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                <span style="color: #222222"><span style="font-family: Helvetica"><span><strong>Fats, functions &amp;
                                malfunctions</strong></span></span></span>
            </h2>
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        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span><strong>Saturated fatty acids
                            terminate the stress reactions, polyunsaturated fatty acids amplify them.</strong></span
                    ></span></span>
        </blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span><strong>The most highly unsaturated
                            fats, including DHA, accumulate with aging, and their toxic fragments are increased in
                            Alzheimer's disease.&nbsp;</strong></span></span></span>
        </blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span><strong>The most highly unsaturated
                            fats found in fish oil break down into chemicals that block the use of glucose and
                            oxygen.</strong></span></span></span>
        </blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span><strong>The ratio of saturated fatty
                            acids to polyunsaturated fatty acids is decreased in cancer. Omega-3 fats promote
                            metastasis.</strong></span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>Around the beginning of the 20th
                        century, it was commonly believed that aging resulted from the accumulation of insoluble
                        metabolic by-products, sort of like the clinker ash in a coal furnace. Later, age pigment or
                        lipofuscin, was proposed to be such a material. It is a brown pigment that generally increases
                        with age, and its formation is increased by consumption of unsaturated fats, by vitamin E
                        deficiency, by stress, and by exposure to excess estrogen. Although the pigment can contribute
                        to the degenerative processes, aging involves much more than the accumulation of insoluble
                        debris; aging increases the tendency to form the debris, as well as vice versa.</span></span
                ></span>
        </blockquote>
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        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>There is a growing recognition that
                        a persistent increase of free fatty acids in the serum, which is seen in shock, heart failure,
                        and aging, indicates a bad prognosis, but there is no generally recognized explanation for the
                        fact that free fatty acids are harmful. I want to mention some evidence showing that it is the
                        accumulation of polyunsaturated fats in the body that makes them harmful.</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>The physical and functional
                        properties of saturated fatty acids and polyunsaturated fatty acids (PUFA) are as different from
                        each other as day is from night. The different fatty acids are directly involved, very often
                        with opposite effects, in cell division and growth, cell stability and dissolution, the
                        organization of cells, tissues, and organs, the regulation of pituitary hormones, adrenalin and
                        sympathetic nervous activation, histamine and serotonin synthesis, adrenal cortex hormones,
                        thyroid hormones, testosterone, estrogen, activators of the immune system and inflammation
                        (cytokines), autoimmune diseases, detoxification, obesity, diabetes, puberty,
                        epilepsy,&nbsp;</span></span></span>
        </blockquote>
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            <span style="color: #222222"><span style="font-family: Helvetica"><span>Parkinson's disease, other
                        degenerative nerve diseases and Alzheimer's disease, cancer, heart failure, atherosclerosis, and
                        strokes. In each of these situations, the PUFA have harmful effects.</span></span></span>
        </blockquote>
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        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>Most people are surprised to hear
                        about the systematically harmful effects of the common dietary polyunsaturated fats and the
                        protective effects of saturated fats. That's because there is a pervasive mythology of fats in
                        our culture. Officials are proposing to tax saturated fats. Laws are being passed prescribing
                        the fats that can be served in restaurants, and people write letters to editors about them, and
                        great amounts of money are spent publicizing the importance of eating the right fats. Their
                        focus is on obesity, atherosclerosis, and heart disease. The details of the myth change a
                        little, as new fat products and industries appear.&nbsp;</span></span></span>
        </blockquote>
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        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>As I understand the basic myth, the
                        difference between the "essential" polyunsaturated fats and the saturated fats has to do with
                        their shape---the unsaturated fatty acids bend or fold in a way that makes them more mobile than
                        saturated fats of the same length, and this causes the all-important "membranes" of cells to be
                        more fluid, and thus to have "better functions," though the myth isn't very clear on the issue
                        of fluidity and functionality. At that point, it passes responsibility to the more fundamental
                        biological myth, of the metabolically active cell membrane.&nbsp;</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>Practically everyone learns, in
                        grade school and from television, about the good and the bad oils, and cell membranes, but it
                        might seem likely that people who spend their lives investigating the role of fats in organisms
                        would have acquired a different, more complicated, view. But one of the most famous food fat
                        researchers, J.M. Bourre, has succinctly (and thoughtlessly) expressed his understanding of the
                        function of fatty substances in the body: "In fact the brain, after adipose tissue, is the organ
                        richest in lipids, whose only role is to participate in membrane structure." (J.M. Bourre,
                        2004.) The fact that his editor let him publish the statement shows how the myth functions,
                        causing people to accept things because they are "common knowledge." The influence of the
                        medical and pharmaceutical industries is so pervasive that it becomes the context for most
                        biological research.</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>Luckily, many people are working
                        outside the myth, in specialized problems of physiology and cell biology, and their observations
                        are showing a reality much more complex and interesting than the mythology.&nbsp;</span></span
                ></span>
        </blockquote>
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        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>When we eat more protein or
                        carbohydrate than we need, the excess can be converted to fats, to be stored (as triglycerides),
                        but even on a maintenance diet we synthesize some fats that are essential parts of all of our
                        cells, including a great variety of phospholipids. People seldom talk about the importance of
                        fats in the nucleus of the cell, but every nucleus contains a variety of lipids--phospholipids,
                        sphingolipids, cholesterol, even triglycerides--similar to those that are found elsewhere in the
                        cell and in every part of the body, including the brain (Balint and Holczinger, 1978; Irvine,
                        2002). Phospholipids are often considered to be "membrane lipids," but they have been
                        demonstrated in association with elements of the cell's skeleton, involved in cell division,
                        rather than in membranes (Shogomori, et al., 1993).</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>The cytoskeleton, a fibrous
                        framework of the cell that's responsible for maintaining the organized structure of the cell,
                        internal movement of organelles, coordination, locomotion, and cell division, is made up of
                        three main kinds of protein, and all of these are affected differently by different kinds of
                        fat.&nbsp;</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>Actions of lipids on the cell
                        skeleton can change cells' movements, migrations, and invasiveness. Unsaturated fats cause
                        clumping of some types of cell filament, condensation and polymerization of other types, in ways
                        that are associated with brain degenerative diseases and cancer. For example, DHA alters the
                        structure of the protein alpha-synuclein, causing it to take the form seen in Parkinson's
                        disease and other brain conditions. The synucleins regulate various structural proteins, and are
                        affected by stress, aging, and estrogen exposure, as well as by the polyunsaturated fats. One
                        type of synuclein is involved in the promotion of breast cancer. Saturated fatty acids have
                        exactly the opposite effects of PUFA on the synucleins, reversing the polymerization caused by
                        the PUFA (Sharon, et al., 2003).&nbsp;</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>When cancers are metastasizing,
                        their phospholipids contain less stearic acid than the less malignant tumors (Bougnoux, et al.,
                        1992), patients with advanced cancer had less stearic acid in their red blood cells (Persad, et
                        al., 1990), and adding stearic acid to their food delayed the development of cancer in mice
                        (Bennett, 1984). The degree of saturation of the body's fatty acids corresponds to resistance to
                        several types of cancer that have been studied (Hawley and Gordon, 1976; Singh, et al.,
                        1995).</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>The phospholipids are being
                        discussed in relation to drugs that can modify "signaling" by acting on phospholipid receptors,
                        using language that was developed in relation to hormones. A surface barrier membrane, with
                        receptors that send signals to the nucleus, is invoked by many of the recent discussions of
                        phospholipids. There's no question that the fats do affect regulatory processes, but the theory
                        and the language should correspond to the physiological and ecological realities. Vernadski's
                        metaphor, that an organism is a "whirlwind of atoms," is probably more appropriate than
                        "targeted signals and receptors" for understanding the physiology of fatty acids and
                        phospholipids. The rate of change and renewal of these structural fats is very high. In rats,
                        one study found a 30% decrease in the total phospholipid pool in the brain in the first 30
                        minutes after death (Adineh, et al., 2004).&nbsp; Another study in the brains of living rats
                        found that a particular class of brain lipids, ethanolamine plasmalogens, had a turnover time of
                        about 5 hours (Masuzawa, et al., 1984). (This type of lipid is an important component of the
                        lipoproteins secreted by the liver into the serum [Vance, 1990], and is also a major lipid in
                        the heart and brain.)&nbsp; Stresses such as the loss of sleep cause great distortions in
                        phospholipid metabolism throughout the body, especially in the brain and liver.</span></span
                ></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>Actions of lipids on the cell
                        skeleton can change cells' movements, migrations, and invasiveness, even in short term
                        experiments. The effects of the "essential fatty acid" linoleic acid have been compared to the
                        drug colchicine, which is known to interfere with the cell skeleton and cell division. According
                        to Hoover, et al., (1981), it disturbed the structure of the cytoskeleton more than colchicine
                        does; it caused the cell filaments to clump together, while saturated fatty acids didn't have
                        such an effect.</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>The fatty molecules that participate
                        in the normal cell functions are made by cells even when they are grown in a fat-free solution
                        in a culture dish. They include saturated fatty acids such as palmitate and stearate, and
                        omega-9 unsaturated fats, such as oleic acid and omega-9 polyunsaturated fatty acids. The
                        saturated fatty acids found in the nucleus associated with the chromosomes are resistant to
                        change when the composition of the animal's diet changes (Awad and Spector, 1976), while the
                        unsaturated fats change according to the diet. These intracellular fats are essential for cell
                        division and the regulation of the genes, and for cell survival (Irvine, 2002). Although cells
                        make the saturated fats that participate in those basic functions, the high rate of metabolism
                        means that some of the lipids will quickly reflect in their structure the free fatty acids that
                        circulate in the blood. The fats in the blood reflect the individual's diet history, but
                        recently eaten fats can appear in the serum as free fatty acids, if the liver isn't able to
                        convert them into triglycerides.</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>The polyunsaturated fatty acids
                        differ from the saturated fats in many ways, besides their shape and their melting temperature,
                        and each type of fatty acid is unique in its combination of properties. The polyunsaturated
                        fatty acids, made by plants (in the case of fish oils, they are made by algae), are less stable
                        than the saturated fats, and the omega-3 and omega-6 fats derived from them, are very
                        susceptible to breaking down into toxins, especially in warm-blooded animals. Other differences
                        between saturated and polyunsaturated fats are in their effects on surfaces (as surfactant),
                        charges (dielectric effects), acidity, and their solubility in water relative to their
                        solubility in oil. The polyunsaturated fatty acids are many times more water soluble than
                        saturated fatty acids of the same length. This property probably explains why only palmitic acid
                        functions as a surfactant in the lungs, allowing the air sacs to stay open, while unsaturated
                        fats cause lung edema and respiratory failure.</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>The great difference in water/oil
                        solubility affects the strength of binding between a fatty acid and the lipophilic, oil-like,
                        parts of proteins. When a protein has a region with a high affinity for lipids that contain
                        double bonds, polyunsaturated fatty acids will displace saturated fats, and they can sometimes
                        displace hormones containing multiple double bonds, such as thyroxine and estrogen, from the
                        proteins that have a high specificity for those hormones. Transthyretin (also called prealbumin)
                        is important as a carrier of the thyroid hormone and vitamin A. The unsaturation of vitamin A
                        and of thyroxin allow them to bind firmly with transthyretin and certain other proteins, but the
                        unsaturated fatty acids are able to displace them, with an efficiency that increases with the
                        number of double bonds, from linoleic (with two double bonds) through DHA (with six double
                        bonds).&nbsp;</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>The large amount of albumin in the
                        blood is important in normal fatty acid binding and transport, but it is also an important part
                        of our detoxifying system, since it can carry absorbed toxins from the intestine, lungs, or skin
                        to the liver, for detoxification. Albumin facilitates the uptake of saturated fatty acids by
                        cells of various types (Paris, et al., 1978), and its ability to bind fatty acids can protect
                        cells to some extent from the unsaturated fatty acids (e.g., Rhoads, et al., 1983). The liver's
                        detoxification system processes some polyunsaturated fats for excretion, along with hormones and
                        environmental toxins.</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>The movement of proteins from the
                        plasma into cells has often been denied, but there is clear evidence that a variety of proteins,
                        including IgG, transferrin haptoglobin, and albumin can be found in a variety of cells, even in
                        the brain (Liu, et al., 1989). Cells are lipophilic, and absorb molecules in proportion to their
                        fattiness; this long ago led people to theorize that cells are coated with a fat
                        membrane.&nbsp;</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>The idea of a semipermeable
                        membrane, similar in function to the membrane inside an egg shell, was proposed about 150 years
                        ago, to explain the ability of living cells to concentrate certain chemicals, such as potassium
                        ions, while excluding others, such as sodium ions. This idea of a molecular sieve was shown to
                        be invalid when radioactive isotopes made it possible to observe that sodium ions diffuse freely
                        into cells, and it was replaced by the idea of a metabolically active membrane, containing
                        "pumps" that made up for the inability to exclude various things, and that allowed cells to
                        retain high concentrations of some dissolved substances that are free to diffuse out of the
                        cell. The general idea of the membrane as a barrier persisted as a sort of "common sense" idea,
                        that has made people ignore experiments that show that some large molecules, including some
                        proteins, can quickly and massively enter cells. Albumin and transthyretin are two proteins that
                        are sometimes found in large quantities inside cells, and their primary importance is that they
                        bind and transport biologically active oily molecules.&nbsp;</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>While the competition by PUFA for
                        protein binding sites blocks the effects of thyroid hormone and vitamin A, the action of PUFA on
                        the sex steroid binding protein (SBP, or SSBG, for sex steroid binding globulin) increases the
                        activity of estrogen. That's because the SSBG neutralizes estrogen by binding it, keeping it out
                        of cells; free PUFA keep it from binding estrogen (Reed, et al., 1986). People with low
                        SSBG/estrogen ratio have an increased risk of cancer. When the SSBG protein is free of estrogen,
                        it is able to enter cells, and in that estrogen-free state it probably serves a similar
                        protective function, capturing estrogen molecules that enter cells before they can act on other
                        proteins or chromosomes. Transthyretin, the main transporter of thyroid and vitamin A, and
                        albumin (which can also transport thyroid hormone) are both able to enter cells, while loaded
                        with thyroid hormone and vitamin A. Albumin becomes more lipophilic as it binds more lipid
                        molecules, so its tendency to enter cells increases in proportion to its fat burden. Albumin in
                        the urine is a problem associated with diabetes and kidney disease; albumin loaded with fatty
                        acids passes from the blood into the urine more easily than unloaded albumin, and it is the
                        fatty acids, not the albumin, which causes the kidney damage (Kamijo, et al., 2002). It's
                        possible that SSBG's opposite behavior, entering cells only when it carries no hormones, is the
                        result of becoming less lipophilic when it's loaded with estrogen.</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>Since most people believe that cells
                        are enclosed within a barrier membrane, a new industry has appeared to sell special products to
                        "target" or "deliver" proteins into cells across the barrier. Combining anything with fat makes
                        it more likely to enter cells. Stress (which increases free fatty acids and lowers cell energy)
                        makes cells more permeable, admitting a broader range of substances, including those that are
                        less lipophilic.&nbsp;</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>Linoleic acid and arachidonic acid,
                        which are said to "make the lipid membrane more permeable," in fact make the whole cell more
                        permeable, by binding to the structural proteins throughout the cell, increasing their affinity
                        for water, causing generalized swelling, as well as mitochondrial swelling (leading to reduced
                        oxidative function or disintegration), allowing more calcium to enter the cell, activating
                        excitatory processes, stimulating a redox shift away from oxidation and toward inflammation,
                        leading to either (inappropriate) growth or death of the cell.&nbsp;&nbsp;</span></span></span>
        </blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>When we don't eat for many hours,
                        our glycogen stores decrease, and adrenaline secretion is increased, liberating more glucose as
                        long as glycogen is available, but also liberating fatty acids from the fatty tissues. When the
                        diet has chronically contained more polyunsaturated fats than can be oxidized immediately or
                        detoxified by the liver, the fat stores will contain a disproportionate amount of them, since
                        fat cells preferentially oxidize saturated fats for their own energy, and the greater water
                        solubility of the PUFA causes them to be preferentially released into the bloodstream during
                        stress.</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>In good health, especially in
                        children, the stress hormones are produced only in the amount needed, because of negative
                        feedback from the free saturated fatty acids, which inhibit the production of adrenalin and
                        adrenal steroids, and eating protein and carbohydrate will quickly end the stress. But when the
                        fat stores contain mainly PUFA, the free fatty acids in the serum will be mostly linoleic acid
                        and arachidonic acid, and smaller amounts of other unsaturated fatty acids. These PUFA stimulate
                        the stress hormones, ACTH, cortisol, adrenaline, glucagon, and prolactin, which increase
                        lipolysis, producing more fatty acids in a vicious circle. In the relative absence of PUFA, the
                        stress reaction is self limiting, but under the influence of PUFA, the stress response becomes
                        self-amplifying.&nbsp;</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>When stress is very intense, as in
                        trauma or sepsis, the reaction of liberating fatty acids can become dangerously
                        counter-productive, producing the state of shock. In shock, the liberation of free fatty acids
                        interferes with the use of glucose for energy and causes cells to take up water and calcium
                        (depleting blood volume and reducing circulation) and to leak ATP, enzymes, and other cell
                        contents (Boudreault and Grygorczyk, 2008; Wolfe, et al., 1983; Selzner, et al, 2004; van der
                        Wijk, 2003), in something like a systemic inflammatory state (Fabiano, et al., 2008) often
                        leading to death.&nbsp;</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>The remarkable resistance of
                        "essential fatty acid deficient" animals to shock (Cook, et al., 1981; Li et al., 1990; Autore,
                        et al., 1994) shows that the polyunsaturated fats are centrally involved in the maladaptive
                        reactions of shock. The cellular changes that occur in shock--calcium retention, leakiness,
                        reduced energy production--are seen in aging and the degenerative diseases; the stress hormones
                        and free fatty acids tend to be chronically higher in old age, and an outstanding feature of old
                        age is the reduced ability to tolerate stress and to recover from injuries.</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>Despite the instability of
                        polyunsaturated fatty acids, which tend to break down into toxic fragments, and despite their
                        tendency to be preferentially liberated from fat cells during stress, the proportion of them in
                        many tissues increases with age (Laganiere and Yu, 1993, 1987; Lee, et al., 1999; Smidova, et
                        al., 1990;Tamburini, et al., 2004; Nourooz-Zadeh J and Pereira, 1999 ). This progressive
                        increase with age can be seen already in early childhood (Guerra, et al., 2007). The reason for
                        this increase seems to be that the saturated fatty acids are preferentially oxidized by many
                        types of cell, (fat cells can slowly oxidize fat for their own energy maintenance). Albumin
                        preferentially delivers saturated fatty acids into actively metabolizing cells such at the heart
                        (Paris, 1978) for use as fuel. This preferential oxidation would explain Hans Selye's results,
                        in which canola oil in the diet caused the death of heart cells, but when the animals received
                        stearic acid in addition to the canola oil, their hearts showed no sign of damage.</span></span
                ></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>Since healthy cells are very
                        lipophilic, saturated fatty acids would have a greater tendency to enter them than the more
                        water soluble polyunsaturated fats, especially those with 4, 5, or 6 double bonds, but as cells
                        become chronically stressed they more easily admit the unsaturated fats, which slow oxidative
                        metabolism and create free radical damage. The free radicals are an effect of stress and aging,
                        as well as a factor in its progression.</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>When stress signals activate enzymes
                        in fat cells to release free fatty acids from the stored triglycerides, the enzymes in the
                        cytoplasm act on the surface of the droplet of fat. This means that the fatty acids with the
                        greatest water solubility will be liberated from the fat to move into the blood stream, while
                        the more oil soluble fatty acids will remain in the droplet. The long chain of saturated carbon
                        atoms (8 in the case of oleic acid, 15 in palmitic acid, and 17 in stearic acid) in the "tail"
                        of oleic, palmitic, and stearic acid will be buried in the fat droplet, while the tail of the
                        n-3 fatty acids, with only 2 saturated carbons, will be the most exposed to the lipolytic
                        enzymes. This means that the n-3 fatty acids are the first to be liberated during stress, the
                        n-6 fatty acids next. Saturated and monounsaturated fatty acids are selectively retained by fat
                        cells (Speake, et al., 1997).</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>Women are known to have a greater
                        susceptibility than men to lipolysis, with higher levels of free fatty acids in the serum and
                        liver, because of the effects of estrogen and related hormones.&nbsp;</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>Women on average have more DHA
                        circulating in the serum than men (Giltay, et al., 2004; McNamara, et al., 2008; Childs, et al.,
                        2008). This highly unsaturated fatty acid is the first to be liberated from the fat stores under
                        stress, and, biologically, the meaning of estrogen is to mimic stress. Estrogen and
                        polyunsaturated fatty acids have similar actions on cells, increasing their water content and
                        calcium uptake. Long before the Women's Health Initiative reported in 2002 that the use of
                        estrogen increased the risk of dementia, it was known that the incidence of Alzhemer's disease
                        was 2 or 3 times higher in women than in men. Men with Alzheimer's disease have higher levels of
                        estrogen than normal men (Geerlings, et al., 2006). The amount of DHA in the brain (and other
                        tissues) increases with aging, and its breakdown products, including neuroprostanes, are
                        associated with dementia. Higher levels of DHA and total PUFA are found in the plasma of
                        demented patients (Laurin, et al., 2003).</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>Another interesting association of
                        the highly unsaturated fats and estrogen in relation to brain function is that DHA increases the
                        entry of estrogen into the pregnant uterus, but inhibits the entry of progesterone (Benassayag,
                        et al., 1999), which is crucial for brain cell growth. When Dirix, et al., (2009) supplemented
                        pregnant women with PUFA, they found that fetal memory was impaired.&nbsp;</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>The crucial mitochondrial
                        respiratory enzyme, cytochrome c oxidase, declines with aging (Paradies, et al., 1997), as the
                        lipid cardiolipin declines, and the enzyme's activity can be restored to the level of young
                        animals by adding cardiolipin. The composition of cardiolipin changes with aging, "specifically
                        an increase in highly unsaturated fatty acids" (Lee, et al., 2006). Other lipids, such as a
                        phosphatidylcholine containing two myristic acid groups, can support the enzyme's activity
                        (Hoch, 1992). Even supplementing old animals with hydrogenated peanut oil restores mitochondrial
                        respiration to about 80% of normal (Bronnikov, et al., 2010).&nbsp;</span></span></span>
        </blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>Supplementing thyroid hormone
                        increases mitochondrial cardiolipin (Paradies and Ruggiero, 1988). Eliminating the
                        polyunsaturated fats from the diet increases mitochondrial respiration (Rafael, et al.,
                        1984).</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>Excitotoxicity is the process in
                        which activation of a nerve cell beyond its capacity to produce energy injures or kills the
                        cell, by increasing intracellular calcium. Glutamic acid and aspartic acid are the normal
                        neurotransmitter excitatory amino acids. Estrogen increases the activity of the excitatory
                        transmitter glutamate (Weiland, 1992), and glutamate increases the release of free fatty acids
                        (Kolko, et al., 1996). DHA (more strongly even than arachidonic acid) inhibits the uptake of the
                        excitotoxic amino acid aspartate, and in some situations glutamate, prolonging their actions.
                        Thymocytes are much more easily killed by stress than nerve cells, and they are easy to study.
                        The PUFA kill them by increasing their intracellular calcium. The toxicity of DHA is greater
                        than that of EPA, whose toxicity is greater than alpha-linolenic acid, and linoleic acid was the
                        most potent (Prasad, et al., 2010). Excitotoxicity is probably an important factor in
                        Alzheimer's disease (Danysz and Parsons, 2003).</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>When the brain is injured, DHA and
                        arachidonic acid contribute to brain edema, weakening the blood-brain-barrier, increasing
                        protein breakdown, inflammation, and peroxidation, while a similar amount of stearic acid in the
                        same situation caused no harm (Yang, et al., 2007). In other situations, such as the important
                        intestinal barrier, EPA and DHA also greatly increased the permeability (Dombrowsky, et al.,
                        2011).</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>The process by which excitotoxicity
                        kills a cell is probably a foreshortened version of the aging process.&nbsp;</span></span></span
            >
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>Excitotoxins (including endotoxin)
                        increase the formation of neuroprostanes and isoprostanes (from n-3 and n-6 PUFA) (Milatovic, et
                        al., 2005), and acrolein and other fragments, which inhibit the use of glucose and oxygen.&nbsp;
                        DHA and EPA produce acrolein and HHE, which react with lysine groups in proteins, and modify
                        nucleic acids, changing the bases in DNA.&nbsp;</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>Increased intracellular calcium
                        activates lipolysis (by phospholipases), producing more free fatty acids, as well as excitation
                        and protein breakdown, and in the brain neurodegenerative diseases, calcium excess contributes
                        to the clumping of synuclein (Wojda, et al., 2008), an important regulator of the cytoskeletal
                        proteins. The reduced function of normal synuclein makes cells more susceptible to
                        excitotoxicity (Leng and Chuang, 2006).</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>If the cells adapt to the increased
                        calcium, rather than dying, their sensitivity is reduced. This is probably involved in the
                        "defensive inhibition" seen in many types of cell. In the brain, DHA and arachidonic acid
                        "brought the cells to a new steady state of a moderately elevated [intracellular calcium] level,
                        where the cells became virtually insensitive to external stimuli. This new steady state can be
                        considered as a mechanism of self-protection" (Sergeeva, et al., 2005). In the heart, the PUFAs
                        decreased the sensitivity to stimulation (Coronel et al., 2007) and conduction velocity
                        (Tselentakis, et al., 2006; Dhein, et al., 2005). Both DHA and EPA inhibit calcium-ATPase (which
                        keeps intracellular calcium low to allow normal neurotransmission) in the cerebral cortex; this
                        suggests "a mechanism that explains the dampening effect of omega-3 fatty acids on neuronal
                        activity" (Kearns and Haag, 2002).</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>In normal aging, most processes are
                        slowed, including nerve conduction velocity, and conduction velocity in the heart (Dhein and
                        Hammerath, 2001). A similar "dampening" or desensitization is seen in sensory, endocrine, and
                        immune systems, as well as in energy metabolism. Calorie restriction, by decreasing the
                        age-related accumulation of PUFA (20:4, 22:4, and 22:5), can prevent the decrease of
                        sensitivity, for example in lymphoid cells (Laganier and Fernandes, 1991). The known effects of
                        the unsaturated fats on the organizational framework of the cell are consistent with the changes
                        that occur in aging.</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>One of the essential protective
                        functions that decline with aging is the liver's ability to detoxify chemicals, by combining
                        them with glucuronic acid, making them water soluble so that they can be excreted in the urine.
                        The liver (and also the intestine and stomach) efficiently process DHA by glucuronidation
                        (Little, et al., 2002). Oleic acid, one of the fats that we synthesize ourselves, increases
                        (about 8-fold) the activity of the glucuronidation process (Krcmery and Zakim, 1993; Okamura, et
                        al., 2006). However, this system is inhibited by the PUFA, arachidonic acid (Yamashita, et al.,
                        1997), and also by linoleic acid (Tsoutsikos, et al., 2004), in one of the processes that
                        contribute to the accumulation of PUFA with aging.</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>Animals that naturally have a
                        relatively low level of the highly unsaturated fats in their tissues have the greatest
                        longevity. For example, the naked mole rate has a life expectancy of more than 28 years, about 9
                        times as long as other rodents of a similar size. Only about 2% to 6% of its phospholipids
                        contain DHA, while about 27% to 57% of the phospholipids of mice contain DHA Mitchell, et al.,
                        2007).&nbsp;</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>The famously long-lived people of
                        Azerbaijan eat a diet containing a low ratio of unsaturated to saturated fats, emphasizing
                        fruits, vegetables, and dairy products (Grigorov, et al., 1991).</span></span></span>
        </blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>Some of the clearest evidence of the
                        protective effects of saturated fats has been published by A.A. Nanji's group, showing that they
                        can reverse the inflammation, necrosis, and fibrosis of alcoholic liver disease, even with
                        continued alcohol consumption, while fish oil and other unsaturated fats exacerbate the problem
                        (Nanji, et al., 2001). Glycine protects against fat accumulation in alcohol-induced liver injury
                        (Senthilkumar, et al., 2003), suggesting that dietary gelatin would complement the protective
                        effects of saturated fats.</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>The least stable n-3 fats which
                        accumulate with age and gradually reduce energy production also have their short term effects on
                        endurance. Endurance was much lower in rats fed a high n-3 fat diet, and the effect persisted
                        even after 6 weeks on a standard diet (Ayre and Hulbert, 1997). Analogous, but less extreme
                        effects are seen even in salmon, which showed increased oxidative stress on a high n-3 diet (DHA
                        or EPA), and lower mitochondrial cytochrome oxidase activity (Kjaer, et al., 2008).&nbsp;</span
                    ></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>Maintaining a high rate of oxidative
                        metabolism, without calorie restriction, retards the accumulation of PUFA, and a high metabolic
                        rate is associated with longevity. An adequate amount of sugar maintains both a high rate of
                        metabolism, and a high respiratory quotient, i.e., high production of carbon dioxide. Mole rats,
                        bats, and queen bees, with an unusually great longevity, are chronically exposed to high levels
                        of carbon dioxide. Carbon dioxide forms carbamino bonds with the amino groups of proteins,
                        inhibiting their reaction with the reactive "glycating" fragments of PUFA.</span></span></span>
        </blockquote>
        <blockquote></blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>To minimize the accumulation of the
                        highly unsaturated fatty acids with aging, it's probably reasonable to reduce the amount of them
                        directly consumed in foods, such as fish, but since they are made in our own tissues from the
                        "essential fatty acids," linoleic and linolenic acids, it's more important to minimize the
                        consumption of those (from plants, pork, and poultry, for example).</span></span></span>
        </blockquote>
        <blockquote>
            <span style="color: #222222"><span style="font-family: Helvetica"><span>In the resting state, muscles
                        consume mainly fats, so maintaining relatively large muscles is important for preventing the
                        accumulation of fats.&nbsp;</span></span></span>
        </blockquote>
        <blockquote>
            <span style="color: #222222"
            >&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>
        </blockquote>
        <blockquote>
            <span style="color: #222222">&nbsp;&nbsp;&nbsp;&nbsp;<span style="font-family: Helvetica"><span><strong><h3>
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        </blockquote>
        <p>&nbsp;</p>

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