La Guardia M, Giammanco S, Di Majo D, Tabacchi G, Tripoli E, Giammanco M
Department of Medicine, Pneumology, Physiology and Human Nutrition, University of Palermo, Palermo, Italy.
Panminerva Med. 2005 Dec;47(4):245-57.
Polyunsaturated fatty acids (PUFAs) have an important role in human diet, both for the prevention and the therapy of different pathologies. In this review, a critical evaluation of PUFAs dietary sources and biological functions in human organism has been done. In particular, the efficacy of omega-3 fatty acids in the improvement of the lipidic pattern and in the excitability of myocardium has been analyzed, and, therefore, their usefulness in the prevention of cardiovascular diseases and postinfarction arrhythmias. As PUFAs are precursors of prostaglandins and leucotriens, which are involved in phlogosis and immune response, a diet rich in fish oil reduces the production of PGE2 involved in many phlogosis events. Moreover, an increase in the eicosapentaenoic acid (EPA) intake leads to a reduction in the production of inflammatory cytokines (interleukin 1, 2, 6 and tumor necrosis factor); so, it is important to use omega-3 in chronic inflammatory diseases, as the rheumatoid arthritis. It seems that omega-3 could prevent the onset of hormone-dependent tumours (i.e. breast and prostatic cancer); in vitro observations, in fact, have shown that the PG of the series 2, derived from omega-6, have a carcinogenic action; instead, the anticancer effect of omega-3 could derive from their effect in antagonizing the formation of such PG; it can be useful, therefore, to increase the dietary omega-3/omega-6 ratio. Moreover, the effects of omega-3 on the anatomic and functional central nervous system development and of their possible therapeutical use in some psychiatric pathologies were evaluated.
多不饱和脂肪酸(PUFAs)在人类饮食中具有重要作用,对不同病症的预防和治疗均有帮助。在本综述中,对PUFAs的饮食来源及其在人体中的生物学功能进行了批判性评估。特别分析了ω-3脂肪酸在改善血脂模式和心肌兴奋性方面的功效,以及它们在预防心血管疾病和心肌梗死后心律失常方面的作用。由于PUFAs是参与炎症和免疫反应的前列腺素和白三烯的前体,富含鱼油的饮食可减少许多炎症事件中涉及的PGE2的产生。此外,二十碳五烯酸(EPA)摄入量的增加会导致炎症细胞因子(白细胞介素1、2、6和肿瘤坏死因子)的产生减少;因此,在类风湿性关节炎等慢性炎症性疾病中使用ω-3很重要。ω-3似乎可以预防激素依赖性肿瘤(即乳腺癌和前列腺癌)的发生;事实上,体外观察表明,源自ω-6的2系列前列腺素具有致癌作用;相反,ω-3的抗癌作用可能源于它们对抗此类前列腺素形成的作用;因此,提高饮食中ω-3/ω-6的比例可能会有帮助。此外,还评估了ω-3对中枢神经系统解剖和功能发育的影响以及它们在某些精神疾病中可能的治疗用途。