Requirement for essential fatty acids

Studies reported and reviewed here on the quantitative aspects of the requirement for essential fatty acids were supported in part by NIH grant AM-04524, NIH Program-Project Grant HL-08214, and The Hormel Foundation. 

V. Factors Affecting the Requirement for Essential Fatty Acids. 43... 

From experiments mainly with laboratory animals, it has been demonstrated that relatively high intakes of trans fatty acids in the diet in conjunction with marginal intakes of essential fatty acids (less than 2% dietary energy from linoleic acid) can lead to the presence of Mead acid (cis-5,8,11-20 3) in tissue lipids and an increase in the ratio of 20 3 n-9 to 20 4 n-6. This has been interpreted to suggest early signs of essential fatty acid deficiency, with potentially increased requirements for essential fatty acids. Mead acid can accumulate in the presence of linoleic acid, if large amounts of nonessential fatty acids are also present. Two mechanisms have been suggested to explain these observations in relation to intake of trans fatty acids ... 

Several aspects of eicosanoid metabolism and function, however, need urgent research. These include (a) the mechanism by which the relative proportions of the different eicosanoids are regulated (b) the significance of changes of dietary fatty acid composition for whole body eicosanoid production (c) the quantitative significance of the different pathways and sites of synthesis and (d) the quantitative relationships between the requirements for essential fatty acids, which are measured in grams and the daily production of eicosanoids, which is measured in micrograms. 

What are the quantitative requirements for essential fatty acids in the diet ... 

The cycle makes available essential fatty acids that are required for the phospholipid synthesis necessary for new membrane formation in the proliferating tumour cells (Figure 21.22) and for synthesis of eicosanoids for regulation of proliferation. Such factors are also required by proliferating immune ceUs that may attack tumour cells, so that there will be competition for essential fatty acids between immune and tumour cells. 

C. Prostaglandins can be synthesized from arachidonic acid (which requires the essential fatty acid, linoleate, for its synthesis). They cannot be synthesized from glucose, so they cannot be made from acetyl CoA or oleic acid. Although leukotrienes are derived from arachidonic acid, they are not precursors of prostaglandins. 

Finally, there are general nutritional requirements for essential amino acids, fatty acids, sterols, and vitamins by pests. The absence or deficiency of one or more of these may limit growth or development. 

Prostaglandins arise from unsaturated C20 carboxylic acids such as arachidonic acid (see Table 26 1) Mammals cannot biosynthesize arachidonic acid directly They obtain Imoleic acid (Table 26 1) from vegetable oils m their diet and extend the car bon chain of Imoleic acid from 18 to 20 carbons while introducing two more double bonds Lmoleic acid is said to be an essential fatty acid, forming part of the dietary requirement of mammals Animals fed on diets that are deficient m Imoleic acid grow poorly and suffer a number of other disorders some of which are reversed on feed mg them vegetable oils rich m Imoleic acid and other polyunsaturated fatty acids One function of these substances is to provide the raw materials for prostaglandin biosynthesis... 

Although a tme requirement for fat per se has not been estabUshed, the minimum level was based on recognition of fat as a source of essential fatty acids. 

Organisms differ with respect to formation, processing, and utilization of polyunsaturated fatty acids. E. coli, for example, does not have any polyunsaturated fatty acids. Eukaryotes do synthesize a variety of polyunsaturated fatty acids, certain organisms more than others. For example, plants manufacture double bonds between the A and the methyl end of the chain, but mammals cannot. Plants readily desaturate oleic acid at the 12-position (to give linoleic acid) or at both the 12- and 15-positions (producing linolenic acid). Mammals require polyunsaturated fatty acids, but must acquire them in their diet. As such, they are referred to as essential fatty acids. On the other hand, mammals can introduce double bonds between the double bond at the 8- or 9-posi-tion and the carboxyl group. Enzyme complexes in the endoplasmic reticulum desaturate the 5-position, provided a double bond exists at the 8-position, and form a double bond at the 6-position if one already exists at the 9-position. Thus, oleate can be unsaturated at the 6,7-position to give an 18 2 d5-A ,A fatty acid. 

An IV fat emulsion contains soybean or safflower oil and a mixture of natural triglycerides, predominately unsaturated fatty acids. It is used in the prevention and treatment of essential fatty acid deficiency. It also provides nonprotein calories for those receiving TPN when calorie requirements cannot be met by glucose. Examples of intravenous fat emulsion include Intralipid 10% and 20%, Liposyn II 10% and 20%, and Liposyn III 10% and 20%. Fat emulsion is used as a source of calories and essential fatty acids for... 

Rats fed a purified nonlipid diet containing vitamins A and D exhibit a reduced growth rate and reproductive deficiency which may be cured by the addition of linoleic, a-linolenic, and arachidonic acids to the diet. These fatty acids are found in high concentrations in vegetable oils (Table 14-2) and in small amounts in animal carcasses. These essential fatty acids are required for prostaglandin, thromboxane, leukotriene, and lipoxin formation (see below), and they also have various other functions which are less well defined. Essential fatty acids are found in the stmctural lipids of the cell, often in the 2 position of phospholipids, and are concerned with the structural integrity of the mitochondrial membrane. 

Hepatic steatosis usually is a result of excessive administration of carbohydrates and/or lipids, but deficiencies of carnitine, choline, and essential fatty acids also may contribute. Hepatic steatosis can be minimized or reversed by avoiding overfeeding, especially from dextrose and lipids.35,38 Carnitine is an important amine that transports long-chain triglycerides into the mitochondria for oxidation, but carnitine deficiency in adults is extremely rare and is mostly a problem in premature infants and patients receiving chronic dialysis. Choline is an essential amine required for synthesis of cell membrane components such as phospholipids. Although a true choline deficiency is rare, preliminary studies of choline supplementation to adult patients PN caused reversal of steatosis. 

Fatty acids, such as linoleic, hnolenic, and arachidonic acids, contain two or more cis carbon-carbon double bonds and are referred to as polyunsaturated fatty acids. Several of these fatty acids, including linoleic and linolenic acids, are required nutrients for humans and must be part of a healthy diet. They are termed essential fatty acids, of which there are eight. These fatty acids cannot be synthesized by human beings but are essential to human health. Therefore, they must be consumed in adequate amounts in a healthy diet, specifically in the form of ingested plant-derived foods. A diet devoid of the essential fatty acids eventually results in a fatal condition characterized by inflammation of the skin (dermatitis), failure of wounds to heal, and poor growth. The essential fatty acids serve as precursors for complex molecules termed eicosanoids, to which we return below. 

Here are the key points. First, the most abundant volatiles in tomatoes are derived from catabolism of essential fatty acids. Linoleic acid is the precursor for hexanal and linolenic acid is that for cw-3-hexenal, cH-3-hexenol, and trans-2-hexenal. All of these are important flavor elements in the tomato. A healthy diet for people requires... 

The increased mobilisation of fatty acids from adipose tissue raises the plasma concentration, which increases the rate of fat oxidation by muscle. It also releases some essential fatty acids from the store in the triacylglycerol in adipose tissue. These are required for formation of new membranes in proliferating cells and those involved in repairing the wound (e.g. fibroblasts) (Chapters 11 and 21 Figure 21.22). 

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