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The Essential Fatty AcidsDepartment of Surgery, Wayne State University School of Medicine, Detroit In animal and human tissues, there are four families of fatty acids that are derived from the precursors palmitoleic, oleic, linoleic, and linolenic acids. Of these, linoleic and linolenic acids are essential dietary elements for humans and all higher animals. The four precursor fatty acids are metabolized (through desaturation and chain elongation) to form the long-chain polyunsaturated fatty acids. The principal fatty acids derived from linoleic acid are arachidonic acid, which contains four double bonds (tetraene) and dihomogamma linolenic acid, whereas products formed from linolenic acid are eicosapentaenoic acid and docosahexaenoic acid. The major products from palmitoleic and oleic acids are the 20 carbon fatty acids with three double bonds (triene). In the presence of adequate dietary amounts of essential fatty acids, tetraene products predominate in plasma. When the intakes of both linoleic and linolenic acids are low, triene formation is high and hence the triene/tetraene ratio in plasma is used to assess the index of essential fatty acid deficiency. The polyunsaturated fatty acids derived from essential fatty acids serve as cellular membrane phospholipid components which can influence the physicochemical characteristics of the lipid bilayer. Changes in membrane lipids can modify the mobility and function of a variety of membrane proteins which may result in altered cell/organ functions. Linoleic acid is specifically required in the skin to maintain the integrity of epidermal water barrier. The dihomogamma linolenic acid, arachidonic acid, and eicosapentaenoic acid are the precursors of eicosanoids which influence many cell processes and organ functions. Docosahexaenoic acid is found in high concentrations in the structural lipids of the brain and retina and has a role in the development of the brain and visual function. Humans deprived of essential fatty acids develop deficiency symptoms characterized by dermatitis and thickening of the skin, fatty liver, and impaired water balance. The most common cause of essential fatty acid deficiency in humans is the long-term intake of fat-free "glucose-containing" parenteral nutrition. The minimal requirements for linoleic and linolenic acids are estimated to be 2% and 0.2 to 0.3%, respectively, of total daily caloric intake. Vegetable oils such as corn and soybean oil are excellent sources of linoleic acid. Cold-water fish is rich in linolenic acid-derived polyunsaturated fatty acids.
Nutrition in Clinical Practice, Vol. 7, No. 4,
179-186 (1992) This article has been cited by other articles:
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