Fatty acid
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The Role of Fatty Acids in Health and Disease
Introduction to Fatty Acids
Fatty acids are carboxylic acids that are fundamental components of fats, oils, and other lipids, excluding steroids. They typically contain an even number of carbon atoms, ranging from 12 to 20, and can be classified based on the presence and number of carbon-to-carbon double bonds. Saturated fatty acids (SFA) have no double bonds, monounsaturated fatty acids (MUFA) have one, and polyunsaturated fatty acids (PUFA) have two or more2.
Nutritional Indices for Fatty Acids
Several indices have been developed to assess the nutritional and medicinal values of fatty acids. These include the PUFA/SFA ratio, the index of atherogenicity (IA), the index of thrombogenicity (IT), and the hypocholesterolemic/hypercholesterolemic ratio (HH). The IA and IT are particularly significant as they provide clear evidence of the implications of fatty acid composition on health. The sum of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) is often used to evaluate the nutritional quality of marine products1.
Essential Fatty Acids and Their Health Impacts
Essential fatty acids, such as linoleic acid (n-6) and alpha-linolenic acid (n-3), are crucial for human health as they cannot be synthesized by the body. These fatty acids play vital roles in growth, development, and the regulation of various physiological functions. An imbalance in the intake of n-6 and n-3 fatty acids can lead to health issues. For instance, a high intake of n-6 fatty acids is associated with prothrombotic and proaggregatory states, while n-3 fatty acids have anti-inflammatory and cardioprotective properties4 6.
Fatty Acids in Disease Prevention and Management
Fatty acids influence a wide range of diseases beyond cardiovascular health, including metabolic disorders like type 2 diabetes, inflammatory diseases, and cancer. They regulate membrane structure, intracellular signaling pathways, and gene expression, thereby affecting cell and tissue metabolism and function5. Omega-3 fatty acids, in particular, have been shown to slow cancer growth, enhance the effects of chemotherapy, and reduce its side effects10.
Fatty Acids and Metabolic Programming
The intake of fatty acids during pregnancy and lactation can have long-term effects on the offspring's health. Maternal fatty acid intake influences the fatty acid composition of membrane phospholipids in the fetus, which can affect energy balance and increase the risk of metabolic disorders later in life. This phenomenon, known as metabolic programming, underscores the importance of balanced fatty acid intake during critical developmental periods6.
Free Fatty Acid Receptors and Their Functions
Free fatty acids (FFAs) serve as natural ligands for a group of G protein-coupled receptors (GPCRs) known as free fatty acid receptors (FFARs). These receptors play crucial roles in linking metabolism and immune responses. For example, FFAR1 and FFAR4 are activated by long-chain fatty acids, while FFAR2 and FFAR3 are activated by short-chain fatty acids produced by gut microbial fermentation. These receptors are involved in regulating inflammation and the secretion of peptide hormones, highlighting their potential as therapeutic targets for metabolic and immune disorders9.
Conclusion
Fatty acids are essential components of human nutrition and play significant roles in health and disease. Understanding the various types of fatty acids, their nutritional indices, and their biological functions can help in the prevention and management of numerous health conditions. Balanced intake of essential fatty acids, particularly during critical developmental periods, is crucial for long-term health. Additionally, the role of free fatty acid receptors in metabolism and immunity presents new opportunities for therapeutic interventions.
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