Oculis (Iceland)

A female newborn was referred at birth to our hospital because of respiratory distress. Her family history was unremarkable except for the first-degree consanguinity of her parents. She had a mildly dysmorphic appearance, generalized hypotonia, and several musculoskeletal features such as joint laxity, arachnodactyly, pectus excavatum, flexion contracture of the wrists, and feet anomalies (Figure 1). Chest radiography showed a right pneumothorax, lungs with a ground glass appearance, elevation of the right hemidiaphragm, and scoliosis (Figure 2). ECG was normal for the age of patient except for a mild left ventricular hypertrophy (Figure 3). Transthoracic echocardiography revealed an aortic annulus of 7.4 mm with mild aortic insufficiency, a dilated aortic root (11 mm), and an ascending aortic aneurysm (11 …

ABSTRACT Chitosan is a cationic biopolymer that has been used extensively in dietary supplements to reduce fat absorption in the fight against obesity. The mechanism of fat binding of chitosan is still not fully understood and has been the subject of controversy. This study was designed to improve the understanding of the underlying mechanism by investigating the interaction of chitosan with oil-in-water emulsion droplets. Our results indicated that (0.1% w/w) chitosan adsorbed to a 20% w/w phosphatidylcholine-stabilized anionic primary emulsion to form a secondary cationic emulsion by electrostatic attraction forces under conditions resembling the stomach (pH 2). Bile salts (6 mM) were added to simulate secretion in the small intestine and pH increase. Bile salts adsorbed to the chitosan secondary emulsion, which resulted in aggregation of oil droplets followed by coalescence due to close packing of droplets. Increased viscosity (267–2531 cp) and increased degree of deacetylation (40–92% DDA) of chitosan enhanced emulsion breakdown. Increasing the pH to 7.5 without addition of bile salts yielded little aggregation. Pronounced aggregation is thought to decrease the accessibility of lipase to the oil resulting in lower bioavailability and reduced caloric intake. Understanding how chitosan interacts with oil droplets in the digestive tract is vital to developing a comprehensive model of the influence of chitosan on the bioavailability of dietary lipids. The information gained in this study may be useful for the interpretation and experimental design of animal and human feeding studies and for the rational design of chitosan-based functional foods for fat reduction.