Abstract
Although lactose is an important nutrient in thediet of the infant and child, the factors contributingto its digestion have not been clarified adequately. Wesought to determine the degree to which lactase activity and small intestinal transit explainlactose digestion, the average error (SEE) in estimatinglactose digestion using these parameters, and the effectof age. We compared lactose digestion from both a 7% lactose-containing formula and asolution by determining lactose in ileostomy output inpig littermates at 10 days, 4 weeks, and 10 weeks ofage. The entire small intestinal mucosa was assayed for lactase specific activity (μmol µmin-1 µ g protein-1), totalactivity (μmol µ min-1), andwhole-villus lactase activity. Transit time (min), andtransit rate (cm/min) were measured. Meal type did notaffect lactose digestion. Lactose digestion wasexplained best by lactase specific activity (formula,R2 = 0.73, SEE 1.1; solution, R2= 0.69, SEE 1.0; P < 0.001). The next best parameterwas total transit rate (formula, R2 = 0.69, SEE = 2.0; solution,R2 = 0.46, SEE = 1.3). The relationship withlactase specific activity was age related and thereappeared to be a critical value of lactase specificactivity above which essentially all the lactose was digested.
Similar content being viewed by others
REFERENCES
Schuette SA, Knowles JB, Ford HE: Effect of lactose or its component sugars on jejunal calcium absorption in adult man. Am J Clin Nutr 50:1084–1087, 1989
Stathos TH, Shulman RJ, Schanler RJ, Abrams SA: Effect of carbohydrates on calcium absorption in premature infants. Pediatr Res 39:666–670, 1996
Dahlqvist A, Borgström B: Digestion and absorption of disaccharides in man. Biochem J 81:411–418, 1961
Dahlqvist A, Thomson DL: The digestion and absorption of lactose by the intact rat. Acta Physiol Scand 61:20–33, 1964
Bayless TM, Rosensweig NS: A racial difference in incidence of lactase deficiency. JAMA 197:968–972, 1966
Henning SJ, Rubin DC, Shulman RJ: In Physiology of the Digestive Tract, LR Johnson (ed). New York, Raven Press, 1994, p 580
Lebenthal E, Antonowicz I, Schwachman H: Correlation of lactase activity, lactose intolerance, and milk consumption in different age groups. Am J Clin Nutr 28:595–600, 1975
Bailey CB, Kitts WD, Wood AJ: The development of the digestive enzyme system of the pig during its preweaning phase of growth. Can J Agr Sci 36:51–58, 1956
Büller HA, Kothe MJC, Goldman DA, Grubman SA, Vodek Sasak W, Matsudaira PT, Montgomery RK, Grand RJ: Coordinate expression of lactate-phlorizin hydrolase mRNA and enzyme levels in rat intestine during development. J Cell Biol 265:6978–6983, 1990
James PS, Smith MW, Tivey DR: Single villus analysis of disaccharidase expression by different regions of the mouse intestine. J Physiol 401:533–545, 1988
Dawson DJ, Lobley RW, Burrows PC, Miller V, Holmes R: Lactose digestion by human jejunal biopsies: The relationship between hydrolysis and absorption. Gut 27:521–527, 1986
Kim K, Benevenga NJ, Grummer RH: Estimation of the fraction of the lactose in a high lactose diet available for fermentation in the cecum and colon of the rat. J Nutr 108:79–89, 1978
Shulman RJ, Henning SJ, Nichols BL: The miniature pig as an animal model for the study of intestinal enzyme development. Pediatr Res 23:311–315, 1988
Manners MJ, Stephens VA: Changes from birth to maturity in the pattern and distribution of lactase and sucrase activity in the mucosa of the small intestine of pigs. Br J Nutr 28:113–127, 1972
Becker DE, Terrill SW: Various carbohydrates in a semipurified diet for the growing pig. Arch Biochem Biophys 50:399–403, 1954
Siebert JR: Small intestine length in infants and children. Am J Dis Child 134:593–595, 1980
Weaver LT, Austin S, Cole TJ: Small intestinal length: A factor essential for gut adaptation. Gut 32:1321–1323, 1991
Malawer SJ, Powell DW: An improved turbidimetric analysis of polyethylene glycol utilizing an emulsifier. Gastroenterology 53:250–256, 1967
Henning SJ, Leeper LL: Coordinate loss of glucocorticoid responsiveness by intestinal enzymes during postnatal development. Am J Physiol 242:G89–G94, 1982
Smith PK, Krohn RI, Hermanson GI: Measurement of protein using bicinchoninic acid. Anal Biochem 150:76–85, 1985
Shulman RJ: Effect of different total parenteral nutrition fuel mixes on small intestinal growth and differentiation in the infant miniature pig. Gastroenterology 95:85–92, 1988
Gutschmidt S, Embe C: Early changes in brush border disaccharidase kinetics in rat jejunum following subcutaneous administration of tetra-iodothyronine. Histochemistry 73:151–160, 1981
Tivey DR, Smith MW: Cytochemical analysis of single villus peptidase activities in pig intestine during neonatal development. Histochem J 21:601–608, 1989
McMichael HB, Webb J, Dawson AM: The absorption of maltose and lactose in man. Clin Sci 33:135–145, 1967
Tian-an J, Rui-yun Y: Studies on small intestinal mucosal morphology, lactase activity, and lactose hydrolysis rate in childhood with diarrhea. Chin Med J 104:476–479, 1991
Leichtner J, Goda T, Bhandari SD, Bustamante S, Koldovsky O: Relation between dietary-induced increase of intestinal lactase activity and lactose digestion and absorption in adult rats. Am J Physiol 247:G729–G735, 1984
Kim K, Jewell DE, Benevenga NJ, Grummer RH: The fraction of dietary lactose available for fermentation in the cecum and colon of pigs. J Anim Sci 46:1658–1665, 1978
Gregory PC, McFadyen M, Rayner DV: Pattern of gastric emptying in the pig: Relation to feeding. Br J Nutr 64:45–58, 1990
Diamond JM: Biology of intestinal sugar transport. In Sugars in Nutrition, Nestle Nutrition Workshop Series, M Gracey, N Kretchmer (eds). New York, Raven Press, 1991, Vol 25, pp 83–92
Diamond JM: Evolutionary design of intestinal nutrient absorption: enough but not too much. NIPS 6:92–96, 1991
Ferraris RP, Yasharpour S, Lloyd KCK, Mirzayan R, Diamond JM: Luminal glucose concentrations in the gut under normal conditions. Am J Physiol 259:G822–G837, 1990
Rights and permissions
About this article
Cite this article
Redel, C.A., Shulman, R.J. & Tivey, D.R. Determinants of Lactose Digestion in the Miniature Pig. Dig Dis Sci 42, 137–144 (1997). https://doi.org/10.1023/A:1018853625582
Issue Date:
DOI: https://doi.org/10.1023/A:1018853625582