Abstract
To define optimal carbohydrates for infants with limited pancreatic and intestinal mucosal function we synthesized and evaluated the absorption of 14C-MP - a glucose oligomer ideally suited to glucoamylase activity. Representative medium (degree of polymerization, DP, 4-9) and long chain (DP±75) polymers were isolated from a CSH. Using partially atrophic, pancreatic amylase-free, canine, jejunal, Thiry-Vella fistulae, absorption of DP 5 was measured: alone, in the presence of 90, 180, 270, 360 and 450 mg/dl of DP 4-8, with similar concentrations of DP±75 and with 450 mg/dl of sucrose.
Results: Absorption of DP 4-8 was greater than sucrose which exceeds DP±75. Although at 450 mg/dl there was equivalent inhibition of DP 5 absorption by DP 4-8 (46%) and DP±75 (45%), at 90 mg/dl, inhibition by DP 4-8 was significantly less than by DP 75 (10 vs. 27%, p<.01). Sucrose did not inhibit DP 5 absorption (p<.001).
Conclusions: 1)Although assimilation of glucose polymers is less efficient than shorter oligomers, both inhibit DP 5 absorption. 2)At low concentrations the greater inhibition by DP±75 probably reflects a protracted affinity for the glucoamylase enzyme. 3)Sucrose does not compete for oligomer assimilation.
Speculation: These results suggest that substitution of sucrose for a portion of the polymers in a CSH, especially the long chain elements, will improve carbohydrate absorption.
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Kerzner, B., Sloan, H., Ailabouni, A. et al. 681 INHIBITION OF MALTOPENTAOSE (MP) ABSORPTION BY MEDIUM AND LONG CHAIN ELEMENTS IN CORN STARCH HYDROLYSATE (CSH). Pediatr Res 19, 224 (1985). https://doi.org/10.1203/00006450-198504000-00711
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DOI: https://doi.org/10.1203/00006450-198504000-00711