Mohammad MA, Sunehag AL, Haymond MW. De novo synthesis of milk triglycerides in humans. Am J Physiol Endocrinol Metab 306: E838 -E847, 2014. First published February 11, 2014 doi:10.1152/ajpendo.00605.2013 de novo lipogenesis contributes significantly to milk fat in animals but little is known in humans. Objective: To test the hypothesis that the incorporation of 13 C carbons from [U-13 C]glucose into fatty acids (FA) and glycerol in triglycerides (TG) will be greater: 1) in milk than plasma TG, 2) during a high-carbohydrate (H-CHO) diet than high-fat (H-FAT) diet, and 3) during feeding than fasting. Seven healthy, lactating women were studied on two isocaloric, isonitrogenous diets. On one occasion, subjects received diets containing H-FAT or H-CHO diet for 1 wk. Incorporation of 13 C from infused [U-13 C]glucose into FA and glycerol was measured using GC-MS and gene expression in RNA isolated from milk fat globule using microarrays. Incorporation of 13 C2 into milk FA increased with increased FA chain length from C2:0 to C12:0 but progressively declined in C14:0 and C16:0 and was not detected in FAϾC16. During feeding, regardless of diets, enrichment of 13 C2 in milk FA and 13 C3 in milk glycerol were ϳ3-and ϳ7-fold higher compared with plasma FA and glycerol, respectively. Following an overnight fast during H-CHO and H-FAT diets, 25 and 6%, respectively, of medium-chain FA (MCFA, C6 -C12) in milk were derived from glucose but increased to 75 and 25% with feeding. Expression of genes involved in FA or glycerol synthesis was unchanged regardless of diet or fast/fed conditions. The human MG is capable of de novo lipogenesis of primarily MCFA and glycerol, which is influenced by the macronutrient composition of the maternal diet. fatty acid; glycerol; GC-MS; gene expression; lipogenesis; stable isotopes TRIGLYCERIDES (TG) make up 98% of the lipid content and, in humans, contributes 40 -50% of the total energy content (28). Total milk lipid content ranges, depending on the species, from 0 to 50% of the total milk volume (20). The fatty acid (FA) composition of the TG is dependents on the dietary FA composition, the dietary carbohydrate/lipid ratio and the species. Milk TG contains FA that are derived from three sources: de novo mammary gland (MG) synthesis, dietary lipids, and endogenous fat stores (adipose or hepatic lipids) (7). Data from a study comparing the milk fats from seven different species (4) revealed that the milk fats of humans, dogs, and guinea pigs are largely (92, 93, and 97%, respectively) made up of longchain FA (LCFA). The milk fats of horses contain large amounts (ϳ33%) of medium-chain FA (MCFA); however, the milk fats of cows, sheep, and goats are enriched (13-15%) in short-chain FA (SCFA) (4). The MG is one of three primary lipid-synthesizing organs in the body; the other two are liver and adipose tissue (48). In fact, many of the initial pathways of FA biosynthesis were defined using mammary tissue from lactating ruminants and rodents (1). The unique feature of FA synthesis in the MG is th...