks gestation, increasing significantly until 20 weeks.
- A distinct gradient of lipase activity was observed, highest in the fundus and lowest in the antrum; pepsin activity showed no regional variation.
- Organ culture demonstrated a 3.8-fold increase in total lipase and pepsin activity, with both enzymes secreted into the medium.
Conclusions:
- Gastric lipase is present by 10-13 weeks gestation, with adult-like regional distribution established by 16 weeks.
- The secretion of lipase by the gastric mucosa in organ culture indicates it is the principal source of lipolytic activity found in premature infants' gastric aspirates.
Background/Aims:
The developmental profile of human gastric lipase activity as well as the secretory capacity of the immature gastric mucosa are still unknown. The aims of this study were to establish tissue activity levels for lipase and pepsin in the various anatomical regions of the developing stomach and to assess whether lipase is secreted by the fetal gastric mucosa.
Methods:
Lipase and pepsin activities were assayed in 49 specimens of different gestational ages. Gastric explants were cultured in chemically defined medium for up to 5 days, and enzymic activities were measured in tissues and in the culture media.
Results:
Lipolytic activity was present in gastric tissues at 10-13 weeks and steadily increased for up to 20 weeks, whereas pepsin activity did not vary significantly over the periods of study. There was a clear decreasing gradient of lipase activity; the highest activity was in the fundic area, and the lowest activity was in the antrum. Quantitative pepsin activity did not vary over the gastric regions. During culture, total lipolytic and pepsin activity increased 3.8-fold, and both enzymes were secreted into the culture medium.
Conclusions:
Gastric lipase appears as early as 10-13 weeks. Adult distribution of the enzyme became established by 16 weeks' gestation. The secretion of lipase into the organ culture suggests that the gastric mucosa is the main source of lipolytic activity in gastric aspirates of premature infants.
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