Lipids in Health and Disease | |
Cheek cell fatty acids reflect n-3 PUFA in blood fractions during linseed oil supplementation: a controlled human intervention study | |
Katrin Kuhnt1  Frank Staps1  Annemarie Grindel1  | |
[1] Department of Nutritional Physiology, Institute of Nutrition, Friedrich Schiller University, Dornburger Straße 24, Jena 07743, Germany | |
关键词: Olive oil; Peripheral blood mononuclear cells; Red blood cells; Plasma; Fatty acid supplementation; Buccal cells; Long-chain n-3 PUFA; Alpha-linolenic acid; Oral mucosa; | |
Others : 829185 DOI : 10.1186/1476-511X-12-173 |
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received in 2013-07-19, accepted in 2013-11-05, 发布年份 2013 | |
【 摘 要 】
Background
Adequate biomarkers for the dietary supply of fatty acids (FA) are FA of adipose tissue and blood fractions. In human studies, invasive sample collection is unpleasant for subjects. In contrast, cheek cell sampling can be considered as a non-invasive alternative to investigate FA status.
The aim of this study was to analyze whether cheek cell FA composition reflect the supplementation of alpha-linolenic acid (ALA) using a linseed oil mixture compared to olive oil supplementation. Additionally, it was investigated if cheek cell FA composition correlates with the FA composition of plasma, red blood cells (RBC) and peripheral blood mononuclear cells (PBMC) before and during both interventions.
Methods
During a 10-week randomized, controlled, double-blind human intervention study, 38 subjects provided cheek cell and blood samples. After a two-week run-in period, the test group (n = 23) received 17 g/d of an ALA-rich linseed oil mixture, while the control group (n = 15) received 17 g/d of an omega-3 (n-3) polyunsaturated FA (PUFA)-free olive oil. Cheek cells and blood were collected on days 0, 7 and 56 of the 8-week intervention period.
Results
Compared to olive oil, the linseed oil intervention increased ALA and also the endogenously converted long-chain n-3 metabolites eicosatetraenoic-, eicosapentaenoic- and docosapentaenoic acid in cheek cells (P ≤ 0.05). Docosahexaenoic acid remained unchanged. Reflecting the treatment, the n-6/n-3 ratio decreased in the test group. In general, cheek cell FA reflected the changes of FA in blood fractions. Independent of treatment, significant correlations (P ≤ 0.05) of n-6 PUFA and n-3 PUFA between cheek cells and plasma, RBC and PBMC were found, except for linoleic acid and ALA.
Conclusions
The changes in FA composition of cheek cells confirmed that ALA from linseed oil increased endogenously derived n-3 PUFA in cheek cell lipids. These changes in cheek cells and their correlation to the respective FA in blood fractions indicate the cheek cell FA profile as an adequate non-invasive biomarker for short-term n-3 PUFA intake and metabolism. Therefore, cheek cell FA can be used in human intervention studies or large-scale epidemiological studies, especially for assessment of the n-3 PUFA status.
Trial registration
ClinicalTrials.gov, IDNCT01317290
【 授权许可】
2013 Grindel et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20140714055918407.pdf | 206KB | download |
【 参考文献 】
- [1]Mozaffarian D, Wu JHY: Omega-3 fatty acids and cardiovascular disease effects on risk factors, molecular pathways, and clinical events. J Am Coll Cardiol 2011, 58:2047-2067.
- [2]Siegel G, Ermilov E: Omega-3 fatty acids: Benefits for cardio-cerebro-vascular diseases. Atherosclerosis 2012, 225:291-295.
- [3]Calder PC: Omega-3 polyunsaturated fatty acids and inflammatory processes: nutrition or pharmacology? Br J Clin Pharmacol 2013, 75:645-662.
- [4]Schaefer EJ, Bongard V, Beiser AS, Lamon-Fava S, Robins SJ, Au R, Tucker KL, Kyle DJ, Wilson PWF, Wolf PA: Plasma phosphatidylcholine docosahexaenoic acid content and risk of dementia and Alzheimer disease - The Framingham heart study. Arch Neurol 2006, 63:1545-1550.
- [5]Helland IB, Smith L, Saarem K, Saugstad OD, Drevon CA: Maternal supplementation with very-long-chain n-3 fatty acids during pregnancy and lactation augments children's IQ at 4 years of age. Pediatrics 2003, 111:6.
- [6]Arab L: Biomarkers of fat and fatty acid intake. J Nutr 2003, 133:925S-932S.
- [7]Harris WS: Omega-3 fatty acids and cardiovascular disease: A case for omega-3 index as a new risk factor. Pharmacol Res 2007, 55:217-223.
- [8]Hodson L, Skeaff CM, Fielding BA: Fatty acid composition of adipose tissue and blood in humans and its use as a biomarker of dietary intake. Prog Lipid Res 2008, 47:348-380.
- [9]Fekete K, Marosvolgyi T, Jakobik V, Decsi T: Methods of assessment of n-3 long-chain polyunsaturated fatty acid status in humans: a systematic review. Am J Clin Nutr 2009, 89:2070S-2084S.
- [10]Hoffman DR, Birch EE, Birch DG, Uauy R: Fatty acid profile of buccal cheek cell phospholipids as an index for dietary intake of docosahexaenoic acid in preterm infants. Lipids 1999, 34:337-342.
- [11]Klingler M, Klem S, Demmelmair H, Koletzko B: Comparison of the incorporation of orally administered DHA into plasma, erythrocyte and cheek cell glycerophospholipids. Br J Nutr 2013, 109:962-968.
- [12]McMurchie EJ, Margetts BM, Beilin LJ, Croft KD, Vandongen R, Armstrong BK: Dietary-induced changes in the fatty acid composition of human cheek cell phospholipids: correlation with changes in the dietary polyunsaturated/saturated fat ratio. Am J Clin Nutr 1984, 39:975-980.
- [13]Gillespi GM: Renewal of buccal epithelium. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1969, 27:83-89.
- [14]Klingler M, Koletzko B: Novel methodologies for assessing omega-3 fatty acid status - a systematic review. Br J Nutr 2012, 107:S53-S63.
- [15]Kuhnt K, Kraft J, Moeckel P, Jahreis G: Trans-11-18:1 is effectively Delta 9-desaturated compared with trans-12-18:1 in humans. Br J Nutr 2006, 95:752-761.
- [16]Handloser D, Widmer V, Reich E: Separation of phospholipids by HPTLC - An investigation of important parameters. J Liq Chromatogr R T 2008, 13:1857-1870.
- [17]Kuhnt K, Kraft J, Vogelsang H, Eder K, Kratzsch J, Jahreis G: Dietary supplementation with trans-11-and trans-12-18:1 increases cis-9, trans-11-conjugated linoleic acid in human immune cells, but without effects on biomarkers of immune function and inflammation. Br J Nutr 2007, 97:1196-1205.
- [18]Folch J, Lees M, Stanley GHS: A simple method for the isolation and purification of total lipids from animal tissues. J Biol Chem 1957, 226:497-509.
- [19]Sampugna J, Light L, Enig MG, Jones DY, Judd JT, Lanza E: Cheek cell fatty acids as indicators of dietary lipids in humans. Lipids 1988, 23:131-136.
- [20]Connor SL, Zhu N, Anderson GJ, Hamill D, Jaffe E, Carlson J, Connor WE: Cheek cell phospholipids in human infants: a marker of docosahexaenoic and arachidonic acids in the diet, plasma, and red blood cells. Am J Clin Nutr 2000, 71:21-27.
- [21]Koletzko B, Knoppke B, von Schenck U, Demmelmair H, Damli A: Noninvasive assessment of essential fatty acid status in preterm infants by buccal mucosal cell phospholipid analysis. J Pediatr Gastroenterol Nutr 1999, 29:467-474.
- [22]Laitinen K, Sallinen J, Linderborg K, Isolauri E: Serum, cheek cell and breast milk fatty acid compositions in infants with atopic and non-atopic eczema. Clin Exp Allergy 2006, 36:166-173.
- [23]Browning LM, Walker CG, Mander AP, West AL, Madden J, Gambell JM, Young S, Wang L, Jebb SA, Calder PC: Incorporation of eicosapentaenoic and docosahexaenoic acids into lipid pools when given as supplements providing doses equivalent to typical intakes of oily fish. Am J Clin Nutr 2012, 96:748-758.
- [24]Kirby A, Woodward A, Jackson S, Wang Y, Crawford MA: The association of fatty acid deficiency symptoms (FADS) with actual essential fatty acid status in cheek cells. Prostaglandins Leukot Essent Fatty Acids 2010, 83:1-8.
- [25]Klingler M, Demmelmair H, Koletzko B, Glaser C: Fatty acid status determination by cheek cell sampling combined with methanol-based ultrasound extraction of glycerophospholipids. Lipids 2011, 46:981-990.
- [26]Osswald K, Mittas A, Glei M, Pool-Zobel BL: New revival of an old biomarker: characterisation of buccal cells and determination of genetic damage in the isolated fraction of viable leucocytes. Mutat Res 2003, 544:321-329.
- [27]Lapillonne A, DeMar JC, Nannegari V, Heird WC: The fatty acid profile of buccal cheek cell phospholipids is a noninvasive marker of long-chain polyunsaturated fatty acid status in piglets. J Nutr 2002, 132:2319-2323.
- [28]Burdge GC: Metabolism of alpha-linolenic acid in humans. Prostaglandins Leukot Essent Fatty Acids 2006, 75:161-168.
- [29]Skeaff CM, McLachlan K, Eyles H, Green T: Buccal cells as biomarkers of fat intake. Asia Pac J Clin Nutr 2003, 12(Suppl):55.