ABSTRACT. Intralipid, derived from soybean oil and con-6-keto-PGF,-a, 6-keto-prostaglandin FI-a taining a high percentage of n-6 family polyunsaturated LTC4-F4, leukotrienes C4-F4 fatty acids (PUFA) and also linolenic acid, an n-3 family BPD, bronchopulmonary dysplasia PUFA, is commonly the first fat source provided to very P/S, polyunsaturated/saturated fatty acid ratio low birth weight premature infants. Following up on our previous reports that newborn rats born to dams fed high-PUFA diets demonstrate superior tolerance to hyperoxia, we examined whether the high-PUFA fat source Intralipid might also protect against oxygen toxicity. Adult female With the progression of modern neonatal intensive care, rats were fed either regular Rat Chow or fat-free diet greater numbers of VLBW oxygen-and ventilator-requiring precontaining 20%-Intralipid as the fat source for 3 wk before mature infants are surviving. However, despite favorable outand then throughout pregnancy and lactation. One-and 5-comes in terms of mortality, these infants are at extremely high d-old offspring of Intralipid diet-fed dams demonstrated risk of developing the chronic lung process known as BPD, significant increases in lung lipid n-6 family PUFA plus considered to be related, at least in part, to the damaging effect elevated linolenic acid compared with regular diet-fed off-of oxygen on the lung (1). Because of the overwhelming clinical spring. These characteristic fatty acid patterns, apparent problems that these VLBW premature infants experience in the in total lung lipids, were even more pronounced in the first several days of life, nutritional needs are frequently not the triglyceride fraction compared with the phospholipid frac-highest priority in their care. In fact, common nursery practices tion. Associated with these fatty acid changes were signif-consist of a several-day interval between the birth of a VLBW icantly improved hyperoxic survival rates (89 out of oxygen-requiring premature infant and the initial administration 95 = 94% survival after 7 d of >95% O2 exposure) in of lipid nutrition. Because of the vulnerability of the VLBW Intralipid offspring (versus 89 out of 106 = 84%, p < 0.05 premature infant to the effects of a delay in lipid nutrition (2) in regular diet offspring) and evidence of superior clinical/ and the possible role that lipids might play in protecting the lung pathologic status. No differences in pulmonary antioxidant from oxygen toxicity, the early withholding of lipid nutrition enzyme or surfactant system development, response of from these critically ill neonates might increase their risk of antioxidant enzymes to hyperoxic exposure, or lung pros-developing the chronic lung disease and damage of BPD. taglandin EZ, 6-keto PGFI-a or leukotrienes C4-F, were Evidence is available from the literature to suggest that lung present. These findings continue to support the hypothesis lipid composition is related to hyperoxic tolerance and protection that increasing lung PUFA content may provide increased against hypero...