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.

Gastroenterology
|June 1, 1995
PubMed

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.
Abstract

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