The development of assessment techniques with immediate clinical applicability is a priority for resolving the growing epidemic
in metabolic disease. Many imbalances in diet-dependent metabolism are not detectable in the fasted state. Resolving the high
inter-individual variability in response to diet requires the development of techniques that can detect metabolic dysfunction
at the level of the individual. The intra- and inter-individual variation in lipid metabolism in response to a standardized
test meal was determined. Following an overnight fast on three different days, three healthy subjects consumed a test meal
containing 40% of their daily calories. Plasma samples were collected at fasting, and 1, 3, 6, and 8 h after the test meal.
Plasma fatty acid (FA) concentrations within separated lipid classes and lipoprotein fractions were measured at each time
point. The intra-individual variation within each subject across three days was lower than the inter-individual differences
among the three subjects for over 50% of metabolites in the triacylglycerol (TG), FA, and phosphatidylcholine (PC) lipid classes
at 6 h, and for 25–50% of metabolites across lipid classes at 0, 1, 3, and 8 h. The consistency of response within individuals
was visualized by principal component analysis (PCA) and confirmed by ANOVA. Three representative metabolites that discriminated
among the three individuals in the apolipoprotein B (ApoB) fraction, TG16:1n7, TG18:2n6, and PC18:3n3, are discussed in detail.
The postprandial responses of individuals were unique within metabolites that were individual discriminators (ID) of metabolic
phenotype. This study shows that the targeted metabolomic measurement of individual metabolic phenotype in response to a specially
formulated lipid challenge is possible even without lead-in periods, dietary and lifestyle control, or intervention over a
3-month period in healthy free-living individuals.
Keywords Health assessment - Metabolic phenotype - Nutritional phenotype - Lipid metabolism - Postprandial - Response to challenge