Measurement of the Rate of Entry of Intact Colon‐Derived Lactose into the Circulation: A Model for Assessing Gut Uptake of Molecules Not Endogenously Synthesized

Abstract

Background:Results of in vitro studies have documented colonic absorption of lactose in the newborn. A stable isotope model was developed for assessing the entry rate of intact lactose into the portal circulation in newborn piglets.Methods:In experiment 1, unlabeled and [D‐1‐13‐C]‐lactose were infused into two separate mesenteric veins, and in experiment 2, labeled lactose was infused into a mesenteric vein and unlabeled lactose was infused into the colon. The 13C‐enrichment of plasma lactose was assessed by high performance liquid chromatography gas chromatography combined with mass spectrometry.Results:The isotopic estimate of the mesenteric venous infusion rate of lactose was 91% of the theoretical. In the second experiment 13% of the unlabeled lactose infused into the colon reached the portal circulation.Conclusions:The current study provides the first, direct, in vivo confirmation of colon absorption of intact lactose. The tracer model could be used to evaluate intestinal or colonic absorption of other organic compounds not endogenously synthesized, including vitamins or drugs.