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  6. <blockquote>
  7. <h2>
  8. <span style="color: #222222"><span style="font-family: Helvetica"><span><strong>Fats, functions &amp;
  9. malfunctions</strong></span></span></span>
  10. </h2>
  11. </blockquote>
  12. <blockquote></blockquote>
  13. <blockquote>
  14. <span style="color: #222222"><span style="font-family: Helvetica"><span><strong>Saturated fatty acids
  15. terminate the stress reactions, polyunsaturated fatty acids amplify them.</strong></span
  16. ></span></span>
  17. </blockquote>
  18. <blockquote>
  19. <span style="color: #222222"><span style="font-family: Helvetica"><span><strong>The most highly unsaturated
  20. fats, including DHA, accumulate with aging, and their toxic fragments are increased in
  21. Alzheimer's disease.&nbsp;</strong></span></span></span>
  22. </blockquote>
  23. <blockquote>
  24. <span style="color: #222222"><span style="font-family: Helvetica"><span><strong>The most highly unsaturated
  25. fats found in fish oil break down into chemicals that block the use of glucose and
  26. oxygen.</strong></span></span></span>
  27. </blockquote>
  28. <blockquote>
  29. <span style="color: #222222"><span style="font-family: Helvetica"><span><strong>The ratio of saturated fatty
  30. acids to polyunsaturated fatty acids is decreased in cancer. Omega-3 fats promote
  31. metastasis.</strong></span></span></span>
  32. </blockquote>
  33. <blockquote></blockquote>
  34. <blockquote>
  35. <span style="color: #222222"><span style="font-family: Helvetica"><span>Around the beginning of the 20th
  36. century, it was commonly believed that aging resulted from the accumulation of insoluble
  37. metabolic by-products, sort of like the clinker ash in a coal furnace. Later, age pigment or
  38. lipofuscin, was proposed to be such a material. It is a brown pigment that generally increases
  39. with age, and its formation is increased by consumption of unsaturated fats, by vitamin E
  40. deficiency, by stress, and by exposure to excess estrogen. Although the pigment can contribute
  41. to the degenerative processes, aging involves much more than the accumulation of insoluble
  42. debris; aging increases the tendency to form the debris, as well as vice versa.</span></span
  43. ></span>
  44. </blockquote>
  45. <blockquote></blockquote>
  46. <blockquote>
  47. <span style="color: #222222"><span style="font-family: Helvetica"><span>There is a growing recognition that
  48. a persistent increase of free fatty acids in the serum, which is seen in shock, heart failure,
  49. and aging, indicates a bad prognosis, but there is no generally recognized explanation for the
  50. fact that free fatty acids are harmful. I want to mention some evidence showing that it is the
  51. accumulation of polyunsaturated fats in the body that makes them harmful.</span></span></span>
  52. </blockquote>
  53. <blockquote></blockquote>
  54. <blockquote>
  55. <span style="color: #222222"><span style="font-family: Helvetica"><span>The physical and functional
  56. properties of saturated fatty acids and polyunsaturated fatty acids (PUFA) are as different from
  57. each other as day is from night. The different fatty acids are directly involved, very often
  58. with opposite effects, in cell division and growth, cell stability and dissolution, the
  59. organization of cells, tissues, and organs, the regulation of pituitary hormones, adrenalin and
  60. sympathetic nervous activation, histamine and serotonin synthesis, adrenal cortex hormones,
  61. thyroid hormones, testosterone, estrogen, activators of the immune system and inflammation
  62. (cytokines), autoimmune diseases, detoxification, obesity, diabetes, puberty,
  63. epilepsy,&nbsp;</span></span></span>
  64. </blockquote>
  65. <blockquote></blockquote>
  66. <blockquote>
  67. <span style="color: #222222"><span style="font-family: Helvetica"><span>Parkinson's disease, other
  68. degenerative nerve diseases and Alzheimer's disease, cancer, heart failure, atherosclerosis, and
  69. strokes. In each of these situations, the PUFA have harmful effects.</span></span></span>
  70. </blockquote>
  71. <blockquote></blockquote>
  72. <blockquote>
  73. <span style="color: #222222"><span style="font-family: Helvetica"><span>Most people are surprised to hear
  74. about the systematically harmful effects of the common dietary polyunsaturated fats and the
  75. protective effects of saturated fats. That's because there is a pervasive mythology of fats in
  76. our culture. Officials are proposing to tax saturated fats. Laws are being passed prescribing
  77. the fats that can be served in restaurants, and people write letters to editors about them, and
  78. great amounts of money are spent publicizing the importance of eating the right fats. Their
  79. focus is on obesity, atherosclerosis, and heart disease. The details of the myth change a
  80. little, as new fat products and industries appear.&nbsp;</span></span></span>
  81. </blockquote>
  82. <blockquote></blockquote>
  83. <blockquote>
  84. <span style="color: #222222"><span style="font-family: Helvetica"><span>As I understand the basic myth, the
  85. difference between the "essential" polyunsaturated fats and the saturated fats has to do with
  86. their shape---the unsaturated fatty acids bend or fold in a way that makes them more mobile than
  87. saturated fats of the same length, and this causes the all-important "membranes" of cells to be
  88. more fluid, and thus to have "better functions," though the myth isn't very clear on the issue
  89. of fluidity and functionality. At that point, it passes responsibility to the more fundamental
  90. biological myth, of the metabolically active cell membrane.&nbsp;</span></span></span>
  91. </blockquote>
  92. <blockquote></blockquote>
  93. <blockquote>
  94. <span style="color: #222222"><span style="font-family: Helvetica"><span>Practically everyone learns, in
  95. grade school and from television, about the good and the bad oils, and cell membranes, but it
  96. might seem likely that people who spend their lives investigating the role of fats in organisms
  97. would have acquired a different, more complicated, view. But one of the most famous food fat
  98. researchers, J.M. Bourre, has succinctly (and thoughtlessly) expressed his understanding of the
  99. function of fatty substances in the body: "In fact the brain, after adipose tissue, is the organ
  100. richest in lipids, whose only role is to participate in membrane structure." (J.M. Bourre,
  101. 2004.) The fact that his editor let him publish the statement shows how the myth functions,
  102. causing people to accept things because they are "common knowledge." The influence of the
  103. medical and pharmaceutical industries is so pervasive that it becomes the context for most
  104. biological research.</span></span></span>
  105. </blockquote>
  106. <blockquote></blockquote>
  107. <blockquote>
  108. <span style="color: #222222"><span style="font-family: Helvetica"><span>Luckily, many people are working
  109. outside the myth, in specialized problems of physiology and cell biology, and their observations
  110. are showing a reality much more complex and interesting than the mythology.&nbsp;</span></span
  111. ></span>
  112. </blockquote>
  113. <blockquote></blockquote>
  114. <blockquote>
  115. <span style="color: #222222"><span style="font-family: Helvetica"><span>When we eat more protein or
  116. carbohydrate than we need, the excess can be converted to fats, to be stored (as triglycerides),
  117. but even on a maintenance diet we synthesize some fats that are essential parts of all of our
  118. cells, including a great variety of phospholipids. People seldom talk about the importance of
  119. fats in the nucleus of the cell, but every nucleus contains a variety of lipids--phospholipids,
  120. sphingolipids, cholesterol, even triglycerides--similar to those that are found elsewhere in the
  121. cell and in every part of the body, including the brain (Balint and Holczinger, 1978; Irvine,
  122. 2002). Phospholipids are often considered to be "membrane lipids," but they have been
  123. demonstrated in association with elements of the cell's skeleton, involved in cell division,
  124. rather than in membranes (Shogomori, et al., 1993).</span></span></span>
  125. </blockquote>
  126. <blockquote></blockquote>
  127. <blockquote>
  128. <span style="color: #222222"><span style="font-family: Helvetica"><span>The cytoskeleton, a fibrous
  129. framework of the cell that's responsible for maintaining the organized structure of the cell,
  130. internal movement of organelles, coordination, locomotion, and cell division, is made up of
  131. three main kinds of protein, and all of these are affected differently by different kinds of
  132. fat.&nbsp;</span></span></span>
  133. </blockquote>
  134. <blockquote></blockquote>
  135. <blockquote>
  136. <span style="color: #222222"><span style="font-family: Helvetica"><span>Actions of lipids on the cell
  137. skeleton can change cells' movements, migrations, and invasiveness. Unsaturated fats cause
  138. clumping of some types of cell filament, condensation and polymerization of other types, in ways
  139. that are associated with brain degenerative diseases and cancer. For example, DHA alters the
  140. structure of the protein alpha-synuclein, causing it to take the form seen in Parkinson's
  141. disease and other brain conditions. The synucleins regulate various structural proteins, and are
  142. affected by stress, aging, and estrogen exposure, as well as by the polyunsaturated fats. One
  143. type of synuclein is involved in the promotion of breast cancer. Saturated fatty acids have
  144. exactly the opposite effects of PUFA on the synucleins, reversing the polymerization caused by
  145. the PUFA (Sharon, et al., 2003).&nbsp;</span></span></span>
  146. </blockquote>
  147. <blockquote></blockquote>
  148. <blockquote>
  149. <span style="color: #222222"><span style="font-family: Helvetica"><span>When cancers are metastasizing,
  150. their phospholipids contain less stearic acid than the less malignant tumors (Bougnoux, et al.,
  151. 1992), patients with advanced cancer had less stearic acid in their red blood cells (Persad, et
  152. al., 1990), and adding stearic acid to their food delayed the development of cancer in mice
  153. (Bennett, 1984). The degree of saturation of the body's fatty acids corresponds to resistance to
  154. several types of cancer that have been studied (Hawley and Gordon, 1976; Singh, et al.,
  155. 1995).</span></span></span>
  156. </blockquote>
  157. <blockquote></blockquote>
  158. <blockquote>
  159. <span style="color: #222222"><span style="font-family: Helvetica"><span>The phospholipids are being
  160. discussed in relation to drugs that can modify "signaling" by acting on phospholipid receptors,
  161. using language that was developed in relation to hormones. A surface barrier membrane, with
  162. receptors that send signals to the nucleus, is invoked by many of the recent discussions of
  163. phospholipids. There's no question that the fats do affect regulatory processes, but the theory
  164. and the language should correspond to the physiological and ecological realities. Vernadski's
  165. metaphor, that an organism is a "whirlwind of atoms," is probably more appropriate than
  166. "targeted signals and receptors" for understanding the physiology of fatty acids and
  167. phospholipids. The rate of change and renewal of these structural fats is very high. In rats,
  168. one study found a 30% decrease in the total phospholipid pool in the brain in the first 30
  169. minutes after death (Adineh, et al., 2004).&nbsp; Another study in the brains of living rats
  170. found that a particular class of brain lipids, ethanolamine plasmalogens, had a turnover time of
  171. about 5 hours (Masuzawa, et al., 1984). (This type of lipid is an important component of the
  172. lipoproteins secreted by the liver into the serum [Vance, 1990], and is also a major lipid in
  173. the heart and brain.)&nbsp; Stresses such as the loss of sleep cause great distortions in
  174. phospholipid metabolism throughout the body, especially in the brain and liver.</span></span
  175. ></span>
  176. </blockquote>
  177. <blockquote></blockquote>
  178. <blockquote>
  179. <span style="color: #222222"><span style="font-family: Helvetica"><span>Actions of lipids on the cell
  180. skeleton can change cells' movements, migrations, and invasiveness, even in short term
  181. experiments. The effects of the "essential fatty acid" linoleic acid have been compared to the
  182. drug colchicine, which is known to interfere with the cell skeleton and cell division. According
  183. to Hoover, et al., (1981), it disturbed the structure of the cytoskeleton more than colchicine
  184. does; it caused the cell filaments to clump together, while saturated fatty acids didn't have
  185. such an effect.</span></span></span>
  186. </blockquote>
  187. <blockquote></blockquote>
  188. <blockquote>
  189. <span style="color: #222222"><span style="font-family: Helvetica"><span>The fatty molecules that participate
  190. in the normal cell functions are made by cells even when they are grown in a fat-free solution
  191. in a culture dish. They include saturated fatty acids such as palmitate and stearate, and
  192. omega-9 unsaturated fats, such as oleic acid and omega-9 polyunsaturated fatty acids. The
  193. saturated fatty acids found in the nucleus associated with the chromosomes are resistant to
  194. change when the composition of the animal's diet changes (Awad and Spector, 1976), while the
  195. unsaturated fats change according to the diet. These intracellular fats are essential for cell
  196. division and the regulation of the genes, and for cell survival (Irvine, 2002). Although cells
  197. make the saturated fats that participate in those basic functions, the high rate of metabolism
  198. means that some of the lipids will quickly reflect in their structure the free fatty acids that
  199. circulate in the blood. The fats in the blood reflect the individual's diet history, but
  200. recently eaten fats can appear in the serum as free fatty acids, if the liver isn't able to
  201. convert them into triglycerides.</span></span></span>
  202. </blockquote>
  203. <blockquote></blockquote>
  204. <blockquote>
  205. <span style="color: #222222"><span style="font-family: Helvetica"><span>The polyunsaturated fatty acids
  206. differ from the saturated fats in many ways, besides their shape and their melting temperature,
  207. and each type of fatty acid is unique in its combination of properties. The polyunsaturated
  208. fatty acids, made by plants (in the case of fish oils, they are made by algae), are less stable
  209. than the saturated fats, and the omega-3 and omega-6 fats derived from them, are very
  210. susceptible to breaking down into toxins, especially in warm-blooded animals. Other differences
  211. between saturated and polyunsaturated fats are in their effects on surfaces (as surfactant),
  212. charges (dielectric effects), acidity, and their solubility in water relative to their
  213. solubility in oil. The polyunsaturated fatty acids are many times more water soluble than
  214. saturated fatty acids of the same length. This property probably explains why only palmitic acid
  215. functions as a surfactant in the lungs, allowing the air sacs to stay open, while unsaturated
  216. fats cause lung edema and respiratory failure.</span></span></span>
  217. </blockquote>
  218. <blockquote></blockquote>
  219. <blockquote>
  220. <span style="color: #222222"><span style="font-family: Helvetica"><span>The great difference in water/oil
  221. solubility affects the strength of binding between a fatty acid and the lipophilic, oil-like,
  222. parts of proteins. When a protein has a region with a high affinity for lipids that contain
  223. double bonds, polyunsaturated fatty acids will displace saturated fats, and they can sometimes
  224. displace hormones containing multiple double bonds, such as thyroxine and estrogen, from the
  225. proteins that have a high specificity for those hormones. Transthyretin (also called prealbumin)
  226. is important as a carrier of the thyroid hormone and vitamin A. The unsaturation of vitamin A
  227. and of thyroxin allow them to bind firmly with transthyretin and certain other proteins, but the
  228. unsaturated fatty acids are able to displace them, with an efficiency that increases with the
  229. number of double bonds, from linoleic (with two double bonds) through DHA (with six double
  230. bonds).&nbsp;</span></span></span>
  231. </blockquote>
  232. <blockquote></blockquote>
  233. <blockquote>
  234. <span style="color: #222222"><span style="font-family: Helvetica"><span>The large amount of albumin in the
  235. blood is important in normal fatty acid binding and transport, but it is also an important part
  236. of our detoxifying system, since it can carry absorbed toxins from the intestine, lungs, or skin
  237. to the liver, for detoxification. Albumin facilitates the uptake of saturated fatty acids by
  238. cells of various types (Paris, et al., 1978), and its ability to bind fatty acids can protect
  239. cells to some extent from the unsaturated fatty acids (e.g., Rhoads, et al., 1983). The liver's
  240. detoxification system processes some polyunsaturated fats for excretion, along with hormones and
  241. environmental toxins.</span></span></span>
  242. </blockquote>
  243. <blockquote></blockquote>
  244. <blockquote>
  245. <span style="color: #222222"><span style="font-family: Helvetica"><span>The movement of proteins from the
  246. plasma into cells has often been denied, but there is clear evidence that a variety of proteins,
  247. including IgG, transferrin haptoglobin, and albumin can be found in a variety of cells, even in
  248. the brain (Liu, et al., 1989). Cells are lipophilic, and absorb molecules in proportion to their
  249. fattiness; this long ago led people to theorize that cells are coated with a fat
  250. membrane.&nbsp;</span></span></span>
  251. </blockquote>
  252. <blockquote></blockquote>
  253. <blockquote>
  254. <span style="color: #222222"><span style="font-family: Helvetica"><span>The idea of a semipermeable
  255. membrane, similar in function to the membrane inside an egg shell, was proposed about 150 years
  256. ago, to explain the ability of living cells to concentrate certain chemicals, such as potassium
  257. ions, while excluding others, such as sodium ions. This idea of a molecular sieve was shown to
  258. be invalid when radioactive isotopes made it possible to observe that sodium ions diffuse freely
  259. into cells, and it was replaced by the idea of a metabolically active membrane, containing
  260. "pumps" that made up for the inability to exclude various things, and that allowed cells to
  261. retain high concentrations of some dissolved substances that are free to diffuse out of the
  262. cell. The general idea of the membrane as a barrier persisted as a sort of "common sense" idea,
  263. that has made people ignore experiments that show that some large molecules, including some
  264. proteins, can quickly and massively enter cells. Albumin and transthyretin are two proteins that
  265. are sometimes found in large quantities inside cells, and their primary importance is that they
  266. bind and transport biologically active oily molecules.&nbsp;</span></span></span>
  267. </blockquote>
  268. <blockquote></blockquote>
  269. <blockquote>
  270. <span style="color: #222222"><span style="font-family: Helvetica"><span>While the competition by PUFA for
  271. protein binding sites blocks the effects of thyroid hormone and vitamin A, the action of PUFA on
  272. the sex steroid binding protein (SBP, or SSBG, for sex steroid binding globulin) increases the
  273. activity of estrogen. That's because the SSBG neutralizes estrogen by binding it, keeping it out
  274. of cells; free PUFA keep it from binding estrogen (Reed, et al., 1986). People with low
  275. SSBG/estrogen ratio have an increased risk of cancer. When the SSBG protein is free of estrogen,
  276. it is able to enter cells, and in that estrogen-free state it probably serves a similar
  277. protective function, capturing estrogen molecules that enter cells before they can act on other
  278. proteins or chromosomes. Transthyretin, the main transporter of thyroid and vitamin A, and
  279. albumin (which can also transport thyroid hormone) are both able to enter cells, while loaded
  280. with thyroid hormone and vitamin A. Albumin becomes more lipophilic as it binds more lipid
  281. molecules, so its tendency to enter cells increases in proportion to its fat burden. Albumin in
  282. the urine is a problem associated with diabetes and kidney disease; albumin loaded with fatty
  283. acids passes from the blood into the urine more easily than unloaded albumin, and it is the
  284. fatty acids, not the albumin, which causes the kidney damage (Kamijo, et al., 2002). It's
  285. possible that SSBG's opposite behavior, entering cells only when it carries no hormones, is the
  286. result of becoming less lipophilic when it's loaded with estrogen.</span></span></span>
  287. </blockquote>
  288. <blockquote></blockquote>
  289. <blockquote>
  290. <span style="color: #222222"><span style="font-family: Helvetica"><span>Since most people believe that cells
  291. are enclosed within a barrier membrane, a new industry has appeared to sell special products to
  292. "target" or "deliver" proteins into cells across the barrier. Combining anything with fat makes
  293. it more likely to enter cells. Stress (which increases free fatty acids and lowers cell energy)
  294. makes cells more permeable, admitting a broader range of substances, including those that are
  295. less lipophilic.&nbsp;</span></span></span>
  296. </blockquote>
  297. <blockquote></blockquote>
  298. <blockquote>
  299. <span style="color: #222222"><span style="font-family: Helvetica"><span>Linoleic acid and arachidonic acid,
  300. which are said to "make the lipid membrane more permeable," in fact make the whole cell more
  301. permeable, by binding to the structural proteins throughout the cell, increasing their affinity
  302. for water, causing generalized swelling, as well as mitochondrial swelling (leading to reduced
  303. oxidative function or disintegration), allowing more calcium to enter the cell, activating
  304. excitatory processes, stimulating a redox shift away from oxidation and toward inflammation,
  305. leading to either (inappropriate) growth or death of the cell.&nbsp;&nbsp;</span></span></span>
  306. </blockquote>
  307. <blockquote>
  308. <span style="color: #222222"><span style="font-family: Helvetica"><span>When we don't eat for many hours,
  309. our glycogen stores decrease, and adrenaline secretion is increased, liberating more glucose as
  310. long as glycogen is available, but also liberating fatty acids from the fatty tissues. When the
  311. diet has chronically contained more polyunsaturated fats than can be oxidized immediately or
  312. detoxified by the liver, the fat stores will contain a disproportionate amount of them, since
  313. fat cells preferentially oxidize saturated fats for their own energy, and the greater water
  314. solubility of the PUFA causes them to be preferentially released into the bloodstream during
  315. stress.</span></span></span>
  316. </blockquote>
  317. <blockquote></blockquote>
  318. <blockquote>
  319. <span style="color: #222222"><span style="font-family: Helvetica"><span>In good health, especially in
  320. children, the stress hormones are produced only in the amount needed, because of negative
  321. feedback from the free saturated fatty acids, which inhibit the production of adrenalin and
  322. adrenal steroids, and eating protein and carbohydrate will quickly end the stress. But when the
  323. fat stores contain mainly PUFA, the free fatty acids in the serum will be mostly linoleic acid
  324. and arachidonic acid, and smaller amounts of other unsaturated fatty acids. These PUFA stimulate
  325. the stress hormones, ACTH, cortisol, adrenaline, glucagon, and prolactin, which increase
  326. lipolysis, producing more fatty acids in a vicious circle. In the relative absence of PUFA, the
  327. stress reaction is self limiting, but under the influence of PUFA, the stress response becomes
  328. self-amplifying.&nbsp;</span></span></span>
  329. </blockquote>
  330. <blockquote></blockquote>
  331. <blockquote>
  332. <span style="color: #222222"><span style="font-family: Helvetica"><span>When stress is very intense, as in
  333. trauma or sepsis, the reaction of liberating fatty acids can become dangerously
  334. counter-productive, producing the state of shock. In shock, the liberation of free fatty acids
  335. interferes with the use of glucose for energy and causes cells to take up water and calcium
  336. (depleting blood volume and reducing circulation) and to leak ATP, enzymes, and other cell
  337. contents (Boudreault and Grygorczyk, 2008; Wolfe, et al., 1983; Selzner, et al, 2004; van der
  338. Wijk, 2003), in something like a systemic inflammatory state (Fabiano, et al., 2008) often
  339. leading to death.&nbsp;</span></span></span>
  340. </blockquote>
  341. <blockquote></blockquote>
  342. <blockquote>
  343. <span style="color: #222222"><span style="font-family: Helvetica"><span>The remarkable resistance of
  344. "essential fatty acid deficient" animals to shock (Cook, et al., 1981; Li et al., 1990; Autore,
  345. et al., 1994) shows that the polyunsaturated fats are centrally involved in the maladaptive
  346. reactions of shock. The cellular changes that occur in shock--calcium retention, leakiness,
  347. reduced energy production--are seen in aging and the degenerative diseases; the stress hormones
  348. and free fatty acids tend to be chronically higher in old age, and an outstanding feature of old
  349. age is the reduced ability to tolerate stress and to recover from injuries.</span></span></span>
  350. </blockquote>
  351. <blockquote></blockquote>
  352. <blockquote>
  353. <span style="color: #222222"><span style="font-family: Helvetica"><span>Despite the instability of
  354. polyunsaturated fatty acids, which tend to break down into toxic fragments, and despite their
  355. tendency to be preferentially liberated from fat cells during stress, the proportion of them in
  356. many tissues increases with age (Laganiere and Yu, 1993, 1987; Lee, et al., 1999; Smidova, et
  357. al., 1990;Tamburini, et al., 2004; Nourooz-Zadeh J and Pereira, 1999 ). This progressive
  358. increase with age can be seen already in early childhood (Guerra, et al., 2007). The reason for
  359. this increase seems to be that the saturated fatty acids are preferentially oxidized by many
  360. types of cell, (fat cells can slowly oxidize fat for their own energy maintenance). Albumin
  361. preferentially delivers saturated fatty acids into actively metabolizing cells such at the heart
  362. (Paris, 1978) for use as fuel. This preferential oxidation would explain Hans Selye's results,
  363. in which canola oil in the diet caused the death of heart cells, but when the animals received
  364. stearic acid in addition to the canola oil, their hearts showed no sign of damage.</span></span
  365. ></span>
  366. </blockquote>
  367. <blockquote></blockquote>
  368. <blockquote>
  369. <span style="color: #222222"><span style="font-family: Helvetica"><span>Since healthy cells are very
  370. lipophilic, saturated fatty acids would have a greater tendency to enter them than the more
  371. water soluble polyunsaturated fats, especially those with 4, 5, or 6 double bonds, but as cells
  372. become chronically stressed they more easily admit the unsaturated fats, which slow oxidative
  373. metabolism and create free radical damage. The free radicals are an effect of stress and aging,
  374. as well as a factor in its progression.</span></span></span>
  375. </blockquote>
  376. <blockquote></blockquote>
  377. <blockquote>
  378. <span style="color: #222222"><span style="font-family: Helvetica"><span>When stress signals activate enzymes
  379. in fat cells to release free fatty acids from the stored triglycerides, the enzymes in the
  380. cytoplasm act on the surface of the droplet of fat. This means that the fatty acids with the
  381. greatest water solubility will be liberated from the fat to move into the blood stream, while
  382. the more oil soluble fatty acids will remain in the droplet. The long chain of saturated carbon
  383. atoms (8 in the case of oleic acid, 15 in palmitic acid, and 17 in stearic acid) in the "tail"
  384. of oleic, palmitic, and stearic acid will be buried in the fat droplet, while the tail of the
  385. n-3 fatty acids, with only 2 saturated carbons, will be the most exposed to the lipolytic
  386. enzymes. This means that the n-3 fatty acids are the first to be liberated during stress, the
  387. n-6 fatty acids next. Saturated and monounsaturated fatty acids are selectively retained by fat
  388. cells (Speake, et al., 1997).</span></span></span>
  389. </blockquote>
  390. <blockquote></blockquote>
  391. <blockquote>
  392. <span style="color: #222222"><span style="font-family: Helvetica"><span>Women are known to have a greater
  393. susceptibility than men to lipolysis, with higher levels of free fatty acids in the serum and
  394. liver, because of the effects of estrogen and related hormones.&nbsp;</span></span></span>
  395. </blockquote>
  396. <blockquote></blockquote>
  397. <blockquote>
  398. <span style="color: #222222"><span style="font-family: Helvetica"><span>Women on average have more DHA
  399. circulating in the serum than men (Giltay, et al., 2004; McNamara, et al., 2008; Childs, et al.,
  400. 2008). This highly unsaturated fatty acid is the first to be liberated from the fat stores under
  401. stress, and, biologically, the meaning of estrogen is to mimic stress. Estrogen and
  402. polyunsaturated fatty acids have similar actions on cells, increasing their water content and
  403. calcium uptake. Long before the Women's Health Initiative reported in 2002 that the use of
  404. estrogen increased the risk of dementia, it was known that the incidence of Alzhemer's disease
  405. was 2 or 3 times higher in women than in men. Men with Alzheimer's disease have higher levels of
  406. estrogen than normal men (Geerlings, et al., 2006). The amount of DHA in the brain (and other
  407. tissues) increases with aging, and its breakdown products, including neuroprostanes, are
  408. associated with dementia. Higher levels of DHA and total PUFA are found in the plasma of
  409. demented patients (Laurin, et al., 2003).</span></span></span>
  410. </blockquote>
  411. <blockquote></blockquote>
  412. <blockquote>
  413. <span style="color: #222222"><span style="font-family: Helvetica"><span>Another interesting association of
  414. the highly unsaturated fats and estrogen in relation to brain function is that DHA increases the
  415. entry of estrogen into the pregnant uterus, but inhibits the entry of progesterone (Benassayag,
  416. et al., 1999), which is crucial for brain cell growth. When Dirix, et al., (2009) supplemented
  417. pregnant women with PUFA, they found that fetal memory was impaired.&nbsp;</span></span></span>
  418. </blockquote>
  419. <blockquote></blockquote>
  420. <blockquote>
  421. <span style="color: #222222"><span style="font-family: Helvetica"><span>The crucial mitochondrial
  422. respiratory enzyme, cytochrome c oxidase, declines with aging (Paradies, et al., 1997), as the
  423. lipid cardiolipin declines, and the enzyme's activity can be restored to the level of young
  424. animals by adding cardiolipin. The composition of cardiolipin changes with aging, "specifically
  425. an increase in highly unsaturated fatty acids" (Lee, et al., 2006). Other lipids, such as a
  426. phosphatidylcholine containing two myristic acid groups, can support the enzyme's activity
  427. (Hoch, 1992). Even supplementing old animals with hydrogenated peanut oil restores mitochondrial
  428. respiration to about 80% of normal (Bronnikov, et al., 2010).&nbsp;</span></span></span>
  429. </blockquote>
  430. <blockquote>
  431. <span style="color: #222222"><span style="font-family: Helvetica"><span>Supplementing thyroid hormone
  432. increases mitochondrial cardiolipin (Paradies and Ruggiero, 1988). Eliminating the
  433. polyunsaturated fats from the diet increases mitochondrial respiration (Rafael, et al.,
  434. 1984).</span></span></span>
  435. </blockquote>
  436. <blockquote></blockquote>
  437. <blockquote>
  438. <span style="color: #222222"><span style="font-family: Helvetica"><span>Excitotoxicity is the process in
  439. which activation of a nerve cell beyond its capacity to produce energy injures or kills the
  440. cell, by increasing intracellular calcium. Glutamic acid and aspartic acid are the normal
  441. neurotransmitter excitatory amino acids. Estrogen increases the activity of the excitatory
  442. transmitter glutamate (Weiland, 1992), and glutamate increases the release of free fatty acids
  443. (Kolko, et al., 1996). DHA (more strongly even than arachidonic acid) inhibits the uptake of the
  444. excitotoxic amino acid aspartate, and in some situations glutamate, prolonging their actions.
  445. Thymocytes are much more easily killed by stress than nerve cells, and they are easy to study.
  446. The PUFA kill them by increasing their intracellular calcium. The toxicity of DHA is greater
  447. than that of EPA, whose toxicity is greater than alpha-linolenic acid, and linoleic acid was the
  448. most potent (Prasad, et al., 2010). Excitotoxicity is probably an important factor in
  449. Alzheimer's disease (Danysz and Parsons, 2003).</span></span></span>
  450. </blockquote>
  451. <blockquote></blockquote>
  452. <blockquote>
  453. <span style="color: #222222"><span style="font-family: Helvetica"><span>When the brain is injured, DHA and
  454. arachidonic acid contribute to brain edema, weakening the blood-brain-barrier, increasing
  455. protein breakdown, inflammation, and peroxidation, while a similar amount of stearic acid in the
  456. same situation caused no harm (Yang, et al., 2007). In other situations, such as the important
  457. intestinal barrier, EPA and DHA also greatly increased the permeability (Dombrowsky, et al.,
  458. 2011).</span></span></span>
  459. </blockquote>
  460. <blockquote></blockquote>
  461. <blockquote>
  462. <span style="color: #222222"><span style="font-family: Helvetica"><span>The process by which excitotoxicity
  463. kills a cell is probably a foreshortened version of the aging process.&nbsp;</span></span></span
  464. >
  465. </blockquote>
  466. <blockquote></blockquote>
  467. <blockquote>
  468. <span style="color: #222222"><span style="font-family: Helvetica"><span>Excitotoxins (including endotoxin)
  469. increase the formation of neuroprostanes and isoprostanes (from n-3 and n-6 PUFA) (Milatovic, et
  470. al., 2005), and acrolein and other fragments, which inhibit the use of glucose and oxygen.&nbsp;
  471. DHA and EPA produce acrolein and HHE, which react with lysine groups in proteins, and modify
  472. nucleic acids, changing the bases in DNA.&nbsp;</span></span></span>
  473. </blockquote>
  474. <blockquote></blockquote>
  475. <blockquote>
  476. <span style="color: #222222"><span style="font-family: Helvetica"><span>Increased intracellular calcium
  477. activates lipolysis (by phospholipases), producing more free fatty acids, as well as excitation
  478. and protein breakdown, and in the brain neurodegenerative diseases, calcium excess contributes
  479. to the clumping of synuclein (Wojda, et al., 2008), an important regulator of the cytoskeletal
  480. proteins. The reduced function of normal synuclein makes cells more susceptible to
  481. excitotoxicity (Leng and Chuang, 2006).</span></span></span>
  482. </blockquote>
  483. <blockquote></blockquote>
  484. <blockquote>
  485. <span style="color: #222222"><span style="font-family: Helvetica"><span>If the cells adapt to the increased
  486. calcium, rather than dying, their sensitivity is reduced. This is probably involved in the
  487. "defensive inhibition" seen in many types of cell. In the brain, DHA and arachidonic acid
  488. "brought the cells to a new steady state of a moderately elevated [intracellular calcium] level,
  489. where the cells became virtually insensitive to external stimuli. This new steady state can be
  490. considered as a mechanism of self-protection" (Sergeeva, et al., 2005). In the heart, the PUFAs
  491. decreased the sensitivity to stimulation (Coronel et al., 2007) and conduction velocity
  492. (Tselentakis, et al., 2006; Dhein, et al., 2005). Both DHA and EPA inhibit calcium-ATPase (which
  493. keeps intracellular calcium low to allow normal neurotransmission) in the cerebral cortex; this
  494. suggests "a mechanism that explains the dampening effect of omega-3 fatty acids on neuronal
  495. activity" (Kearns and Haag, 2002).</span></span></span>
  496. </blockquote>
  497. <blockquote></blockquote>
  498. <blockquote>
  499. <span style="color: #222222"><span style="font-family: Helvetica"><span>In normal aging, most processes are
  500. slowed, including nerve conduction velocity, and conduction velocity in the heart (Dhein and
  501. Hammerath, 2001). A similar "dampening" or desensitization is seen in sensory, endocrine, and
  502. immune systems, as well as in energy metabolism. Calorie restriction, by decreasing the
  503. age-related accumulation of PUFA (20:4, 22:4, and 22:5), can prevent the decrease of
  504. sensitivity, for example in lymphoid cells (Laganier and Fernandes, 1991). The known effects of
  505. the unsaturated fats on the organizational framework of the cell are consistent with the changes
  506. that occur in aging.</span></span></span>
  507. </blockquote>
  508. <blockquote></blockquote>
  509. <blockquote>
  510. <span style="color: #222222"><span style="font-family: Helvetica"><span>One of the essential protective
  511. functions that decline with aging is the liver's ability to detoxify chemicals, by combining
  512. them with glucuronic acid, making them water soluble so that they can be excreted in the urine.
  513. The liver (and also the intestine and stomach) efficiently process DHA by glucuronidation
  514. (Little, et al., 2002). Oleic acid, one of the fats that we synthesize ourselves, increases
  515. (about 8-fold) the activity of the glucuronidation process (Krcmery and Zakim, 1993; Okamura, et
  516. al., 2006). However, this system is inhibited by the PUFA, arachidonic acid (Yamashita, et al.,
  517. 1997), and also by linoleic acid (Tsoutsikos, et al., 2004), in one of the processes that
  518. contribute to the accumulation of PUFA with aging.</span></span></span>
  519. </blockquote>
  520. <blockquote></blockquote>
  521. <blockquote>
  522. <span style="color: #222222"><span style="font-family: Helvetica"><span>Animals that naturally have a
  523. relatively low level of the highly unsaturated fats in their tissues have the greatest
  524. longevity. For example, the naked mole rate has a life expectancy of more than 28 years, about 9
  525. times as long as other rodents of a similar size. Only about 2% to 6% of its phospholipids
  526. contain DHA, while about 27% to 57% of the phospholipids of mice contain DHA Mitchell, et al.,
  527. 2007).&nbsp;</span></span></span>
  528. </blockquote>
  529. <blockquote></blockquote>
  530. <blockquote>
  531. <span style="color: #222222"><span style="font-family: Helvetica"><span>The famously long-lived people of
  532. Azerbaijan eat a diet containing a low ratio of unsaturated to saturated fats, emphasizing
  533. fruits, vegetables, and dairy products (Grigorov, et al., 1991).</span></span></span>
  534. </blockquote>
  535. <blockquote>
  536. <span style="color: #222222"><span style="font-family: Helvetica"><span>Some of the clearest evidence of the
  537. protective effects of saturated fats has been published by A.A. Nanji's group, showing that they
  538. can reverse the inflammation, necrosis, and fibrosis of alcoholic liver disease, even with
  539. continued alcohol consumption, while fish oil and other unsaturated fats exacerbate the problem
  540. (Nanji, et al., 2001). Glycine protects against fat accumulation in alcohol-induced liver injury
  541. (Senthilkumar, et al., 2003), suggesting that dietary gelatin would complement the protective
  542. effects of saturated fats.</span></span></span>
  543. </blockquote>
  544. <blockquote></blockquote>
  545. <blockquote>
  546. <span style="color: #222222"><span style="font-family: Helvetica"><span>The least stable n-3 fats which
  547. accumulate with age and gradually reduce energy production also have their short term effects on
  548. endurance. Endurance was much lower in rats fed a high n-3 fat diet, and the effect persisted
  549. even after 6 weeks on a standard diet (Ayre and Hulbert, 1997). Analogous, but less extreme
  550. effects are seen even in salmon, which showed increased oxidative stress on a high n-3 diet (DHA
  551. or EPA), and lower mitochondrial cytochrome oxidase activity (Kjaer, et al., 2008).&nbsp;</span
  552. ></span></span>
  553. </blockquote>
  554. <blockquote></blockquote>
  555. <blockquote>
  556. <span style="color: #222222"><span style="font-family: Helvetica"><span>Maintaining a high rate of oxidative
  557. metabolism, without calorie restriction, retards the accumulation of PUFA, and a high metabolic
  558. rate is associated with longevity. An adequate amount of sugar maintains both a high rate of
  559. metabolism, and a high respiratory quotient, i.e., high production of carbon dioxide. Mole rats,
  560. bats, and queen bees, with an unusually great longevity, are chronically exposed to high levels
  561. of carbon dioxide. Carbon dioxide forms carbamino bonds with the amino groups of proteins,
  562. inhibiting their reaction with the reactive "glycating" fragments of PUFA.</span></span></span>
  563. </blockquote>
  564. <blockquote></blockquote>
  565. <blockquote>
  566. <span style="color: #222222"><span style="font-family: Helvetica"><span>To minimize the accumulation of the
  567. highly unsaturated fatty acids with aging, it's probably reasonable to reduce the amount of them
  568. directly consumed in foods, such as fish, but since they are made in our own tissues from the
  569. "essential fatty acids," linoleic and linolenic acids, it's more important to minimize the
  570. consumption of those (from plants, pork, and poultry, for example).</span></span></span>
  571. </blockquote>
  572. <blockquote>
  573. <span style="color: #222222"><span style="font-family: Helvetica"><span>In the resting state, muscles
  574. consume mainly fats, so maintaining relatively large muscles is important for preventing the
  575. accumulation of fats.&nbsp;</span></span></span>
  576. </blockquote>
  577. <blockquote>
  578. <span style="color: #222222"
  579. >&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>
  580. </blockquote>
  581. <blockquote>
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  1162. <p>&nbsp;</p>
  1163. © Ray Peat Ph.D. 2013. All Rights Reserved. www.RayPeat.com
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