Page 97 - Small Animal Clinical Nutrition 5th Edition
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Macronutrients         97


                    Box 5-8. Cis and Trans Fatty Acids.                 Box 5-9. Long-Chain vs. Medium-Chain
        VetBooks.ir  When carbons are connected by a double bond, rotation around  Fatty Acid Metabolism.

                    the bond is not possible resulting in fatty acids that are either
                                                                        Medium-chain fatty acids (mcFFA eight to 12 carbon lengths)
                    cis (with the carbons being on the same side) or trans (with the  are a minor component of natural compounds such as triglyc-
                    carbons being on the opposite side). Most polyunsaturated fatty  erides from mother’s milk or coconut milk. Triglycerides con-
                    acids are in the cis configuration. Fatty acids can be converted,  taining mcFFA are assigned the name medium-chain triglyc-
                    however, to the trans configuration during excessive heating or  erides (MCT). Even in foods “rich” with MCT, the overall contri-
                    through partial hydrogenation (i.e., the production of margarine  bution to the fat component of those foods is minor, compared
                    from oil). Although trans fatty acids are metabolized for energy  with long-chain triglycerides. However, because MCT are sub-
                    and incorporated into storage lipid, similar to the cis isomers,  ject to different metabolic regulation they may prove useful in
                    they are not further metabolized to eicosanoids. Nutritionally,  certain disease states and have been included in some foods
                    trans isomers are in many ways like saturated fatty acids in that  formulated for specific diseases (Table 1).
                    they are used for energy but cannot function as essential fatty
                    acids.                                              The Bibliography for Box 5-9 can be found can be found at
                                                                        www.markmorris.org.



                                                                        Table 1. Comparison between medium-chain triglycerides
                  temperature and fatty acid composition. A more unsaturated  (MCT) and triglycerides.
                  (increased number of double bonds) fatty acid makeup results
                                                                        Process     MCT               Triglycerides
                  in fats that have lower melting points compared with those of
                                                                        Gut hydrolysis  Rapid, 5x triglycerides  Slower rate than
                  fats made from more saturated (decreased number or no dou-                          MCT
                  ble bonds) fatty acids. The length of the carbon chains in the
                                                                        Absorption  2x faster than    Slower rate than
                  fatty acids making up a fat also changes the melting point. Fats
                                                                                    triglycerides     MCT
                  that contain fatty acids of shorter carbon chain length have
                  lower melting points than do fats that contain longer fatty  Enterocyte   Free fatty acid   Free fatty acid
                                                                        reprocessing  not reassembled    reassembled in
                  acids. Animals take advantage of these differences in physical
                                                                                    in triglycerides  triglycerides
                  characteristics to synthesize phospholipids containing appro-
                                                                        Transport   Portal vein,      Chylomicrons,
                  priate classes of fatty acids that allow for membrane fluidity at  albumin bound    lymphatics and then
                  physiologic temperatures.                                                           general circulation
                                                                        Hepatocyte
                  Omega-3, Omega-6 and Omega-9                            Esterification Not esterified to CoA  Esterified to CoA
                  Fatty Acid Families
                                                                          Carnitine   Not bound to carnitine  Bound to carnitine
                  Fatty acids with the first double bond between the third and
                  fourth carbon are in the omega-3 family, sixth and seventh car-  β-oxidation  Unregulated  Regulated
                  bon the omega-6 family and ninth and tenth carbon the

                    Table 5-18. Classification, structure and function of general lipids.

                    Classification            Structure                          Function
                    Hydrocarbons              -CH , -CH , -CH                    Building blocks
                                                      2
                                                 3
                    Nonesterified fatty acids  CH (CH )n(CH )nCOOH
                                                 3
                                                         1
                                                    2
                      Saturated               Stearic, palmitic                  Energy, membrane fluidity
                      Monounsaturated         Oleic, palmitoleic                 Energy, membrane fluidity
                      Polyunsaturated         Omega-3, omega-6                   Precursors of eicosanoids and prostaglandins
                    Simple lipids             Fatty acid + alcohol in ester bond  Energy storage, insulation
                    Triglycerides             Glycerol + three fatty acids
                    Complex lipids
                    Phospholipids             Diacyl glycerol 3’ phosphate       Membrane lipids
                      Lecithin                3’ phosphocholine                    Emulsifying agent
                      Cephalin                3’ phosphoserine/ethanolamine        CNS membrane
                      Inositol                Carbohydrate (3’ phosphoinositol)    2nd messenger
                    Ceramide                  Sphingosine + fatty acid           CNS membrane
                    Sphingomyelin             Ceramide + phosphocholine          Myelin
                    Glycolipids               Sphingomyelin + carbohydrate       CNS membrane/recognition
                      Cerebroside             Ceramide + monosaccharide
                      Ganglioside             Ceramide + oligosaccharide
                    Prostaglandins            20-carbon polyunsaturated fatty acids  Paracrine and autocrine action
                    Sterols and steroids      Four-ring hydrocarbon structures   Bile acids, hormones, membranes, lipoproteins,
                                                                                   cholesterol, cholesterol esters
                    Fat-soluble vitamins      See vitamins                       See vitamins
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