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Essential Fatty Acids

Time was, the popular press told us “all fats are bad.” Then we began to distinguish saturated from unsaturated fats, and more recently trans fats from omega 3 and omega 6 fats. What’s a consumer to do? It’s very confusing.

But not that confusing. There are some simple principles. Much of the body is made up of fat, notably most of the brain and cell membranes throughout the body. The fats making up these structures include cholesterol, phosphotidylcholine (and its close relatives) and the essential fatty acids, especially omega 3s and 6s.

Cell membranes are very complicated structures, with very precisely-shaped pumps for various substances, and binding sites for hormones like insulin or other materials. They have to be shaped exactly right, and have exactly the right degree of flexibility in order to work properly.

from Guyton AC & Hall JE, Textbook of Medical Physiology, Tenth Edition, Saunders (Elsevier), Philadelphia, 2004, p11.from Guyton AC & Hall JE, Textbook of Medical Physiology, Tenth Edition, Saunders (Elsevier), Philadelphia, 2004, p11.

When exactly the right blend of exactly the right type of fats is present, things work very well. But the wrong types of fat in the wrong place change the shape of binding sites, the flexibility of the surface, the efficiency of the pumps. That’s where one big difference between “good fats” and “bad fats” arises. A good fat is one which maximizes membrane function and flexibility. A bad fat is one which interferes with function or flexibility.

That’s why trans fats are especially bad. Trans fats are mirror images of good fats; they have exactly the wrong shape, and mess up the ability of the cell membrane to do its job. If the membrane gets messed up bad things happen: insulin doesn’t register when it hits the cell surface, and people get Type II diabetes. Mineral pumps bog down, affecting nerve function, even blood pressure. Some bad fats even can set off inflammatory cascades that can lead to heart or neurodegenerative disease.

Most Americans lack sufficient omega 3 fatty acids in their diet. That puts them at risk for many different diseases. But replacement by taking omega 3 supplements allows them to “change their oil” over time, and that seems to reverse the cellular process that can lead to Type II diabetes, heart or neurological disease. There is even evidence that intensive replacement of good fats, along with hyperbaric oxygen, can speed recovery from stroke.

This is a good time to be alive, because progress in biochemical knowledge has opened new vistas for clinical treatments.


Selected References:

  1. Murphy MG.  Dietary Fatty Acids and membrane protein function   Nutr Biochem  1990; 1:68-79.
  2. Sampath H et al.  Polyunsaturated fatty acid regulation of gene expression.  Nutr Rev 2004;  62:333-9
  3. Valenzuela A et al.  Trans fatty acid isomers in human health and in the food industry.  Biol Res 1999; 32:273-87
  4. Roach C, et al.  Comparison of cis and trans fatty acid containing phosphatidylcholines on membrane properties.  Biochemistry. 2004; 43:6344-51
  5. Chapkin RS, et al.  Dietary omega-3 PUFA alter colonocyte mitochondrial membrane composition and function.  Lipids. 2002; 37(2):193-9
  6. McCarty MF.  Nutraceutical resources for diabetes prevention – an update.  Med Hypotheses. 2005; 64(1): 151-8.
  7. Gustafsson JA.  Fatty acids in control of gene expression.  Nutr. Rev. 1998; 56(2 Pt 2):S20-1.
  8. Ziboh VA, et al.  Metabolism of polyunsaturated fatty acids by skin epidermal enzymes:  generation of antiinflammatory and antiproliferative metabolites.  Am J Clin Nutr. 2000; 71(1 Suppl):361S-66S
  9. Madigan C, et al.  Comparison of diets high in monounsaturated versus polyunsaturated fatty acid on postprandial lipoproteins in diabetes.  Ir J Med Sci. 2005; 174(1): 8 -20.
  10. Calder PC et al.  Polyunsaturated fatty acids, inflammation and immunity.  Eur J Clin Nutr. 2002; 56 Suppl 3:S14-19.
  11. Chalon S, et al.  Polyunsaturated fatty acids and cerebral function:  focus on monoaminergic neurotransmission.  Lipids. 2001:36: 937-44.
  12. Simonopoulos AP.  Omega-3 fatty acids in inflammation and autoimmune diseases.  J Am Coll Nutr. 2002; 21(6): 495-505.
  13. Belch JJF et al.  Effects of altering dietary essential fatty acids on requirements for non-steroidal anti-inflammatory drugs in patients with rheumatoid arthritis:  a double blind placebo controlled study.  Ann Rheum Dis. 1988; 47:96-104.
  14. Stenson WF et al.  Dietary supplements with fish oil in ulcerative colitis.  Ann Intern Med. 1992; 116:609-14.
  15. Mayser P, et al.  A double-blind, randomized, placebo-controlled trial of omega-3 versus omega-6 fatty acid-based lipid infusion in atopic dermatitis.  J Parenter Enteral Nutr. 2992; 26(3): 151-8.
  16. Nordvik I, et al.  Effect of dietary advice and omega-3 supplementation in newly diagnoses MS patients.  Acta Neurol Scand. 2000; 102(3): 143-9.
  17. Zaloga GP, et al.  Lipid modulation and systemic inflammation.  Critical Care Clinics. 2001; 17(1): 201-17.
  18. Gil A.  Polyunsaturated fatty acids and inflammatory diseases.  Biomed Pharmacolther. 2002; 56: 388-96.
  19. Tapiero H, et al.  Polyunsaturated fatty acids (PUFA) and eicosanoids in human health and pathologies.  Biomed Pharmacother. 2002; 56: 215-22.
  20. Gaullier JM, et al.  Conjugated linoleic acid supplementation for 1 y reduces body fat mass in healthy overweight humans.  Am J Clin Nutr. 2004; 79: 1118-25
  21. Malloney F, et al.  Conjugated linoleic acid supplementation, insulin sensitivity, and lipoprotein metabolism in patients with type 2 DM.  Am J Clin Nutr 2004; 80(4):887-95.
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