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Oil for Life to Balance omega-3 polyunsaturated fatty acids ... - Oil4Life

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Isoprostanes are prostaglandin-like compounds <strong>for</strong>med in vivo from free radical-catalyzed<br />

peroxidation of primarily arachidonic acid (AA) without the action of cyclooxygenase<br />

(COX) enzyme. These nonclassical eicosanoids possess potent biological activity as<br />

inflamma<strong>to</strong>ry media<strong>to</strong>rs that augment the perception of pain. These compounds are accurate<br />

markers of lipid peroxidation in the body. The main isoprostanes (endocannabinoids,<br />

endogenous cannabis-like substances) are small molecules that bind <strong>to</strong> a family of G-protein<br />

coupled recep<strong>to</strong>rs that are densely distributed in areas of the brain related <strong>to</strong> mo<strong>to</strong>r control,<br />

cognition, emotional responses, motivated behaviour and homeostasis. Outside of the brain,<br />

the endocannabinoid system is one of the crucial modula<strong>to</strong>rs of the au<strong>to</strong>nomic nervous<br />

system, the immune system and microcirculation.<br />

During pregnancy, there is a faster turnover of PUFA from fast s<strong>to</strong>rage that may modify the<br />

profile of erythrocyte cell membrane <strong>fatty</strong> <strong>acids</strong>. Thus, it is suggested that <strong>omega</strong>-3 PUFA<br />

intake during pregnancy should be increased in the last trimester. Menstrual pain or<br />

dysmenorrhea is the most common gynecological complaint among female adolescents and<br />

young women. The high intake of <strong>omega</strong>-6 <strong>fatty</strong> <strong>acids</strong> in the western diet is reflected in the<br />

cell membrane phospholipids. Due <strong>to</strong> progesterone withdrawal be<strong>for</strong>e menstruation <strong>omega</strong>-6<br />

<strong>fatty</strong> <strong>acids</strong>, in particular arachidonic acid, are released, and a cascade of prostaglandins and<br />

leukotrienes is initiated in the uterus. The inflamma<strong>to</strong>ry response mediated by these<br />

eicosanoids produces both cramps and systemic symp<strong>to</strong>ms such as nausea, vomiting,<br />

bloating and headaches, including ischemia, pain and systemic symp<strong>to</strong>ms of dysmenorrhoea.<br />

EPA and DHA compete with arachidonic acid <strong>for</strong> the production of prostaglandins and<br />

leukotrienes through the incorporation in<strong>to</strong> cell membrane phospholipids, and through<br />

competition at the prostaglandin synthesis level. Long chain <strong>omega</strong>-3 can also inhibit<br />

arachidonic acid <strong>for</strong>mation at the level of the Δ-6-desaturase enzyme. In the uterus, this<br />

competitive interaction between <strong>omega</strong>-3 and <strong>omega</strong>-6 <strong>fatty</strong> <strong>acids</strong> may result in the<br />

production of less potent prostaglandins and leukotrienes and may lead <strong>to</strong> a reduction in the<br />

systemic symp<strong>to</strong>ms of dysmenorrhea.<br />

The arachidonic acid metabolism is also altered in psoriasis. Proinflamma<strong>to</strong>ry leukotrienes<br />

(LTB4) are markedly produced in the psoriatic lesions. Fish oil and <strong>omega</strong>-3 <strong>fatty</strong> <strong>acids</strong> are<br />

known <strong>to</strong> decrease the production of LTB4, a metabolite of arachidonic acid produced by<br />

activated neutrophils. Fish oil supplementation offers an opportuinity in management of<br />

psoriasis and inflamma<strong>to</strong>ry skin disorders with negligible side effects. Clinical<br />

improvements in tender joint scores and morning stiffness have also been reported with fish<br />

oil supplementation, associated with a decreased production of pro-inflamma<strong>to</strong>ry<br />

interleukine 1 (IL1) and LTB4.<br />

5. Biomarker of dietary fat intake – the development of Test4<strong>Life</strong><br />

The turnover time <strong>for</strong> <strong>fatty</strong> <strong>acids</strong> (FA) in the adipose tissue is 1–3 years and unaffected by<br />

temporary variations in diet. This make adipose tissue a good material <strong>to</strong> evaluate dietary FA<br />

intake over extended periods of time. However, the FA composition of plasma lipids and the<br />

membranes of platelets and erythrocytes provide a good assessment of the the dietary intake<br />

of the long chain <strong>omega</strong>-3 <strong>fatty</strong> <strong>acids</strong> (EPA and DHA). It was shown that EPA and DHA<br />

contents of adipose tissue aspirates and erythrocyte membranes have similar correlations<br />

with fish consumption. The measurement of erythrocyte phospholipids <strong>fatty</strong> acid status<br />

presents several advantages: (1) it is a reflexion spread over time of habitual dietary fat<br />

intake in relation <strong>to</strong> the biological half life of erythrocytes, (2) the level of EPA can be used<br />

as a specific marker <strong>for</strong> the intake of fish and fish oil, (3) phospholipids are a model of <strong>fatty</strong><br />

9

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