Re: Not too little omega 3s, but too much omega 6s.
Br J Nutr. 2000 Dec;84(6):803-12.
The conditional nature of the dietary need for
polyunsaturates: a proposal to reclassify 'essential fatty
acids' as 'conditionally-indispensable' or
'conditionally-dispensable' fatty acids.
Cunnane SC.
Department of Nutritional Sciences, Faculty of Medicine,
University of Toronto, Canada. cunnane~utoronto.ca.
The term essential fatty acid no longer clearly identifies
the fatty acids it was originally used to describe. It would
be more informative if the concept of essentiality shifted
away from the symptoms arising from the lack of de novo
synthesis of linoleate or alpha-linolenate and towards the
adequacy of the capacity for synthesis and conservation of
both the parent and the derived long-chain polyunsaturates.
For instance, despite the existence of the pathway for
synthesis of docosahexaenoate from alpha-linolenate, the
former would be more correctly classified as 'conditionally
indispensable' because the capacity of the pathway appears
insufficient during early development, although it may be
sufficient later in life in healthy individuals. Similarly,
despite the inability to synthesize linoleate de novo,
abundant linoleate stores and its relatively slow turnover in
healthy adults probably makes linoleate 'conditionally
dispensable' for long periods. There are two other anomalies
with the terms essential and non-essential fatty acids: (1)
under several different experimental circumstances, the
C-skeleton of essential fatty acids is avidly used in the
synthesis of non-essential fatty acids; (2) to function
normally, the brain is required to endogenously synthesize
several non-essential fatty acids. As with essential amino
acids, which have been reclassified as indispensable or
conditionally indispensable, such a change in terminology
should lead to an improved understanding of the function and
metabolism of polyunsaturates in particular, and long-chain
fatty acids in general.
Publication Types: Review Review, Tutorial
PMID: 11177196 [PubMed - indexed for MEDLINE]
J Nutr Health Aging. 2004;8(3):163-74.
Roles of unsaturated fatty acids (especially omega-3 fatty
acids) in the brain at various ages and during ageing.
Bourre JM.
INSERM Research Director. Unit U26 Neuro-pharmaco-nutrition.
Hopital Fernand Widal, 200 rue du Faubourg Saint Denis. 75745
Paris cedex 10. jean-marie.bourre~fwidal.inserm.fr
Among various organs, in the brain, the fatty acids most
extensively studied are omega-3 fatty acids. Alpha-linolenic
acid (18:3omega3) deficiency alters the structure and
function of membranes and induces minor cerebral
dysfunctions, as demonstrated in animal models and
subsequently in human infants. Even though the brain is
materially an organ like any other, that is to say
elaborated from substances present in the diet (sometimes
exclusively), for long it was not accepted that food can
have an influence on brain structure, and thus on its
function. Lipids, and especially omega-3 fatty acids,
provided the first coherent experimental demonstration of
the effect of diet (nutrients) on the structure and function
of the brain. In fact the brain, after adipose tissue, is
the organ richest in lipids, whose only role is to
participate in membrane structure. First it was shown that
the differentiation and functioning of cultured brain cells
requires not only alpha-linolenic acid (the major component
of the omega-3, omega3 family), but also the very long
omega-3 and omega-6 carbon chains (1). It was then
demonstrated that alpha-linolenic acid deficiency alters the
course of brain development, perturbs the composition and
physicochemical properties of brain cell membranes,
neurones, oligodendrocytes, and astrocytes (2).This leads to
physicochemical modifications, induces biochemical and
physiological perturbations, and results in neurosensory and
behavioural upset (3). Consequently, the nature of
polyunsaturated fatty acids (in particular omega-3) present
in formula milks for infants (premature and term) conditions
the visual and cerebral abilities, including intellectual.
Moreover, dietary omega-3 fatty acids are certainly involved
in the prevention of some aspects of cardiovascular disease
(including at the level of cerebral vascularization), and in
some neuropsychiatric disorders, particularly depression, as
well as in dementia, notably Alzheimer's disease. Recent
results have shown that dietary alpha-linolenic acid
deficiency induces more marked abnormalities in certain
cerebral structures than in others, as the frontal cortex
and pituitary gland are more severely affected. These
selective lesions are accompanied by behavioural disorders
more particularly affecting certain tests (habituation,
adaptation to new situations). Biochemical and behavioural
abnormalities are partially reversed by a dietary
phospholipid supplement, especially omega-3-rich egg yolk
extracts or pig brain. A dose-effect study showed that
animal phospholipids are more effective than plant
phospholipids to reverse the consequences of alpha-linolenic
acid deficiency, partly because they provide very long
preformed chains. Alpha-linolenic acid deficiency decreases
the perception of pleasure, by slightly altering the
efficacy of sensory organs and by affecting certain cerebral
structures. Age-related impairment of hearing, vision and
smell is due to both decreased efficacy of the parts of the
brain concerned and disorders of sensory receptors,
particularly of the inner ear or retina. For example, a
given level of perception of a sweet taste requires a larger
quantity of sugar in subjects with alpha-linolenic acid
deficiency. In view of occidental eating habits, as omega-6
fatty acid deficiency has never been observed, its impact on
the brain has not been studied. In contrast, omega-9 fatty
acid deficiency, specifically oleic acid deficiency, induces
a reduction of this fatty acid in many tissues, except the
brain (but the sciatic nerve is affected). This fatty acid
is therefore not synthesized in sufficient quantities, at
least during pregnancy-lactation, implying a need for
dietary intake. It must be remembered that organization of
the neurons is almost complete several weeks before birth,
and that these neurons remain for the subject's life time.
Consequently, any disturbance of these neurons, an
alteration of their connections, and impaired turnover of
their constituents at any stage of life, will tend to
accelerate ageing. The enzymatic activities of sytivities of
synthesis of long-chain polyunsaturated fatty acids from
linoleic and alpha-linolenic acids are very limited in the
brain: this organ therefore depends on an exogenous supply.
Consequently, fatty acids that are essential for the brain
are arachidonic acid and cervonic acid, derived from the
diet, unless they are synthesized by the liver from linoleic
acid and alpha-linolenic acid. The age-related reduction of
hepatic desaturase activities (which participate in the
synthesis of long chains, together with elongases) can
impair turnover of cerebral membranes. In many structures,
especially in the frontal cortex, a reduction of cervonic
and arachidonic acids is observed during ageing,
predominantly associated with a reduction of
phosphatidylethanolamines (mainly in the form of
plasmalogens). Peroxisomal oxidation of polyunsaturated
fatty acids decreases in the brain during ageing,
participating in decreased turnover of membrane fatty acids,
which are also less effectively protected against
peroxidation by free radicals.
Publication Types: Review Review, Tutorial
PMID: 15129302 [PubMed - indexed for MEDLINE]
J Nutr. 1998 Feb;128(2 Suppl):427S-433S.
Comment in: J Nutr. 1999 Feb;129(2):446.
The slow discovery of the importance of omega 3 essential
fatty acids in human health.
Holman RT.
Hormel Institute, University of Minnesota, Austin 55912, USA.
Although linoleic and linolenic acids have been known to be
necessary for normal growth and dermal function since 1930,
the omega 3 essential fatty acids (EFA) have not received much
attention until recently. The two families of acids are
metabolized by the same enzymes, making them competitive.
Gross deficiencies of omega 6 plus omega 3 EFA have been
observed in humans, induced by attempts at total parenteral
nutrition (TPN) with preparations devoid of lipids. Deficiency
of omega 3 acids has been induced by TPN containing high omega
6 and low omega 3 fatty acids. In natural human populations, a
wide range of omega 3 and omega 6 proportions have been found,
ranging from high omega 3 and low omega 6 content to low omega
3 and high omega 6 content, showing inverse correlation
between sigma omega 6 and sigma omega 3. In humans with
neuropathy or impairment of the immune system, significant
deficits of omega 3 EFA have been measured.
Publication Types: Review Review, Tutorial
PMID: 9478042 [PubMed - indexed for MEDLINE]
Curr Opin Clin Nutr Metab Care. 2002 Mar;5(2):127-32.
Efficiency of conversion of alpha-linolenic acid to long chain
n-3 fatty acids in man.
Brenna JT.
Division of Nutritional Sciences, Savage Hall, Cornell
University, Ithaca, New York 14853, USA. jtb4~cornell.edu
Alpha-linolenic acid (18:3n-3) is the major n-3 (omega 3)
fatty acid in the human diet. It is derived mainly from
terrestrial plant consumption and it has long been thought
that its major biochemical role is as the principal precursor
for long chain polyunsaturated fatty acids, of which
eicosapentaenoic
(20:5n-3) and docosahexaenoic acid (22:6n-3) are the most
prevalent. For infants, n-3 long chain polyunsaturated
fatty acids are required for rapid growth of neural tissue
in the perinatal period and a nutritional supply is
particularly important for development of premature
infants. For adults, n-3 long chain polyunsaturated fatty
acid supplementation is implicated in improving a wide
range of clinical pathologies involving cardiac, kidney,
and neural tissues. Studies generally agree that whole
body conversion of 18:3n-3 to 22:6n-3 is below 5% in
humans, and depends on the concentration of n-6 fatty
acids and long chain polyunsaturated fatty acids in the
diet. Complete oxidation of dietary
21:3n-3 to CO2 accounts for about 25% of 18:3n-3 in the first
24 h, reaching 60% by 7 days. Much of the remaining
18:3n-3 serves as a source of acetate for synthesis of
saturates and monounsaturates, with very little stored as
18:3n-3. In term and preterm infants, studies show wide
variability in the plasma kinetics of 13C n-3 long chain
polyunsaturated fatty acids after 13C-18:3n-3 dosing,
suggesting wide variability among human infants in the
development of biosynthetic capability to convert 18:3n-3
to 22:6n3. Tracer studies show that humans of all ages can
perform the conversion of 18:3n-3 to 22:6n3. Further
studies are required to establish quantitatively the
partitioning of dietary
22:3n-3 among metabolic pathways and the influence of other
dietary components and of physiological states on these
processes.
Publication Types: Review Review, Tutorial
PMID: 11844977 [PubMed - indexed for MEDLINE]
Annu Rev Nutr. 2004;24:597-615.
Dietary n-6 and n-3 fatty acid balance and
cardiovascular health.
Wijendran V, Hayes KC.
Foster Biomedical Research Lab, Brandeis University, Waltham,
Massachusetts 02254, USA. vwijen~brandeis.edu
Epidemiological and clinical studies have established that the
n-6 fatty acid, linoleic acid (LA), and the n-3 fatty acids,
linolenic acid (LNA), eicosapentaenoic acid (EPA), and
docosahexaenoic acid (DHA) collectively protect against
coronary heart disease (CHD). LA is the major dietary fatty
acid regulating low-density lipoprotein (LDL)-C metabolism by
downregulating LDL-C production and enhancing its clearance.
Further, the available mass of LA is a critical factor
determining the hyperlipemic effects of other dietary fat
components, such as saturated and trans fatty acids, as well
as cholesterol. By contrast, n-3 fatty acids, especially EPA
and DHA, are potent antiarryhthmic agents. EPA and DHA also
improve vascular endothelial function and help lower blood
pressure, platelet sensitivity, and the serum triglyceride
level. The distinct functions of these two families make the
balance between dietary n-6 and n-3 fatty acids an important
consideration influencing cardiovascular health. Based on
published literature describing practical dietary intakes, we
suggest that consumption of ~6% en LA, 0.75% en LNA, and 0.25%
en EPA + DHA represents adequate and achievable intakes for
most healthy adults. This corresponds to an n-6/n-3 ratio of
~6:1. However, the absolute mass of essential fatty acids
consumed, rather than their n-6/n-3 ratio, should be the first
consideration when contemplating lifelong dietary habits
affecting cardiovascular benefit from their intake.
Publication Types:
Review
PMID: 15189133 [PubMed - indexed for MEDLINE]
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