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INFLUENCE OF POLYUNSATURATED FATTY ACIDS INTAKE<br />

ON LIPID METABOLISM IN PATIENTS WITH HYPERLIPIDAEMIA<br />

Simona Macuchová<br />

Mentor: Doc. RNDr. Ivana Márová, CSc.<br />

Brno University <strong>of</strong> Technology, Faculty <strong>of</strong> Chemistry, Department <strong>of</strong> Food Technology<br />

and Biotechnology, Purkyňova 118, 612 00, Brno, email: macuchova@fch.vutbr.cz<br />

INTRODUCION<br />

Cardiovascular diseases are the ma<strong>in</strong> cause <strong>of</strong> mortality <strong>in</strong> most <strong>of</strong> <strong>in</strong>dustrialized countries.<br />

Risk factors <strong>in</strong>clude smok<strong>in</strong>g, diabetes, obesity, high level <strong>of</strong> blood cholesterol, a diet high <strong>in</strong><br />

fats, and hav<strong>in</strong>g a personal or family history <strong>of</strong> heart disease. Cerebrovascular disease,<br />

peripheral vascular disease, high blood pressure, and kidney disease <strong>in</strong>volv<strong>in</strong>g dialysis are<br />

disorders that may also be associated with atherosclerosis (1).<br />

Atherosclerosis is characterized by deposition <strong>of</strong> cholesterol rich plaques <strong>in</strong> the<br />

endothelium. This observation stimulated research on the metabolism <strong>of</strong> cholesterol and<br />

revealed that cholesterol is transported <strong>in</strong> esterified form to cells by the low density<br />

lipoprote<strong>in</strong> (LDL). LDL is recognized by an endothelial cell receptor and <strong>in</strong>troduced <strong>in</strong>to the<br />

cell by endocytosis. There the esters are cleaved. The result<strong>in</strong>g free cholesterol is transferred<br />

to the cell walls. The process is strictly regulated. In atherosclerotic patients LDL is altered by<br />

oxidation. This altered LDL is taken up <strong>in</strong> unlimited amounts by macrophages. Dead<br />

macrophages filled with cholesterol esters are f<strong>in</strong>ally deposited <strong>in</strong> arteries (1).<br />

The fact that LDL is rendered toxic by oxidation raises the question which constituents <strong>of</strong><br />

LDL are prone to undergo oxidation. LDL consists <strong>of</strong> a core <strong>of</strong> cholesterol esters which is<br />

surrounded by a phospholipid membrane <strong>in</strong> which the prote<strong>in</strong> is <strong>in</strong>bedded. The latter is<br />

required to recognize the LDL cell receptor.<br />

Polyunsaturated fatty acids (PUFAs) esterified to cholesterol or present as phospholipids<br />

represent the most oxygen sensitive compounds <strong>of</strong> all these LDL constituents.<br />

Dietary polyunsaturated fatty acids (PUFA) have effects on diverse physiological<br />

processes impact<strong>in</strong>g normal health and chronic diseases, such as the regulation <strong>of</strong> plasma lipid<br />

levels, cardiovascular and immune function, <strong>in</strong>sul<strong>in</strong> action, and neural development and<br />

visual function (1).<br />

Ingestion <strong>of</strong> PUFA would lead to their distribution to virtually every cell <strong>in</strong> the body with<br />

effects on membrane composition and function, eicosanoid synthesis, and signal<strong>in</strong>g as well as<br />

the regulation <strong>of</strong> gene expression.<br />

Cell specific lipid metabolism, as well as the expression <strong>of</strong> fatty acid-regulated<br />

transcription factors likely play an important role <strong>in</strong> determ<strong>in</strong><strong>in</strong>g how cells respond to changes<br />

<strong>in</strong> PUFA composition.<br />

Chemically, PUFA belong to the class <strong>of</strong> simple lipids, as are fatty acids with two or more<br />

double bonds <strong>in</strong> cis position. There are two ma<strong>in</strong> families <strong>of</strong> PUFA: n-3 and n-6. These fatty<br />

acids family are not convertible and have very different biochemical roles.<br />

Dietary n-3 PUFA have several beneficial properties:<br />

- act favorably on blood characteristics by reduc<strong>in</strong>g platelet aggregation and blood<br />

viscosity;<br />

Sborník soutěže Studentské tvůrčí č<strong>in</strong>nosti Student 2006 a doktorské soutěže O cenu děkana 2005 a 2006<br />

Sekce DSP 2006, strana 210

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