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Health Implications of High Dietary Omega-6 Polyunsaturated Fatty Acids

DOI: 10.1155/2012/539426

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Abstract:

Omega-6 (n-6) polyunsaturated fatty acids (PUFA) (e.g., arachidonic acid (AA)) and omega-3 (n-3) PUFA (e.g., eicosapentaenoic acid (EPA)) are precursors to potent lipid mediator signalling molecules, termed “eicosanoids,” which have important roles in the regulation of inflammation. In general, eicosanoids derived from n-6 PUFA are proinflammatory while eicosanoids derived from n-3 PUFA are anti-inflammatory. Dietary changes over the past few decades in the intake of n-6 and n-3 PUFA show striking increases in the (n-6) to (n-3) ratio (~15?:?1), which are associated with greater metabolism of the n-6 PUFA compared with n-3 PUFA. Coinciding with this increase in the ratio of (n-6)?:?(n-3) PUFA are increases in chronic inflammatory diseases such as nonalcoholic fatty liver disease (NAFLD), cardiovascular disease, obesity, inflammatory bowel disease (IBD), rheumatoid arthritis, and Alzheimer's disease (AD). By increasing the ratio of (n-3)?:?(n-6) PUFA in the Western diet, reductions may be achieved in the incidence of these chronic inflammatory diseases. 1. Introduction Fatty acids are hydrocarbon chains with a carboxyl group at one end and a methyl group at the other. The biological reactivity of fatty acids is defined by the length of the carbon chain and by both the number and position of any double bonds present. While saturated fatty acids do not contain double bonds within the acyl chain, unsaturated fatty acids contain at least one double bond. When two or more double bonds are present, unsaturated fatty acids are referred to as PUFA [1]. There are two families of PUFA, and they are classified as omega-3 (n-3) and omega-6 (n-6) based on the location of the last double bond relative to the terminal methyl end of the molecule [2]. The human body can produce all but two of the fatty acids it requires. Linoleic acid (LA, C18:2n-6) (precursor to the n-6 series of fatty acids) and α-linolenic acid (ALA, C18:3n-3) (precursor to the n-3 series of fatty acids) are the simplest members of each family of PUFA and are termed essential fatty acids as the body cannot synthesise these. PUFA regulate a wide variety of biological functions, depending on the location of the last double bond, which range from blood pressure and blood clotting to the correct development and functioning of the brain and nervous system [2]. In addition, lipid mediators generated from long-chain (LC-) PUFA (arachidonic acid (AA) in the n-6 series and eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) in the n-3 series) have important roles in immune regulation and inflammation

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