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The effect of esterification with rapeseed oil fatty acids on the oxidation reactions of sitosterol, campesterol and sitostanol was investigated, as well as the interactions between phytosterol/stanol compounds and the saturated lipid matrix at 100 7C and 180 7C. Free and esterified phytosterols differed in their reactivity in terms of the formation and profile of secondary oxidation products. Phytosteryl esters were more reactive than free phytosterols during prolonged heating at 100 7C. In contrast, free phytosterols were slightly more reactive than phytosteryl esters at 180 7C. The oxidation reactions of phytostanol compounds were low under all conditions studied. Changes in the phytosterol compounds during heating were also studied via the losses in the original phytosterol contents. This study revealed that the formation of secondary oxides did not account for all the phytosterol losses; this indicates the presence of other oxidation products, especially at 180 7C, and during the heating of free sitosterol. Thus, in order to understand the overall deterioration of phytosterol and phytostanol compounds, both the secondary oxide formation and the sterol loss need to be studied. The deterioration of the saturated lipid matrix used in this study was rather low and was mainly associated with the heating temperature and time.

Hepatobiliary complications are common during parenteral nutrition. Lipid moiety in commercially available solutions contains plant sterols. It is not known whether plant sterols in parenteral nutrition interfere with hepatic function in adults. We detected how different amounts of plant sterols in parenteral nutrition solution affected serum plant sterol concentrations and liver enzymes during a 1.5-year follow-up in a patient with short bowel syndrome. Serum lipid, plant sterol, and liver enzyme levels were measured regularly during the transition from Intralipid (100% soy-based intravenous fat emulsion) to ClinOleic (an olive oil-based intravenous fat emulsion with 80% olive oil, 20% soy oil and lower plant sterols); the lipid supply was also gradually increased from 20 to 35 g/d. Plant sterols in parenteral nutrition solution and serum were measured with gas-liquid chromatography. During infusion of soy-based intravenous fat emulsion (30 g/d, total plant sterols 87 mg/d), the concentrations of sitosterol, campesterol, and stigmasterol were 4361, 1387, and 378 microg/dL, respectively, and serum liver enzyme values were >or= 2.5 times above upper limit of normal. After changing to olive oil-based intravenous fat emulsion (20-35 g/d, plant sterols 37-65 mg/d), concentrations decreased to 2148 to 2251 microg/dL for sitosterol, 569-297 microg/dL for campesterol, and 95-55 microg/dL for stigmasterol. Concomitantly, liver enzyme values decreased to 1.4 to 1.8 times above upper limit of normal at the end of follow-up. The nutrition status of the patient improved. The amount of plant sterols in lipid emulsion affects serum liver enzyme levels more than the amount of lipid.