ARTICLE
Auteur(s) : Miquel
Mir
Croda Consumer Care Europe Mevisa Site Carretera C-35 Km 72
(Hostaric-Blanes) 08495 Fogars de la Selva Spain
The knowledge on the beneficial effect of effects of omega-3
long chain polyunsaturated fatty acids (LCPUFA’s) on inflammatory
and autoimmune diseases like atherosclerosis, cancer, rheumatoid
arthritis, asthma, Alzheimer’s disease and others has increased
dramatically during recent years [1-4]. Amongst those probably
cardiovascular disease is the area where the benefits are most
recognised specially since 2004 when the US FDA issued a Qualified
Health Claim on omega-3 fatty acids and Coronary Heart Disease
[5-10]. Recently, the nutritional requirements for n-3 fatty acids
have shifted to their adequate intake to reduce disease risk rather
than that to correct or prevent nutritional deficiency [11].
Eicosapentaenoic acid (EPA) and Docosahexaenoic acid (DHA) are the
most beneficial n-3 LCPUFA and can be obtained from marine rich
diet. Also omega-6 LCPUFA’s, in particular γ-linolenic (GLA) which
is present in plant oils like evening primrose oil and borage oil
have anti-inflammatory and immunomodulating effects trough the
conversion to dihomo-γ-linolenic (DGLA) [12-14].
Unfortunately high concerns exist about the long-term
sustainability of global fisheries and although aquaculture is a
growing source of fish, the requirements of omega-3 containing
farmed fish for EPA and DHA requires fish meal and fish oil to be
provided in their diets.
This has made that research is looking at plant-based sources of
omega-3 fatty acids. The most abundant LCPUFA in plant oils are
either omega-3 α-Linolenic Acid (ALA) which is found in high
concentrations in flax seed oil or omega-6 Linoleic (LA) which is
present on oils like evening primrose oil and borage oil (table 1). Nevertheless the bioconversion of
LA and ALA to their respective longer omega-6 and omega-3 LC PUFA’s
is not an efficient process because on the fatty acid metabolic
pathway which consist of several elongation and desaturation steps
(figure 1) the
first step in the pathway, the Δ-6 desaturate step, is the rate
limiting in humans [15, 16].
As previously mentioned long-chain polyunsaturated fatty acids,
in particular EPA, DHA and DGLA, amongst other functions, are
precursors of eicosanoids and docosanoids which have critical roles
on inflammation and the immune system. As shown of figure 1 as a general rule
we can state that EPA and DGLA produce anti-inflammatory
eicosanoids (series 3 and series 1 prostaglandins and thromboxanes
and series 5 and 3 leukotrienes, respectively) whereas arachidoic
acid (AA) produces pro-inflammatory eicosanoids (series 2
prostaglandins and thromboxanes and series 4 leukotrienes). DHA
produces anti-inflammatory docosanoids [17]. Therefore dietary
sources of LCPUFA’s should contain these fatty acids or efficient
precursors.
Blends of omega-3 and omega-6 fatty acids or natural oils
containing both may offer synergistic health protection against
inflammatory chronic diseases.
Combinations of omega-3’s and omega-6’s
Although most of the studies on LC-PUFA’s have been focused on
either marine omega-3 FA on one side or on vegetable omega-6 FA on
the other, recently there has also been studies showing the
benefits of blends of omega-3 and omega-6 fatty acids in several
areas like cardiovascular diseases, asthma or maternal
supplementation.
Fatty acids compete for space in cell membranes and
supplementation with a single fatty acid can exacerbate depletion
of the other fatty acids which are also necessary. Thus
supplementation with fish oil omega-3 can lead to a reduction in
DGLA and a reduction of the beneficial eicosanoids derived from
DGLA. Supplementation with omega-6 oils (i.e., GLA rich oils) may
cause a reduction in EPA and a potentially harmful increase in AA
unless EPA/DHA are supplemented along with such omega-6 oils [18,
19]. A combination of omega-3 and omega-6 fatty acids may act
synergistically ([20] and references therein) increasing the levels
of omega-3 and at the same time maintaining the levels of AA. A
recent review [8] concluded that “n-6 fatty acids do not inhibit
the beneficial effects of n-3 fatty acids and that, in fact, a
combination of both types of fatty acid may be associated with the
lowest risk of cardiovascular disease”.
Laidlaw and Holub [21] established that daily supplementation
with 4 g EPA/DHA and 2 g GLA lowered patients risk of
having a hearth attack within the next ten years by 43%, even more
effectively than EPA/DHA alone. Blood level of triglycerides
decreased by 35% and the LDL-cholesterol, i.e. the “bad
cholesterol”, was reduced by 11.3% although it is known that fish
oil supplementation alone typically has no effect, or a slight
elevating effect on LDL-cholesterol levels.
Chilton et al. [22] showed in a randomized, double-blind,
placebo-controlled, parallel-group, prospective trial in patients
with mild to moderate atopic asthma that daily consumption of
dietary GLA and EPA in a novel emulsion formulation inhibited
leukotriene LTB4 biosynthesis. Leukotriene inhibitors
and leukotriene-receptor antagonists are effective in the treatment
of asthma and therefore potentially useful in such population.
Current recommendation for pregnant and lactating women is that
they should aim to achieve an average daily intake of at least
200 mg DHA [23]. Fish oil supplementation during pregnancy not
only improves maternal and neonatal DHA status, but often reduces
GLA, DGLA and AA levels also, which may compromise foetal and
infant development. Controlled studies of supplementation with
highly purified DHA have showed increases on DHA by approximately
150% in both plasma and platelet phospholipids and decreased n-3
DPA by approximately 50%. At the same time, EPA increased
approximately 50% and 100 % in plasma and platelet
phospholipids respectively demonstrating retro-conversion of DHA to
EPA with no accumulation of n-3 DPA ([9] and references therein).
Besides DHA and AA, n-3 DPA is also an important fatty acid in
human milk phospholipids and triglycerides [24, 25]. In fact in a
recent study of supplementation of infants with breast milk or
infant formulas, lower levels of nervonic, n-3 DPA and DHA were
found in all plasma lipid fractions from infants fed formula
compared to those in the human milk-fed infants (the diets used in
the study were designed to be as similar as possible in fatty acid
composition). The authors conclude that levels of nervonic acid,
n-3 DPA and DHA in formulas for full-term infants should be
increased [26].
Recently, Koletzko et al. [27] have proposed a blend of a DHA
concentrate and evening primrose oil (rich in GLA) for maternal
supplementation. In women of childbearing age the tested blend was
well tolerated and appeared safe. It increased plasma GLA, DGLA,
and DHA levels without impairing AA status. As we will see later in
the text, echium oil is able to increase plasma levels of n-3 DPA
and therefore a blend of a DHA concentrate and echium oil might be
useful for maternal supplementation.
Table 1 Typical fatty acid content of echium oil and
other plant oils.
|
Echium oil
|
Flaxseed oil
|
Blackcurrent oil
|
Borage oil
|
Evening primorose oil
|
|
LA (18:2 n-6)
|
19%
|
14%
|
45%
|
39%
|
70%
|
|
LA (18:3 n-6)
|
10%
|
-
|
16%
|
21%
|
10%
|
|
ALA (18:3 n-3)
|
30%
|
58%
|
11%
|
1%
|
-
|
|
SDA (18:4 n-3)
|
13%
|
-
|
3%
|
0.1%
|
-
|
Echium oil
Echium oil is a vegetable oil of non-GMO plant origin extracted
from the seeds of Echium plantagineum containing significant
amounts of omega-3 fatty acid Stearidonic Acid (SDA) and omega-6
acid γ-linolenic acid (GLA). Both SDA and GLA are the immediate
products of the rate-limiting Δ6-desaturase step and due the
efficiency of the elongase and Δ5-desaturase steps, are readily
converted to the longer PUFA’s.
Echium oil contains a unique combination of omega-3 and omega-6
fatty acids. It contains significant quantities (more than 10%) of
four different PUFA’s, SDA and ALA omega-3 PUFA’s and GLA and LA
omega-6 PUFA’s. A shown on table 1 this
is quite unusual as plant oils rich on omega-3’s like flaxseed
besides ALA only contains LA in significant amounts and plant oils
rich on omega-6’s like borage oil, evening primrose oil or
blackcurrant oil only contain very minor quantities of
omega-3’s.
Telpner and Holub [28] compared in humans the supplementation
during 28 days of a blend of flax seed and borage oil vs echium
oil. Both supplementation treatments had equivalent amounts of
omega-3 (ALA + SDA) and omega-6 (GLA). They measured the levels of
the fatty acids in serum phospholipids. They concluded that SDA
supplementation is 3 times more efficient that ALA for producing
elevations of EPA+n-3 DPA, that SDA supplementation is 3.6 times
more efficient that ALA for producing elevations of n-3 DPA, that
DHA levels did not change during the study in both cases and that
echium oil supplementation showed a significant rise in EPA and
DGLA but not rise on AA. It is worth to note that EPA
supplementation has also little effect if any on DHA levels.
Chilton et al. [29] studied the effect of supplementation of
echium oil on subjects with mild-to-moderate hypertriglyceridemia
during four weeks. The plasma concentration of omega-3 fatty acids
ALA, SDA and n-3 DPA increased during the study whereas there was
no change in plasma DHA. The plasma concentration of omega-6 fatty
acids GLA and DGLA also increased during the supplementation
period. In addition the changes on the fatty acid profile were
associated with a significant decrease on circulating triglyceride
concentration on hypertriglyceridemic subjects. This was observed
at SDA supplementation levels of 2 g/d which is within the
dose range of omega-3 LC PUFA’s from fish oil required to decrease
circulating TG concentrations.
The mechanism of TG reduction by echium oil has been recently
studied in apoB100-only LDL receptor knockout mice [30].
The qualitative changes of the omega-3 fatty acid profiles on
subjects supplemented with omega-3 (raise on n-3 DPA and EPA but
not on DHA) is similar to those observed in people consuming EPA
and is due to the presence of SDA in echium oil. SDA has various
physiological functions in the human body [31-37].
Thus Harris et al. [38] have recently studied the effect of
supplementation of SDA (76% as ethyl ester) in dogs and shown that
it caused an increase of EPA and n-3 DPA in red blood cells and
heart with no changes on DHA. They have estimated than SDA was
20-23% efficient compared with dietary EPA in raising tissue EPA
levels.
James et al. [39] studied the metabolism of SDA in humans in
comparison with ALA and EPA in a diet with low LA intake. Dietary
SDA increased EPA and n-3 DPA concentrations but not DHA
concentrations in erythrocyte and in plasma phospholipids. The
relative effectiveness of the tested dietary fatty acids in
increasing tissue EPA was 1:0.3:0.07 for EPA:SDA:ALA. Thus, SDA is
30% efficient compared to EPA to increase EPA concentration and is
about 4.3 times more efficient than ALA. The authors concluded that
vegetable oils containing SDA could be a dietary source of n-3
fatty acids that would be more effective in increasing tissue EPA
concentrations than are current ALA-containing vegetable oils.
It is worth to note that all studies on SDA supplementation
show, in addition to an increase on EPA levels, an increase also on
the levels of n-3 DPA. The role of this fatty acid in
cardiovascular disease risk is currently not fully understood
although there is epidemiological and in vitro studies which
suggest beneficial effects [40-44].
In addition to the cardiovascular area there are others areas
like skin inflammation caused by UV radiation, asthma or acne in
which echium oil may be beneficial.
UV radiation cause sunburn (erythrema, pain swelling and
blistering) and induces the release of pro-inflammatory
prostaglandin PGE2. In a study by Coupland et al. [45]
using several vegetable oils on artificial skin grown from human
fibroplasts exposed to UVB irradiation, echium oil was the most
effective on reducing the release of PGE2 as shown on
figure 2.
Studies in progress by Chilton and co-workers [46] shows than
supplementation with echium oil and borage oil inhibits the
generation of LTB4 thus confirming the potential utility
of this approach for inhibiting leukotriene generation in asthma
patients.
Acne patients have low levels of linoleic acid in their skin
surface lipids. Topically applied linoleic was shown to induce an
almost 25% reduction in the overall size of microcomedones, the
initial development step of acne lesions, over a 1-month treatment
period in acne-prone patients [47]. Therefore echium oil which
besides SDA and GLA also contains linoleic acid may be an
interesting product for acne treatment. In fact in a recent review
on SDA [31], the benefits of SDA, GLA and other PUFA’s
(GLA>DHA=SA=AA=ALA>LA) have been proposed in regulating
androgen action in target cells that could attenuate disorders
linked to a high 5α-reductase activity which, specially in women,
are associated with the presence of acne. On the other hand,
recently an article [48] has shown that inflammatory mediators
(LTB4, PGE2) are implicated in the initiation
of acne lesions and that are present in sebaceous glands of
acne-involved facial skin. A study demonstrated that a
LTB4 blocker led to a 70% reduction in inflammatory acne
lesions [49]. Being echium oil able to inhibit the release of
LTB4 and PGE2 it might be useful in treating
acne.
Conclusion
Echium oil is a potent natural non-GMO vegetable source of GLA and
SDA and after ingestion of their respective metabolites DGLA, EPA
and n-3 DPA. It is a true alternative for vegetarians or those who
do not eat fish, to benefit from the anti-inflammatory effects of
omega-3 and omega-6 long chain polyunsaturated fatty acids1.
References
1 Simopoulos AP. Omega-3 fatty acids in inflammation and
autoimmune diseases. J Am Coll Nutr 2002 ; 21(6) :
495-505.
2 Calder PC. Polyunsaturated fatty acids and inflammation.
Biochem Soc Transact 2005 ; 33 : 423-7.
3 Das UN. Essential fatty acids : biochemistry,
physiology and phatology. Biotechnol J 2006 ; 1 :
420-39.
4 Surette ME. The science behind dietary omega-3 fatty
acids. Can Med Ass J 2008 ; 178(2) : 177-80.
5 US FDA Heart Health Claim. Omega-3 fatty acids and Reduced
Risk of Coronary Hearth Disease. Docket No 2003Q-0401
(9/8/2004).
6 AHRQ. Effects of Omega-3 Fatty acids on Cardiovascular
Disease, Evidence Report/Technology Assessment No. 94. 2004.
http ://www.ahrq.gov/downloads/pub/evidence/pdf/o3cardio/o3cardio.pdf.
7 Bucher HC, Hengstler P, Schindler C,
Meier G. n-3 Polyunsaturated fatty acids in coronary heart
disease : a meta-analysis of randomized controlled trials. Am
J Med 2002 ; 112 : 298-304.
8 Block R, Pearson TA. The cardiovascular implications
of omega-3 fatty acids. Folia Cardiol 2006 ; 13 :
557-69.
9 Mori TA, Woodman RJ. The independent effects of
eicosapentaenoic acid an docosahexaenoic acid on cardiosvascular
risk factors in humans. Curr Opin Clin Nutr Metab Care 2006 ;
9(2) : 95-104.
10 Harris WS, Miller M, Tighe AP,
Davidson MH, Schaefer EJ. Omega-3 fatty acids and
coronary heart disease risk : Clinical and mechanistic
perspectives. Atherosclerosis 2008 ; 197(1) : 12-24.
11 Akabas S, Deckelbaum RJ. Summary of a workshop on
n-3 fatty acids : current status of recommendations and future
directions. Am J Clin Nutr 2006 ; 83(suppl) :
1536S-1538S.
12 Fan Y, Chapkin RS. Importance of dietary
γ-linolenic acid in human health and nutrition. J Nutr 1998 ;
128 : 1411-4.
13 Gamma-linolenic acid (GLA). Altern Med Rev 2004 ;
9 : 70-8.
14 Kapoor R, Huang YS. Gamma linolenic acid ; an
anti-inflammatory omega-6 fatty acid. Cur Pharm Biotechnol
2006 ; 7 : 531-4.
15 Arterburn LM, Bailey E, Oken H. Distribution,
interconversion, and dose response of n-3 fatty acids in human. Am
J Clin Nutr 2006 ; 83 : 1467S-1476S.
16 Burdge G, Calder PC. Conversion of α-linoleic acid
to longer-chain polyunsaturated fatty acids in human adults. Reprod
Nutr Dev 2005 ; 45 : 581-97.
17 Serhan CN, Arita M, Hong S, Gotlinger K.
Resolvins, docosatrienes, and neuroprotectins, novel
omega-3-derived mediators, and their endogeneous aspirin-triggered
epimers. Lipids 2004 ; 39(11) : 1125-32.
18 Johnson MM, Swan DD, Surette ME, et al.
Dietary supplementation with γ-linolenic acid alters fatty acid
content and eicosanoid production in healthy humans. J Nutr
1997 ; 127 : 1435-44.
19 Barham JB, Edens MB, Fonteh AN,
Johnson MM, Easter L, Chilton FH. Addition of
Eicospentaenoic acid to γ-linolenic acid-supplemented diets
prevents serum arachidonic acid accumulation in humans. J Nutr
2000 ; 130 : 1925-31.
20 Vasquez A. Reducing pain and inflammation naturally.
Part II : New insights into fatty acid supplementation and its
effects on eicosanoid production and genetic expression. J Counc
Nutr Am Chiropr Ass 2005 ; 28(1) : 5-16.
21 Laidlaw M, Holub B. Effects of supplementation with
fish oil-derived n-3 fatty acids and γ-linolenic acid on
circulating plasma lipids and fatty acid profiles in women. Am J
Clin Nutr 2003 ; 77 : 37-42.
22 Surette M, Koumenis IL, Edens MB, et al.
Inhibition of leukotriene biosynthesis by a novel dietary fatty
acid formulation in patients with atopic asthma : a
randomized, placebo-controlled, parallel-group, prospective trial.
Clin Nutr 2003 ; 25(3) : 972-9.
23 Koletzko B, et al. The roles of long-chain
polyunsaturated fatty acids in pregnancy, lactation and
infancy : review of current knowledge and consensus
recommendations. J Perinat Med 2008 ; 36(1) : 5-14.
24 Francois CA, Connor SL, Bolewicz LC,
Connor WE. Supplementing lactating women with flaxseed oil
does not increase docosahexaenoic acid in their milk. Am J Clin
Nutr 2003 ; 77 : 226-33.
25 Sala-Vila A, Castellote AI,
Rodriguez-Palmero M, Campoy C, López-Sabater MC.
Lipid composition in human breast milk form Granada (Spain) :
changes during lactation. Nutrition 2005 ; 21 :
467-73.
26 Sala-Vila A, Castellote AI, Campoy C,
Rivero M, Rodriguez-Palmero M, López-Sabater MC. The
source of long-chain PUFA in formula supplements does not affect
the fatty acid composition of plasma lipids in full-term infants. J
Nutr 2004 ; 134 : 868-73.
27 Geppert J, Demmelmair H, Hornstra G,
Koletzko B. Co-supplementation of healthy women with fish oil
and evening primrose oil increases plasma docosahexaenoic acid,
γ-linolenic acid and dihomo-γ-linolenic acid levels without
reducing arachidonic acid concentrations. Br J Nutr 2008 ;
99(2) : 360-9.
28 Telpner M, Holub B. Effect of dietary supplementation with
stearidonic acid on the long chain n-3 fatty acid status of human.
Canadian federation of biological studies, 43rd annual
meeting, Otawa, 2000.
29 Surette M, Edens M, Chilton F,
Tramposch K. Dietary Echium oil increases plasma and
neutrophil long-chain (n-3) fatty acids and lowers serum
triacylglycerols in hypertriglyceridemic humans. J Nutr 2004 ;
134 : 1406-11.
30 Zhang P, Boudyguina E, Wilson MD,
Gebre AK, Parks JS. Echium oil reduces plasma lipids and
hepatic lipogenic gene expression in apoB100-only LDL receptor
knockout mice. J Nutr Biochem 2007 ; (ahead of
publication).
31 Guil-Gerrero JL. Stearidonic acid (18 :4n-3) :
Metabolism, nutritional importance, medical uses and natural
sources. Eur J Lipid Sci Technol 2007 ; 109 :
1226-36.
32 Guichardant M, Traitler H, Spielmann D,
Sprecher H, Finot PA. Steridonic acid, an inhibitor of
the 5-lipoxygenase pathway. A comparison with timnodonic acid and
dihomo-γ-linoleic acid. Lipids 1983 ; 28(4) : 321-4.
33 Kockmann V, Spielmann D, Traitler H,
Lagarde M. Inhibitory effect of stearidonic acid (18 :4
n-3) on platelet aggregation and arachidonate oxygenation. Lipids
1989 ; 24 : 1004-7.
34 Miles EA, Banerjee T, Calder P. The influence
of different combinations of γ-linolenic acid, stearidonic acid and
EPA on the fatty acid composition of blood lipids and mononuclear
cells in human volunteers. Prostagl Leukot Essent Fat Ac
2004 ; 70(6) : 529-38.
35 Miles EA, Banerjee T, Dooper M,
M’Rabet L, Graus Y, Calder P. The influence of
different combinations of γ-linolenic acid, stearidonic acid and
EPA on immune function in healthy young male subjects. Br J Nutr
2004 ; 91 : 893-903.
36 Horia E, Watkins BA. Comparison of stearidonic acid
and α-linolenic acid on PGE2 production and COX-2 protein levels in
MDA-MB-231 breast cancer cell cultures. J Nutr Biochem 2005 ;
16(3) : 184-92.
37 Phipps JE, Enderson BL, Jones L,
Whelan J, Karlstad MD. Enteral nutrition with stearidonic
acid increases incorporation of anti-inflammatory N-3 fatty acids
in liver phospholipids in the rat. J Surg Res 2004 ;
121(2) : 330-1.
38 Harris WS, Dirienzo MA, Sands SA,
George C, Jones PG, Eapen AK. Stearidonic acid
increases the reed blood cell and heart Eicosapentaenoic Acid
content in Dogs. Lipids 2007 ; 42 : 325-33.
39 James M, Ursin V, Cleland L. Metabolism of
stearidonic acid in human subjects : comparison with the
methabolism of other n-3 fatty acids. Am J Clin Nutr 2003 ;
77 : 1140-5.
40 Simon JA, Hodgkins ML, Browner WS,
Neuhaus JM, Berneret JT, Hulley SB. Serum fatty
acids and the risk of coronary Heart disease. Am J Epidemiol
1995 ; 142(5) : 469-76.
41 Rissanen T, Voutilainen S, Nyyssönen K,
Lakka TA, Salonen JT. Fish-oil derived fatty acids,
docosahexaenoic acid and docosapentaenoic acid, and the risk of
acute coronary events : the Kuopio ischaemic heart disease
risk factor study. Circulation 2000 ; 102(22) :
2677-9.
42 Akiba S, Murata T, Kitatani K, Sato T.
Involvement of lipooxygenase pathway in docosapentaenoic
acid-induced inhibition of platelet aggregation. Biol Pharm Bull
2000 ; 23(11) : 1293-7.
43 Tsuji M, Se-Itsu M, Morita I. Docosapentanoic
acid (22 :5, n-3) suppressed tube-forming activity in
endothelial cells induced by vascular endothelial growth factor.
Prostagl Leukot Essent Fat Ac 2003 ; 68 : 337-42.
44 Kanayasu-Toyoda T, Morita I, Murota S.
Docosapentaenoic acid (22 :5, n-3) an elongation metabolite of
eicosapentaenoic acid (20 :5, n-3) is a potent stimulator of
endothelial cell migration on pre-treatment in vitro. Prostagl
Leukot Essent Fat Ac 1996 ; 54 : 319-25.
45 Coupland K, Packer CE. US patent 6340485. Croda International
Plc. 2002.
46 Chilton FH, Rudel LL, Parks JS, Arm JP,
Seeds MC. Mechanisms by which botanical lipids affect
inflammatory disorders. Am J Clin Nutr 2008 ; 87(2) :
498S-503S.
47 Letawe C, Boone M, Pierard GE. Digital image
analysis of the effect of topically applied linoleic acid on acne
microcomedones. Clin Exp Dermatol 1998 ; 23 : 56-8.
48 Alestas T, Ganceviciene R, Fimmel S,
Müller-Decker K, Zouboulis CC. Enzymes involved in the
biosynthesis of leukotriene B4 and prostaglandin E2 are active in
sebaceous glands. J Mol Med 2006 ; 84 : 75-87.
49 Zouboulis CC, et al. Treatment of inflammatory acne
with an oral 5-lipoxygenase inhibitor. J Invest Dermatol
2001 ; 117 : 547.
1 Echium oil has been authorised as novel
food ingredient in the EU under Regulation (EC) n° 258/97 following
the submission by Croda Chemicals Ltd. Official Journal of the
European Union L 180/17-19 (9 July 2008), Commission decision of 27
June 2008 (2008/558/EC).
|