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The obesogenic effects of polyunsaturated fatty acids are dependent ...

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Polyunsaturated <strong>fatty</strong> <strong>acids</strong> in the diet<br />

Fat comes in the form <strong>of</strong> a blend <strong>of</strong> different <strong>fatty</strong> <strong>acids</strong>, namely saturated <strong>fatty</strong> <strong>acids</strong> (SFAs),<br />

monounsaturated <strong>fatty</strong> <strong>acids</strong> (MUFAs) and <strong>polyunsaturated</strong> <strong>fatty</strong> <strong>acids</strong> (PUFAs). Multiple studies<br />

suggest that the consumption <strong>of</strong> MUFAs in place <strong>of</strong> SFAs improves insulin sensitivity 14,15 . <strong>The</strong><br />

increased intake <strong>of</strong> n-6 PUFAs, or higher dietary n-6 to n-3 ratio, has been implicated in promoting<br />

many diseases including obesity and diabetes 16,17 . As shown in the work <strong>of</strong> Massiera et al., in mice,<br />

pups from mothers fed a diet enriched with n-6 linoleic acid became obese. However, this can be<br />

prevented by inclusion <strong>of</strong> the n-3 PUFA α-linolenic acid in the diet. <strong>The</strong> authors attributed this<br />

phenomenon to the ability <strong>of</strong> n-6 PUFAs to promote adipogenesis 18 . In line with the animal work, a<br />

similar outcome has been observed in a human study that revealed a higher n-6/n-3 PUFA ratio in<br />

the umbilical cord plasma was associated with a higher incidence <strong>of</strong> obesity 19 . Furthermore, work<br />

from our group suggests that the adipogenic nature <strong>of</strong> n-6 PUFAs is <strong>dependent</strong> on the cellular<br />

cAMP status 20 .<br />

<strong>The</strong> possible anti-obesity mechanisms <strong>of</strong> n-3 PUFAs include, but <strong>are</strong> not limited to: 1), competition<br />

with n-6 PUFAs in enzymatic pathways, which may dampen the adipogenic and pro-inflammatory<br />

<strong>effects</strong> <strong>of</strong> n-6 PUFAs 21 , as one metabolic effect from obesity is chronic low-grade inflammation.<br />

Anti-inflammatory intervention has been shown to be helpful against metabolic dysfunction 22 . 2),<br />

up regulation <strong>of</strong> β-oxidation and mitochondrial biogenesis. In both rodent and human settings<br />

addition <strong>of</strong> n-3 PUFAs, particularly <strong>of</strong> marine source, increased lipid oxidation 23,24 . 3), activation <strong>of</strong><br />

G protein-coupled receptor 120, which exerts its anti-inflammatory <strong>effects</strong> by inhibiting both Tolllike<br />

receptor (TLR) and tissue necrosis factor- α (TNF-α) signaling pathways in the residing<br />

macrophages in adipose tissue 25 .<br />

Adipocyte biology<br />

Historically, adipose tissue was seen as a static storage unit when energy is in excess and to release<br />

energy during food deprivation in the form <strong>of</strong> <strong>fatty</strong> <strong>acids</strong> and glycerol. When energy consumption<br />

persistently exceeds energy expenditure, expansion <strong>of</strong> adipose tissue will occur, contributed to by<br />

both hyperplasia and hypertrophy <strong>of</strong> adipocytes and finally culminate in obesity. Recently adipose<br />

tissue has become appreciated as an important mediator <strong>of</strong> systemic metabolism for its role <strong>of</strong><br />

secreting regulatory proteins 26 . <strong>The</strong> first adipokine being identified was adipsin (Factor D) from<br />

7

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